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Audit criteria Adequacy Comments Summary<br />

Quality manual documentation <br />

Y NI N NA<br />

Organizational chart and lines of authority <br />

Y NI N NA<br />

Interfacility organizational structure <br />

Y NI N NA<br />

Hours of operation, staff numbers and rosters <br />

Y NI N NA<br />

3.3.3.3. Premises<br />

Cleanliness <br />

Y NI N NA<br />

Patient comfort, privacy and special needs <br />

Y NI N NA<br />

81

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