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Sit, EMERGENCY EYEWASH AND SAFETY SHOWER INSPECTIONS <br /> A. Eyewash and/or Shower Stations(i.e. plumbed units) <br /> Station ID# Weekly Flow Test (Initial) Accessible? Comments <br /> jy(K c�e�, — Week 1, Week Week 5 eek 3� I N <br /> Wcek 4 /Week 5 <br /> Peek 1 Week 2_.Z�Veec3 ✓ 1 — --- <br /> Week 4i,-Week5_ i V" N <br /> Week 1_ Week 2_ Wee<3 <br /> Neek d_ Week 5 Y/N <br /> 1Veek 1_ Week 2_ Weel;3 -- <br /> Week 4 Week 5 Y/ N <br /> Week 1- Week 2_ Week 3 --- <br /> �� I Wee k4s Week5_ Y/ N s <br /> v <br /> B. Portable Eyewash Units (i.e. solution filled units or saline eyewash units) v <br /> Filled with Caps/Seals <br /> Unit ID# I Accessible? Expiration <br /> Soli_ition? Intact? _ Date Comments/Deficiencies <br /> / N N N 11 <br /> 4yF m <br /> ! 1 <br /> d / N /NZ <br /> DN — <br /> Y/ N <br /> N N <br /> �. DIL <br /> Y/N Y/ N Y/ N <br /> Z ago <br /> Y/ N — Y/ N y/ N — Z r <br /> Y/N Y/ N I Y/ N = <br /> --- i D <br /> 9 G <br /> inn' Name J -- -- — <br /> Inspector's Signature Date <br /> v hivections <br /> Ver.l <br />