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EYEWASH ACTIVATION RECORD PI: ___ Building: ___ Room: ___ NOTE: Eyewash must be activated and visually inspected weekly. Post an Eyewash Activation Record near each eyewash. Eyepiece covers (lids
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How to fill out eyewash station inspection record

01
Obtain the eyewash station inspection record form.
02
Check the date of the inspection and enter it in the designated field.
03
Inspect the eyewash station for cleanliness and functionality.
04
Verify that the eyewash fluid is within the expiration date and properly stored.
05
Test the eyewash station by activating it and ensuring that water flows freely.
06
Document the test results, noting any issues or required maintenance.
07
Sign and date the inspection record to confirm completion.
08
Store the completed record in an accessible location for future reference.

Who needs eyewash station inspection record?

01
Employees working with hazardous materials.
02
Safety personnel and health and safety compliance officers.
03
Facility managers and supervisors responsible for safety equipment.
04
Regulatory agencies that require documentation of safety inspections.
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An eyewash station inspection record is a documented report that verifies the maintenance, functionality, and compliance of eyewash stations in the workplace. It ensures that the stations are accessible and operational in case of an emergency.
Employers or facility managers are required to file the eyewash station inspection record to comply with health and safety regulations.
To fill out the eyewash station inspection record, you should include the date of inspection, the inspector's name, any issues found, corrective actions taken, and the operational status of the eyewash station.
The purpose of the eyewash station inspection record is to provide a formal verification that eyewash stations are regularly checked and maintained, ensuring they are ready for immediate use in emergencies.
The information that must be reported includes the inspection date, the location of the eyewash station, the condition of the station, any maintenance performed, and the name of the inspector.
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