Main Campus Emergency Eyewash Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Lamination cleanroom

• Are bottles unopened/missing?

  Yes

  No

  N/A

Oven Room

• Are bottles unopened/missing?

  Yes

  No

  N/A

TPS/PICA Lab

• Are bottles unopened/missing?

  Yes

  No

  N/A

Avionics Test Lab

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Spacesuit development

• Are bottles unopened/missing?

  Yes

  No

  N/A

Bay Door 12

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Composites East/West

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Dust Room

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Propulsion NDT

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Propulsion Clean Line

• Are bottles unopened/missing?

  Yes

  No

  N/A

Propulsion In Space Cleanroom

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Propulsion M&P Lab

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Propulsion Conponents

• Are bottles unopened/missing?

  Yes

  No

  N/A

EB Weld

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

TVCA Room

• Are bottles unopened/missing?

  Yes

  No

  N/A

Main Inventory

• Are bottles unopened/missing?

  Yes

  No

  N/A

Octaweb Final Assembly

• Are bottles unopened/missing?

  Yes

  No

  N/A

Dragon Components Clean Room

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Composites Fairing

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Octaweb Drilling

• Are bottles unopened/missing?

  Yes

  No

  N/A

Falcon Integration

• Are bottles unopened/missing?

  Yes

  No

  N/A

South West Exterior

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

North West Exterior

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

EH&S Xbox

• Are bottles unopened/missing?

  Yes

  No

  N/A

EH&S shop

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Avionics Harness (3rd Floor)

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Production Test (Fairing)

• Are bottles unopened/missing?

  Yes

  No

  N/A

TPS/Soft Goods

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Furnace Building

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

M5 Structures Test

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Prop Clean Line

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Structures R&D Clean room (exterior)

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

M5 Machine Shop West

• Is the area free of obstructions?

  Yes

  No

  N/A

• Within 6 months of date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

NDT/X-ray

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

M3 Machine Shop

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

COPV West

• Are bottles unopened/missing?

  Yes

  No

  N/A

3515 Facilities Shop (Rear)

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

VBI

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Octaweb Drilling

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

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