
Date: __________________ 
Daily Meeting Checklist 
Staff 5 o’clock coverage? _____________________, _____________________, 
____________________, _____________________. 
Staff who are away (incl: sick, vl, ADR’s): ______________, ______________, 
______________, _____________, _____________, _____________, _____________, 
______________, ______________  
AM buddy ______________ 
PM buddy _______________ 
Intake Call List Buddy ________________ 
CYS Buddy ___________________ 
Groups running today (any coverage needed)? 
- Group _________________     Coverage ___________________ 
- Group _________________      Coverage ___________________ 
- Group _________________      Coverage ___________________ 
- Group _________________      Coverage ___________________ 
# of new referrals or after-hours calls to add to call list: 
# of service requests unable to be completed yesterday: 
# of customers on call list at 8:30AM today:                  Andon Color:  
# of patient safety incidents: 
# of staff safety incidents:  
Available Director support:  
After hours Psychiatry visits: 
Psychiatry on call until 5PM: 
Psychiatry on call after 5PM: