Eye Wash/Shower Inspection Checklist

Location
Date
Inspector Name
Inspection Item Yes No Comments/Notes
Unit is easily accessible/clearly marked
Protective covers in place and easy to remove
Activation handles operate easily
Water flow is steady and sufficient
Water drains properly (no standing water)
Unit is clean and free of obstructions
Unit shows no leaks or damage
Safety sign is present and visible
Weekly functional test completed
Inspector Signature
Date