2

Which department are you completing this survey for?

Name of the employee observed:

Was a Preliminary count performed/completed?

*No indicates non compliance.
Was a Closing count performed/completed?

*No indicates non compliance.
Was a Relief count performed/completed?

*No indicates non compliance.
Was a Final count performed/completed?

*No indicates non compliance.
Was a board used during the counting process?

*No indicates non compliance.
Additional Comments/Concerns regarding the Counting process