Audit Sampling Log Form
Complete this form to document audit sample selections and their results.
Date of Audit Sample
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Name
*
First Name
Last Name
Audit Area or Process
*
Sample ID or Description
*
Method of Sample Selection
*
Random
Systematic
Judgmental
Other
Reason for Sample Selection
Test Performed
*
Sample Result
*
Pass
Fail
Exception Noted
Details of Findings
Follow-up Action (if any)
Submit
Should be Empty: