Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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I. Incident /Drill Summary:
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II. Critical Elements Review
Management of Event Notification/Internal &External Communications -
Was Internal Communication System Effective?
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Was External Communication Effective?
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Were External Communications Established With Community Partners?
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III. Management of Safety and Security
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Were Adequate Internal Safety and Security Measures Utilized During The Event?
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Was There Adequate External Safety and Security Support From Community Partners?
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IV. Management of Resources and Assets
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Were There Adequate Supplies and Staff Members Available To Handle The Incident? Critical and Non-Critical?
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V. Management of Patients and Support Care Activities
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Was The Management Of Patients Clinical and Support Care Adequate ?
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VI. Management Of Utilities
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Were Utilities Adequate During This Event?
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VII. Management Of Staff Responsibilty
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Did Staff Members Understand Their Roles and Responsibilities?
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VIIII. Action Plan For Improvement
