CHK-64-Participant File Audit Checklist

Participant File Audit Checklist

Periodic participant file review details, compliance tracking, and corrective action records.

Review Details

First Name:   Last Name:  
NDIS Number:   Date of Birth:  

Audit Checklist

File Audited Initial Review “File Open” 3 Month Review 6 Month Review 9 Month Review 12 Month Review Follow up notes
Participant Code, Name and File # Recorded on Front Cover or Electronic Folder Name            
Participant Intake Form Completed            
Intake Assessment Form            
Referral Form (where applicable)            
NDIS Plan            
Service Agreement            
Participant Consent Form            
Support Plan            
Additional Supporting Documentation            
Individual Risk Assessment Form            
Progress Reports            
Incident Reports            
Evidence of Critical Incidents Reported            
Behaviour Support Plan (where applicable)            
Evidence of Required Reporting of Restrictive Practices (where applicable)            
Audit Consent Form Evident and Signed (if applicable)            
Satisfaction Surveys            
Feedback and Complaint Records            
Participants Cash Register            
Medication Administration Record            
Mealtime Management Plan            
Progress/File Notes (Evidence of each Support Session)            
Authority to Act as an Advocate Form (where applicable)            
Invoices            
Participant Exit Form            
Correspondence            
             
             
             
             

Corrective Actions

Action taken Who is responsible Due date Completed Notes
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No  
      ☐ Yes   ☐ No