Information
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Audit Title
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Conducted on
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Prepared by
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Location
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FC: Fully Capable / No risks identified
C: Capable / Minor risks identified
CL: Capable with Limitations / Major risks identified
1 - Personnel
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1.a Is the module fully staffed?
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1.b Is the staffing of the module organized according to SOP?
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1.c Are personnel properly trained to operate the module equipment?
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Is personnel aware of the lines of coordination with the other modules?
2 - Material
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2.a Is all necessary equipment to support the module available?
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2.b Is the equipment fit for purpose?
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2.c Are storage facilities available to store temperature related pharmaceuticals?
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2.d Are direct exchange items available to replace default medical equipment?
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2.e Is all documentation available?
3 - Procedures
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3.a Is the a system in place to ensure that medical and non-medical equipment are maintained to agreed levels?
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3.b Are procedures available regarding blood storage and suppy?
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3.c Are procedures in available for the disposal of medical (contaminated) waste?
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3.d Is a quality program used for the storage and distribution of medical supplies and blood?
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3.e Is a list of equivalent pharmaceuticals of other nations available?
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3.f Is the cold chain (including blood supply) put in place?
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3.g Are the C2 arrangements for the module published?
