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Portable Eyewash Inspection Checklist

This document is a portable eyewash inspection checklist. It contains 9 items to check on the portable eyewash including checking that the eyewash arm is intact, opens fully, ejects water with pressure, and that instructions are posted. Space is provided to record inspection results over multiple dates and any additional remarks. The checklist is to be inspected by the site supervisor and verified by the safety officer.

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3K views1 page

Portable Eyewash Inspection Checklist

This document is a portable eyewash inspection checklist. It contains 9 items to check on the portable eyewash including checking that the eyewash arm is intact, opens fully, ejects water with pressure, and that instructions are posted. Space is provided to record inspection results over multiple dates and any additional remarks. The checklist is to be inspected by the site supervisor and verified by the safety officer.

Uploaded by

arunjith r
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Portable Eyewash Inspection Checklist: This section includes a checklist for inspecting a portable eyewash station, ensuring safety and operational readiness, with guidelines and a legend for interpretation.

Upgrade Building of Risk mitigation RTR Facilities MANUFACTURER

MODEL#
BI-10-02062 CONTRACT: 6601000161 Al Rashid Trading & Contracting Co
DEPARTMENT: RNGLPD DIVISION: NRTR&JNGLPD SERIAL #

Document Title Portable Eyewash Inspection Checklist Location TANK CAPACITY

PORTABLE EYEWASH INSPECTION CHECKLIST


S DAY SAT SUN MON TUE WED THU FRI COMMENTS
ITEM DESCRIPTION
NO DATE
1 Is the eyewash tank cover available
2 Is the eyewash arm intact when in closed position
3 Is the eyewash arm opening completely in open position
4 Is the water ejecting with pressure from eyewash eyepoint
5 Is the water inside the eyewash tank clean
6 Is “how to use eyewash” instructions posted
7 Does the eyewash have any physical damage/defect
8 Is there any dust accumulated on eyewash outer body
9 Is the eyewash secured with carrying/lifting handle
ADDITIONAL INFORMATION/REMARKS

LEGEND: Yes- , No- , Not Applicable-N/A


INSPECTED BY (Site Supervisor) VERIFIED BY (safety officer)
NAME
SIGNATURE

RTCC SA-RTR PROJECT SAFETY DEPARTMENT

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