Graham Construction

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Company Name

• Project

• Start date

• Select date

  Date

• Expected Completion Date

• Select date

  Date

General Orientation

• Statement of Mission, Vision and Values

  Yes

  No

  N/A

• Customer Service

  Yes

  No

  N/A

• Confidentiality

  Yes

  No

  N/A

• Corporate Compliance

  Yes

  No

  N/A

• HIPAA

  Yes

  No

  N/A

Infection Control

• Precautions

  Yes

  No

  N/A

Safety Procedures

• Emergency Codes

  Yes

  No

  N/A

• Fire Safety Plan- location of fire alarms & extinguishers

  Yes

  No

  N/A

• Tornado Safety

  Yes

  No

  N/A

• Electrical Safety/ Utility Systems

  Yes

  No

  N/A

• Right to Know / HazMat

  Yes

  No

  N/A

• Public Safety / Security

  Yes

  No

  N/A

• Drug Free Workplace

  Yes

  No

  N/A

• No Smoking Policy

  Yes

  No

  N/A

• PHOTO ID ISSUED

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• Supervisor or Safety Officer

• Add signature

  Sign

• Select date

  Date