Nursing Certification Audit Checklist
Complete this checklist to verify and audit nursing staff certifications and compliance with required standards.
Auditor Full Name
*
First Name
Last Name
Auditor Email Address
*
example@example.com
Date of Audit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nurse Full Name
*
First Name
Last Name
Nurse Employee ID
*
Department / Unit
*
Please Select
Emergency
Intensive Care Unit (ICU)
Surgery
Pediatrics
Maternity
Oncology
General Medicine
Other
Certification and Compliance Checklist
*
Rows
Valid License Present
CPR Certification Up-to-Date
Immunization Records Complete
Continuing Education Credits Met
Professional Liability Insurance
Yes
1
2
3
4
5
No
6
7
8
9
10
Not Applicable
11
12
13
14
15
List any other certifications held by the nurse (e.g., ACLS, PALS, specialty)
Are all documents physically or digitally verified?
*
Yes
No
Comments or Deficiencies Noted
Corrective Actions Required (if any)
Auditor Signature
*
Submit Audit
Submit Audit
Should be Empty: