Radio Audit Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1. Protocol - person to person during shunt

  Yes

  No

  N/A

• Details

• 2. Offer message

  Yes

  No

  N/A

• Details

• 3. Make Contact

  Yes

  No

  N/A

• Details

• 4. Transmit Message

  Yes

  No

  N/A

• Details

• 5. Sign Off

  Yes

  No

  N/A

• Details

• 6. Correct Protocols Used

  Yes

  No

  N/A

• Details

• 7. Correct Transmission Emergency Protocols

  Yes

  No

  N/A

• Details

Action Plan

• What action has been taken to improve radio procedure?

• Who is to carry out action plan?

• Completed date of action plan

  Date

• Upload Images:

  Media