Insp. Eyes Wash & Safety Shower
Insp. Eyes Wash & Safety Shower
Insp. Eyes Wash & Safety Shower
8
7
6
5
4
3
2
1
16
14
13
12
11
10
Sr.
Plant:
Inspected By:
point
wash)
building
building
(total: 2)
LOCATION
Chemical lab
effluent area )
(Neutralization )
WTP dosing area
Toxic chemical Store
Chemical wear house
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(KKS) Equipment #
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Eye
Type
shower
shower
Eye wash
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
wash/shower
Permanent signage
Free of obstruction
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Water flow/ pressure
JAN
Outlet/ fittings
Physical Water Quality
Permanent signage.
Free of obstruction.
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Water flow/ pressure.
FEB
Outlet/ fittings.
Physical Water Quality.
Permanent signage..
Free of obstruction..
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Water flow/ pressure..
MAR
Outlet/ fittings..
Inspection Check List
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Water flow/ pressure…
APR
Outlet/ fittings…
Physical Water Quality…
Permanent signage….
.Free of obstruction
, if all inspection criteria are satisfactory, otherwise leave the tick box empty
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
.Outlet/ fittings
.Physical Water Quality
.Permanent signage
.Free of obstruction.
.Water flow/ pressure.
JUN
Eye Wash/ shower
.Outlet/ fittings.
.Physical Water Quality.
.Permanent signage.
.Free of obstruction..
..Water flow/ pressure.
JUL
..Outlet/ fittings..
.Physical Water Quality..
..Permanent signage..
and put comments on remark box
..Free of obstruction..
..Water flow/ pressure..
AUG
..Outlet/ fittings…
...Physical Water Quality...
...Permanent signage...
...Free of obstruction..
...Water flow/ pressure..
SEP
...Outlet/ fittings..
...Physical Water Quality..
...Permanent signage..
...Free of obstruction…
.Water flow/ pressure…
OCT
..Outlet/ fittings….
...Physical Water Quality….
...Permanent signage….
….Free of obstruction….
...Water flow/ pressure….
NOV
...Outlet/ fittings….
….Physical Water Quality….
….Permanent signage…..
...Free of obstruction…..
...Water flow/ pressure…..
DEC
…..Outlet/ fittings….
….Physical Water Quality…..
*Remarks