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Controlled Drug Book Audit Checklist
Section 1: General Bookkeeping Standards
1. The controlled drug (CD) register/book is bound and pages are numbered
Yes
No
2. Entries are made in ink and are legible
Yes
No
3. No pages are missing, torn, or removed
Yes
No
4. No corrections are made using white-out, tape, or overwriting
Yes
No
5. Corrections made according to facility policy (e.g., single line through error, initialed, dated)
Yes
No
6. Entries are made immediately after each transaction
Yes
No
7. Register is stored securely when not in use (locked cabinet or drawer)
Yes
No
Section 2: Receipt of Controlled Drugs
1. Receipt entries include date, time, drug name, strength, quantity received
Yes
No
2. Supplier's name and delivery reference included
Yes
No
3. Stock received is signed in by two authorized personnel
Yes
No
4. Quantity received matches the supplier’s delivery record
Yes
No
5. Running balance updated accurately after receipt
Yes
No
Section 3: Administration of Controlled Drugs
1. Date, time, patient name, drug name, dose, route, and prescriber recorded
Yes
No
2. Two signatures (administering nurse and witness) documented for every administration
Yes
No
3. Running balance updated correctly
Yes
No
4. PRN or “as needed” administrations clearly documented with indication
Yes
No
5. Any wastage is documented and co-signed
Yes
No
Section 4: Disposal or Wastage
1. Wastage entries are complete, accurate, and signed by two authorized staff
Yes
No
2. Expired or discontinued drugs are quarantined and documented for destruction
Yes
No
3. Destruction is carried out in accordance with facility policy and authorized person (e.g., pharmacist, controlled drug destruction officer)
Yes
No
4. Records of destruction are retained and signed off by witness
Yes
No
Section 5: Running Balances and Stock Reconciliation
1. Running balances are accurate and match the physical count
Yes
No
2. Physical counts performed at least daily or per shift change
Yes
No
3. Balances reviewed and signed off by two staff members
Yes
No
4. Discrepancies are reported immediately and investigated
Yes
No
5. Documentation of investigations and outcomes of any discrepancies
Yes
No
Section 6: Security and Access Control
1. Controlled drug cupboard is locked and secure at all times
Yes
No
2. Access limited to authorized personnel only
Yes
No
3. Keys are held by designated individuals and key logs are maintained
Yes
No
4. Staff responsible for CDs are aware of policies and trained in handling procedures
Yes
No
Section 7: Documentation and Compliance
1. All entries comply with state/federal regulations (e.g., DEA Schedule II-V requirements)
Yes
No
2. Audit trails are intact, chronological, and complete
Yes
No
3. Regular internal audits documented with findings and actions taken
Yes
No
4. Staff have received refresher training or updates if noncompliance noted
Yes
No
Section 8: Audit Summary and Follow-Up
1. Areas of non-compliance identified
Yes
No
2. Staff notified of documentation deficiencies
Yes
No
3. Remedial actions assigned and deadlines set
Yes
No
4. Re-audit or follow-up review date scheduled
Yes
No
Section 9: Notes
1. Audit Date
2. Auditor Name
3. Unit/Facility
4. Total Entries Audited
5. Discrepancies Found
6. Corrective Actions Taken
7. Follow-Up Audit Scheduled