Eye Wash Station Inspection

• Select site

  Select

• Conducted on

  Date

• Conducted by

Plumed Eye Wash Station in Central Plant

• Does the eye wash station operate as intended?

  Yes

  No

  N/A

• Are the float caps properly secured?

  Yes

  No

  N/A

• Are the float caps in good condition?

  Yes

  No

  N/A

• Is the wash station clean of dirt and debris?

  Yes

  No

  N/A

• Is the wash station easily accessible?

  Yes

  No

  N/A