The Eyewash Risk Assessment Form is a critical workplace safety document required under Pakistani workplace safety regulations, particularly relevant to facilities where employees may be exposed to eye hazards. This document becomes necessary when a workplace contains chemicals, particulates, biological materials, or other substances that could cause eye injury. The form must be completed in accordance with the Factories Act 1934, Pakistan Environmental Protection Act 1997, and relevant provincial occupational safety laws. It serves multiple purposes: documenting existing eyewash facilities, assessing their adequacy, identifying potential risks, ensuring compliance with safety standards, and establishing maintenance protocols. Regular updates to the assessment are required when workplace conditions change or at prescribed intervals as per local regulations.
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1. Facility Information: Basic details about the workplace including location, department, and assessment date
2. Hazard Identification: List of potential eye hazards in the workplace including chemicals, particulates, radiation, and biological materials
3. Current Equipment Assessment: Inventory and evaluation of existing eyewash stations and eye safety equipment
4. Accessibility Evaluation: Assessment of eyewash station locations and access routes, including distance from hazard areas
5. Water Supply Analysis: Evaluation of water quality, temperature, and pressure for eyewash stations
6. Maintenance Records: Documentation of regular testing, cleaning, and maintenance procedures
7. Training Assessment: Review of staff training on eyewash station use and emergency procedures
8. Compliance Checklist: Verification of compliance with relevant regulations and standards
9. Risk Rating Matrix: Evaluation of likelihood and severity of eye injury risks
10. Action Plan: Recommended improvements and timeline for implementation
1. Laboratory-Specific Hazards: Additional assessment criteria for laboratory environments with specialized chemical or biological hazards
2. Mobile Unit Assessment: Evaluation criteria for portable eyewash units when fixed stations are not feasible
3. PPE Integration: Assessment of how eyewash facilities integrate with other personal protective equipment requirements
4. Remote Location Considerations: Special requirements for facilities located far from medical help
5. Multiple Language Instructions: Assessment of need for multi-language signage and instructions based on workforce demographics
1. Appendix A: Inspection Checklist: Detailed weekly/monthly inspection checklist template
2. Appendix B: Safety Data Sheets: Reference list of relevant Safety Data Sheets for hazardous materials present
3. Appendix C: Equipment Specifications: Technical specifications for installed eyewash equipment
4. Appendix D: Training Log Template: Template for recording employee training on eyewash station use
5. Appendix E: Incident Report Form: Template for documenting eye injury incidents and eyewash station usage
6. Appendix F: Maintenance Schedule: Annual calendar for maintenance and testing requirements
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Chemical Industry
Pharmaceuticals
Healthcare
Research and Development
Construction
Mining
Oil and Gas
Education
Laboratory Services
Relevant Teams
Health and Safety
Facilities Management
Operations
Quality Assurance
Maintenance
Risk Management
Compliance
Laboratory Operations
Environmental Health and Safety
Industrial Hygiene
Relevant Roles
Health and Safety Manager
Facility Manager
Risk Assessment Specialist
Compliance Officer
Operations Manager
Laboratory Manager
Industrial Hygienist
EHS Coordinator
Plant Manager
Safety Inspector
Maintenance Supervisor
Quality Control Manager
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