• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Purpose: These are the competencies necessary for performance practice. They supplement continuing education program's and meet minimum standards for Common Induction standards.

  • To meet the competency standard, the employee must demonstrate proficiency in performing the procedures as evidenced by the specific criteria listed below.

Core Competencies:

  • Standard precautions for infection control are applied

  • Medication records are available

  • Medication records are read and followed

  • Identity of individual to receive medication is checked

  • The service user's consent is obtained

  • Medication is selected and dispensed correctly

  • Medication is safely administered

  • The service user is checked as having taken medication

  • The service user's condition is monitored throughout (if adverse affects noticed, appropriate action is taken

  • Records are completed accurately and clearly

  • Medication is returned to its correct place for storage

  • Medication records are returned to their agreed place for storage

  • Refused medication is stored and recorded in accordance with policy (question if not observed)


  • Is the observation conducted satisfactory

  • Comment on employee's competency:

  • I can confirm that I have witnessed the named person complete all core competencies

  • Signature of observer:

  • Signature of carer

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.