Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Basic File Information

  • Clearance by occupational health

  • Attestation form sent to HR

  • ACES form completion

  • Employee Eligibility Verification Form (I9)

  • License posted for state board

  • Added location to state board

  • Sent in license form to SLEH

  • HIPPA form/Pyxis confidentiality

  • Signature and initial documentation

  • Acknowledgement of integrity booklet

  • Kronos login

  • Set up orientation date

  • Employee Training Orientation-includes departmental orientation

  • iV certification -initial check off

  • iV certification posted

  • Operations check off (tasks)

  • Competency check off <br>

  • Evalue completion

  • Added to group email list

  • Added to sharepoint

Action Items

  • Action to be Taken

  • Date Completed

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.