# Audit report Observation # and name Retargets   Executive approval from Rationale
16 *Facilities Operations 220- Define clear ‘documentation’ standard and develop standard forms/templates Original Due Date Dec 31, 2019 Manager, Assets & Projects and Manager, Facility Operations

Background:In review of work order management processes the following were identified:

Standard processes/forms/checklists have not been devised and implemented to record management discussions/decisions

inconsistency in how staff completed/documented the status of a work order.

Further,training schedules, status/completion by staff, and training materials are not centrally tracked and maintained.

Retarget Date June 30,2021
# of Retargets 1
Days since Identification 355 days
      Days past Original Due Date 0 day   Management concurs to develop a formal template of criteria for pursuing/not pursuing capital work.In addition, develop standard documentation procedures to ensure data entry is consistent & a central repository for training material and records.
            Reason for Delay: There were 3 key personnel who were required to run daily operations and address the management action plan, however one resigned and another was on unplanned leave. As a result resources were not available to address the issues. The lack of resources, compounded by the COVID-19 pandemic in the first and second quarter of 2020, required a retarget of the due date
            Basis for viability of reforecasted: Management personnel positions were available in 2020; however, all focus shifted to providing essential services during the COVID-19 pandemic. If the pandemic concludes by the end of the third quarter of 2020, resources will be assigned to meet the revised target date.