Audit

Total Number of Observation
Total Number Meeting the Standard
Case Management/Social Worker (street Clothes with Lab coat)
# Observed
# Meeting Standard
EVS (maroon shirt/navy pants)
# Observed
# Meeting Standard
Food Service (light grey/black pants)
# Observed
# Meeting Standard
Facility Services (Navy Pants/light blue shirt)
# Observed
# Meeting Standard
Laboratory-Phlebotomist
# Observed
# Meeting Standard
Nursing Assistant (black scrubs)
# Observed
# Meeting Standard
Nursing RN/LPN (royal blue and/or white scrubs)
# Observed
# Meeting Standard
Pharmacy Tech
# Observed
# Meeting Standard
Physical Medicine
# Observed
# Meeting Standard
Physician
# Observed
# Meeting Standard
Radiology (navy blue)
# Observed
# Meeting Standard
Resident or Intern
# Observed
# Meeting Standard
Respiratory Therapy (green)
# Observed
# Meeting Standard
Transporter (black shirt/Khaki pants)
# Observed
# Meeting Standard
Comments

Comments:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.