Drug and Alcohol Program Audit Checklist Form
Drug and Alcohol Program Audit Checklist Form
Organization Name
*
Auditor Name
*
First Name
Last Name
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Audit Scope
*
Please Select
Full program review
Policy and procedures
Training and awareness
Testing administration and process controls
Recordkeeping and reporting
Other program area
Program Component Assessment
*
Rows
Assessment
Written policy is established and accessible
1
Roles and responsibilities are defined
2
Training and awareness are provided as appropriate
3
Testing procedures and safeguards are documented
4
Procedures address result review and follow-up
5
Confidential records are handled with appropriate access controls
6
Required records and reports are maintained
7
Program review and improvement processes are in place
8
Overall Program Rating
*
1
2
3
4
5
Audit Summary and Notable Strengths
Findings and Supporting Evidence
*
Recommended Corrective Actions
Recommended Follow-Up Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Audit
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