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
Shower/Eyewash 1
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
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Equipment number:
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Type: Shower / Eyewash
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Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
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Date
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10sec flush completed
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Access to unit clear
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Adequate Flow
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Correct Fittings
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Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 2
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 3
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 4
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 5
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 6
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 7
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 8
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 9
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 10
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 11
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
TESTING PROCEDURE (AS 4775 - 2007 Emergency Eyewash and Shower Equipment). Testing frequency: weekly or monthly upon site risk assessment. Require: bucket, sponge, and checklist. The location and operation of these emergency facilities must be incorporated in induction and laboratory training programs for personnel. IMMEDIATE ACCESS TO THE EMERGENCY SHOWER – EYEWASH MUST BE CLEAR AND FREE FROM OBSTRUCTIONS
Shower/Eyewash 12
Weekly (or monthly) flushing of eyewash and shower stations is important to prevent the build-up of rust, scale and chemicals in the plumbing, and ensure it is ready in an emergency. While the flushing occurs, it is also useful to check other safety requirements are also met
-
-
Equipment number:
-
Type: Shower / Eyewash
-
Location:
-
Frequency: Weekly / Monthly*
* monthly checks can only be done where a Risk Assessment has shown it to be acceptable. To flush the Eyewash/ Safety shower, press the leaver until flow is activated and runs without being held. Allow to flow for ten seconds, while checking the flowing safety requirements. To stop the flow, use the release mechanism (if present) to unlock the leaver, and gently let it return to its original position.
-
Date
-
10sec flush completed
-
Access to unit clear
-
Adequate Flow
-
Correct Fittings
-
Sign in place
