19.13. Emergency Shower and Eyewash Units Checklist

Do supervisors ensure emergency showers and eyewash stations are provided, inspected, tested
and maintained IAW this standard? AFI 91-203 para. 19.3

Are hand-held drench hoses used only to supplement shower and eyewash units and not to replace them? AFI 91-203 para. 19.4.2

Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? AFI 91-203 para. 19.5

Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? AFI 91-203 19.5

Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? AFI 91-203 para. 19.5

Are the units connected to a supply of water free from contamination and equal in purity to potable water? AFI 91-203 para. 19.6

Is the delivered water temperature in a comfortable range that would not discourage use of the unit? AFI 91-203 para. 19.6.1

Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? AFI 91-203 para. 19.6.1

Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? AFI 91-203 para. 19.6.2

Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? AFI 91-203 para. 19.6.3

When actuated, does the water flow remain on without use of the operator‘s hands? AFI 91-203 para. 19.7.1

Is the control valve simple to operate (push-pull) and does it go from ―off‖ to ―on‖ in less than one second? AFI 91-203 para. 19.7.1

Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? AFI 91-203 para. 19.7.2

If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? AFI 91-203 para. 19.8

Do supervisors ensure permanently installed shower and eyewash units are activated weekly to verify proper operation? AFI 91-203 para. 19.9.1

Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? AFI 91-203 para. 19.9.1

Do supervisors perform monthly inspection of permanently installed units IAW instructions in paragraph 19.12? AFI 91-203 para. 19.9.2

Are eyewash bottles maintained IAW the manufacturer‘s instructions? AFI 91-203 para. 19.9.4

Are workers whose duties expose them to conditions that may warrant the use of emergency equipment properly trained? AFI 91-203 para.19.10

When maintenance renders emergency shower or eyewash units inoperable, are adequate measures taken to safeguard employees? AFI 91-203 para. 19.11

Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? AFI 91-203 para.

Is a means provided for eyewash units to ensure a controlled flow of potable water or its equivalent to both eyes simultaneously, at a pressure low enough not to be injurious to the user? AFI 91-203 para.

Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? AFI 91-203 para. 19.12.5

Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? AFI 91-203 para. 19.12.6


Report Routing

Supervisor Signature:


Superintendent Signature:


Commander Signature:


Safety Office Signature:


Wing Commander Signature:


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.