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Annual eyewash inspection checklist

Annual eyewash inspection checklist

Conduct thorough annual inspections with this eyewash inspection checklist. It helps verify the long-term functionality and compliance of all stations. Use this checklist to ensure ongoing safety and regulatory adherence.

Use this template
or download pdf
Annual eyewash inspection checklist

Conduct thorough annual inspections with this eyewash inspection checklist. It helps verify the long-term functionality and compliance of all stations. Use this checklist to ensure ongoing safety and regulatory adherence.

Use this template
or download pdf

About the Annual eyewash inspection checklist

In industries where eye hazards are a constant concern, an annual comprehensive eyewash station inspection is paramount. As a safety-conscious professional, you understand the importance of maintaining these critical emergency systems. Our annual eyewash inspection checklist empowers you to conduct thorough evaluations efficiently. 

Gain peace of mind through meticulous documentation, proactive maintenance planning, and robust compliance assurance with this user-friendly template. It facilitates a systematic review of each station’s condition, functionality, and regulatory conformity, enabling you to swiftly identify and rectify any deficiencies. By incorporating this checklist into your safety protocols, you demonstrate a steadfast commitment to creating a secure work environment for your valued employees.

Key elements of an annual eyewash inspection checklist

An effective annual eyewash inspection checklist ensures a thorough, facility-wide evaluation of all emergency eye wash stations. Here are the crucial components:

  • Inspection date and personnel: Document the date of the annual inspection and the names or identifiers of the personnel conducting the evaluation. This establishes a clear record for compliance purposes.
  • Station inventory and mapping: Include a comprehensive list of all eyewash stations within the facility, along with their precise locations or identifiers. This inventory aids in ensuring no station is overlooked during the annual review.
  • Accessibility verification: Assess the ease of access to each station, ensuring clear paths and the absence of obstructions. Prompt accessibility is paramount for effective emergency response.
  • Functionality testing: Activate each eyewash station and evaluate critical aspects such as water flow rate, pressure, and overall operational performance. Verifying functionality annually is essential for regulatory conformity.
  • Maintenance and repair log: Record any maintenance tasks, repairs, or component replacements performed during the inspection. This log supports proactive maintenance planning and budgeting for future needs.

How to customize an annual eyewash inspection checklist

Customizing an annual eyewash inspection checklist allows you to tailor it to your specific facility and industry requirements. Start by adding sections that address unique safety protocols or regulatory standards relevant to your operations. This ensures that all critical aspects are covered and enhances the checklist’s relevance.

You can also modify the layout to prioritize sections that need more frequent attention or are particularly crucial for your workplace. For example, if water quality testing is a common concern, move that section to the top for immediate focus.

Consider integrating digital tools for easy updates and real-time data capture. Using mobile apps, you can quickly modify the checklist, share updates with your team, and maintain a centralized record of inspections. This adaptability not only improves communication but also ensures your checklist evolves with changing needs and regulations.

By customizing the template, you create a powerful tool that aligns with your organizational goals and ensures comprehensive inspections tailored to your specific requirements, ultimately enhancing workplace safety and compliance.

Related categories

  • Health and safety management templates
  • General templates
  • Safety templates
Preview of the template
General Information
Inspection Site
Combination unit number
Inspection conducted by
Date & Time
Unit Inspection
Accessibility, Location & Positioning
Is the eyewash station at least 15 cm away from the nearest obstruction?
Are protective covers installed on each nuzzle to prevent airborne contamination?
Can the unit be reached within 10 seconds or 15 meters?
Is the unit on the same level as the hazard?
Is the unit free from obstructions?
Is the unit well-lit?
Is the unit identified with signage?
Fluid Delivery, Capacity & Temperature
Is the water tepid (15-37°C) and protected from freezing or excess heat?
Is the unit free from leakage?
Can the water supply be turned from "off" to "on" in less than one second?
Does the water remain flowing without user's assistance?
Does the unit provide full flow for 15 minutes?
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Additional comments or remarks
Photo proof if necessary
Recommendations
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Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

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Frequently asked questions

What are the consequences of neglecting annual eyewash inspections?

Neglecting annual eyewash inspections can lead to undetected issues, potentially rendering the stations ineffective during emergencies. This puts employees at risk of severe eye injuries, vision impairment, or blindness due to chemical exposure or other eye hazards.

How can I ensure my facility remains compliant with eyewash regulations?

To ensure compliance, implement a comprehensive annual inspection program using a detailed checklist. Document all findings, address issues promptly, and maintain accurate records. Consult with regulatory bodies or safety professionals to stay updated on evolving standards and requirements.

What should I do if multiple eyewash stations fail an annual inspection?

If multiple eyewash stations fail an annual inspection, take immediate action to address the issues. Prioritize repairs or replacements based on risk assessments and work area hazards. Implement temporary measures to ensure employee safety until all stations are operational.

How can effective training improve emergency response for eye injuries?

Effective training can significantly improve emergency response for eye injuries. Provide hands-on training sessions to familiarize employees with eyewash station locations, operation, and proper flushing techniques. Regular drills and clear emergency protocols can also enhance preparedness and response times.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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