Hazardous Drug Handling Compliance Checklist Form
Complete this checklist to confirm compliance with hazardous drug handling protocols.
Are you wearing appropriate personal protective equipment (PPE)?
*
Yes
No
Have all hazardous drugs been properly labeled and stored?
*
Yes
No
Select all engineering controls in place during drug preparation:
*
Biological safety cabinet
Closed system transfer device
Isolator
Other
How would you rate your adherence to hand hygiene protocols?
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Is spill management equipment readily available and functional?
*
Yes
No
Are hazardous waste containers appropriately used and labeled?
*
Yes
No
Select all steps performed after hazardous drug administration:
*
Proper disposal of PPE
Surface decontamination
Hand washing
Other
Have you completed required training for hazardous drug handling?
*
Yes
No
Are there any observed safety concerns or incidents to report?
*
Yes
No
Comments or corrective actions (if any):
Submit Checklist
Should be Empty: