Assessor’s Report
Guided Self-Assessment (GSA) Completion Form
Organisation:Contact at Organisation:
Assessor:
Assessment as per Guidelines? / If assessment not completed or conducted as planned specify reasons
YES/NO
Type of assessment / Desk-Top review
Date: / On-site verification (if required)
Date:
Report submitted to Organisation? / YES NO / Date:
Advised Organisation on measures to include in Quality Action Plan? / YES NO / Date:
Review Report Details
Confidentiality: Information obtained from the target organisation and reviewed in the course of conducting the GSA will be treated as confidential. It will not be used for any purpose other than for the production of the Report and advising the organisation.
Disclaimer: The GSA has been prepared by [Insert Assessor name] for the purpose of determining the implementation of SHS QAS Standards at nominated sites. Due to the sampling nature of assessment, some deficiencies may exist that were not detected at the time of the assessment. The contents of the Report are intended only for use in determining whether or notthe organisation meets the SAS QAS Standards. Whilst every effort has been made to ensure the accuracy of this Report, [Insert Assessor name] will not be held responsible and extends no warranties as to the suitability of such information or for the consequences of its useor be held responsible for actions taken by third parties as a result of information contained in this Report.
Assessment Procedure: Following an Opening Meeting, a Desktop Review was conducted on the SHS QAS Standards. The focus of this assessment was to determine the organisation’s policies and processes meet the SHS QAS Standards. The findings are recorded on an exception basis. Due to the sampling nature of verifying evidence, other gaps may be present that were not detected at assessment. When assessing electronic based systems, the Assessor may assess a number of the elements via the internet under passwords provided by the organisation for this purpose and under the strict security protocols. Where passwords are obtained and used they are to be removed by the client following the assessment. Under no circumstances are files to be down-loaded unless the organisation’s quality contact approves the download. The security of the information and the validity and the methods of establishing the electronic record will be assessed to ensure it has been either scanned from an original document or established under password protection.
This form is to be submitted by the Assessor to the IP at time of invoicing to
Signature of Assessor: ______
Date:______
Signature of Contact at Organisation: ______
Date:______
Specialist Homelessness Services
Quality Assurance System
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