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
Basic File Information
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Clearance by occupational health
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Attestation form sent to HR
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ACES form completion
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Employee Eligibility Verification Form (I9)
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License posted for state board
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Added location to state board
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Sent in license form to SLEH
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HIPPA form/Pyxis confidentiality
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Signature and initial documentation
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Acknowledgement of integrity booklet
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Kronos login
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Set up orientation date
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Employee Training Orientation-includes departmental orientation
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iV certification -initial check off
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iV certification posted
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Operations check off (tasks)
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Competency check off <br>
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Evalue completion
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Added to group email list
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Added to sharepoint
Action Items
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Action to be Taken
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Date Completed