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Institute of Business Management (IoBM)

RESEARCH QUESTIONNAIRE
ENVIRONMENTAL SAFETY AWARENESS AMONG HEALTHCARE
PROVIDERS IN A TERTIARY CARE HOSPITAL

Name:
Age:

Gender: Male Female

Designation: Physicians Residents Nurses

Management Staff Administrative Staff

1. How long have you been employed in your organization?


a) < 5 years
b) 5 years
c) 10 years
d) >10 years

2. Was Environmental Health Safety Awareness included in your orientation?


a) Yes
b) No

3. If No, do you think Environmental Safety trainings should be a part of employee’s


orientation program?
a) Yes
b) No

4. Have you ever attended Environmental Health Safety Training sessions?


a) Yes
b) No

5. Do you have a direct interaction with the Patients?


a) Yes
b) No

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Institute of Business Management (IoBM)

6. What is the nature of your job?


a) Shift job
b) Non- Shift job

7. Do you know about the hazard caused by a Chemical Spill?


a) Yes
b) No

8. Mercury is a hazardous non-metallic element


a) Yes
b) No

9. Do you know what to do in case of Mercury Spill in hospital?


a) Yes
b) No

10. Do you know correct procedure for disposal of hazardous chemical wastes?
a) Yes
b) No

11. Mercury & Gold both are metals and therefore do not react when come in contact
with each other
a) Yes
b) No

12. Do you know about the Biological spill?


a) Yes
b) No

13. Do you know the hazard caused by the Biological Spills?


a) Yes
b) No

14. Are you aware of Personal Protective Equipments?


a) Yes
b) No

15. Biological waste must be kept in red bags before it is incinerated


a) Yes
b) No

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Institute of Business Management (IoBM)

16. Are you aware of the contents of the Spill kit?


a) Yes
b) No

17. Do you know about the Fire Triangle?


a) Yes
b) No

18. Fire is actually a very rapid exothermic chemical reaction


a) Yes
b) No

19. Are you capable of handling any Fire Emergency?


a) Yes
b) No

20. Do you know the appropriate way to alarm in case of fire ?


a) Yes
b) No

21. Do you know what steps should be taken in case of fire in your area of work
a) Yes
b) No

22. Do you know how to use fire extinguisher?


a) Yes
b) No

23. Always aim the extinguisher towards the base of fire


a) Yes
b) No

24. Do you know the location of nearest fire exit in your area of work?
a) Yes
b) No

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Institute of Business Management (IoBM)

25. Do you know the dangers of Multi plugging of electric wires?


a) Yes
b) No

26. Hazard identification is the responsibility of area supervisor


a) Yes
b) No

27. To operate fire extinguisher, we should follow Pull , Aim , Squeeze , Sweep
a) Yes
b) No

28. Fire Extinguishers can be used for large-scale fires also


a) Yes
b) No

29. All red infectious waste bins must be pasted with the hazard symbol
a) Yes
b) No

30. Water is the best medium to extinguish every type of fire


a) Yes
b) No

31. Medical Equipment Disinfection should be done by users after use on infectious
patient.

a) Yes
b) No