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Pry i EMERGENCY EYEWASH AND SAFETY SHOWER INSPECTIONS Vin; <br /> A. Eyewash and/or Shower Stations (i.e. plumbed units) <br /> Station ID#—� Weekly Flow Test (initial) Accessible? Comments <br /> y� Week 1_,?d Week 2,e Wees 3X / �N <br /> f <br /> 1:1eek 1 Week 2, 1Vee'3 <br /> Week 4,9- Week 5 — <br /> C�ted. Week 1,�L_ Week 2 X Weo 3 h � — <br /> ��w. `.Week 4 k Week 5 <br /> Week 1_ Week 2— Week 3_ Y/ N <br /> Week 4 Week 5 <br /> \'leek 1_ \,*eek 2_ Wee{3 i Y/ N <br /> Week 4 :'leek 5 <br /> B. Portable Eyewash Units (i.e. solution filled units or saline eyewash units) <br /> Filled with Caps/Seals Expiration <br /> Solution? <br /> Unit ID# Accessible? Comments/Deficiencies <br /> Intact? Date <br /> ."d N /N N M <br /> J CD <br /> I Y/ N Y/ N Y/ N I z 0 <br /> m <br /> I <br /> Y/N Y/N Y/N - Z c <br /> �! Y/ N I -Y/N ! Y/ N ; m D <br /> _ _. z '� o <br /> 7/3 1 D <br /> Inspector's Name Inspecto s Signature Date <br /> z <br /> Retail Facility Inspections Ver.1 <br />