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1. Assessment Information: Basic details including date of assessment, facility/location being assessed, assessor name and qualifications
2. Workplace Details: Information about the facility, department, or area being assessed, including type of work performed and number of employees
3. Hazard Identification: List of potential eye hazards in the workplace (chemicals, dust, radiation, biological materials, etc.)
4. Current Control Measures: Existing eye protection and safety measures, including PPE and engineering controls
5. Eyewash Facility Requirements: Assessment of required number, type, and location of eyewash stations based on identified hazards
6. Existing Eyewash Facilities: Inventory and evaluation of current eyewash stations, including location, type, and condition
7. Compliance Assessment: Evaluation of compliance with relevant legislation and SANS standards
8. Risk Rating: Assessment of risks using a risk matrix considering likelihood and severity
9. Recommendations: Specific actions required to address identified gaps or improvements needed
10. Sign-off: Signatures of assessor, safety representative, and responsible manager
1. Emergency Response Procedures: Detailed emergency procedures specific to eye injuries - include when workplace has high-risk activities
2. Training Requirements: Specific training needs for employees - include when specialized equipment or procedures are required
3. Chemical Inventory: Detailed list of chemicals that pose eye hazards - include for laboratories or chemical processing areas
4. Historical Incident Analysis: Review of past eye injury incidents - include when there is relevant history to consider
5. Cost Analysis: Budget implications of recommended changes - include when significant modifications are proposed
1. Appendix A: Risk Assessment Matrix: Standard risk assessment matrix used for evaluating hazards
2. Appendix B: Facility Layout: Floor plan showing location of eyewash stations and eye hazards
3. Appendix C: Inspection Checklist: Detailed checklist for regular eyewash station inspections
4. Appendix D: Maintenance Records: Template for recording maintenance and testing of eyewash facilities
5. Appendix E: Relevant Standards: Excerpts from applicable SANS standards and regulations
6. Appendix F: Safety Data Sheets: Relevant SDSs for chemicals that pose eye hazards
Manufacturing
Chemical Processing
Laboratory and Research
Construction
Mining
Pharmaceutical
Healthcare
Education
Oil and Gas
Automotive
Metal Processing
Agriculture
Food Processing
Electronics Manufacturing
Waste Management
Health, Safety and Environment
Facilities Management
Operations
Quality Assurance
Risk Management
Occupational Health
Maintenance
Production
Laboratory Services
Environmental Compliance
Health and Safety Manager
Risk Assessment Officer
Facility Manager
Operations Manager
Laboratory Manager
Production Supervisor
Safety Consultant
Occupational Health Nurse
Environmental Health Officer
Quality Assurance Manager
Industrial Hygienist
Chemical Safety Officer
Manufacturing Manager
Maintenance Supervisor
HSE Coordinator
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