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Safety Showers Weekly Checks

Safety Shower Checks

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Use this Template

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Title Page

Document No.
Weekly Shower Checks
Client / Site
Conducted on
Prepared by
Location
Personnel

Reservoir Chemical Infeed Tested OK
Comments
Back Yard Chemical Storage Area Tested OK
Comments
Cooling Towers Chemical Cage Tested OK
Comments
Front Yard CIP Chemical Tanks Tested OK
Comments
Energy Centre Chemical Storage Tanks Tested OK
Comments
Nitrate Free Plant Room Tested OK
Comments
Factory Chemical Storage Area Stork 3 Tested OK
Comments
CH2 Mens WC Personal Shower Tested OK
Comments
Energy Centre Shower Tested OK
Comments
New CIP Bund Shower Adjacent Cooling Towers Tested OK
Comments
Date and Time Taken
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Site Services

Safety Showers Weekly Checks

Safety Shower Checks

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.