Free Eyewash Station Log Template

Eyewash Station Log

This Eyewash Station Log is designed to systematically record daily activities related to the eyewash station. It serves as a crucial document for monitoring and ensuring the functionality, maintenance, and compliance of eyewash stations in our healthcare facility. Timely and accurate entries in this log contribute to a safe environment for both patients and healthcare professionals.

Prepared By: [YOUR NAME]

Date: [DATE]

Your Company Name: [YOUR COMPANY NAME]

Log Overview

Regular and meticulous documentation in this log ensures the readiness of eyewash stations, contributing to a safer healthcare environment.

Date

Time In

Time Out

Maintenance Activities

29/02/2055

09:00 AM

09:15 AM

Checked water flow pressure

29/02/2055

01:30 PM

01:45 PM

Refilled eyewash solution

29/02/2055

04:00 PM

04:15 PM

Emergency drill- eyewash usage

Notes:

  • Please log every maintenance and inspection activity.

  • Ensure the usage of eyewash stations is followed by a maintenance check.

  • Regularly verify this log to maintain safety standards and functionality of the eyewash stations.

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