Get the free Eye Wash Inspection Form

OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY 5255 Hampton Blvd. Song Hall, suite 2501 Norfolk, Virginia 23529 Phone: (757) 6834495 Fax: (757) 6836025 Occupational Safety & Health Environmental Health

How to fill out eye wash inspection form

How to fill out eye wash inspection form

1. To correctly fill out an eye wash inspection form, follow these steps:
2. Start by entering the date of the inspection in the designated field.
3. Identify the location of the eye wash station and record it on the form.
4. Examine the eye wash station for any visible damage or obstruction.
5. Check the water flow by activating the eye wash station and ensuring that the water pressure is sufficient.
6. Verify that the eye wash solution is within the expiration date and replace if necessary.
7. Inspect the eye wash nozzles for cleanliness and functionality.
8. Test the activation mechanism to ensure it is working properly.
9. Record any issues or observations in the appropriate section of the form.
10. Sign and date the form to indicate completion of the inspection.
11. Keep a copy of the filled-out form for future reference and compliance purposes.

Who needs eye wash inspection form?

1. Anyone responsible for maintaining eye wash stations needs an eye wash inspection form. This includes facility managers, safety officers, or designated personnel in workplaces where eye wash stations are present. Inspecting eye wash stations regularly helps ensure they are functioning correctly and ready for use in case of emergency.

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What is eye wash inspection form?

The eye wash inspection form is a document used to record the regular checks and maintenance of eye wash stations to ensure they are functioning properly and are readily accessible in case of an emergency.

Who is required to file eye wash inspection form?

Employers and safety personnel in workplaces where eye wash stations are present are required to file the eye wash inspection form as part of safety compliance and health regulations.

How to fill out eye wash inspection form?

To fill out the eye wash inspection form, you should enter the date of inspection, the location of the eye wash station, the name of the inspector, any maintenance performed, and any issues identified during the inspection.

What is the purpose of eye wash inspection form?

The purpose of the eye wash inspection form is to ensure that eye wash stations are regularly checked and maintained for proper operation, thus ensuring the safety of employees in the event of a chemical splash or other eye hazards.

What information must be reported on eye wash inspection form?

The report must include the date of inspection, the location of the eye wash station, the name of the person conducting the inspection, any deficiencies or repairs needed, and confirmation that the equipment is clean and fully operational.