Marcus Building Weekly Lab Eyewash and Emergency Shower Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Marcus Level 4 Lab/Office

• Lab 4120 (Bakir)--are the three sink eyewashes flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 4120 (Bakir)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 4124 (Brand)--are the three sink eyewashes flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 4124 (Brand)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 4126 (Ayazi)--are the three sink eyewashes flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 4126 (Ayazi)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

Marcus Level 3 Lab/Office

• Lab 3120 (Kim)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 3120 (Kwong)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 3121 (Kwong)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 3126 (Lam)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 3127 (Lam)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 3127 (Lam)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

Marcus Level 2 Lab/Office

• Lab 2124 (Filler)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 2124 (Filler)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 2125 (Cola)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 2125 (Cola)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 2126 (Vogel)--is the sink eyewash flushed and working properly?

  Safe

  At Risk

  N/A

• Lab 2126 (Vogel)--is the emergency shower flushed and working properly?

  Safe

  At Risk

  N/A