Internal Audit Department Risk Assessment Interview Summary

Interviewee Name and Title: Organization/Business Line: Date Interviewed: Interviewer: Scribe: Areas of Responsibility

Strategic Objectives/Key Initiatives

Competitive Concerns

Organizational Changes or Concerns

Process Changes or Concerns

Personnel Matters

Information Systems

Regulatory or Legal Concerns

Environmental Health & Safety (EHS) Concerns

Current or Planned Consulting Projects

Summary of Key Risk Areas Identified (including Auditable Units Identified)

Potential Audits Identified

Internal Audit Department Risk Assessment Interview Summary

Additional Notes