Example Data Collection form for Water Softeners, Carbon Filters and Safety Showers/Eye Wash
System/Locatin
Date/Time Started
Date/Time Finished
Water Softener - kitchen Carbon Filter – kitchen
6/15/20 - 9:00 AM 6/15/20 – 11:00 AM
6/15/20 – 11:10 AM
6/15/20 – 11:40 AM
Safety shower - mechanical room 624 Eye wash mechanical rom 624
6/15/20 – 1:00 PM 6/15/20 – 1:15 pm
6/15/20 1:15 PM
6/15/20 1:20 PM
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