The Eye Wash Station Risk Assessment Form is a critical workplace safety document required under Canadian federal and provincial occupational health and safety regulations. This form should be completed whenever new eye hazards are introduced to the workplace, when facilities are modified, or at regular intervals as part of ongoing safety compliance programs. The assessment helps organizations identify potential eye hazards, evaluate the adequacy of existing emergency eyewash facilities, and ensure compliance with relevant safety standards including CSA Standard Z358.1-14 and provincial OHS requirements. The document serves as both a risk management tool and a legal record of the organization's due diligence in maintaining workplace safety standards.
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1. Facility Information: Basic details including facility name, location, department, and assessment date
2. Assessment Team: Names and roles of individuals conducting the risk assessment
3. Hazard Identification: List of workplace activities and materials that may cause eye injuries or exposure
4. Current Equipment Assessment: Inventory and condition of existing eyewash stations, including location, type, and age
5. Compliance Evaluation: Assessment of current setup against regulatory requirements and standards
6. Risk Level Assessment: Evaluation of likelihood and severity of potential eye injuries in different areas
7. Maintenance Records: Documentation of regular maintenance, testing, and inspection history
8. Training Assessment: Evaluation of staff training levels and knowledge of eyewash station use
9. Action Items: Required improvements, repairs, or changes identified during assessment
1. Chemical Inventory: Detailed list of hazardous chemicals present - include when facility handles multiple hazardous materials
2. Environmental Factors: Assessment of temperature, lighting, and other environmental conditions - include for outdoor or extreme environments
3. Cost Analysis: Breakdown of costs for recommended improvements - include when significant upgrades are needed
4. Historical Incident Review: Analysis of past eye injury incidents - include if there have been previous accidents
5. Alternative Equipment Options: Evaluation of different types of eyewash equipment - include when considering equipment upgrades
1. Appendix A: Inspection Checklist: Detailed checklist for regular eyewash station inspections
2. Appendix B: Regulatory Requirements: Summary of applicable regulations and standards
3. Appendix C: Site Map: Facility floor plan showing current and proposed eyewash station locations
4. Appendix D: Photo Documentation: Photos of current equipment and identified issues
5. Appendix E: Maintenance Schedule: Detailed schedule for regular maintenance and testing requirements
6. Appendix F: Training Records Template: Template for tracking employee training on eyewash station use
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Chemical Processing
Laboratory Services
Construction
Mining
Healthcare
Education
Research and Development
Pharmaceutical
Food Processing
Automotive
Oil and Gas
Metal Working
Electronics Manufacturing
Cleaning Services
Relevant Teams
Health and Safety
Facilities Management
Operations
Quality Assurance
Risk Management
Environmental Compliance
Maintenance
Production
Laboratory Operations
Emergency Response
Relevant Roles
Environmental Health and Safety Manager
Facility Manager
Risk Assessment Specialist
Safety Compliance Officer
Industrial Hygienist
Laboratory Manager
Production Supervisor
Maintenance Supervisor
Quality Control Manager
Operations Manager
Plant Manager
Safety Trainer
Occupational Health Nurse
Chemical Safety Officer
Workplace Safety Inspector
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