Pre-audit forms and templates

Designated auditing agencies (DAAs) use the attached pre-audit templates prior to conducting an audit of a certified provider.

Document review reporting template

The document review report template can be used (or adapted) to assist auditors in preparing for a certification audit and should reduce the need to review policies and procedures while on site. Once completed, the DAA should send the report to the provider at least 20 working days prior to the scheduled on-site audit. This allows the provider to respond to the report prior to the on-site audit.

Document review report (Word, 65 KB)

Safe and appropriate environment checklist

DAAs should encourage providers to complete a safe and appropriate environment checklist as part of their preparation for a certification audit.  This template should be given to providers at least 20 working days prior to an audit.  Auditors should request a copy of the completed checklist and refer to it when completing the on-site audit.

Safe and appropriate environment checklist (Word, 56 KB)

Public health self-assessment

For public hospital certification audits, the DAAs request the hospital to complete their self-assessment 50 days before the audit. The DAA must receive the completed self-assessment at least 20 working days before the audit.

Public Hospital Self Assessment Form (Word, 76 KB)

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