Emergency Eyewash/Shower Weekly Inspection Checklist
This emergency eyewash and shower inspection checklist ensures compliance with ANSI Z358.1 requirements. Weekly activation testing flushes stagnant water and verifies equipment functionality. Complete all sections and document any issues for immediate repair.
- Industry: Manufacturing / Laboratory
- Frequency: Weekly
- Estimated Time: 5-10 minutes per station
- Role: Safety Officer / Lab Manager / Facility Maintenance
- Total Items: 30
- Compliance: ANSI Z358.1, OSHA 29 CFR 1910.151
Accessibility
Verify station accessibility.
- Path to station unobstructed?
- Within 10 seconds of hazard area?
- Station clearly marked/signed?
- Adequate lighting?
Eyewash Unit
Test and inspect eyewash.
- Activates in 1 second or less?
- Stays on hands-free?
- Flow pattern covers both eyes?
- Dust covers in place (if equipped)?
- Nozzles clean and undamaged?
Shower Unit
Test and inspect shower.
- Activates in 1 second or less?
- Stays on hands-free?
- Spray pattern adequate?
- Shower head 82-96 inches?
Water Quality
Check water quality during flush.
- Water runs clear (flush 3+ min)?
- No sediment or debris?
- Water tepid (60-100°F)?
- No unusual odor?
Sign-Off
Station status.
- Station Status
- Issues found
- Inspector Signature
Initial Setup & Documentation
Complete initial documentation and preparation
- Inspector / Assessor Name
- Date
- Location / Area
- Inspection Type
- Previous findings reviewed?
Safety & Compliance Verification
Verify all safety requirements are met
- All safety protocols being followed?
- Emergency exits clear and accessible?
- First aid supplies available and stocked?
- All hazards identified and controlled?
- Required PPE being worn correctly?
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