STATE ELECTION PREPAREDNESS CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ACCUVOTE MACHINES

• -MACHINES CHARGED?

  Yes

  No

  N/A

• -MACHINES INKED?

  Yes

  No

  N/A

• -DO MACHINES HAVE ADEQUATE PAPER?

  Yes

  No

  N/A

• -MEMORY CARD INSTALLED?

  Yes

  No

  N/A

• -SEAL PLACED ON MEMORY CARD?

  Yes

  No

  N/A

• -BALLOTS TESTED?

  Yes

  No

  N/A

• -MACHINES PREPARED FOR ELECTION?

  Yes

  No

  N/A

• -MACHINE COUNTER IS AT ZERO?

  Yes

  No

  N/A

• -MEMORY CARD SEAL UNBROKEN?

  Yes

  No

  N/A

• -BALLOT BINS VISUALLY AND PHYSICALLY CHECKED AS EMPTY?

  Yes

  No

  N/A

AUTOMARK MACHINES

• -INK CARTRIDGE INSTALLED?

  Yes

  No

  N/A

• -MEMORY CARD INSTALLED?

  Yes

  No

  N/A

• -TEST BALLOT MARKED?

  Yes

  No

  N/A

• -HEADPHONES PLUGGED IN?

  Yes

  No

  N/A

HEAD TABLE SUPPLIES

• -USB MEMORY STICK WITH ALL VOTING AND RESIDENT LISTS?

  Yes

  No

  N/A

• -LAPTOP CHARGED AND READY?

  Yes

  No

  N/A

• -USB MOUSE?

  Yes

  No

  N/A

• -ETHERNET CABLE?

  Yes

  No

  N/A

• -3 PART AFFIRMATION OF CURRENT AND CONTINUOUS RESIDENCE FORMS?

  Yes

  No

  N/A

• -MAIL IN VOTER REGISTRATION CARDS?

  Yes

  No

  N/A

• -EXTRA ACCUVOTE AND AUTOMARK SUPPLIES?

  Yes

  No

  N/A

• -PENS AND SCRAP PAPER?

  Yes

  No

  N/A

• -EXTRA ELECTION SUPPLIES?

  Yes

  No

  N/A

MEALS

• -ADEQUATE SILVERWARE,PLATES, NAPKINS, CUPS, ETC?

  Yes

  No

  N/A

• -FOOD AND DRINK ORDERED FOR 30 PEOPLE?

  Yes

  No

  N/A

• -RECEIPT RECEIVED?

  Yes

  No

  N/A

• -LUNCH MENU AND SHEETS?

  Yes

  No

  N/A

VOTING LISTS

• -CHECK IN LIST PRINTED AND PUT IN BINDERS?

  Yes

  No

  N/A

• -CHECK OUT LIST PRINTED AND PUT IN BINDERS?

  Yes

  No

  N/A

• -VOTING LIST SAVED TO USB MEMORY STICK FOR HEAD TABLE USE?

  Yes

  No

  N/A

• -INACTIVE VOTING LIST PREPARED AND SAVED TO USB MEMORY STICK FOR HEAD TABLE USE?

  Yes

  No

  N/A

• -PREVIOUS YEARS DELETED VOTER LIST PREPARED AND SAVED TO USB MEMORY STICK FOR HEAD TABLE USE?

  Yes

  No

  N/A

• -COMPLETE RESIDENT LIST PREPARED AND SAVE TO USB MEMORY STICK FOR HEAD TABLE USE?

  Yes

  No

  N/A

POLLING LOCATION

• -SCHOOL USAGE FORM COMPLETED?

  Yes

  No

  N/A

• -(3) SAMPLE BALLOTS FOR EACH BALLOT TYPE POSTED?

  Yes

  No

  N/A

• -(3) VOTERS BILL OF RIGHTS POSTED?

  Yes

  No

  N/A

• -PARKING LOT SIGNAGE IN PLACE?

  Yes

  No

  N/A

• -"VOTE HERE" DIRECTIONAL SIGNAGE IN PLACE?

  Yes

  No

  N/A

• -150' "NO CAMPAIGNING" LINE DELINEATED?

  Yes

  No

  N/A

• -ALL BOOTHS SET UP AND POWERED?

  Yes

  No

  N/A

• -AUTOMARK PLUGGED IN AN RUNNING?

  Yes

  No

  N/A

• -ACCUVOTES PLUGGED IN AND RUNNING?

  Yes

  No

  N/A

• -ALL CORDS TAPED DOWN AND/OR SECURED?

  Yes

  No

  N/A

• -ADEQUATE HANDICAP/SENIOR PARKING SPOTS DELINEATED?

  Yes

  No

  N/A

TALLY SHEETS

• -IN/OUT PAGE TALLY SHEETS?

  Yes

  No

  N/A

• -BALLOTS RECEIVED/USED SHEETS?

  Yes

  No

  N/A

• -TALLY SHEET FOR EACH OFFICE PREPARED?

  Yes

  No

  N/A

• -END-OF-NIGHT TOTAL TALLY EXCEL SHEET PREPARED AND READY FOR HEAD TABLE USE?

  Yes

  No

  N/A

POLL WORKERS

• -WARDENS CALLED, INFORMED OF # WORKERS NEEDED AND CONFIRMED?

  Yes

  No

  N/A

• -TIME SHEETS FILLED OUT AND SIGNED?

  Yes

  No

  N/A

ABSENTEE BALLOTS

• -ENTERED INTO CVR AS RECEIVED?

  Yes

  No

  N/A

• -AV-20 REPORT PRINTED?

  Yes

  No

  N/A

• -ALL PROCESSED BALLOTS SORTED BY PRECINCT AND THEN ALPHABETICALLY BY STREET?

  Yes

  No

  N/A

• -DAILY MAIL CHECKED FOR ANY BALLOTS RECEIVED ON ELECTION DAY?

  Yes

  No

  N/A

• -POST OFFICE CALLED BEFORE 4 PM TO DETERMINE IF ANY BALLOTS HAVE COME IN AFTER DAILY MAIL DELIVERY?

  Yes

  No

  N/A

BOARD OF REGISTRARS

• -CONFIRMED FOR OFFICE COVERAGE AFTER CLOSING TIME?

  Yes

  No

  N/A

PRECINCT SUPPLY KITS

• -CHECK IN TABLE SIGN?

  Yes

  No

  N/A

• -SECRECY SLEEVE SIGNS?

  Yes

  No

  N/A

• -SECRECY SLEEVES?

  Yes

  No

  N/A

• -SECRECY SLEEVE SIGNS?

  Yes

  No

  N/A

• -SECRECY SLEEVES?

  Yes

  No

  N/A

• -CHECK OUT TABLE SIGN?

  Yes

  No

  N/A

• -CLERKS RECORD BOOK?

  Yes

  No

  N/A

• -LEGAL PAD OR SCRAP PAPER?

  Yes

  No

  N/A

• -RED PENCILS, ADEQUATELY SHARPENED?

  Yes

  No

  N/A

• -ACCUVOTE VOTING PENS?

  Yes

  No

  N/A

• -RUBBER FINGERS?

  Yes

  No

  N/A

• -PENCIL SHARPENER?

  Yes

  No

  N/A

• -LETTER OPENER?

  Yes

  No

  N/A

• -PENS?

  Yes

  No

  N/A

• SCOTCH TAPE?

  Yes

  No

  N/A

• -ELASTICS?

  Yes

  No

  N/A

• -(4) RULERS?

  Yes

  No

  N/A

• -HAND SANITIZER?

  Yes

  No

  N/A

• -CALCULATOR?

  Yes

  No

  N/A

• -SPOILED BALLOT ENVELOPE?

  Yes

  No

  N/A

• -HAND-COUNT ENVELOPE?

  Yes

  No

  N/A

• -WRITE IN ENVELOPE?

  Yes

  No

  N/A

• -TALLY SHEETS?

  Yes

  No

  N/A

WARRANT

• -WARRANT PROOFED AND PRINTED?

  Yes

  No

  N/A

• -SELECTMEN HAVE SIGNED?

  Yes

  No

  N/A

• -CONSTABLE CALLED?

  Yes

  No

  N/A

• -CONSTABLE 'S RETURN OF SERVICE ENTERED?

  Yes

  No

  N/A

• -COPIES MADE AND POSTED AT ALL LOCATIONS?

  Yes

  No

  N/A

OPENING OF POLLS

• -BALLOT BOXES OPENED, INSPECTED, AND VERIFIED EMPTY?

  Yes

  No

  N/A

• -BALLOT BOXES LOCKED AFTER INSPECTION?

  Yes

  No

  N/A

• -ACCUVOTE COUNTER IS AT ZERO?

  Yes

  No

  N/A

• -WARDEN DECLARED POLLS OPEN?

  Yes

  No

  N/A

CLOSE OF POLLS

• - (3) ACCUVOTE TAPES PRINTED. 1 FOR PRECINCT, 1 FOR HEAD TABLE, 1 FOR POSTING AT POLLING LOCATION?

  Yes

  No

  N/A

• -RESULTS TRANSMITTED TO LOCAL MEDIA, TOWN IT DEPARTMENT AND ASSOCIATED PRESS?

  Yes

  No

  N/A

• -USED BALLOTS PACKED INTO BOXES, LABELLED AND SEALED?

  Yes

  No

  N/A

• -AP RESULTS EMAILED OR CALLED IN?

  Yes

  No

  N/A

• -EXCEL SHEET COMPLETED AND PRINTED TO PDF?

  Yes

  No

  N/A

• -WARDEN DECLARES POLL CLOSED?

  Yes

  No

  N/A

• A TRUE COPY ATTEST: JEREMY P GILLIS, CMC

  Sign