Title Page
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Document No.
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Weekly Eyewash Audit
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Sabre Industries Sioux City
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Conducted on
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Prepared by
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Location
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Does the station activate easily?
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Does flow remove covers?
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Does water flow evenly?
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Does the station drain properly?
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Is there any leaks in plumbing or water tank for gravity fed?
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Is the Eyewash generally clean inside and out?
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Disinfect eye pieces with 10%bleach solution.
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Run station for 3 min to flush stagnant water from line.
