• Document No.

  • Audit Title

  • Conducted on

  • Prepared by

Emergency Medication

  • Crash cart locked and in date with the next expiring drug posted? Add crash cart information.

  • Crash cart lock number is same as documented on tag?

  • Crash cart red lock is pulled securely to prevent unauthorized access?


  • The thermometer monitoring the refrigerator is working properly with the alarm set "On"?

  • The temperature range on the digital thermostat is within 36 to 46 degrees F?

  • Refrigerator exception log is available and properly dated?

Medication Area

  • All medications are within their expiration or beyond-use-date?

  • Ensure that only currently prescribed medications are present. Returns, discontinued, and unusable medications are in the authorized return to pharmacy location?


  • Are there any significant nursing management issues?

  • Any follow-up issues?

  • Manager emailed a copy?

  • Auditor's Signature

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.