Dispensary Security Assessment Form
Complete this Dispensary Security Assessment Form to evaluate current security measures and identify potential areas for improvement.
Dispensary Name and Location
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Assessment
*
Routine Inspection
Incident Follow-Up
Regulatory Requirement
Other
Access Control Measures (e.g., entry points, ID checks)
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Surveillance Coverage (CCTV, monitoring)
*
None
1
2
3
4
Comprehensive
5
1 is None, 5 is Comprehensive
Alarm System Readiness
*
No Alarm System
Installed but Not Monitored
Monitored 24/7
Inventory Protection Methods
*
Rows
Locked Storage
Access Restricted
Regular Audits
Not Implemented
1
2
3
Partially Implemented
4
5
6
Fully Implemented
7
8
9
Staff Security Procedures
*
Untrained
1
2
3
4
Highly Trained
5
1 is Untrained, 5 is Highly Trained
Incident Reporting Readiness
*
No Reporting Process
Basic Process
Comprehensive and Timely
Overall Security Risk Level
*
Low
Moderate
High
Assessor Notes
Submit Assessment
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