Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Staff Interview

  • program site, name, position, number of years at the facility

  • Describe your role on the treatment team

  • What other activities are you invovled with (ie QI functions)

  • Please describe how you would perform your role during restraint or seclusion

  • What types of training have you received in the last year

  • Did you receive training specific to your facility

  • How are staff complaints handled

  • Any other information or concerns to be shared

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.