Eyewash Station Inspection

• Eyewash Station Inspection

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• 29 CFR 1910.151(c)<br>Are suitable facilities provided for quick drenching and flushing of the eyes from exposure to injurious corrosive materials?

  Yes

  No

  N/A

• Safety station is accessible<br>within 10 seconds of hazard,<br>approximately 55 ft./16.8 m.

  Yes

  No

  N/A

• Safety station is located on the same level as the hazard and the path of travel shall be free of obstructions.

  Yes

  No

  N/A

• Emergency equipment location is well lit and identified with a highly visible sign

  Yes

  No

  N/A

• Is the eyewash designed and positioned in a way that doesn't pose a hazard to the user?

  Yes

  No

  N/A

• All employees subject to exposure to hazardous material should be instructed in the location and proper use of emergency equipment.

  Yes

  No

  N/A

• Where the possibility of freezing conditions exists, the unit is protected from freezing or freeze-protected equipment is installed

  Yes

  No

  N/A

• Drench hose delivers a controlled flow of flushing fluid at a velocity low enough to be non-injurious.

  Yes

  No

  N/A

• Tepid flushing fluid temperature range is above 60o F (16o C) and below 100o F (38o C).

  Yes

  No

  N/A

• Eyewash provides a means of controlled flow to both eyes simultaneously at a velocity low enough to be non-injurious.

  Yes

  No

  N/A

• Eye/face wash equipment can deliver minimum of 3 gallons (11.4 L) per minute of water for 15 minutes. (Sec. 6.1.6, 7.1)<br>Eyewash only must deliver minimum of<br>.4 gallon (1.5 L) per minute of water for<br>15 minutes.

  Yes

  No

  N/A

• Outlets are protected from airborne contaminants.

  Yes

  No

  N/A

• The flushing fluid of an eyewash – eye/face wash covers the areas between the interior and exterior lines of a gauge at some point less than 8 inches (20.3 cm) above the eyewash nozzle.

  Yes

  No

  N/A

• Flushing fluid flow pattern should be<br>33 to 53 inches (83.8 cm – 134.6 cm) from the surface floor of user and minimum of 6 inches (15.3 cm) from any obstruction.

  Yes

  No

  N/A

• Eyewash designed so that the flushing flow remains on without the use of the operator’s hands. The valve shall be simple to operate and go from “off” to “on” in one second or less.

  Yes

  No

  N/A

• Is the supply piping of plumbed eyewashes adequately sized to meet flow requirements?

  Yes

  No

  N/A

• Covers are removed by water flow.

  Yes

  No

  N/A

• Is the eyewash constructed of materials that will not corrode while fluid is flushing?

  Yes

  No

  N/A

• Does the eyewash provide enough room to allow the eyelids to be held open during flushing?

  Yes

  No

  N/A

• Is the eyewash protected from freezing (e.g., heated blankets)?

  Yes

  No

  N/A

Operations

• Is the valve free of corrosion?

  Yes

  No

  N/A

• Can the valve be activated ""off"" to ""on"" in one second or less?

  Yes

  No

  N/A

• Is the valve operable?<br>

  Yes

  No

  N/A

• Are manual or automatic valve activators easy to locate and readily accessible?

  Yes

  No

  N/A

• Can both eyes be flushed at the same time?

  Yes

  No

  N/A

• Are the eyewash piping connections free of leaks?

  Yes

  No

  N/A

Maintenance and Inspection

• Are plumbed eyewashes activated weekly to ensure flushing fluid is available?

  Yes

  No

  N/A

• Are all eyewashes inspected annually?

  Yes

  No

  N/A