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s:rnplak EMERGENCY EYEWASH AND SAFETY SHOWER INSPECTIONS e <br /> A. Eyewash and/or Shower Stations (i. e. plumbed units) <br /> Station ID# Weekly Flow Test ( Initial ) Accessible ? Comments <br /> 11( 1 Week I . / Week 2AeWeEk3 �z N <br /> 4"a1f:- fz r .� Week 4 i/Week 5 <br /> week 1 `o� Week 2 ,,00�Veek3 ✓ f 1 <br /> Week4 �Weeks 'l ,'Y`�'I N <br /> Week 1 _ Week 2 _ Week3 _ <br /> Week 4 Week 5 Y / N <br /> Week 1 , Week 2 Weelc 3 <br /> Weel. 4 Weeks Y / N <br /> Week 1 � Week 2 Week 3 <br /> bleek4 _ Weeks _ Y / N <br /> 8. Portable Eyewash Units (i. e. solution filled units or saline eyewash units) <br /> Unit ID# Filled with Caps/Seals Expiration <br /> Solution ? Intact? Accessible ? Comments/Deficiencies <br /> Date <br /> d / N Y / N ./ N <br /> i ►� �M . bVi�N•n, G " N � '/ N A N f 4f ? v 3 <br /> " a <br /> Y / N Y / N Y / N -' <br /> Y / N Y / N Y / N M <br /> Y / N Y / N Y / N <br /> L <br /> - u <br /> * I ljj - , r <br /> i < ;► r s Name Inspector's Signature _ Date <br /> � s1vIlily impections <br /> ver. 1 <br />