Weekly Eyewash or Shower Check Sheet

2015 Location: ______________________________________________
Weekly Eyewash or Shower Check
“Checked” indicates that eyewash station was activated for five minutes and water was clear.
Shower was activated for few minutes and water was clear.
Problems with your Eyewash? Contact Facilities Management:
Main Campus: 1-1385 TUH/Health Science Center: 2-4702
Episcopal: 2-1078 Jeanes: 215-728-2129
NACC: www.stonehenge.bz
Week of
Water Pressure Checked
1/4/2015
1/11/2015
1/18/2015
1/25/2015
2/1/2015
2/8/2015
2/15/2015
2/22/2015
3/1/2015
3/8/2015
3/15/2015
3/22/2015
3/29/2015
4/5/2015
4/12/2015
4/19/2015
4/26/2015
5/3/2015
5/10/2015
5/17/2015
5/24/2015
5/31/2015
6/7/2015
6/14/2015
6/21/2015
6/28/2015
7/5/2015
7/12/2015
7/19/2015
7/26/2015
8/2/2015
8/9/2015
8/16/2015
8/23/2015
8/30/2015
9/6/2015
9/13/2015
9/20/2015
9/27/2015
10/4/2015
10/11/2015
10/18/2025
10/25/2015
11/1/2015
11/8/2015
11/15/2015
11/22/2015
11/29/2015
12/6/2015
12/13/2015
12/20/2015
12/27/2015
Water Color Checked
Comments