Laserfiche WebLink
IV <br /> Simplot EMERGENCY EYEWASH AND SAFETY SHOWER INSPECTIONS <br /> A . Eyewash and/orShower Stations (i. e. Plumbed units) <br /> Station ID# Weekly Flow Test ( Initial ) Accessible ? Comments <br /> Week 1 .�d Week 2 ; Wed 3X <br /> r <br /> f4,% L4 Weekdt' VJeekS _ <br /> Week 1 Week 2 ,�L Wee; 3 2L <br /> �( �eoortM Week 4X- Week <br /> Week 1,X. Week 2X Week 3 A - <br /> ti[7nn Week 4 Week 5 L/;Y%/ �V <br /> Week 1 _ Week 2 Week 3 _ YIN <br /> Week 4 Week 5 <br /> Week 1 _ Week 2 _ Week 3 _ <br /> Week 4 Week 5 _ Y / N <br /> B. Portable Eyewash Units (i. e. solution filled units or saline eyewash units) <br /> Filled with Caps/Seals Expiration <br /> Unit ID# Solution ? Intact? Accessible ? Date Comments/Deficiencies <br /> 5h / N N / <br /> 9 ( 4 rg i <br /> IN <br /> ww . �fnov�sfi N>/ N 43)/ N a>/ N <br /> YIN YIN YIN " <br /> YIN YIN YIN M _ - <br /> YIN YIN YIN rn <br /> is <br /> . L <br /> Inspector's Name Inspecto s Signature Date <br /> Retail Facility Inspections Ver. 1 <br />