Documentation Index
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Module: GR-04 Audit Management
Audience: Compliance Officers, Administrators
Last Updated: 2025-12-14
Overview
This guide covers how to plan, conduct, and manage audits including scheduling, team management, checklist creation, finding documentation, corrective action tracking, and readiness assessment.
Required Role: Compliance Officer or Organization Admin
Initial Setup
- Navigate to GR → Settings
- Configure Audit Management settings:
- Enable/disable audit reminders
- Set default reminder days for upcoming audits (14, 7, 3 days)
- Set finding due date reminder intervals
- Set corrective action reminder intervals
- Save your settings
2. Define Audit Types
The system includes standard audit types:
- Internal, External, Regulatory, Accreditation, Financial, Operational
Custom types can be configured in module settings if needed.
Planning & Scheduling Audits
Creating a New Audit
- Navigate to GR → Audits
- Click New Audit
- Complete the planning form:
| Field | Description | Required |
|---|
| Title | Clear audit name | Yes |
| Type | Internal, External, Regulatory, etc. | Yes |
| Scheduled Start | Planned start date | Yes |
| Scheduled End | Planned end date | Yes |
| Scope | What will be audited | Yes |
| Lead Auditor | Primary auditor | Yes |
| Sites | Sites included in audit | No |
| Departments | Departments included | No |
| Notes | Additional planning notes | No |
- Click Create Audit
Audit Lifecycle
Planned → In Progress → Completed
↓
Cancelled
Best Practices for Planning
- Schedule in advance: Give staff time to prepare
- Define clear scope: Document what will and won’t be reviewed
- Assign experienced lead: Choose lead auditors with relevant expertise
- Consider timing: Avoid peak operational periods
- Notify stakeholders: Send advance notification to affected areas
Managing Audit Teams
Assigning Team Members
- Open the audit detail page
- Go to the Team tab
- Click Add Team Member
- Select the employee
- Choose their role:
- Lead Auditor: Primary responsibility for audit
- Auditor: Participates in audit activities
- Observer: Watches but doesn’t conduct review
- Subject Matter Expert: Provides expertise for specific areas
Team Roles & Responsibilities
| Role | Responsibilities |
|---|
| Lead Auditor | Plans audit, assigns tasks, manages findings, signs off on completion |
| Auditor | Conducts reviews, documents findings, interviews staff |
| Observer | Learns audit process, may assist with documentation |
| SME | Provides technical expertise when specialized knowledge is needed |
Creating Audit Checklists
Generating from Compliance Requirements
- Open the audit detail page
- Go to the Checklist tab
- Click Generate from Requirements
- Select regulatory body and categories to include
- The system creates checklist items from GR-03 requirements
Creating Custom Checklist Items
- Go to the Checklist tab
- Click Add Item
- Enter:
- Description: What to verify
- Category: Grouping for the item
- Requirement Link: Optional link to GR-03 requirement
- Click Add
Checklist Item Status
| Status | Meaning |
|---|
| Pending | Not yet reviewed |
| Compliant | Item verified, no issues |
| Non-Compliant | Issue identified |
| Not Applicable | Doesn’t apply to this audit |
Executing Audits
Starting an Audit
- Open the audit
- Click Start Audit to change status to “In Progress”
- The actual start date is recorded
Documenting Reviews
For each checklist item:
- Review the requirement or standard
- Gather evidence of compliance
- Interview staff if needed
- Update the item status
- Add notes documenting your observations
Real-Time Documentation
- Document observations as you go
- Take photos if applicable
- Note staff interviewed
- Reference documents reviewed
- Record both compliant and non-compliant findings
Completing an Audit
- Ensure all checklist items are addressed
- Document all findings
- Assign corrective actions for non-compliant items
- Click Complete Audit
- Enter the actual end date
- Add summary notes
Recording Audit Findings
Creating a Finding
- From the checklist item or audit detail page
- Click Record Finding
- Complete the form:
| Field | Description | Required |
|---|
| Title | Brief description | Yes |
| Description | Detailed explanation | Yes |
| Severity | Critical, Major, Minor, Observation | Yes |
| Category | Clinical, Safety, HR, etc. | Yes |
| Checklist Item | Link to checklist item | No |
| Requirement | Link to GR-03 requirement | No |
| Due Date | When resolution is expected | Yes |
| Assigned To | Person responsible for resolution | No |
- Click Create Finding
Finding Severity Guidelines
| Severity | Definition | Response Time |
|---|
| Critical | Immediate risk to health, safety, or compliance | 24-48 hours |
| Major | Significant non-compliance requiring prompt attention | 30 days |
| Minor | Gap that should be addressed but not urgent | 90 days |
| Observation | Improvement opportunity, not a true deficiency | Optional |
Finding Status Workflow
Open → In Remediation → Resolved → Closed
Managing Corrective Actions
Creating a Corrective Action
- From a finding, click Create Corrective Action
- Or navigate to GR → Audits → Corrective Actions → New
- Complete the form:
| Field | Description | Required |
|---|
| Finding | Associated finding | Yes |
| Description | What needs to be done | Yes |
| Responsible Party | Who will complete it | Yes |
| Due Date | Deadline for completion | Yes |
| Priority | Critical, High, Medium, Low | Yes |
| Action Type | Corrective, Preventive, Improvement | No |
- Click Create
Corrective Action Workflow
Pending → In Progress → Completed → Verified
Tracking Progress
- Navigate to GR → Audits → Corrective Actions
- Filter by:
- Status (Pending, In Progress, Completed, Verified)
- Priority
- Responsible Party
- Due Date
- Audit
- Review progress notes and updates
Verifying Completion
When a corrective action is marked “Completed”:
- Review the resolution notes
- Examine attached evidence
- Verify the finding is properly addressed
- Update status to Verified
- Close the associated finding if fully resolved
Audit Readiness Assessment
Pre-Audit Readiness
Before scheduled audits, use readiness assessment:
- Navigate to GR → Audits → Readiness
- Click Start Readiness Assessment
- Select the upcoming audit
- System generates readiness checklist
Readiness Dashboard
| Metric | Description |
|---|
| Readiness Score | Percentage of items ready |
| Open Findings | Unresolved findings from prior audits |
| Pending Actions | Corrective actions not yet complete |
| Expiring Evidence | Certifications/documents expiring soon |
| Training Gaps | Required training not complete |
| Policy Acknowledgments | Pending acknowledgments |
Gap Analysis
The readiness assessment identifies:
- Missing or expired documentation
- Outstanding corrective actions from prior audits
- Incomplete training requirements
- Pending policy acknowledgments
- Compliance requirements at risk
Preparing Evidence Packages
- From the readiness dashboard, click Prepare Evidence
- Select the regulatory requirements to include
- System compiles:
- Linked policies
- Training records
- Compliance check history
- Supporting documents
- Export as PDF or organize for auditor access
Evidence Management
Linking Evidence to Findings
- Open the finding detail page
- Go to the Evidence tab
- Click Add Evidence
- Select evidence type:
- Document: Upload or select file
- Photo: Upload image
- Policy: Link from GR-01
- Training: Link from GR-02
- Compliance Check: Link from GR-03
- Add description of how it addresses the finding
- Click Link
Evidence for Resolution
When resolving findings, ensure evidence demonstrates:
- What action was taken
- When it was completed
- Who completed it
- How it prevents recurrence
Audit Reporting
Available Reports
| Report | Description |
|---|
| Audit Summary | Overview of audit with key metrics |
| Finding Report | All findings with status and details |
| Corrective Action Status | Progress on all corrective actions |
| Trend Analysis | Finding patterns over time |
| Readiness Report | Pre-audit readiness assessment |
Generating Reports
- Navigate to GR → Audits
- Open the audit or click Reports
- Select report type
- Choose filters (date range, severity, status)
- Export as PDF or CSV
Notifications & Reminders
Automated Reminders
The system sends automatic reminders for:
| Reminder | When Sent | Recipients |
|---|
| Audit Upcoming | 14, 7, 3 days before | Lead auditor, team |
| Audit Starting | Day of start | All team members |
| Finding Due | 7, 3 days before | Assigned party |
| Finding Overdue | When past due | Assigned + supervisor |
| Corrective Action Due | 7, 3 days before | Responsible party |
| Corrective Action Overdue | When past due | Responsible + supervisor |
Configuring Reminders
- Navigate to GR → Settings
- Under Audit Management:
- Toggle reminder types on/off
- Adjust reminder intervals
- Set escalation rules
- Save settings
Best Practices
Audit Planning
- Create annual audit calendar to plan ahead
- Rotate auditors to get fresh perspectives
- Document scope clearly to set expectations
- Allow adequate time for thorough review
- Prepare staff with advance notice
During Audits
- Be objective and document everything
- Verify with evidence not just verbal confirmation
- Interview multiple people to corroborate findings
- Document positives as well as gaps
- Prioritize findings by risk and impact
After Audits
- Create corrective actions immediately while findings are fresh
- Set realistic due dates based on complexity
- Follow up regularly on outstanding actions
- Verify resolutions don’t just accept completion claims
- Conduct root cause analysis for recurring issues
Common Pitfalls to Avoid
- Incomplete findings: Document all details including evidence reviewed
- Vague corrective actions: Be specific about what needs to be done
- Unrealistic timelines: Allow enough time for proper resolution
- Missing verification: Always verify before closing findings
- No trend analysis: Look for patterns across audits
Troubleshooting
Common Issues
| Issue | Solution |
|---|
| Can’t create audit | Verify compliance officer role |
| Checklist not generating | Ensure requirements exist in GR-03 |
| Can’t assign corrective action | User must be in organization |
| Reminders not sending | Check module settings |
| Report not generating | Check date filters |
Getting Help
For technical issues:
- Check this documentation
- Contact your system administrator
- Submit a support ticket
Need Help? Contact your system administrator.