Instructions

  1. Establish review documents
    • Staff delegated to review our policies and procedures are required to:
    • audit and review policies and procedures to meet National Disability Insurance Standards, Rules and Guidelines
    • refer to current legislation including NDIS Acts and Rules
    • refer to the Internal Audit Schedule for policy list.
  2. Undertake policy and document review
    • Review policies and procedures.
    • Review all related documents, forms, templates, etc. in conjunction with the review of the policy.
    • Determine if documents, forms, templates, etc. are adequate in capturing the information required by the policy and procedure and meeting the NDIS Standards.
  3. Document
    • Complete this template so management can review the organisation's systematic framework to guide self-assessment and provide opportunities for continuous improvement.
    • Language used in the self-assessment report should be: simple, accurate, clear and concise, honest and transparent (this is about finding issues and fixing them).
    • Refer to legislation and relevant sources such as NDIS Commission.
    • Support what is documented in policies with evidence.
  4. Systematic feedback
    • Provide information to management for input and review.
    • Management to review and sanction.
    • Management to arrange for inclusion in the Continuous Improvement Register.
  5. Monitoring improvement
    • Continuous Improvement Register to be reviewed at Monthly Management Meeting.

Reviewed Policy and Procedure

Title IT File Link Version No. / Date Internal Review Due Date

Relevant and Reference Documents Reviewed

Title IT File Link or Location in the System Version No. / Date

Review Details

Date review completed
Completed by (Name and Position)

Policy and Procedure Review

Criteria Comments | Compliant / Adjustments / Recommendations
Purpose Does it still apply?
Scope Is applicable staff clear?
Definitions Are they still relevant?
Policy Relevant changes due to industry or legislative requirements
Procedure Meets current practice and process and legislation? Identify differences for gaps.
Related documents Review to ascertain if in use or irrelevant or are some missing
References Review all references against the most current legislation listed. Adjust and review legislative changes to determine if updates are required.
Sources used to determine compliance (e.g. NDIS Commission)

Continuous Improvement Requirements

Determine if change needs to be included to the Continuous Improvement Register or a Plan of Action required or Corrective Action Plan. Provide information to management via meeting.

Positive Comments

If the document is working well and is relevant, supply appropriate feedback, as required.

Actions Required

Action By Whom By When
Complete all sections, then print and file to SharePoint under Compliance / Internal Audits. After filing, log the audit in the Internal Audit Register.
Log in Audit Register