Portable Eyewash Station Inspection Checklist – Free PDF

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Portable eyewash station inspection checklist

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Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.

Customize this template or build your own
Fill out templates via mobile app
Assign and track corrective actions
Get reports and analyse your data

Prices start from ░░░ per month

Book a demo

Learn more

Our portable eyewash station inspection checklist helps you ensure your emergency equipment is always ready when seconds matter most. You can use this customizable template to document of water supply levels, unit stability, and transport readiness, all of which are crucial for portable units.

According to ANSI Z358.1 standards, all eyewash stations must provide sufficient flow for a minimum of 15 minutes. We created this template specifically for construction sites and remote facilities where plumbed options aren’t feasible, helping you maintain compliance while documenting each inspection for regulatory requirements. Your workers’ eyesight depends on properly maintained emergency equipment—don’t leave readiness to chance.

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Frequently asked questions

What should I do if I find problems during my portable eyewash station inspection?

If you discover problems, immediately tag the station as out of service, notify your supervisor, document the issues found, and implement corrective actions (refill fluid, clean components, relocate station). Don’t forget to verify repairs restore proper function, and update your inspection records with both the problem and resolution.

Why is the water supply level so critical for portable eyewash stations?

The water supply level directly affects whether your station can provide the ANSI-required 15 minutes of continuous flow at 0.4 gallons per minute. Insufficient levels mean the station might run dry during an emergency, potentially leaving workers with partially flushed eyes and risking permanent damage.

What’s a good way to organize multiple portable eyewash station inspections across different locations?

Create a master schedule with inspection dates for each location. With Lumiform, you can then assign specific inspectors responsible for each station and implement a notification system for upcoming inspections. This establishes a centralized review process so you can identify patterns across locations and ensure company-wide compliance.

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.