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GLA Compliance Audit Report 2018
☐ Independent Auditor version
☐ Provider version
☐ GLA version
Lead provider
name
Lead provider code
Independent
auditor

[Name of auditor]
[Name of audit organisation]

Date of audit visit
Scheme no.

Scheme name

08-nnnnn
08-nnnnn

Scheme 1
Scheme2

List of audited
schemes

Name of GLA lead

(GLA use only)

Date GLA report
issued

(GLA use only)

Overall procedural
rating
(GLA use only)

Overall
administration
rating

Procedural comments

(GLA use only)

Administration comments

Page 1 of 5

(GLA use only)

(GLA use only)

Page 2 of 5

A

LEAD PROVIDER - OVERALL FINAL ASSESSMENT

A.1

Overall procedural assessment

(GLA use only)
A.2

Overall administration assessment

Rating

Audit administration comments

(GLA use only)

B

(GLA use only)

SCHEME FINDINGS & RECOMMENDATIONS

B.1
Copy this table for each finding and give each a unique reference
e.g B.2 below
IMS no. & scheme
address

08-nnnn

Checklist used

Enter the name and version of the checkli