Title Page
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Conducted on
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Prepared by
Emergency Eyewash Station #1 (Prebatch Whse)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #2 (Tank Farm)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #3 (Rcvg Whse)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #4 (UV Filling)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #5 (Small Batch)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #6 (UV Lab)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #7 (UV Mezz)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #8 (Filling-New Side)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #9 (Shipping Dock #9)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #10 (Filling-Drum Line)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #11 (Filling Line #2)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #12 (Shipping Office)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #13 (Mixing Mezz)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #14 (Mixing Mezz)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #15 (QA Lab)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken
Emergency Eyewash Station #16 (QA Back Room)
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Is path and location free of obstructions, well lit, and identified with a highly visible sign?
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Action Taken
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Outlets are capped and protected from airborne contaminants?
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Action Taken
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Flow station for at least 30 sec, or longer for water to become clear - empty drain pail after testing
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Action Taken
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Flow to both eyes is equal, and at a velocity low enough to be non-injurious?
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Action Taken
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The shower handle is easy and accessible to operate, and easily activates without force, and flows water in one second or less upon activation?
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Action Taken