
Get the free Eyewash Weekly Inspection Form - UTHSC
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CHEMICAL HYGIENE PLANAPPENDIX F
EYEWASH MAINTENANCE
WEEKLY LOG SHEET
JANUARY
Week 1
Week 2
Week 3
Week 4
FEBRUARY
Week 1
Week 2
Week 3
Week 4
MARCH
Week 1
Week 2
Week 3
Week 4
APRIL
Week 1
Week 2
Week
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What is eyewash weekly inspection form?
The eyewash weekly inspection form is a document used to record the routine inspection of eyewash stations to ensure they are functioning properly.
Who is required to file eyewash weekly inspection form?
Employers who have eyewash stations in their workplace are required to file the eyewash weekly inspection form.
How to fill out eyewash weekly inspection form?
To fill out the eyewash weekly inspection form, one must inspect the eyewash station, document any issues found, and sign and date the form to verify inspection.
What is the purpose of eyewash weekly inspection form?
The purpose of the eyewash weekly inspection form is to ensure that eyewash stations are properly maintained and in working condition to provide immediate relief in case of eye injuries.
What information must be reported on eyewash weekly inspection form?
The information reported on the eyewash weekly inspection form includes the date of inspection, any issues found, actions taken to address those issues, and the signature of the person conducting the inspection.
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