Weekly Eyewash Or Shower Check Template
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12017 Location : _______________________________________________
Weekly Eyewash or Shower Check
"Checked" indicates that eyewash station was activated for five minutes and water was clear. Shower was activiated for
few minutes and water was clear
Problems with your Eyewash? Contact Facilities Management:
Main Campus: 1-1385 TUH/Health Science Center: 2-4702
Episcopal: 2-1078 Jeanes: 215-728-2129 NACC:
Week of
Water Pressure Checked
Water Color Checked
Comments
1/1/2017
1/8/2017
1/15/2017
1/22/2017
1/29/2017
2/5/2017
2/12/2017
2/19/2017
2/26/2017
3/5/2017
3/12/2017
3/19/2017
3/26/2017
4/2/2017
4/9/2017
4/16/2017
4/23/2017
4/30/2017
5/7/2017
5/14/2017
5/21/2017
5/28/2017
6/4/2017
6/11/2017
6/18/2017
6/25/2017
7/2/2017
7/9/2017
7/16/2017
7/23/2017
7/30/2017
8/6/2017
8/13/2017
8/20/2017
8/27/2017
9/3/2017
9/10/2017
9/17/2017
9/24/2017
10/1/2017
10/8/2017
10/15/2017
10/22/2017
10/29/2017
11/5/2017
11/12/2017
11/19/2017
11/26/2017
12/3/2017
12/10/2017
12/17/2017
12/24/2017
12/31/2017
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