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Run: Controlled Substance Perpetual Inventory and Monthly Reconciliation

Use this template to reconcile Schedule II controlled substances against a perpetual inventory, document variances, and close the loop with corrective action...

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Inspection Scope and Inventory Period

Record the inventory period start and end dates being reviewed.
Select all Schedule II items included in this reconciliation.
The current perpetual inventory record is present and accessible for inspection.
Enter the name or role of the person who performed the reconciliation and the date completed.
Confirm the records used to support the reconciliation.

Perpetual Inventory Record Accuracy

Record the beginning balance and confirm it matches the prior period ending balance.
Verify that incoming Schedule II receipts were recorded without delay or omission.
Verify that each decrement in inventory is supported by a corresponding record.
Confirm that any inventory adjustment includes a documented explanation and authorization where required.
Review the perpetual inventory for missing transactions, duplicate postings, or sequence breaks.

Physical Count Reconciliation

A direct physical count was performed for each controlled substance included in the reconciliation.
Confirm the physical count agrees with the perpetual inventory record.
Enter the quantity variance for the item being reviewed.
Describe the reason for any discrepancy and the review performed.
Confirm a witness or second verifier independently confirmed the count where required by policy.

Storage Security and Access Control

Storage is locked or otherwise secured against unauthorized access.
Verify that only authorized staff have access to the storage area and inventory records.
Controlled substances are organized to support accurate counting and reduce mix-ups.
Record any unauthorized access event, missing key control, or other security deficiency.

Discrepancy Review and Corrective Action

Confirm the variance was escalated to the appropriate supervisor, pharmacist-in-charge, or compliance lead.
Describe the corrective action, owner, and target completion date.
Enter the follow-up date/time for recheck or closure review.

Closeout, Sign-Off, and Record Retention

Confirm the results were communicated to the responsible manager or compliance owner.
Confirm the reconciliation, count sheets, and supporting records will be retained per policy.
Inspector signs to confirm the inspection was completed accurately.

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