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Sample audit checklist

A sample of how a review can connect evidence, findings and follow-up. This is not a client report.

Reference guide updated September 8, 2026.

Sample checklist. No client results or assessment scores are represented here. The actual engagement defines scope and sampling.

Example review structure
Review areaEvidence to discussFollow-up record
Eligibility and registrationQualifying category, current registration and site recordsGap, responsible owner, target date
Selected transactionsAgreed sample and the records supporting itFinding, evidence reference, assessment limit
Controls and implementationPolicies and evidence of how the workflow operatesCorrective action, verification and closure evidence

A final report should distinguish reviewed evidence, missing information and recommendations. An unassessed item is not a passed control. See HRSA’s published audit process for the agency’s own process and scope.

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