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IUPUI Weekly Eyewash Station Maintenance Log free printable template

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INPUT Weekly Eyewash Station Maintenance Log Week Year Location 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
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How to fill out eyewash station checklist form

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How to fill out IUPUI Weekly Eyewash Station Maintenance Log

01
Gather all necessary materials: the IUPUI Weekly Eyewash Station Maintenance Log and a pen.
02
Locate the specific eyewash station you are responsible for maintaining.
03
Check the eyewash station for any visible signs of damage or contamination.
04
Open the eyewash station to ensure the water flow is working properly and is at the correct temperature.
05
Record the date and time of the inspection in the log.
06
Note any issues or maintenance that needs to be addressed in the comments section.
07
Sign and print your name in the designated area of the log when the inspection is complete.
08
Ensure the log is submitted or stored according to the facility's protocols.

Who needs IUPUI Weekly Eyewash Station Maintenance Log?

01
Laboratory personnel who work with hazardous materials.
02
Safety officers responsible for ensuring compliance with safety regulations.
03
Facility managers overseeing maintenance of safety equipment.
04
Any staff or students using labs that require access to eyewash stations.
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What your employees need to do when using an eyewash station Hold the eyelids open while the water flows over the eyeballs. Roll the eyes all around so the water touches all surfaces and gets under the eyelids. Wash both eyes, even if it's believed only one was contaminated.
ing to ANSI/ISEA Z358. 1-2004, plumbed emergency eyewash and eye/face wash stations should be visually inspected and activated every week. Equipment requires annual servicing to ensure effective operation. Proper training covering the location and use of the eyewash is also vital during an emergency.
Federal OSHA requires emergency eyewash facilities be accessible in locations that require no more than 10 seconds for the injured person to reach. Plumbed or self-contained eyewash equipment must meet the requirements of sections 5, 7, or 9 of ANSI Z358.
When cleaning an eye wash station, use a simple solution of household detergent and hot water. Apply the solution to the unit with a soft sponge or cloth before rinsing thoroughly, making sure to sluice away any remaining soap residue. If costs allow, it is always preferable to purchase stainless steel eye wash units.
Inspection Frequency: Activate all eyewash units at least weekly (Section 5.5. 2). Inspect all eyewash units annually for compliance with the ANSI Z358.
The area should be kept neat and easily accessible with at least 32 inches of clear space around a safety shower and 6 inches clearance around an eyewash. DO NOT - Keep electrical equipment near eyewashes and emergency showers. DO - Leave dust covers supplied with the eyewash in place.
As a general rule, eyewash stations filled only with potable water should be drained and refilled monthly. Stations with water and preservative should be changed every three to six months.
As the standard states, an eyewash and/or safety shower would be required where an employee's eyes or body could be exposed to injurious corrosive materials.
How long should the contact area be rinsed/flushed? 5-minutes for non-irritants or mild irritants, 15-20 minutes for moderate to severe irritants and chemicals that cause acute toxicity if absorbed through the skin, 30 minutes for most corrosives, and.
Flush out your eyes Using your fingers to keep your eyelids open, lower your eyes into the stream of water issuing from the nozzles. Roll your eyes gently up and down and from side to side, ensuring that the water reaches as much of the eyeballs as possible.
How long should the contact area be rinsed/flushed? 5-minutes for non-irritants or mild irritants, 15-20 minutes for moderate to severe irritants and chemicals that cause acute toxicity if absorbed through the skin, 30 minutes for most corrosives, and.
ing to ANSI/ISEA Z358. 1-2004, plumbed emergency eyewash and eye/face wash stations should be visually inspected and activated every week. Equipment requires annual servicing to ensure effective operation. Proper training covering the location and use of the eyewash is also vital during an emergency.
Testing Your Eyewash Station Check for running water. The valve activates in a second or less and remains open until closed by user. Check for flow. The water stream should be about six inches long, with both streams crossing at the center of the eyewash nozzle. Check for balance. Check for temperature.
ing to ANSI/ISEA Z358. 1-2004, plumbed emergency eyewash and eye/face wash stations should be visually inspected and activated every week. Equipment requires annual servicing to ensure effective operation. Proper training covering the location and use of the eyewash is also vital during an emergency.
As a general rule, eyewash stations filled only with potable water should be drained and refilled monthly. Stations with water and preservative should be changed every three to six months.
Testing Your Eyewash Station Check for running water. The valve activates in a second or less and remains open until closed by user. Check for flow. The water stream should be about six inches long, with both streams crossing at the center of the eyewash nozzle. Check for balance. Check for temperature.
The OSHA standard 29 CFR 1910.151(c) requires eyewash and shower equipment for emergency use where the eyes or body of any employee may be exposed to injurious corrosive materials. For details on emergency eyewash and shower equipment we reference consensus standard ANSI Z358.
When should equipment be inspected and maintained? One person in the work area should be designated responsible for inspecting and operating (activating) the emergency shower, eyewash station, combination units, and drench hoses weekly.
Keep weekly eyewash inspection log sheet for 3 years.
Eyewash stations should be run on a monthly basis for 1-3 minutes, if otherwise unused, to flush stagnant water from the line. Run the water longer if the line is being used for the first time. Before you do this, be sure to check if the eyewash station is plumbed.

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The IUPUI Weekly Eyewash Station Maintenance Log is a record used to document the weekly inspection and maintenance of eyewash stations to ensure they are functioning correctly and are accessible in the event of an emergency.
Personnel responsible for the maintenance and safety of laboratories and workspaces at IUPUI are required to file the IUPUI Weekly Eyewash Station Maintenance Log.
To fill out the IUPUI Weekly Eyewash Station Maintenance Log, one must record the date of inspection, the condition of the eyewash station, any maintenance performed, and their name or initials as the person conducting the inspection.
The purpose of the IUPUI Weekly Eyewash Station Maintenance Log is to ensure that eyewash stations are regularly checked for proper function and cleanliness, which is critical for providing immediate care in case of chemical exposure or eye injuries.
The information that must be reported on the IUPUI Weekly Eyewash Station Maintenance Log includes the date of inspection, the status of the eyewash station (functional or non-functional), any corrective actions taken, and the name of the individual performing the inspection.
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