Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Annual Inspection
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Water supply delivers required flow when shower and eye or eye/face wash are operated simultaneously.
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Hands-free stay-open valve activates in one second or less.
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Height of water column is between 82" (208.3 cm) and above 96" (243.8 cm) above the floor.
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Shower delivers 20 gallons (75.7 liters) of water per minute for 15 minutes in the required pattern.
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Easily located, accessible actuator is no more than 69" (173.3 cm) above floor.
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Center of the water pattern is at least 16" (40.6 cm) from any obstruction.
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At 60" (152.4 cm) above the floor, the water pattern is at least 20" (50.8 cm) in diameter.
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Spray heads are protected from airborne contaminants. Covers are removed by water flow.
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Unit delivers at least 3.0 GPM (11.4 liters) (for eye/face wash) or 0.4 GPM (1.5 liters) (for eyewash) for 15 minutes.
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Valve actuator is easy to locate and readily accessible to user.
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Water flow pattern is positioned between 33" (83.8 cm) above floor and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction.
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Location: Install safety station within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
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Identification: Identify safety station location with highly visible sign. Area around safety station shall be well-lit.
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Water Temperature: Water delivered by safety station shall be tepid (60-100°F).
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Training: Instruct all employees in the location and proper use of safety station.
