The Eyewash Risk Assessment Form is a crucial workplace safety document required under Indian health and safety regulations, particularly The Factories Act, 1948 and various state-specific factory rules. This assessment should be conducted whenever there are potential eye hazards in the workplace, when new processes or chemicals are introduced, or as part of regular safety reviews (typically annually). The form helps organizations identify and evaluate potential eye hazards, assess the adequacy of existing eyewash facilities, and ensure compliance with Indian safety standards including IS 10592:1982 for Industrial Safety Showers and Eye/Face Fountains. It documents current safety measures, training programs, and emergency response procedures, while also establishing action plans for necessary improvements to protect workers from eye injuries.
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1. Assessment Information: Basic details including date of assessment, location, department/area being assessed, and assessor details
2. Work Area Description: Detailed description of the workplace area being assessed, including activities performed and number of employees
3. Hazard Identification: List of potential eye hazards present in the work area (chemicals, dust, radiation, projectiles, etc.)
4. Risk Evaluation: Assessment of likelihood and severity of potential eye injuries from identified hazards
5. Existing Control Measures: Documentation of current eyewash stations, their locations, and other eye protection measures
6. Equipment Assessment: Evaluation of existing eyewash equipment condition, accessibility, and compliance with standards
7. Training and Awareness: Assessment of staff training levels and awareness regarding eyewash station locations and usage
8. Emergency Response Procedures: Review of current emergency procedures for eye injuries
9. Maintenance and Inspection: Current maintenance schedules and inspection protocols for eyewash facilities
10. Action Plan: Recommended improvements and corrective actions with timeline and responsibilities
1. Chemical Inventory Assessment: Detailed assessment of hazardous chemicals present that pose specific eye risks - include when chemicals are primary hazard
2. Personal Protective Equipment Review: Evaluation of current PPE requirements and effectiveness - include for high-risk industrial environments
3. Environmental Factors: Assessment of environmental conditions affecting eyewash station operation - include for outdoor facilities or extreme environments
4. Medical Facility Coordination: Details of nearest medical facilities and coordination plans - include for remote locations
5. Language Considerations: Assessment of multi-language signage and instruction requirements - include for multilingual workforces
1. Appendix A: Facility Layout: Floor plans showing locations of all eyewash stations and eye hazard areas
2. Appendix B: Inspection Checklist: Detailed checklist for regular eyewash station inspections
3. Appendix C: Hazardous Substances Register: List of all substances present that pose eye hazard risks
4. Appendix D: Training Records: Documentation of staff training on eyewash station use and eye safety
5. Appendix E: Maintenance Records: Historical maintenance and testing records for eyewash facilities
6. Appendix F: Incident Reports: Summary of past eye injury incidents and response effectiveness
7. Appendix G: Technical Specifications: Manufacturer specifications for installed eyewash equipment
Authors
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Chemical Processing
Pharmaceutical
Construction
Mining
Laboratory and Research
Healthcare
Automotive
Electronics Manufacturing
Metal Processing
Oil and Gas
Textile Industry
Food Processing
Agriculture
Waste Management
Relevant Teams
Health, Safety and Environment
Facilities Management
Operations
Quality Assurance
Maintenance
Emergency Response
Production
Laboratory Services
Risk Management
Occupational Health
Training and Development
Compliance
Industrial Hygiene
Relevant Roles
Health and Safety Manager
Risk Assessment Specialist
Facility Manager
Operations Manager
Production Supervisor
Laboratory Manager
Chemical Safety Officer
Industrial Hygienist
EHS Coordinator
Maintenance Supervisor
Quality Control Manager
Plant Manager
Safety Engineer
Occupational Health Nurse
Environmental Compliance Officer
Training Coordinator
Emergency Response Manager
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