Henry Simpson (Copyright Simpson Consulting (Pty) Ltd)

• Audit Document No.

• Audit Title

• Client / Site / Office

• Conducted on

  Date

• This Audit was prepared by

• Location
  Address

• Personnel & Other

License Maintanance Divider 1

• Is the FSB license displayed properly where all clients have access viewing it<br>

  Yes

  No

  N/A

• Is the FSB license on file with conditions and exemptions

  Yes

  No

  N/A

• Is there a key individual register on file and updated.

  Yes

  No

  N/A

• Is there a key individual honest and integrity deceleration signed on file. (Quarterly)

  Yes

  No

  N/A

• Is there a key individual declaration on file. (Annually)

  Yes

  No

  N/A

• Is the FSP annual deceleration on file. (Annually)

  Yes

  No

  N/A

• Is there copies of all intermediaries & representatives fit and proper declarations on file.

  Yes

  No

  N/A

• Is the Council for Medical Schemes Accreditation on file and up to date

  Yes

  No

  N/A

• Is the FSP FSB levies paid to date.

  Yes

  No

  N/A

Registers Divider 2

• If any person in FSP is accredited with the Medical Schemes Association, is his accreditation certificate on file, and is he/she in good standing. Is the fees paid to date.

  Yes

  No

  N/A

• Is there a gift register documenting all gifts received and gifts donated.

  Yes

  No

  N/A

• Is there a register that records any suspicious transactions and also record FICA source of funds.

  Yes

  No

  N/A

• Is there a register where all fit and proper signed declarations are kept.

  Yes

  No

  N/A

• Is there a external compliance resolution policy in place.

  Yes

  No

  N/A

• Is there a register documenting all early termination of insurance or assurance products per category.

  Yes

  No

  N/A

• Is there a register documenting all switches of insurance or assurance products per category.

  Yes

  No

  N/A

• Is there a register that records all persons under supervision.

  Yes

  No

  N/A

• Is there a new business file per category of business (e.g life, short term, health) and updated with all new clients.

  Yes

  No

  N/A

FAIS Complaints Divider 3

• Is there a complaints register recording all client complaints.

  Yes

  No

  N/A

• Is there a complaints resolution policy in place.

  Yes

  No

  N/A

• Is there a register documenting all business not taken up of insurance or assurance products per category.

  Yes

  No

  N/A

• Is there a register documenting all surrendered insurance or assurance products per category.

  Yes

  No

  N/A

• Is there proof that each staff member has a copy of the complaints procedures.

  Yes

  No

  N/A

FICA Divider 4

• Is there FiCA internal rules in place.

  Yes

  No

  N/A

• Is the FICA templates and documentation available to all staff.

  Yes

  No

  N/A

• Is there proof that each staff member has a copy of the FICA internal rules and procedures.

  Yes

  No

  N/A

Conflict of interest Divider 5

• Is there a gift register in place and is all gifts received or donated recorded.

  Yes

  No

  N/A

• Is there a conflict of interest policy in place.

  Yes

  No

  N/A

• Is there proof that each staff member has a copy of the Conflict of interest policy rules and procedures.

  Yes

  No

  N/A

FAIS Standard Documentation Divider 6

• Is there a intermediary disclosure letter in place.

  Yes

  No

  N/A

• Is there a client FICA check list document in place

  Yes

  No

  N/A

• Is there a client advice record in place

  Yes

  No

  N/A

• Is there a single need client deceleration document in place

  Yes

  No

  N/A

• Is there a Financial needs analysis document in place.

  Yes

  No

  N/A

• Is there a broker note document in place.

  Yes

  No

  N/A

• Is there a client consent form/ indemnity form in place

  Yes

  No

  N/A

• Is there a replacement disclosure document in place.

  Yes

  No

  N/A

• Is there a client information gathering sheet in place.

  Yes

  No

  N/A

• Have you seen a copy of the company letter head and is it compliant.

  Yes

  No

  N/A

• Have you seen a copy of the company business cards and is it compliant.

  Yes

  No

  N/A

• Have you seen a copy of the company marketing material and is it compliant.

  Yes

  No

  N/A

• Have you seen the company website and is it compliant.

  Yes

  No

  N/A

Risk management plan Divider 7

• Is there a risk management plan in place.

  Yes

  No

  N/A

Complains reports Divider 8

• Did you do a quarterly complains report in conjunction with the FAIS compliance officer.

  Yes

  No

  N/A

• Did you do a monthly monitor complains report in conjunction with the FAIS compliance officer.

  Yes

  No

  N/A

• Is there a file in place with all compliance correspondence filed.

  Yes

  No

  N/A

• Was the annual compliance report submitted.

  Yes

  No

  N/A

Financials Divider 9

• Is there a copy of the last financials filed.

  Yes

  No

  N/A

• Is there proof that the financials was submitted to the FSB

  Yes

  No

  N/A

• Is there a IFG policy in place, is the IGF certificate on file.

  Yes

  No

  N/A

Contracts Divider 10

• Is all the contracts with suppliers, third parties and FSP dated and signed.

  Yes

  No

  N/A

• Did you check all contracting FSP that their licenses are still valid on the FSB Web Site

  FSP

  Internet

  Phone Lines

Operational documentation Divider 11

• Is there a copy of the company organogram of staff showing there duties.

  Yes

  No

  N/A

• Is there a copy of the companies supervision of staff strategy on file.

  Yes

  No

  N/A

• Is there a copy of the companies filing methodology and back up procurers in place.

  Yes

  No

  N/A

• Is there a company work flow process document filed.

  Yes

  No

  N/A

• Is there a company disciplinary procedure document on file.

  Yes

  No

  N/A

• Is the business contingency policy and procedures on file.

  Yes

  No

  N/A

• Is there a disaster recovery plan on file.

  Yes

  No

  N/A

Standard Operating Procedures Divider 12

• Is there a debarment policy in place. Is it on file

  Yes

  No

  N/A

• Is there a advertising policy in place. Is it on file

  Yes

  No

  N/A

• Is all FSP, reps and key individuals FSB status checked that they are in good standing.

  Yes

  No

  N/A

Legislation and reference material Divider 13

• Is there a procedural document on file detailing the employment strategy for representatives.

  Yes

  No

  N/A

• Is the FAIS act available for all staff to read.

  Yes

  No

  N/A

• Is the general code of conduct available for all staff to read.

  Yes

  No

  N/A

Operational ability of FSP

• When last was the BACKUP of the DATA checked <br>

  Safe

  At Risk

  N/A

Finalizing Audit

• Signed Henry Simpson

  Sign