Title Page

  • Conducted on

  • Prepared by

Month to Date Outcomes

  • KPI 4 Week Actual

  • KPI 13 Week Actual

  • KPI 26 Week Actual

  • KPI 52 Week Actual

  • KPI OS Revenue Actual

Bottleneck

  • 26 Week Claimed still in PPS

  • Fall Offs still in PPS

  • Non-Payable Invalid Placement

  • Anchor not tracking with Low Hours

  • Latest Hours entered more than 3 Weeks Old

  • Invalid Breaks

  • Forecast Updated Last 14 Days %

  • Claims Available Last 10 Days

  • Claims Available Over 10 Days

  • OS Claims Forecasted and Overdue

DES Diary Report

  • Average Appointments Per Day (KPI 4)

  • F2F Appointments Attended (KPI 80%)

Caseload Management Report

  • Pending

  • Pending (More than 5 Days)

  • No Future Appointment

  • Appointments Not Resulted

  • Job Plan Expired, Not Created or Pending Approval

  • Primary Disability Missing

  • Program Reviews Requiring ESAT Booking

  • Overdue JSCI's

  • Outstanding Tunnel Tasks

Audit 1

  • Appointment Date

  • Format of Appointment

  • Appointment Result

  • Future Appointment Made within 10 Business Days (if ATT) or 2 Business Days (if DNA)

  • PPS/OS Contact form file noted in Tunnel within 24 Hours

  • File Note reflects evidence of support provided at appointment

  • Forecast App updated (Worked Hours to date and confirmed contact)

  • Job Plan is valid and has been tailored to include current activities and assistances

  • Current Authority to Disclose form on Tunnel

  • Current Privacy form on Tunnel

  • Participant Consent to Contact Employer Form on Tunnel

  • Contact made to employer within last 2 weeks

  • OS Contacts or Hours required before next claim date

Audit 2

  • Appointment Date

  • Format of Appointment

  • Appointment Result

  • Future Appointment Made within 10 Business Days (if ATT) or 2 Business Days (if DNA)

  • PPS/OS Contact form file noted in Tunnel within 24 Hours

  • File Note reflects evidence of support provided at appointment

  • Forecast App updated (Worked Hours to date and confirmed contact)

  • Job Plan is valid and has been tailored to include current activities and assistances

  • Current Authority to Disclose form on Tunnel

  • Current Privacy form on Tunnel

  • Participant Consent to Contact Employer Form on Tunnel

  • Contact made to employer within last 2 weeks

  • OS Contacts or Hours required before next claim date

Audit 3

  • Appointment Date

  • Format of Appointment

  • Appointment Result

  • Future Appointment Made within 10 Business Days (if ATT) or 2 Business Days (if DNA)

  • PPS/OS Contact form file noted in Tunnel within 24 Hours

  • File Note reflects evidence of support provided at appointment

  • Forecast App updated (Worked Hours to date and confirmed contact)

  • Job Plan is valid and has been tailored to include current activities and assistances

  • Current Authority to Disclose form on Tunnel

  • Current Privacy form on Tunnel

  • Participant Consent to Contact Employer Form on Tunnel

  • Contact made to employer within last 2 weeks

  • OS Contacts or Hours required before next claim date

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.