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Click ‘Get Form’ to open the weekly eyewash inspection form in the editor.
Begin by filling in the 'Location' field with the specific area where the eyewash station is located.
Enter the current 'Year' in the designated space to keep track of inspections.
Follow the instructions provided: flush the eyewash station for 3 minutes and check its functionality.
If the unit is operational, mark your initials and date in the appropriate box. If there are issues, note them down and request Facilities service at x2125.
For each week of the month, record your findings under 'Week 1', 'Week 2', etc., ensuring compliance with regulatory standards.

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