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EYE WASH TESTING SHEET Form Emergency Shower and Eyewash Program Per ANSI Z358.12009 Eyelashes shall be activated weekly for a period long enough to verify operation and ensure that flushing fluid
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How to fill out eyewash log form

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How to fill out eyewash station log:

01
Ensure all necessary information is provided on the log form, such as date, time, and person responsible for filling it out.
02
Record the location of each eyewash station in the log, specifying the exact area or department where the station is located.
03
Document any inspections or maintenance activities performed on the eyewash station, including the date, time, and the person who conducted the inspection or maintenance.
04
If any issues or deficiencies are identified during the inspection, note them in the log and take appropriate action to address them promptly.
05
Include details of any repairs or replacements done to the eyewash station equipment, along with the date and name of the person responsible for the repairs.
06
Ensure that all entries in the log are legible and accurate, and avoid leaving any blank spaces or gaps in the records.

Who needs eyewash station log:

01
Employers or business owners that have eyewash stations installed in their facilities.
02
Employees or caretakers responsible for the maintenance and operation of eyewash stations.
03
Occupational health and safety professionals or auditors who may review the log to ensure compliance with regulations and standards.
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An eyewash station log is a record-keeping document that tracks the maintenance, inspection, and usage of eyewash stations in a workplace to ensure they are functioning properly and ready for use in case of emergencies.
Typically, safety officers or designated personnel in a workplace are required to file the eyewash station log to ensure compliance with health and safety regulations.
To fill out an eyewash station log, record the date of inspection, the condition of the eyewash station, any maintenance performed, and any instances of use, along with the name of the person conducting the inspection.
The purpose of an eyewash station log is to document compliance with safety regulations, ensure maintenance of the eyewash stations, and provide a record in case of an incident involving eyewash station usage.
The eyewash station log must report the date, time, condition of the station, results of any maintenance performed, details of any usage incidents, and the signatures of the personnel conducting inspections.
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