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  • Eyewash/shower Checklist Checklist - Naval Forms Online

Get Eyewash/shower Checklist Checklist - Naval Forms Online

** This form is to be printed out as a tag (above) with the reverse side containing instructions (below) **TEST YEAR: MonthDayLOCATION OF UNIT: InitialsJan Jan Jan Jan MonthSep Sep Sep SepDayInitialsFeb Feb Feb Feb DayInitialsMay May May May MonthMonthMonthInitialsDayInitialsMar Mar Mar Mar DayInitialsJun Jun Jun Jun DayMonthDayOct Oct Oct OctInitialsDayInitialsDayInitialsDayInitialsApr Apr Apr AprMonthDayInitialsJul Jul Jul JulMonthMonthMonthAug Aug Aug AugMonthDay.

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How to fill out the EYEWASH/SHOWER CHECKLIST CHECKLIST - Naval Forms Online online

The EYEWASH/SHOWER CHECKLIST CHECKLIST is an essential document for ensuring the proper maintenance of eyewash and emergency shower units. This guide will help you navigate the process of completing this important checklist online, ensuring that your units are adequately tested and documented.

Follow the steps to complete the EYEWASH/SHOWER CHECKLIST CHECKLIST effectively.

  1. Press the ‘Get Form’ button to obtain the checklist and open it in the editor.
  2. Fill in the TEST YEAR section by entering the month and day when the checks were performed. Initial each entry after completion.
  3. In the LOCATION OF UNIT section, specify the location where the eyewash and shower units are situated. Add your initials next to the entry.
  4. Conduct the tests as per the instructions, ensuring to document the activation of the system, cleanliness, and access to the unit.
  5. After testing, date and initial the corresponding blocks in the checklist to confirm completion of each check.
  6. Once the checklist is filled and all tests documented, save your changes, and proceed to download, print, or share the completed form as needed.

Complete your EYEWASH/SHOWER CHECKLIST CHECKLIST online today to maintain safety standards in your facility.

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Section 4.1 of ANSI Z358. 1 specifies that emergency shower heads shall be capable of delivering a minimum of 75.7 liters per minute (20 gpm) of flushing fluid at a velocity low enough to be non-injurious to the user.

The eye wash unit must deliver at least 0.4 gallons (1.5 liters) of water per minute for 15 minutes. A 'hands-free' stay open valve must activate in one second or less. The eye wash unit should be connected to an uninterruptible water supply delivering 0.4 GPM.

Eyewash safety stations must be installed within 10 seconds or 55 feet from the hazard. The spray pattern must measure between 33”--53” from the floor the user will stand on (section 5.4.

ANSI Z358 requires emergency shower and eyewash stations to provide tepid water in the range of 60 F to 100 F (16 C to 38 C). Temperatures that exceed this range can scald the injured person and cause a higher rate of chemical absorption by the skin. Lower temperatures can lead to hypothermia or thermal shock.

The OSHA requirements for emergency eyewashes and showers, found at 29 CFR 1910.151(c), specify that "where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate ...

The OSHA standard 29 CFR 1910.151(c) requires eyewash and shower equipment for emergency use where the eyes or body of any employee may be exposed to injurious corrosive materials. For details on emergency eyewash and shower equipment we reference consensus standard ANSI Z358.

The nozzles should be at least six inches from any obstruction and mounted between 33 and 45 inches above the floor. An eyewash gauge should be used to verify and test the flow pattern.

The OSHA standard 29 CFR 1910.151(c) requires that the employer must provide suitable facilities for quick drenching or flushing of the eyes and body when employees are exposed to injurious corrosive materials. For specific requirements, OSHA refers to consensus standard ANSI Z358.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232