Emergency Eyewash Station

Weekly Inspection Checklist

Please flush eyewash stations(s) weekly and check for the following:
- Is the water clear?
- Are the jets working properly?
- Is the area around the station clear of obstructions?
- Is there a bucket located under the eyewash to collect the run off?
- Are they leaking?
- Contact the Physical Plant service desk at 545-0600 or submit a
work order request at: https://www.umass.edu/af-
forms/physicalplant/service-request to repair the unit.

Date Initials Date Initials Date Initials Date Initials Date Initials

- Any questions, contact EHS at 545-2682

In an emergency, hold eyes open and flush for at least

15 minutes. CALL 911 or 5-2682 if an emergency arises

EHS-LABS-FRM.01 Rev.0