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:
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Please log every maintenance and inspection activity.
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Ensure the usage of eyewash stations is followed by a maintenance check.
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Regularly verify this log to maintain safety standards and functionality of the eyewash stations.