Safety Shower Checklist
Safety Shower Checklist
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