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Weekly Eyewash & Emergency Shower Inspection

Regular checks ensure that these critical safety devices are functioning correctly, providing immediate response in case of chemical exposure or emergencies.
54Q Beaverton OR - Cintas
03/05/2024

Weekly Eyewash & Emergency Shower Inspection

Regular checks ensure that these critical safety devices are functioning correctly, providing immediate response in case of chemical exposure or emergencies.

    *** LOTO Confirmation Statement - DO NOT EDIT/REMOVE ***

    All hazardous energy has been isolated using LOTO procedures?

    All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

    Inspect Eyewash station and Emergency Shower. AFTER INSPECTION DATE AND SIGN INSPECTION RECORD.

    Visually inspect to ensure tank is filled full

    • Pass
    • Flag
    • Fail

    Ensure no leaking

    • Pass
    • Flag
    • Fail

    Dust and clean as required

    • Pass
    • Flag
    • Fail

    Ensure area around eyewash is clear of obstacles and slip/trip hazards

    • Pass
    • Flag
    • Fail

    Emergency Shower Inspection

    Ensure unit is not leaking or dripping

    • Pass
    • Flag
    • Fail

    Ensure spray head covers are in place and in good condition

    • Pass
    • Flag
    • Fail

    Activate both the shower head and the eyewash to ensure proper and clean water flow.

    • Pass
    • Flag
    • Fail

    Ensure area around shower is free of obstacles and slip/trip hazards

    • Pass
    • Flag
    • Fail
Source: 54Q Beaverton OR - Cintas (Community Member)

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