Title Page

BLT AUDIT

  • AUDITED BY

  • DEPARTMENT AUDITED

  • AUDIT DATE

BLT AUDIT

WIG BOARD AUDIT

  • DOES THE WIG BOARD MEET STANDARD?

  • IS THE WIG BOARD UP TO DATE (7 DAYS OLD MAX)

HOST BLT AUDIT

  • CAN THE HOST STATE THE DEPARTMENT WIG?

  • CAN THE HOST STATE THE DEPARTMENT LEAD?

  • CAN THE HOST PERFORM THE LEAD MEASURE? ASK FOR TRACKING PROCESS

  • CAN THE HOST STATE IF WE ARE MEETING OR EXCEEDING OUR GOAL?

  • HOST NAME

AUDIT OVERALL SCORE

  • AUDIT OVERALL SCORE

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