02 Weekly Inspections - Eye & Shower Wash - Greenheck

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Instructions

• INSTRUCTIONS
  1. Please answer all questions below.
  2. Add Photos in "Media" and Comments in "Add note..." on each question as needed.
  3. Add a Corrective Measure in "Action" . Provide a description, assign to a member, set priority, and due date.
  4. Complete the audit by providing a digital signature.

Eye Wash

• Are suitable facilities provided for a quick drenching and flushing of the eyes from exposure <br>to injurious corrosive materials?

  Yes

  No

  N/A

• Is the sole purpose of the unit as emergency eyewash?

  Yes

  No

  N/A

• Are nozzles protected from airborne contaminants?

  Yes

  No

  N/A

• Is the eyewash equipped with valves that stay open without the use of hands once activated?

  Yes

  No

  N/A

• Is the eyewash protected from freezing?

  Yes

  No

  N/A

• Is the area around the eyewash well lit?

  Yes

  No

  N/A

• Is the eyewash located in an area that makes it highly visible?

  Yes

  No

  N/A

• Where the hazard involves strong acid or caustics, is the eyewash immediately adjacent to the hazard?

  Yes

  No

  N/A

• Is the eyewash located on the same level as the hazard?

  Yes

  No

  N/A

• Where the hazard involves strong acid or caustics, is the eyewash immediately adjacent to <br>the hazard?

  Yes

  No

  N/A

• Can the eyewash be reached in 10 seconds?

  Yes

  No

  N/A

• Is the path of travel to the eyewash free of obstructions that may inhibit immediate use?

  Yes

  No

  N/A

• Is a highly visible sign positioned to clearly identify the location of the eyewash?

  Yes

  No

  N/A

• Are self-contained eyewashes visually checked in accordance with the manufacturer’s <br>instructions to determine if flushing fluid needs to be changed or supplemented?

  Yes

  No

  N/A

• Does the eyewash deliver a minimum of .4 gallons of flushing fluid per minute for 15 <br>minutes?

  Yes

  No

  N/A

Emergency Shower

• Is the area around the shower well lit?

  Yes

  No

  N/A

• Is the shower located in an area that makes it highly visible?

  Yes

  No

  N/A

• Is the shower located on the same level as the hazard?

  Yes

  No

  N/A

• Where the hazard involves strong acid or caustics, is the shower immediately adjacent to the <br>hazard?

  Yes

  No

  N/A

• Can the shower be reached in 10 seconds?

  Yes

  No

  N/A

• Is the path of travel to the shower free of obstructions that may inhibit immediate use?

  Yes

  No

  N/A

• Are plumbed showers activated weekly?

  Yes

  No

  N/A

• Are all showers inspected annually?

  Yes

  No

  N/A

• Is the shower protected from freezing?

  Yes

  No

  N/A

• Is the valve operable?

  Yes

  No

  N/A

• Does the valve remain open without the use of the operator’s hands?

  Yes

  No

  N/A

• Have employees been trained on the location of emergency showers?

  Yes

  No

  N/A

• Have employees been trained on the proper use of emergency showers?

  Yes

  No

  N/A

Additional Details

• General Comments and Recommendations

Completion

• Completed By:

• Signature:

  Sign