Hazardous Drug Handling Risk Assessment Questionnaire
Please complete this questionnaire to help us assess and improve the safety of hazardous drug handling in your workplace.
Full Name
*
First Name
Last Name
Job Title / Role
*
Department / Work Area
*
Which types of hazardous drugs do you handle?
*
Antineoplastic agents
Cytotoxic drugs
Immunosuppressants
Hormonal agents
Other
How frequently do you handle hazardous drugs?
*
Daily
Weekly
Monthly
Rarely
Which of the following personal protective equipment (PPE) do you regularly use when handling hazardous drugs?
*
Gloves
Gown
Eye/face protection
Respirator
None
Other
Are engineering controls (e.g., biological safety cabinets, closed system transfer devices) consistently used during hazardous drug handling?
*
Always
Sometimes
Never
Not applicable
Have you received formal training on hazardous drug handling procedures in the past 12 months?
*
Yes
No
Have you experienced or witnessed any hazardous drug exposure incidents or near-misses in the past year?
*
Yes
No
Please share any additional comments, concerns, or suggestions regarding hazardous drug handling in your workplace.
Submit Assessment
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