Free eyewash station inspection checklist
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An eyewash station inspection checklist is a structured form used to verify that an eyewash station is functional, accessible and compliant with AS 4775. This page explains what to include, how to conduct the inspection, and offers a free PDF-ready template you can download and use straight away. No sign-up required.
Last updated: 2026-04-17 · MapTrack
Commercial Director
How to use: Fill station and inspector details, then mark Pass/Fail for each item, add notes where needed, sign and date, then save as PDF (Print, then Save as PDF in your browser).
- ✓ PDF-ready. Open and print to PDF
- ✓ Covers water flow, temperature, cleanliness, signage and AS 4775 compliance
- ✓ Free to use with or without MapTrack
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What is an eyewash station inspection checklist?
An eyewash station inspection checklist is a structured form used to verify that an emergency eyewash station is operational, accessible and compliant with Australian Standard AS 4775 (Emergency eyewash and shower equipment). It covers the access path, signage, water flow and delivery, water temperature and quality, physical condition of the unit, and compliance documentation. Regular inspections ensure the station will work when it is needed most, prevent bacterial growth in plumbing, and provide documented evidence of compliance for WHS audits and regulator inspections.
Benefits of eyewash station inspections
- Emergency readiness: confirm the station activates quickly and delivers continuous flow when an eye exposure occurs.
- AS 4775 compliance: documented inspections demonstrate your site meets Australian Standard requirements for emergency eyewash equipment.
- Water quality: weekly flushing and temperature checks prevent bacterial growth such as Legionella in stagnant lines.
- Accessibility: verify the station is within 10 seconds travel time, clearly signed and free of obstructions.
- Self-contained unit management: track fluid levels, expiry dates and seal integrity for portable or cartridge-based units.
- Audit trail: maintain a verifiable inspection history for WHS audits, incident investigations and regulator visits.
Benefits of digitising forms in MapTrack
When you move your checklists from paper to MapTrack, you get:
- Field users can easily scan a QR code to complete a form on mobile. Unlimited users.
- Automatically get alerts when faults are identified.
- Link every form digitally as a PDF to the relevant asset, location or person.
- Receive a digital PDF copy with every submission to your email.
- Ability to share forms digitally.
- Build conditional logic (show or hide questions based on answers).
- Take pictures or attach photos. Not possible with a paper-based form.
- Electronic signatures.
- Edit forms later without reprinting.
- Restrict permissions (who can view, complete or approve).
- Build forms with AI (describe what you need and MapTrack suggests the form).
- Set recurring audit schedules with automatic reminders and escalation.
- Produce regulator-ready PDF compliance packs in one click.
- Track corrective actions from finding to close-out with full audit trail.
Book a demo to see digital inspections and forms in MapTrack.
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What to include in an eyewash station inspection checklist
Our free eyewash station inspection checklist includes:
- Station details: station ID, location, type (plumbed, self-contained, combination), make/model.
- Inspector details: name, inspection date.
- Location and accessibility: visibility, unobstructed path, signage, floor condition.
- Water flow and delivery: activation speed, dual-stream flow, 15-minute duration, stay-open valve, supply line.
- Water quality and temperature: clarity, tepid range (16-38 degrees Celsius), odour, flushing record.
- Physical condition: nozzle covers, nozzle cleanliness, bowl/basin, body/frame, drain.
- Self-contained units: fluid level, expiry date, tamper seal.
- Compliance: inspection tag, AS 4775 compliance, operating instructions.
- Defect register: item, description, action required.
- Sign-off: inspector and supervisor.
How to conduct an eyewash station inspection
- Record station details including ID, location, type and make/model.
- Check the access path is clear and the station can be reached within 10 seconds from the nearest hazard area.
- Activate the station and verify both nozzles deliver a steady, even stream. Confirm the valve stays open without hand pressure.
- Check water temperature is within the tepid range (16-38 degrees Celsius) and the water runs clear.
- Inspect nozzle covers, basin, body and drain for damage, blockage or contamination.
- For self-contained units, check fluid level, expiry date and tamper seal.
- Record any defects and report per your site procedures. Tag the station out of service if it fails critical items.
- Sign off, date the form and save as PDF.
In MapTrack, eyewash station inspections are completed on mobile and linked directly to the station record. Photos attach to each inspection, and failed items can trigger work orders so the station is flagged until rectified. Book a demo to see how.
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Back to download formEyewash station inspection frequency
Perform a weekly activation test to flush stagnant water and confirm the station operates. Complete a full inspection covering all checklist items monthly. Annual inspections should verify AS 4775 compliance, plumbing integrity, and replace self-contained unit cartridges or fluid as required. If the station has been relocated, repaired or reported as faulty, perform a fresh inspection before returning it to service. In MapTrack, you can schedule each inspection tier and track compliance across every station on site.
Frequently asked questions
- What should an eyewash station inspection checklist cover?
- An eyewash station inspection checklist should cover location and accessibility (signage, clear path, proximity to hazards), water flow and delivery (activation, flow rate, stay-open valve, supply line), water quality and temperature (clarity, tepid range 16-38 degrees Celsius per AS 4775, flushing schedule), physical condition (nozzle covers, basin, frame, drain), self-contained unit checks (fluid level, expiry, seal) and compliance documentation (inspection tag, AS 4775 requirements, operating instructions).
- How often should an eyewash station be inspected?
- Eyewash stations should be visually inspected weekly, with a functional activation test to flush stagnant water. A more thorough inspection covering all components, water temperature and compliance items should be completed monthly. Annual inspections should verify AS 4775 compliance, plumbing integrity and self-contained unit replacements. Plumbed stations should be flushed weekly to prevent bacterial growth in the supply line.
- Who can inspect an eyewash station?
- Any competent worker who has been trained in the inspection requirements for the specific station type can perform routine weekly and monthly inspections. Annual compliance inspections may require a qualified plumber or safety professional depending on your state or territory WHS requirements. The inspector should understand AS 4775, know how to test water temperature and flow, and be familiar with the station type installed on site.
- Is the template free to use without MapTrack?
- Yes. Download and use the eyewash station inspection checklist for free. Open the file and use your browser's Print, then Save as PDF. No MapTrack account required. If you later want digital inspections linked to each station with scheduling, alerts and compliance history, we would be happy to show you MapTrack.
Need digital inspections for your safety equipment?
Register every eyewash station in MapTrack. Schedule weekly flushes and monthly inspections, complete checklists on mobile, attach photos, and maintain a complete compliance history for each unit.