Eyewasher monthly checklist

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Eyewasher monthly checklist

EMERGENCY EYEWASH INSPECTION FORM

 

Eyewasher monthly checklist Eyewasher monthly checklist
location::______________  principal:______________ location::______________  principal:______________
                   
dateIs it blocked?The nozzle is normalIs the switch smooth?Is the water quality clear?Water curtain is evenIs the water speed normal?Whether the water is to be continuedChange date dateIs it blocked?The nozzle is normalIs the switch smooth?Is the water quality clear?Water curtain is evenIs the water speed normal?Whether the water is to be continuedChange date
January       December 9 January       December 9
February         February        
March         March        
April         April        
May         May        
June         June        
July         July        
August         August        
September         September        
October         October        
November         November        
December         December        
Remarks:         Remarks:        
1. Perform various operational checks during the first week of each month at work.    1. Perform various operational checks during the first week of each month at work.   
2. Check result If the normal tick (√), abnormal, please cross (X) and report for repair. 2. Check result If the normal tick (√), abnormal, please cross (X) and report for repair.
3. Change the purified water every three months and fill in the change date.   3. Change the purified water every three months and fill in the change date.  

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