Checklist · Plant & Equipment Inspections
Eyewash & Safety Shower Inspection Checklist
Regular activation and inspection record for plumbed and portable emergency eyewash stations, eye/face wash units and safety showers in workshops, labs, battery charging bays and chemical stores. Checks access, flow, water quality and signage.
31 checklist items
Checklist Items
| Item | Pass / Yes | Fail / No |
|---|---|---|
| UNIT DETAILS | ||
| Date of Inspection | ||
| Site / Building | ||
| Unit Location | ||
| Unit ID | ||
| Unit Type (plumbed eyewash / combination shower & eyewash / portable self-contained / drench hose) | ||
| Hazardous Chemicals Used Nearby (from register / SDS) | ||
| Inspector Name | ||
| ACCESS & SIGNAGE | ||
| Unit reachable quickly from the hazard area without obstruction | Pass | Fail |
| Path to unit clear: no stored goods, doors that lock, steps or trip hazards | Pass | Fail |
| Emergency eyewash / safety shower sign visible from the work area | Pass | Fail |
| Area around unit well lit | Pass | Fail |
| Activation valve or push-plate easy to reach and operate | Pass | Fail |
| EYEWASH CHECKS | ||
| Dust covers in place and pop off when the unit is activated | Pass | Fail |
| Activated and flushed until water runs clear | Pass | Fail |
| Water flows from both nozzles at a gentle, even rate, enough to keep eyes open and rinse them | Pass | Fail |
| Valve stays open hands-free once activated | Pass | Fail |
| Water is tepid (not cold or hot enough to discourage a full flush) | Pass | Fail |
| Bowl and nozzles clean, no rust, scale or debris | Pass | Fail |
| SAFETY SHOWER CHECKS | ||
| Pull rod / handle reachable and shower activates fully | Pass | Fail |
| Shower head delivers an even spray pattern covering the body | Pass | Fail |
| Valve stays open until manually closed | Pass | Fail |
| Drain or floor waste clear; water does not create a slip hazard in surrounding work area | Pass | Fail |
| PORTABLE / SELF-CONTAINED UNITS | ||
| Fluid level full and seals intact | Pass | Fail |
| Flushing fluid or preservative within its replacement date | Pass | Fail |
| Sealed eyewash bottles within expiry date (supplementary only, not a substitute) | Pass | Fail |
| MAINTENANCE | ||
| Activation frequency in line with your procedure and the manufacturer (AS 4775 guidance) | Pass | Fail |
| Any thermostatic mixing valve serviced per its maintenance schedule | Pass | Fail |
| Date of Last Annual Service | ||
| RESULT & SIGN-OFF | ||
| Defects found and action taken | ||
| Unit operational | Yes | No |
| Inspector Signature | ||