TVA - NEEDS ASSESSMENT - Emergency Showers & Eyewashes

• Document No.

• ASSESSMENT

• Site

  COLBERT FOSSIL PLANT

  COLBERT CT

• Conducted on

  Date

• Conducted by

• Equipment Location
  Address

• OTHER

PART I - REQUIREMENTS: TVA-TSP-18.303 / ANSI Z358.1

• Emergency showers, eyewash, or other deluge systems shall be provided in areas where any of the following conditions exist:

• Acid, caustic, or other hazardous chemicals used, stored, or handled (and the possibility of spillage)

  YES

  NO

• Explain:

• Add media

  Media

• Airborne dust or contaminants may be presen.

  YES

  NO

• Explain:

• Chemical fumes that may cause eye or skin irritation are present.

  YES

  NO

• Explain:

Emergency Shower / Eyewash

• Is there a permanent or self-contained (portable) unit currently in the area?

  YES

  NO

• Type

  PERMANENT - EYEWASH ONLY

  PERMANENT - SHOWER ONLY

  PERMANENT - EYEWASH/SHOWER COMBO

  SELF-CONTAINED (Portable)

• Type Recommended for this Area

  PERMANENT - EYEWASH ONLY

  PERMANENT - SHOWER ONLY

  PERMANENT - EYEWASH/SHOWER COMBO

  SELF-CONTAINED (Portable)

• If the answer above is "yes" complete the questions in Section Part II of this assessment.

PART II - EQUIPMENT / UNID

• TYPE

  PERMANENT - EYEWASH ONLY

  PERMANENT - SHOWER ONLY

  PERMANENT - EYEWASH/SHOWER COMBO

  SELF-CONTAINED (Portable)

• MANUFACTURER:

• MODEL:

• General Condition of Unit:

  EXCELLENT

  GOOD

  FAIR

  POOR

• REFERENCE: TVA-TSP-18.303 / ANSI Z358.1 / OSHA 29CFR1910 General Industry

DISTANCES

• Travel distance to units are 10 seconds or 55 feet

  YES

  NO

• Explain:

• Add media

  Media

• Travel distance at Battery Charging/Servicing Stations, within 25 feet.

  YES

  NO

• Explain:

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  Media

• Exposure to highly corrosive chemicals - may require flushing units immediately adjacent (e.g., <10ft. To the hazard)

  YES

  NO

• Explain:

• Add media

  Media

OBSTRUCTIONS & ACCESSIBILITY

• Unit is free from obstruction and accessible from two directions and located on the same level as the hazard?

  YES

  NO

• Explain:

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• A clear and unobstructed 45-inch radius is maintained around unit?

  YES

  NO

• Explain:

• Add media

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• Unit water spray will not contact electrical apparatus or power outlets?

  YES

  NO

• Explain:

• Add media

  Media

• NOTE: Electrical outlets within 45-inch radius around unit shall be de-energized.

INSTALLATION

• Unit is marked with High Visibility Identification Signs?

  YES

  NO

• Explain:

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• Actuating valves are easily accessible & manipulated?

  YES

  NO

• Explain:

• Add media

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• Combination unit components are capable of operating simultaneously by the same user?

  YES

  NO

• Explain:

• Add media

  Media

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

  YES

  NO

• Explain:

• Add media

  Media

• Drench hose used as eyewash - eye/face wash meets performance requirements as specified in Section 5/6 of ANSI Z358.1?

  YES

  NO

• Explain:

• Add media

  Media

• The unit is subject to freezing and freeze protection is provided?

  YES

  NO

• Explain:

• Add media

  Media

• Shower head is installed between 82 to 96 inches above surface floor of user?

  YES

  NO

• Explain:

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• Shower delivers minimum 20 gallons per minute and provides a column of water 20" wide at 60" above the surface floor of user?

  YES

  NO

• Explain:

• Add media

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• Pull valve handle is no more 69" above the surface flow of user?

  YES

  NO

• Explain:

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• Flushing flow remains on without the use of the Operator's hands and operates within 1 second from OFF to ON?

  YES

  NO

• Explain:

• Add media

  Media

• Flushing fluid nozzles of eyewash - eye/face wash are located between 33 to 45 inches above the from the floor and a minimum of 6 inches from the wall?

  YES

  NO

• Explain:

• Add media

  Media

• Flushing fluid nozzles provide a controlled flow to both eyes simultaneously at a velocity low enough to be non-injurious?

  YES

  NO

• Explain:

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• Eyewash ONLY delivers a minimum of .4 gallons per minute of water for 15 minutes?

  YES

  NO

• Explain:

• Add media

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• Eye/face wash delivers minimum 3 gallons per minute of water for 15 minutes?

  YES

  NO

• Explain:

• Add media

  Media

• The flushing fluid of an eyewash - eye/face wash covers the areas between the interior & exterior lines of a gauge at some point less than 8" above the eyewash nozzles?

  YES

  NO

• Explain:

• Add media

  Media

• Eyewash - eye/face wash Valve remains ON when operated without the continuous use of the operator's hands and go from ON to OFF in one second or less?

  YES

  NO

• Explain:

• Add media

  Media

INSPECTIONS

• The unit has identification (inspection tag) verifying weekly activation of a permanently installed units?

  YES

  NO

• Comment:

• The FACILITY has a Weekly and Annual PM (Preventative Maintenance) procedure in place?

  YES

  NO

• Comment: ( PM Numbers - frequency performed)

SIGNATURE

• AUDITOR / TITLE:

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