Annual Eyewash Inspection - Eyewash Only

Title Page

Site conducted
Conducted on
Prepared by
Location

Unit 1

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 2

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 3

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 4

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 5

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 6

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 7

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 8

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 9

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)

Unit 10

Unit Photos

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Controlled, low velocity flow completely rinses eyes and face and is not injurious to user. (Section 6.1.1)
Water flow is sufficiently high to allow user to hold eyes open while rinsing. (Section 6.1.7)
Spray heads are protected from airborne contaminants. Covers are removed by water flow. (Section 6.1.3)
Unit delivers at least 3.0 gallons (11.4 liters) of water per minute for 15 minutes. (Section 6.1.6, 6.4.5)
Water flow pattern is positioned between 33" (83.8 cm) and 53" (134.6 cm) from the floor and at least 6" (15.3 cm) from the wall or nearest obstruction. (Section 6.4.4)
Hands-free stay-open valve activates in one second or less. (Section 6.1.4, 6.2)
Valve actuator is easy to locate and readily accessible to user. (Section 6.2)
Unit washes both eyes simultaneously. Water flow covers area indicated on Guardian test gauge at no more than 8" above spray heads. (Section 6.1.8)
Location: Install eye/face wash unit within 10 seconds (approximately 55 feet) of hazard, on the same level as hazard and with unobstructed travel path.
Identification: Identify eye/face wash location with highly visible sign. Area around eye/face wash unit shall be well-lit. (Section 6.4.3)
Water Temperature: Water delivered by eye/face wash shall be tepid (60-100°F). (Section 6.4.6; B6)
Training: Instruct all employees in the location and proper use of eye/face wash units. (Section 6.5.4)