Name: Position/Job: Please indicate YOUR level of comprehension and competence in each of the listed safety areas. You may add topics at the end if you have a concern about one that is not listed. Totally Somewhat Do not understand understand understand at Task or Issue and but would like all and need competent more more instruction instruction Your rights and responsibilities in the safety program General Practice Safety including housekeeping, safe storage of materials and eating and drinking policy. Ergonomics and lifting properly Your duties in the event of a fire, emergency or evacuation code (pertaining to safety) Accident prevention & injury reporting Safe animal handling and bite prevention Electricity Noise hazards/hearing protection Zoonotic disease prevention Personal safety and violence prevention Use and limitations of personal protective equipment
Name: Position/Job: Please indicate YOUR level of comprehension and competence in each of the listed safety areas. You may add topics at the end if you have a concern about one that is not listed. Task or Issue Totally understand and competent Somewhat understand but would like more instruction Do not understand at all and need more instruction Your rights and responsibilities in the safety program General Practice Safety including housekeeping, safe storage of materials and eating and drinking policy. Ergonomics and lifting properly Your duties in the event of a fire, emergency or evacuation code (pertaining to safety) Accident prevention & injury reporting Safe animal handling and bite prevention Electricity Noise hazards/hearing protection Zoonotic disease prevention Personal safety and violence prevention Use and limitations of personal protective equipment