Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • PRIVACY AUDIT

  • Signature:

  • Conducted on:

  • Conducted by:

  • List the personal information that is collected in the village

  • Of this information which is classified as ‘sensitive’ information?

  • How is the information collected? (Include hard & electronic copies)

  • Where & how is the information stored?

  • Who has access to the stored information?

  • How is the information protected?

  • Is all the information that is collected necessary for provision of care & services?

  • If not, how will this be revised?

  • How & when is the information used?

  • How do you make residents aware of the reasons why the information is collected, & the intended use & disclosure of the information?

  • What system is in place to ensure that the information is accurate & kept up to date?

  • Is the information ever supplied to external services?

  • If so, list the external service providers that may be given personal/sensitive information

  • In what circumstances is the information given to external service providers?

  • Do the external service providers have a Privacy Policy & program in place?

  • Other points identified in the audit, which require review?

  • Recommendations

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