Free Radiation Safety Assessment HR

Assessment Date: January 1, 2050 | Assessor Name: [Your Name] |
ASSESSMENT DETAILS
Radiation Source: X-ray Machine
Location: Radiology Department
ASSESSMENT OBJECTIVES
To evaluate the awareness and understanding of radiation safety protocols.
To ensure compliance with radiation safety measures to protect employees and the public.
To identify potential areas for improvement in radiation safety practices.
ASSESSMENT QUESTIONS
Please respond to the following questions and statements by marking the appropriate options:
Are you aware of the potential risks associated with the radiation source used in your work?
Yes
No
Have you received radiation safety training specific to your job role?
Yes
No
Do you use personal protective equipment (PPE) when working with radiation sources?
Always
Sometimes
Rarely
Never
Are radiation warning signs and labels clearly visible in the area where you work?
Yes
No
Are there established procedures for reporting radiation safety concerns or incidents?
Yes
No
Do you feel confident in your ability to work safely with radiation sources?
Very confident
Somewhat confident
Not confident
RECOMMENDATIONS AND COMMENTS
Please provide any additional comments, suggestions, or recommendations related to radiation safety at your workplace:
(signature)
[Your Name]
Assessor
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