Meeting Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

VM Practices

• 1. Tracking charts are all using standard template?

  Yes

  No

  N/A

• 2. Black/blue used for text - green, red, blue, amber for near misses as colour indicators ?

  Yes

  No

  N/A

• 3. Escalation and cascading of information is clearly linked to "The Big 5" (where applicable)?

  Yes

  No

  N/A

• 4. Targets are clearly identified on all VM tracking charts?<br>

  Yes

  No

  N/A

• 5. Triggers and the required action are clearly identified on all VM tracking charts?

  Yes

  No

  N/A

Meeting Structure

• 6. Is the meeting leader prepared?

  Yes

  No

  N/A

• 7. Leader facilitates meeting - scribe ad hoc?

  Yes

  No

  N/A

• 8. Meeting started on time?

  Yes

  No

  N/A

• 9. The purpose of the meeting is visible?

  Yes

  No

  N/A

• 10. Code of Conduct in place - reviewed at start of meeting?

  Yes

  No

  N/A

• 11. Meeting captures data for SQDPCP for previous 24 hours (lag indicators)?

  Yes

  No

  N/A

• 12. Agenda in place and followed?

  Yes

  No

  N/A

• 13. All actions captured?

  Yes

  No

  N/A

• 14. Actions have time frames and owners?

  Yes

  No

  N/A

• 15. Risks and Priorities for next 24 hours identified?

  Yes

  No

  N/A

• 16. All discussions "two way" that lead to an action or escalation?

  Yes

  No

  N/A

• 17. Meeting finished on time ( with post meeting discussion to discuss actions)

  Yes

  No

  N/A

• 18. Problem solving process reviewed as agenda item

  Yes

  No

  N/A

• 19. Meeting evaluation in place

  Yes

  No

  N/A

• 20. Meeting evaluation >80% for compliance

  Yes

  No

  N/A

• Opportunities for improvement!