CSS SITE VISIT AUDIT FORM

I. Basic Information

Audit Year Date of Audit Site Location Trainer(s) Pastor (s)

Name of person completing the form

II. Charter/Training Compliance

Question Yes No Answers/Comments Are all active individuals in the 1 database current on all requirements? Is the trainer using the Abuse 2 Prevention Training Manual (2014) for the training? Is there a proper introduction to the 3 class? Is all of the paperwork completed and 4 checked? Are all of the activities in the training 5 manual completed? Is the Abuse Prevention Policies & 6 Procedures book reviewed (as outlined) with trainees? 7 Are all of the required handouts given? Is the post-test administered and 8 scored? 9 Are trainees given their scores? Are trainees given a certificate or proof 10 of attendance? 11 Does the trainer encourage questions? Does the trainer answer questions in a 12 comfortable, competent manner? Are there deficits observed in the 13 training? Did the trainer meet all of the training 14 goals and expectations? Comments:

15

CSS/OCP 2015 III. Diocesan Compliance

Question Yes No Answers/Comments Do you have at least one current Code of 1 Conduct poster in a visible location in your parish? Do you have copies of the current 2 Abuse Prevention Policies & Procedures booklet to give to trainees? Do you have the Diocesan Safe 3 Environment Curriculum or the Lures Prevention curriculum on-site? Do you have a copy of the current 4 Abuse Prevention Training Manual? Do you know who to contact to report 5 possible abuse or neglect? Do you know the protocol for dealing 6 with potential suicide or homicide by minors? How and where do you store confidential 7 information?

Do you need any materials from the 8 OCP?

What suggestions do you have for the 9 OCP?

What suggestions do you have for the 10 CORI Department?

Other Comments: Was audit form reviewed with trainer(s)? Yes No

Auditor Signature Date