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Emergency Eye Wash & Shower - Monarch Beverage

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Safety<br />

Management<br />

Checklists<br />

<strong>Emergency</strong> <strong>Eye</strong>wash and<br />

<strong>Shower</strong> Equipment<br />

Checklist 2046-25<br />

<strong>Emergency</strong> <strong>Eye</strong>wash and <strong>Shower</strong> Equipment Checklist<br />

YES<br />

NO<br />

General Requirements<br />

◆ Have you identified all processes and operations where<br />

hazardous vapors, particles, or liquids are present ❏ ❏<br />

◆ Have you evaluated the potential health effects of skin or<br />

eye exposure on employees working in these areas ❏ ❏<br />

◆ Have you determined how many employees are at risk of<br />

exposure ❏ ❏<br />

◆ Have you checked the MSDSs for these chemicals to see if<br />

emergency eyewash and shower equipment is required ❏ ❏<br />

◆ Have you selected appropriate emergency equipment for the<br />

risks ❏ ❏<br />

◆ Do you have enough eyewashes and showers for the number<br />

of employees at risk and the number of areas with hazards ❏ ❏<br />

◆ Are emergency eyewash stations and showers placed in easily<br />

accessible locations as close as possible to work areas<br />

where hazards exist ❏ ❏<br />

◆ Can they be reached by workers at risk within 10 seconds or<br />

less (20 to 100 feet from area of potential exposure depending<br />

on the severity of the risk) ❏ ❏<br />

◆ Does all equipment everywhere in your facility operate the<br />

same way so that employees from any area can use equipment<br />

anywhere else easily ❏ ❏<br />

◆ Is emergency equipment identified by highly visible signs ❏ ❏<br />

◆ Is there a symbol as well as words on the sign identifying<br />

the equipment ❏ ❏<br />

◆ Is the area well lit ❏ ❏<br />

◆ Is the route to the emergency equipment unobstructed (no doors,<br />

machinery, obstructions, etc.) ❏ ❏<br />

◆ Is emergency equipment on the same level as the floor of the<br />

work area (no stairs) ❏ ❏<br />

Continued ☞<br />

04/04/11001431<br />

© 2004 Business & Legal Reports, Inc.<br />

Reproduction is allowed under the terms of the licensing agreement granted with purchase.<br />

2046-25-1


☞<br />

Safety<br />

Management<br />

Checklists<br />

<strong>Emergency</strong> <strong>Eye</strong>wash and<br />

<strong>Shower</strong> Equipment<br />

Checklist 2046-25<br />

Continued<br />

YES<br />

NO<br />

◆ Have you made certain that emergency equipment does not come<br />

in contact with any electrical equipment creating a risk of shock ❏<br />

❏<br />

◆ Is equipment protected from freezing when installed outdoors ❏ ❏<br />

◆ Have you provided adequate drainage for equipment ❏ ❏<br />

◆ Is drained water handled in compliance with hazardous<br />

waste regulations ❏ ❏<br />

◆ Do employees in the work area test equipment before each<br />

shift to make sure it is working ❏ ❏<br />

◆ Is equipment given a more complete inspection at least once<br />

a week by a competent designated employee ❏ ❏<br />

◆ Does equipment receive preventive maintenance at least<br />

every 6 months ❏ ❏<br />

◆ Is equipment thoroughly inspected and serviced annually ❏ ❏<br />

◆ Are employees at risk of skin or eye exposure to hazardous<br />

substances trained to operate emergency equipment properly ❏ ❏<br />

◆ Do they know how long to flush eyes or skin (at least 15 minutes) ❏<br />

◆ Do they know that they must get medical attention immediately<br />

after first aid ❏ ❏<br />

<strong>Eye</strong>wash Stations<br />

◆ Do your eyewash stations deliver tepid water (80° to 95°F) for<br />

at least 15 minutes at a minimum flow of 0.4 gallons per minute ❏<br />

◆ Are flow regulators installed to control water speed and<br />

temperature ❏ ❏<br />

◆ Are the nozzles of your eyewash stations between 33 and 45<br />

inches from the floor ❏ ❏<br />

◆ Are nozzles protected from airborne contamination ❏ ❏<br />

◆ Do control valves open within 1 second and remain open<br />

without having to be held open manually ❏ ❏<br />

◆ Does the valve remain open until it is intentionally shut off ❏ ❏<br />

❏<br />

❏<br />

Continued ☞<br />

2046-25-2<br />

04/04/11001431<br />

© 2004 Business & Legal Reports, Inc.<br />

Reproduction is allowed under the terms of the licensing agreement granted with purchase.


☞<br />

Safety<br />

Management<br />

Checklists<br />

<strong>Emergency</strong> <strong>Eye</strong>wash and<br />

<strong>Shower</strong> Equipment<br />

Checklist 2046-25<br />

Continued<br />

YES<br />

NO<br />

◆ If you use drench hoses, personal wash stations, or eyewash<br />

bottles, are they used to only supplement, not replace, plumbed<br />

or self-contained units ❏ ❏<br />

<strong>Emergency</strong> <strong>Shower</strong>s<br />

◆ Do showers deliver tepid water at a minimum of 20 gallons<br />

per minute for at least 15 minutes at a safe water speed ❏ ❏<br />

◆ Is the showerhead at least 82 inches from the floor of the<br />

shower ❏ ❏<br />

◆ Does the head deliver a column of water with a minimum<br />

diameter of 20 inches ❏ ❏<br />

◆ Are valves easy to locate and use ❏ ❏<br />

◆ Are valves located no more than 69 inches from the floor of<br />

the shower ❏ ❏<br />

◆ Do control valves open within 1 second and remain open<br />

without having to be held open manually ❏ ❏<br />

◆ Does the valve remain open until it is intentionally shut off ❏ ❏<br />

◆ When combination eyewash/shower stations are used, is the<br />

water line at least l.25 inches in diameter to adequately<br />

supply multiple pieces of equipment simultaneously ❏ ❏<br />

◆ If you use drench hoses to irrigate exposed skin, are they<br />

used only to supplement, not replace, regular emergency<br />

showers ❏ ❏<br />

04/04/11001431<br />

© 2004 Business & Legal Reports, Inc.<br />

Reproduction is allowed under the terms of the licensing agreement granted with purchase.<br />

2046-25-3

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