Printable Eyewash Station Checklist

Printable Eyewash Station Checklist CHECKLIST FOR INSPECTION OF EYEWASH AND DRENCH HOSE EQUIPMENT Ensure that the path to the eyewash drench hose is not obstructed Verify that nozzle caps are in place to prevent contamination and that the nozzles nozzle caps and bowl sink are clean and sanitary

Title Weekly Eyewash equipment Inspection Sheet Final 04062022 Author Semeniuc Raluca NIH OD ORS C Created Date 4 6 2022 9 21 37 AM First Aid Eye Wash Stations Defibrillator Inspections Download Free Template Use this checklist to inspect first aid kits eyewash stations and defibrillators in your workplace to ensure availability and proper working conditions

Printable Eyewash Station Checklist

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Printable Eyewash Station Checklist
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WEEKLY EYE WASH INSPECTION CHECKLIST Activate eye wash station to check for appropriate flow Check for cleanliness Ensure eyewash station is covered with caps Ensure eyewash is not obstructed available and easily accessible Date of Weekly Inspection Checked by Print Name INFOSHEET Health Effects from Contaminated Water in Eyewash Stations Eyewash stations used in workplaces must be maintained to prevent injury and illness to workers This InfoSheet provides updated information on eyewash station hazards

Initial and date in the corresponding box verifying the eyewash station is checked weekly for the following The pathway to the eyewash station is clear of obstructions The eyewash fixture is free of obstructions in all directions Eyewash Weekly Checklist q Eyewash is accessible within 10 seconds or roughly 55 feet commonly referred to as the 10 second rule q No pallets ladders buckets boxes or other potential hazards are obstructing the path between the hazard and the eyewash station q Eyewash is at the same level as the hazard q Area is well lit q Light bulbs and light

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Use the helpful checklist below along with it to make sure your eyewash and eye face wash stations meet the ANSI requirements Note any areas that may need maintenance in the Observations Comments column of the Weekly Activation Test Record Weekly Visual Inspection Is the path to the eyewash station well lit and clear of obstacles The eyewash station checklist below covers key points in the ANSI standard in the areas of operation and maintenance The checklist assumes the unit has been properly selected and installed Refer to the manufacturer s guidelines if

GENERAL CONSIDERATIONS ANSI Z358 1 2014 contains provisions regarding the design certification performance installation use and maintenance of various types of emergency equipment showers eyewashes drench hoses etc In addition to the provisions in the standard there are additional considerations that are not part of the Eye wash checklist The eye wash unit must be within 10 seconds of the hazard and on the same level as the hazard and within an unobstructed travel path The water delivered must be tepid lukewarm from the eye wash station Again please see the Emergency Shower and Eye Wash Guide

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Printable Eyewash Station Checklist - Open the osha eye wash station inspection checklist and follow the instructions Easily sign the printable eyewash station checklist with your finger Send filled signed eye wash station inspection sheet pdf or save How to protect your osha eye wash station inspection checklist when executing electronically