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Lead Worker Weekly Audit Form

This field is for validation purposes and should be left unchanged.

AUDIT ITEM

Billing Sheets:
-Hours
-Participant Signatures and Response to Service
Participant Program Binder
Shift Change Binder
Home Safety:
-Monthly of 72-Hour Kit

-Monthly Check of First Aid and OSHA Kit

-Expired food Checks

-House Supplies
Paperwork & Forms Restocking
Special Assignment
Staff Delegations
Staff Informal Training / Retraining
Miscellaneous
Medical:
-Weekly Medications Checks

-MAR Sheets

-Narcotic Sheets

-Medication List

-Appointment Review

-Appointment Frequency
Incident Report Summary
Notify/Text the Mid LDSP of appointments and activities for the following week and if they will need a ride:
Have group participants received their 8 hours of 1 on 1?
Clear Signature
MM slash DD slash YYYY

ADDITIONAL NOTES FOR LEAD WORKER AUDITS