National Health Laboratory Service (NHLS)

• S.L.A Compliance Audit for Laboratory

• Service Provider

  AA PROJECTS

  SKYNET

  DZIVHANE BUSINESS ENTERPRISE
• Location
  Address

• Select Route

  Select Route 1 Route 2 Route 3 Route 4 Route 5 Route 6 Route 7 Route 8 Route 9 Referral 1 Referral 2

  • Route 1
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  • Route 5
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  • Route 9
  • Referral 1
  • Referral 2

• Personnel present during audit

• Vehicle Registration

• Document No.

• Conducted on

  Date

• Audit conducted by

  Jerome Fakoe

  Ben Alberts

  Solomon Kalaetse

VEHICLE COMPLIANCE

Vehicle Physical Condition & Roadworthiness

• Is vehicle fitted with a lockable canopy or divider in case of a panel van?

  Yes

  No

• Is the vehicle branded with the service provider decals?

  Yes

  No

• Is the vehicle and load area clean & presentable at time of audit?

  Yes

  No

Vehicle Compliance with Road Safety Act & HAZMAT

• Is vehicle fitted with "Human Specimens in Transit" sticker?

  Yes

  No

• Is a fully stocked spill kit present on vehicle?

  Yes

  No

• Is vehicle fitted with a fire extinguisher (mounted) as required by the National Road Traffic Act?

  Yes

  No

• Is the specimen load area separate from the driver compartment?

  Yes

  No

• Is the vehicle fitted with the required sticker " Infectious Substance Transporting Class 6"

  Yes

  No

• Is a TREM/TREC card displayed?

  Yes

  No

• Is an Emergency number displayed on vehicle?

  Yes

  No

VEHICLE TRACKING

Vehicle Tracking

• Is the vehicle fitted with an operational tracking device?

  Yes

  No

• Is vehicle visible on tracking website?

  Yes

  No

• Is route geo-fenced on tracking website?

  Yes

  No

• Is exception reports mailed to Logistics Manager ?

  Yes

  No

• Does the Logistics manager have access to the tracking website?

  Yes

  No

DRIVER COMPLIANCE

Driver Specific

• Evidence of HAZMAT training?

  Yes

  No

• Is the driver using the NHLS issued UN3373 container for transportation of specimens?

  Yes

  No

• Does driver have an employment contract?

  Yes

  No

• Is driver displaying a name identification tag?

  Yes

  No

• Is driver wearing service provider issued uniform?

  Yes

  No

• Does driver have a valid unendorsed license & PDP ?

  Yes

  No

• Is the driver using and maintaining ice packs?

  Yes

  No

SCANNING COMPLIANCE

Scanning Compliance

• Has the driver been trained 100% use of scanner?

  Y

  N

• Evidence of 2D barcodes been scanned?

  Y

  N

• Compliance to scanning as per operational procedure?

  Y

  N

• Scanner in full working order?

  Y

  N

ROUTE ADHERENCE

Route Sheet Data

• Is the route sheet fully completed?

  Yes

  No

• Does vehicle odometer reading match route sheet?

  Yes

  No

• Does the driver record the specimen count at each collection point?

  Yes

  No

• Is the driver recording opening and closing kilometers at each stop?

  Yes

  No

• Is the driver using the correct route sheet as issued to service provider?

  Yes

  No

• Is the driver following route 100% as per route sheet?

  Yes

  No

Route Sheet Compliance

• Specimen collection on time

  100 %

  75 %

  50 %

  25 %

• Specimen Delivery on time

  100 %

  75 %

  50 %

  25 %

• Report collection on time

  100 %

  75 %

  50 %

  25 %

• Report delivery on time

  100 %

  75 %

  50 %

  25 %

Pictures

• Comments by auditor

• Vehicle/s

  Media

• Certificates

  Media

• Drivers

  Media

• Auditor Signature

  Sign

• Select date

  Date