According to the american national standards institute ansi emergency eyewash equipment standard z358. Uline stocks a huge selection of eyewash inspection station tags. Maintain an inspection tag for this monthly testing. Correct any issues or problems identified during the inspection. Use this form or a similar one to document weekly testing by lab staff of eyeface wash units located next to sinks or attached to. For use with all bradley eyewash and drench shower units. This law created the occupation safety and health administration. An emergency eyewash fixture is provided to flush tepid water to the eye, diluting any hazardous materials that may have. If your eyewash station does not have a weekly log already attached to the fixture, use this log to check the proper functioning of the station and to flush out stagnant water. The occupational safety and health act of 1970 osh act was passed to prevent workers from being killed or seriously harmed at work. Inspection tags inform employees when equipment has been inspected and is in safe condition to operate. Eyewash tags, eyewash station tags, eye wash tags seton.
Please see the publication the safety data sheet a guide to first aid. We have an eyewash inspection log available for download environmental health and safety will inspect all eyewashes and safety. Valve activator must stay on unless manually turned off and must activate water flow in one second or less. Keep an inspection log book or attach an inspection tag to the eyewash. Iupui weekly eyewash station maintenance log year location. Inspect all eyewash units annually for compliance with the ansi z358. Eyewash weekly checklist q eyewash is accessible within 10 seconds, or roughly 55 feet commonly referred to as the 10 second rule q no pallets, ladders, buckets, boxes, or other potential hazards are. Emergency eyewashes and showers division of research safety. Tags are available free of charge from the safety office ext. Plumbed eyewash stations require weekly checks to be compliant with ansi z358. Procedures for emergency use, selection, installation and placement, guidelines for activation, inspection.
An inspection tag should be installed on each unit. Emergency eye wash and safety shower inspection form. Osha highlights importance of regular maintenance of. Eyewash station checklist eyewash log video dailymotion. Eyewash station signs help you clearly mark emergency shower and eye wash stations to help improve facility safety. New note indicates intent of weekly activation test. Activate all eyewash units at least weekly section 5. The eyewash and shower station weekly inspection check list e.
Please print and use the attached checklist that includes the. Eyewashsafety shower monthly inspection log office. Keep weekly eyewash inspection log sheet for 3 years. Emergency showers and eyewash stations safety program acil by. Meets ansi standards for recording weekly test log. Eyewash station tags provide employees with instructions and information in areas where its most needed. Eyewash inspection and monitoring record fill online, printable. Fill eyewash inspection and monitoring record, edit online.
Ensure that a competent person uses the checklist to conduct regular, such as weekly, inspections of your eyewash stations. Log of workrelated injuries and illnesses several pages of the log but you may make as many copies of the log as you need. Weekly eyewash inspection log fill out and sign printable pdf. Guardian 250060r emergency equipment inspection log tags, 20pkg. Initials iupui weekly eyewash station maintenance log. To ensure that eyewash stations and showers are always ready when needed, it is important that the requirements for test procedures and maintenance set forth in z358. Emergency eyewash station weekly inspection checklist. The international safety equipment association isea is the trade association for companies that design, manufacture and market emergency eyewash and shower equipment, and the. Activate eyewash station by pushing the handle assembly or stepping on the foot assembly to start the water flow. Check lists should be available in the lab for verification during routine safety compliance inspections. Guardian 250060r emergency equipment inspection log tags. Units have been tested to and comply with ansi z358. Choose from a wide range of materials, sizes, and legends.
Maintain and file the written inspection checklist inspection. Facilities preventive maintenance checklist template by siwoo. Record the test as pass or fail, initial and provide a date on the weekly inspection. Testing eyewashes and emergency safety showers scientific. Aed secure in case initial aed operation verified see below for list initial ppeready kit stocked and in place see below for list initial. Use this form or a similar one to document weekly testing by lab staff of eyeface. Researchers in laboratories registered with the state of connecticut department of public. Emergency eye wash and safety shower inspection form subject. Osha document retention how long do i need to keep. Upon completion of the inspection, initialdate the tag. Ensure that the path to the eyewashdrench hose is not obstructed. Eyewash station weekly checklist osha healthcare advisor. Place dishpan or bucket under drainpipe to collect the water.
For each entry on the log, there must be an osha 301 incident report form, or its equivalent, which. Maintain an activation log for this weekly inspection. Eyewash stations require weekly checks to be compliant with the american national standards institute which. Eyewash inspection form eyewash inspection requirements eyewash inspection. Eyewashes need to be inspected once per week by laboratory personnel. Refer to eyewash and shower station weekly inspection. The front of this card reads emergency equipment inspection log as well as test all emergency equipment at least weekly in accordance with ansi z358. Single and dual head eyewashes, showers, drench hoses, combination units equipment must be run weekly for 3 minutes and until water is sedimentfree.
Laboratory weekly eyeface wash inspection log applicability. Initial and date in the corresponding box verifying the eyewash station is checked weekly. Researchers in laboratories registered with the state of connecticut department of public health are required to test, and document the test weekly. The container label and section 2 of a chemicals safety data sheet can be used to. Always note any problems with the operation then initial and date the log e. How to fill out the log an example to guide you in filling out the log properly. Emergency eyewash and shower units are designed to. Areas in front of eyewash and showers must be maintained free of items that obstruct their use. Eyewash tags are perfect for eyewash identification at the point of use. Monitor that the provided emergency eyewash station weekly activation log is maintained. The osha 300 log must be maintained and certified by the employer on an annual basis. Verify that bowl and spouts are clean and free of trash.
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