Useful Items
Templates, tools, and guides to operationalize your diversion prevention program.
Incident Reporting & Investigation Templates
Controlled Substance Discrepancy Report
Template for documenting discrepancies from ADC counts, perpetual inventory, and shift counts including root cause classification.
PDF TemplateDiversion Investigation Workflow
Step-by-step investigation flowchart from initial discrepancy through root cause analysis, corrective action, and regulatory reporting.
PDF ProcessDEA Form 106 Preparation Checklist
Pre-submission checklist for Theft/Loss of Controlled Substances reports including required documentation and timeline requirements.
Checklist DEAMonitoring & Surveillance Tools
Practitioner Waste Rate Dashboard
Power BI / Tableau template for tracking controlled substance waste rates by practitioner, unit, and shift to identify outliers.
PDF DashboardADC Discrepancy Log (Excel)
Track and trend automated dispensing cabinet discrepancies by location, medication, shift, and staff member with auto-flagging.
PDF TrackingBehavioral Observation Guide
Signs and indicators of possible impairment or diversion behavior for managers and supervisors in patient-care areas.
Guide TrainingProgram Documentation Templates
Diversion Prevention Policy Template
Policy template covering program scope, roles, surveillance, investigation procedures and reporting requirements.
PDF PolicyAnnual Program Review Worksheet
Structured self-assessment for annual diversion program effectiveness review including metrics, findings, and improvement plan.
PDF ReviewCommittee Charter Template
Diversion prevention committee charter with membership requirements, meeting frequency, reporting structure, and authority.
PDF GovernanceDEA Inspection Readiness
DEA Binder — Site Inspection Checklist
Complete inventory of everything DEA investigators expect to see during a site inspection: registrations, inventories, 222 forms, waste records, training, policies, and audit trails.
Checklist DEATraining Materials
New Hire Diversion Awareness Training
Slide deck covering controlled substance handling basics, red flags, reporting obligations, and organizational expectations.
PDF OnboardingRed Flag Recognition Pocket Card
Quick-reference card for staff identifying common diversion red flags in dispensing, administration, waste, and behavior.
PDF ReferencePeer Support & Recovery Resource Guide
Program information for state-level practitioner health programs, peer assistance, and substance use disorder resources.
Guide WellnessLast reviewed: September 2026 · Content is educational, not legal advice.