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Inspection template in the LeanSuite app

Last reviewed

Eyewash and safety shower weekly checklist

A weekly eyewash and safety shower check is a short activation test: run each unit, watch the water and confirm someone could reach it in time. The 12 questions cover access, the flow test, and the unit's condition and log. ANSI/ISEA Z358.1 is the usual reference for weekly activation and for placing a unit within about 10 seconds of the hazard. Record one check per unit, so a station that was missed shows up.

The area lead or a trained operator usually runs it each week alongside other area checks. What a failure looks like: a unit behind a stack of drums, a dust cap missing so the nozzles are full of grit, water running rusty before it clears, or a weekly tag with the same initials and no test behind them. The person who needs it may not be able to see, so the route has to be clear before anyone needs it.

What it is for, as built: Weekly activation test of eyewash stations and safety showers. One check per unit.

Use this template in LeanSuite

The full question list

The 12 questions in the inspection

Every question is answered Yes, No or N/A. Each No is flagged and asks for a photo and a comment, so the finding arrives with its evidence.

Access

  1. 1The unit is reachable within about 10 seconds of the hazard
  2. 2Nothing blocks the path to the unit
  3. 3The sign is visible and the area is well lit

Activation test

  1. 4The unit was run for long enough to clear the line
  2. 5Water runs clear with no rust or debris
  3. 6Flow to both eyes is even
  4. 7Water is lukewarm, not hot or cold
  5. 8Dust covers come off when the unit is activated
  6. 9The shower flow is steady and the pull handle works

Condition and records

  1. 10Portable bottles or cartridges are within date
  2. 11There is no leak, corrosion or damage
  3. 12The weekly test is recorded on the tag or log

Worked example, illustrative

A filled-in example

One section as it might be filled in on the floor, with every other section of the inspection answered Yes. The place and finding are made up to show how the inspection reads and scores.

Result: pass, 90.9% against a pass mark of 90

  • 12 questions, 1 answered N/A, so 11 count.
  • 1 answered No, so 10 of 11 are Yes: 10 ÷ 11 = 90.9%.
  • 90.9% is at or above 90, so the inspection passes. The No still needs its fix.

What happened next: Maintenance flushed the supply line that afternoon and retested the next morning. Water ran clear within five seconds.

Scored here as one point per question with N/A left out. In the app each answer carries the points set on the template, so change them after you clone it if your plant weighs some checks more.

Eyewash and Safety Shower Weekly Check

Inspection, weekly

Unit location
Plating line, east wall
Unit ID
EW-04

Activation test

  1. The unit was run for long enough to clear the lineYes
  2. Water runs clear with no rust or debrisNo

    Comment: Water ran brown for about 20 seconds before it cleared. This is an eyewash only station, no shower fitted here.

    Photo attached to the No

  3. Flow to both eyes is evenYes
  4. Water is lukewarm, not hot or coldYes
  5. Dust covers come off when the unit is activatedYes
  6. The shower flow is steady and the pull handle worksN/A
Drawn from this template's own questions, not a screenshot of the app. Illustrative answers.

When to use it

  • Once a week.
  • The person responsible for the area or equipment answers each question on the spot.
  • Each record starts with: Unit location, Unit ID.

How it is scored

The template is built with points per answer and a pass mark of 90. In this library every audit is set to pass at 80 and every inspection at 90. Each submitted inspection shows its score and pass or fail, and every No is flagged with its photo and comment.

Change the points or the pass mark after you clone it. How rules and scoring work.

Read and print

More in safety inspections and audits

All safety inspections and audits templates

FAQ

Eyewash and safety shower weekly checklist: common questions

  1. Weekly per unit as built, which matches the activation interval in ANSI/ISEA Z358.1. Run an extra check after plumbing work or a water main shutdown, when the water in the area runs discoloured, when the unit or the process beside it is moved, and after any real use, because the person who used it will not have left it tidy.

  2. The area lead or a trained operator, usually alongside the other weekly area checks. They need to know how long to run the unit, what clear and lukewarm water looks like and where the chemical hazards are that the unit serves. A failed check goes to maintenance the same day and the EHS lead reviews it before the unit is signed back in.

  3. A fail means someone with chemical in their eyes may not reach clean water in time, and they will not be able to see the problem. Clear a blocked route now. If the water does not run clear or the flow is wrong, tag the unit, put portable bottles beside it and get maintenance in before the shift ends. In this template every No is flagged and asks for a photo and a comment, and an inspection that scores under its pass mark of 90 is a fail.

  4. Keep the unit ID and location, date, how long it ran, what the water looked like, a photo of any defect, the repair that closed each No and who did the test. A unit that runs rusty every week points to a dead leg in the supply, which only the trend across weeks will show. In LeanSuite each submitted inspection is stored with its score, its pass or fail, and the photo and comment on every No.

  5. 12 questions in 3 sections: access, activation test, and condition and records. Every question is answered Yes, No or N/A.

Use this template in LeanSuite

It is ready in the Template Marketplace inside Lean Creator as “Eyewash and Safety Shower Weekly Check”. Clone it into your plant, change any question, then schedule it to a person, role or asset with reminders. Auditors complete it on a phone or tablet, with photo evidence where required.

Not on LeanSuite yet? On a 90-day pilot our team sets up your account and digitizes the forms and checklists you use today, this one included.

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