Midas Audit

• Department

  Select Mixing Material Prep Tire Assembly Curing Finishing Warehouse

  • Mixing
  • Material Prep
  • Tire Assembly
  • Curing
  • Finishing
  • Warehouse

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared By:

  Select Bill Cassilly Pete Betts Robert Strickland Ray Powell Terry Weeden Stanley Manning Ken Midkiff Barry Poole Sony Shelton Ricky Houston Terry Hunsicker David Foster

  • Bill Cassilly
  • Pete Betts
  • Robert Strickland
  • Ray Powell
  • Terry Weeden
  • Stanley Manning
  • Ken Midkiff
  • Barry Poole
  • Sony Shelton
  • Ricky Houston
  • Terry Hunsicker
  • David Foster

Housekeeping

• Aisles/Walkways kept clear?

  Safe

  At Risk

  N/A

• Work area kept organized?

  Safe

  At Risk

  N/A

• Are exit doors clearly marked and unobstructed

  Safe

  At Risk

  N/A

• Access to Fire Exingishers unobstructed

  Safe

  At Risk

  N/A

• Housekeeping: spills, cords or other trips, trash/clutter, lighting, or Flammables

Personal Protective Equipment

• All appropriate equipment or gear worn correctly?

  Safe

  At Risk

  N/A

• PPE kept in good condition?

  Safe

  At Risk

  N/A

• Machine Guarding

  Safe

  At Risk

  N/A

Working Position

• Body position

  Safe

  At Risk

  N/A

• Location in working environment

  Safe

  At Risk

  N/A

• Work Position / Posture

  Safe

  At Risk

  N/A

Tools and Equipment

• Appropriate tools or equipment being used?

  Safe

  At Risk

  N/A

• Tools or equipment being used correctly?

  Safe

  At Risk

  N/A

• Tools or equipment in good condition?

  Safe

  At Risk

  N/A

Safe behaviors observed-actions taken to encourage safe behavior

Unsafe behaviors observed-action taken to correct and prevent recurrence

Line of fire. Is the worker in the line of fire?

• Grinding or drilling operations creating flying objects or particles - goggles/face-shield. Heavy equipment movement in the area - operator aware of pedestrian? Around rigging operations - hand in pinch point not under equipment? Working in front of live electrical panel - NFPA70E PPE

• Grinding, drilling or other operation that would cause flying debris

  Safe

  At Risk

  N/A

Safety procedures

• Lock-out/Tag-out, Arc Flash, Hot Work Permit, Confined Space

  Safe

  At Risk

  N/A

• Notes / Comments / Photos

  Media

• Auditor signature

  Sign

• Mark Hueftle

  Sign