HOSPITAL SUPPLY CHAIN INVENTORY CHECKLIST TEMPLATE

Created by ChecklistGuro (https://checklistguro.com)

--- INITIAL SETUP & RECEIVING ---
[ ] Receiving Date
[ ] Purchase Order Number
[ ] Receiving Method (e.g., Truck, Courier) (Truck, Courier, Internal Transfer)
[ ] Quantity Received
[ ] Condition Upon Arrival (e.g., Good, Damaged) (Good, Damaged, Acceptable with Exception)
[ ] Condition Notes (if damaged or exception)
[ ] Verification by (Receiving Staff) (Staff Member 1, Staff Member 2)

--- LOCATION VERIFICATION ---
[ ] Aisle Number
[ ] Bin Number
[ ] Designated Location Confirmed? (Yes, No, N/A)
[ ] If No, Corrected Location (if applicable)
[ ] Notes on Location (e.g., overcrowding, improper storage)
[ ] Proper Storage Conditions? (Yes, No, N/A)

--- QUANTITY VALIDATION ---
[ ] System Quantity
[ ] Physical Count
[ ] Quantity Variance
[ ] Unit of Measure (Each, Box, Case, Roll, Gallon, Pound)
[ ] Explanation of Variance (if any)
[ ] Variance Type (Overcount, Undercount, No Variance)
[ ] Date of Count

--- EXPIRATION DATE/LOT NUMBER TRACKING ---
[ ] Expiration Date
[ ] Lot Number
[ ] Quantity Expiring Soon (within 30 days)
[ ] First Expiring Item? (Yes, No)
[ ] Notes on Expiring Items (e.g., quarantine status)
[ ] Lot Number Verified? (Yes, No)

--- CONDITION ASSESSMENT ---
[ ] Quantity Damaged/Lost
[ ] Packaging Integrity (Intact, Compromised, Severely Damaged)
[ ] Sterility Status (if applicable) (Sterile, Non-Sterile, Unknown)
[ ] Detailed Description of Condition Issues
[ ] Evidence of Pest Infestation? (Yes, No, Unsure)
[ ] Attach Photos of Damaged Goods
[ ] Temperature Reading (if temperature sensitive)

--- SYSTEM DATA RECONCILIATION ---
[ ] System Quantity of Item A
[ ] Physical Count of Item A
[ ] Quantity Variance (System - Physical)
[ ] Variance Explanation (Data Entry Error, Misplaced Inventory, Theft/Loss, System Issue, Other)
[ ] Detailed Explanation of Variance
[ ] Resolution Status (Resolved, In Progress, Pending Investigation)
[ ] Resolution Date
[ ] Notes on Reconciliation

--- DOCUMENTATION & REPORTING ---
[ ] Audit Date
[ ] Audit Start Time
[ ] Audit End Time
[ ] Summary of Findings
[ ] Total Items Counted
[ ] Number of Discrepancies Found
[ ] Report Status (Draft, Submitted, Approved)
[ ] Supporting Documentation (Photos, Scans)
[ ] Auditor Signature

--- CORRECTIVE ACTIONS ---
[ ] Description of Discrepancy
[ ] Quantity Adjustment Required
[ ] Root Cause Category (Data Entry Error, System Glitch, Theft/Loss, Process Breakdown, Other)
[ ] Date of Corrective Action Planned
[ ] Details of Corrective Action Taken
[ ] Corrective Action Responsibility (Inventory Manager, Data Entry Clerk, Procurement Team, IT Department)
[ ] Date of Completion
[ ] Notes/Comments

--- SECURITY & ACCESS CONTROL ---
[ ] Access Granted via: (Keycard, Password, Biometric Scan, Combination)
[ ] Number of Authorized Personnel
[ ] Visitor Access Protocol Followed? (Yes, No, N/A)
[ ] Last Access Control System Audit Date
[ ] Notes/Observations on Security Measures
[ ] Security Cameras Operational? (Yes, No, Partial)
[ ] Location of Security Log Book

--- REGULATORY COMPLIANCE ---
[ ] Applicable Regulations (Select All) (FDA (Food and Drug Administration), HIPAA (Health Insurance Portability and Accountability Act), USP (United States Pharmacopeia), State-Specific Regulations, Joint Commission Standards)
[ ] USP Version (if applicable)
[ ] Last Regulatory Audit Date
[ ] Summary of Findings from Last Regulatory Audit
[ ] Deviation Report Filed (Y/N) (Yes, No)
[ ] Supporting Documentation (e.g., Audit Reports)
[ ] Comments/Notes Regarding Regulatory Compliance

--- END OF TEMPLATE ---
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