Wilkie Weekly Eyewash Inspection

• Document No.

• Wilkie a Weekly Eyewash Inspection

• Wilkie

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hazardous waste accumulation area

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the solution within 6 months of mixing date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

Raw Materials (Wall)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Inventory (Main Aisle)

• Activated in 1 second or less?

  Yes

  No

  N/A

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the flow of water clear?

  Yes

  No

  N/A

Water Jet (Wall)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Sheet metal (cabinet)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Sheet Metal (Wall)

• Is the flow of water clear?

  Yes

  No

  N/A

Router Shop (Wall)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Router Shop (West Wall)

• Is area free of obstruction?

  Yes

  No

  N/A

• Is the solution within 6 months of mixing date?

  Yes

  No

  N/A

• Are the pull straps tightly secured?

  Yes

  No

  N/A

HT-10 Shop (Aisle)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Debur Shop (Wall)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

Landing Leg Area (Cabinet)

• Are bottles readily available and unopened?

  Yes

  No

  N/A

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