Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • I. Incident /Drill Summary:

  • II. Critical Elements Review
    Management of Event Notification/Internal &External Communications

  • Was Internal Communication System Effective?

  • Was External Communication Effective?

  • Were External Communications Established With Community Partners?

  • III. Management of Safety and Security

  • Were Adequate Internal Safety and Security Measures Utilized During The Event?

  • Was There Adequate External Safety and Security Support From Community Partners?

  • IV. Management of Resources and Assets

  • Were There Adequate Supplies and Staff Members Available To Handle The Incident? Critical and Non-Critical?

  • V. Management of Patients and Support Care Activities

  • Was The Management Of Patients Clinical and Support Care Adequate ?

  • VI. Management Of Utilities

  • Were Utilities Adequate During This Event?

  • VII. Management Of Staff Responsibilty

  • Did Staff Members Understand Their Roles and Responsibilities?

  • VIIII. Action Plan For Improvement

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.