Eye Wash Station Safety Checklist

This checklist is designed to ensure that eyewash stations are in proper working order and readily accessible in case of an emergency. Regular inspections and maintenance are essential for maintaining a safe working environment.

Location: [Specify the location of the eyewash station]

Inspection Frequency: [Specify inspection frequency, e.g., Weekly, Monthly]

Inspector: [Name/Position of the person responsible for the inspection]

Checklist Items:

1. Accessibility

• Clear Path: The area around the eyewash station is free from obstructions (equipment, materials, etc.) that could hinder access [1].
  • Corrective Action: Remove any obstructions immediately.
• Visibility: The eyewash station is clearly visible and identified with appropriate signage.
  • Corrective Action: Install or replace signage as needed.
• Location: The eyewash station is located within 10 seconds reach of workplace hazards [2].
  • Corrective Action: Relocate the station or address the hazard.

2. Functionality

• Water Flow: The eyewash station provides a sufficient and steady flow of potable water (minimum 0.4 GPM for eyewash stations) 8, 16, 17, 18, 19.
  • Corrective Action: Adjust water pressure or repair plumbing as necessary.
• Water Quality: The water is clean and free from contaminants.
  • Corrective Action: Flush the system and/or replace the water source.
• Water Temperature: The water temperature is tepid (60-100°F or 16-38°C) 8, 16, 17, 18, 19.
  • Corrective Action: Adjust the temperature control valve or install a mixing valve.
• Activation: The eyewash station activates quickly and easily (within one second) [2].
  • Corrective Action: Adjust or repair the activation mechanism.
• Spray Pattern: The spray pattern is even and covers both eyes simultaneously 8, 16, 17, 18, 19.
  • Corrective Action: Clean or replace the spray heads.
• Drainage: The drain is clear and functioning properly to prevent water accumulation.
  • Corrective Action: Clear any blockages in the drain.

3. Maintenance and Compliance

• Inspection Tag: The eyewash station has a current inspection tag attached.
  • Corrective Action: Attach a new inspection tag and update the inspection record.
• Self-Closing Valves: If applicable, self-closing valves are functioning correctly.
  • Corrective Action: Repair or replace the self-closing valves.
• Nozzle Caps: Nozzle caps are in place to protect against contamination.
  • Corrective Action: Replace any missing nozzle caps.
• Unit Flushing: The unit is flushed weekly for a minimum of 3 minutes to clear the line of any bacteria 8, 16, 17, 18, 19.
  • Corrective Action: Implement a regular flushing schedule.

4. Training and Awareness

• Training: Employees are trained on the location and proper use of the eyewash station 6, 9.
  • Corrective Action: Conduct or schedule training sessions.
• Instructions: Clear instructions for use are posted near the eyewash station.
  • Corrective Action: Post or replace instructions as needed.

5. Personal Protective Equipment (PPE)

• PPE Available: Appropriate PPE (e.g., safety glasses, face shield) is available and used in areas requiring eye protection 4, 7.
  • Corrective Action: Provide or restock PPE as needed. Note: Ensure compliance with Texas and federal safety regulations, including those from OSHA, regarding eyewash stations.

Notes/Comments: [Space for additional notes or comments]

Follow-Up Actions: [Space for documenting follow-up actions required]

Inspector Signature: ____________________________ (Placeholder)

Date: ____________________________

Supervisor Signature: ____________________________ (Placeholder) (if required)