Honeywell Emergency Eyewash Warranty Registration





 Company name:


Name: Title:


Address: City:  


 State: Zip:


Telephone: Email Address:


Industry: Number of employees:


How many eyewash stations do you currently have at your facility?


 Which other brands of eyewash stations do you own?






Model/Serial #:


 Date of installation:  [None] Select a Date Delete the Date


 Purchased from: Location of Eyewash:



Help us meet your future of eyewash product requirements by completing the following:


Was your product received in good condition?


Was the operation manual easy to read and follow?


Was the installation easy?


Does this product match your eyewash needs?


How can we improve this product to better meet your needs?


 Additional Information



Are you familiar with ANSI Z358.1?  


 What influenced your buying decision?


Would you spend more money on an eyewash station that was maintenance free for 2-3 years?


Do you plan on purchasing additional eyewash stations this year?