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Eyewash & Safety Showers Inspection (Weekly) - Houston

A Weekly Eyewash & Safety Showers Inspection is a regular examination of your emergency eyewash and safety showers. This process includes weekly activation of the equipment to confirm it’s working correctly and conducting inspections. Regular use of the units ensures they are functioning as expected, assists in maintaining the units clutter-free, and aids in preventing bacterial growth within the plumbing lines, which could lead to eye infections.
Eye Wash 1
02/14/2024

Eyewash & Safety Showers Inspection (Weekly) - Houston

A Weekly Eyewash & Safety Showers Inspection is a regular examination of your emergency eyewash and safety showers. This process includes weekly activation of the equipment to confirm it’s working correctly and conducting inspections. Regular use of the units ensures they are functioning as expected, assists in maintaining the units clutter-free, and aids in preventing bacterial growth within the plumbing lines, which could lead to eye infections.

    1. Job Hazard Analysis

    Activity/Task/Process

    Department

    Machine # (if applicable)

    Date

    Prepared by

    Crew Names

    Reviewed By

    Overall Risk Assessment Score (RAS) (Use Highest Code)

    Risk Assessment Score (RAS) Matrix

    • 1.PNG

      Job Description

      Job Step #1

      Job Step

      Hazards

      Controls

      RAS

      Job Step #2

      Job Step

      Hazards

      Controls

      RAS

      Job Step #3

      Job Step

      Hazards

      Controls

      RAS

      Job Step #4

      Job Step

      Hazards

      Controls

      RAS

      Job Step #5

      Job Step

      Hazards

      Controls

      RAS

      Job Step #6

      Job Step

      Hazards

      Controls

      RAS

      REQUIRED Personal Proctective Equipment

      Date of Inspection

      Inspector Name

      Inspection Items

      The area around and the path to the eyewash is not obstructed.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Verify nozzle caps are in place and the nozzles, nozzle caps, and bowl are clean and sanitary.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Push hands-free valve to full open position. Water must flow within 1 second. Run minimum 60 seconds

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Verify that nozzle caps come off when the eyewash is activated and water is flowing.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Verify water continues to flow until manually turned off and can be used hand-free by pushing water valve activator..

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Look at the water flow pattern. It should provide a non-injurious flow from both nozzle streams.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      The water should flow from both streams and rise to an equal height in a pattern that will flush both eyes simultaneously.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Water flow covers area shown in test gauge, maximum 8” above spray heads, minimum 33" above the floor.

      • Pass
      • Flag
      • Fail

      Test Gauge

      • eee979c2-d212-4ac6-8ec0-611010ba947a_EyewashTestGauge.jpg
      Add or drag pictures

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Continue to run eyewash and flush until water is clear.

      • Pass
      • Flag
      • Fail

      Comments

      Please specify defects which specific eye wash or safety shower has a defect.

      Inspection Complete

      Inspector Signature

      Click here to sign
    Source: Eye Wash 1 (Community Member)

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