• Veterinary Practice Safety Assessment Form

    Use this form to assess safety conditions, animal handling practices, equipment safety, staff preparedness, and corrective actions in a veterinary practice.

  • Practice Information

  • Assessment Date*
     - -

  • Facility Safety Conditions

  •

  • Animal Handling and Restraint Safety

  • Rows
  • Rows
  • Most common handling risk observed*
  • Bite and scratch prevention practices*
  • Use of PPE during animal handling*
  • Secure kenneling and caging during handling*

  • Equipment and Instrument Safety

  • Overall Maintenance Status*
  • Calibration Checks Up to Date*
  • Electrical Cord Condition*
  • Sharps Storage Safety*
  • Hazardous Material Labeling*

  • Staff Training and Emergency Preparedness

  • Training on animal handling completed*
  • Bites or exposure response training completed*
  • First aid supplies available and accessible*
  • Emergency contact information clearly posted*
  • Drills or refresher training completed

  • Incidents, Risks, and Corrective Actions

  • Recent incident or near-miss type(s)*
  • Priority of correction*
  • Target completion date
     - -
  • Follow-up needed?
  • Follow-up date
     - -
  • Should be Empty:
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