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  • Safety Shower Checklist

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    jiks_i4u
    199 views3 pages
    This document contains safety shower checklists for multiple areas of a facility. It lists information such as the tag number, location, and inspection criteria for various safety showers. Facility operators, supervisors, and foremen are required to print their name, sign, and date the form after inspecting each shower based on criteria like ensuring the route is clear of obstacles, supply valves are open, alarms work properly, water flow is sufficient, and components like switches, heads, pipes and drainage are in good condition.

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    Safety Shower

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    This document contains safety shower checklists for multiple areas of a facility. It lists information such as the tag number, location, and inspection criteria for various safety showers. Facility operators, supervisors, and foremen are required to print their name, sign, and date the form after inspecting each shower based on criteria like ensuring the route is clear of obstacles, supply valves are open, alarms work properly, water flow is sufficient, and components like switches, heads, pipes and drainage are in good condition.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    199 views3 pages

    Safety Shower Checklist

    Uploaded by

    jiks_i4u
    This document contains safety shower checklists for multiple areas of a facility. It lists information such as the tag number, location, and inspection criteria for various safety showers. Facility operators, supervisors, and foremen are required to print their name, sign, and date the form after inspecting each shower based on criteria like ensuring the route is clear of obstacles, supply valves are open, alarms work properly, water flow is sufficient, and components like switches, heads, pipes and drainage are in good condition.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 3

    PERIODICAL CHECKSHEET

    SAFETY SHOWER CHECKLIST


    HEATERS & BLOW DOWN AREA
    PRINT NAME / SIGNATURE

    BADGE NUMBER

    DATE

    Area Operator
    Supervisor
    Area Foreman

    Tag No
    Location
    Is route to shower obstacles free?
    Is supply valve open?
    Is supply valve open?
    Is red light alarm working?
    Is alarm system working?
    Is water flow just enough?
    Is Shower Switch OK?
    Is Shower Head OK?
    Is Shower Switch Hand OK?
    Is Shower pipe OK?
    Is Shower drainage OK?
    Is Shower Clean?
    Is Shower Sprayer ok?
    Is Shower clean?
    Is Shower Eyewash Blow clean?
    Is Shower Eyewash Blow ok?
    Is Shower Eyewash drainage Working?
    Is Eyewash Switch OK?
    Is Eyewash flow just enough?
    Is Foot Treadle OK?
    There is corrosion point?

    113-EW-031
    Located inside to PIB Battery room

    113-EW-032
    Located inside to SS-09 Battery room

    113-SS-041
    Located near to 113-B-0010

    113-SS-042

    113-SS-043

    113-SS-044

    113-SS-045

    Located near to 113-U-0020 Located near to 113-D0012 Located near to 113-D-0060 located near to 113-G-0039

    PERIODICAL CHECKSHEET
    SAFETY SHOWER CHECKLIST
    FRACTIONATOR AREA
    PRINT NAME / SIGNATURE

    BADGE NUMBER

    DATE

    Area Operator
    Supervisor
    Area Foreman

    Tag No
    Location
    Is route to shower obstacles free?
    Is supply valve open?
    Is supply valve open?
    Is red light alarm working?
    Is alarm system working?
    Is water flow just enough?
    Is Shower Switch OK?
    Is Shower Head OK?
    Is Shower Switch Hand OK?
    Is Shower pipe OK?
    Is Shower drainage OK?
    Is Shower Clean?
    Is Shower Sprayer ok?
    Is Shower clean?
    Is Shower Eyewash Blow clean?
    Is Shower Eyewash Blow ok?
    Is Shower Eyewash drainage Working?
    Is Eyewash Switch OK?
    Is Eyewash flow just enough?
    Is Foot Treadle OK?
    There is corrosion point?

    113-SS-037
    Located near to 113-G-0007

    113-SS-038
    Located near to 113-U-0021

    113-SS-039
    Located near to 113-G-0001

    113-SS-040
    Located near to 113-U-0022

    PERIODICAL CHECKSHEET
    SAFETY SHOWER CHECKLIST
    GRP & MRU AREA
    PRINT NAME / SIGNATURE

    BADGE NUMBER

    DATE

    Area Operator
    Supervisor
    Area Foreman

    Tag No
    Location
    Is route to shower obstacles free?
    Is supply valve open?
    Is supply valve open?
    Is red light alarm working?
    Is alarm system working?
    Is water flow just enough?
    Is Shower Switch OK?
    Is Shower Head OK?
    Is Shower Switch Hand OK?
    Is Shower pipe OK?
    Is Shower drainage OK?
    Is Shower Clean?
    Is Shower Sprayer ok?
    Is Shower clean?
    Is Shower Eyewash Blow clean?
    Is Shower Eyewash Blow ok?
    Is Shower Eyewash drainage Working?
    Is Eyewash Switch OK?
    Is Eyewash flow just enough?
    Is Foot Treadle OK?
    There is corrosion point?

    113-SS-031
    Battery Room of PIB-02

    113-SS-032
    Battery Room of Sub Station-09

    113-SS-033
    Located near to 113-D-0065

    113-SS-034
    Located near to 113-D-0040

    113-SS-035
    Located near to 113- G-0012

    113-SS-036
    Located near to 113-G-0014

    114-SS-043
    Located near to 114-E-0001

    114-SS-044
    Located near to 114-D-0001

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