Provide accurate branch and employee identification details for audit trail purposes. All fields marked mandatory must be completed before submission.
Branch Code
Branch Name
Branch Full Address
Reporting Date
Shift End Time
Employee ID Number
Employee Full Legal Name
Job Role/Position
Teller
Senior Teller
Head Teller
Vault Custodian
Assistant Branch Manager
Branch Manager
Acting Manager
Shift Type
Morning (06:00-14:00)
Afternoon (14:00-22:00)
Evening (22:00-06:00)
Full Day
Split Shift
Cash Drawer/Vault Identifier
Immediate Supervisor Name
Supervisor Employee ID
Was a proper handover completed from previous shift?
Has this specific drawer/vault location experienced variances in the past 30 days?
Document the exact variance amount and provide a complete breakdown by denomination. Calculate variance percentage relative to total drawer/vault balance. All currency values must be entered with standard decimal notation.
Variance Type Classification
Shortage (Actual < Expected)
Overage (Actual > Expected)
Balanced (No Variance)
Total Variance Amount
Is the variance within the institution's acceptable threshold limit?
Variance as Percentage of Expected Balance (%)
Total Expected Balance per System/Log
Total Actual Counted Balance
Denomination Breakdown - Bills
Denomination | Expected Count | Actual Count | Variance Count | Value per Unit | Total Variance Value | |
|---|---|---|---|---|---|---|
100 | 500 | 498 | -2 | $100.00 | -$200.00 | |
50 | 800 | 800 | 0 | $50.00 | $0.00 | |
20 | 1200 | 1195 | -5 | $20.00 | -$100.00 | |
10 | 600 | 610 | 10 | $10.00 | $100.00 | |
5 | 400 | 398 | -2 | $5.00 | -$10.00 | |
1 | 500 | 505 | 5 | $1.00 | $5.00 | |
0 | $0.00 | |||||
0 | $0.00 | |||||
0 | $0.00 | |||||
0 | $0.00 |
Denomination Breakdown - Coins
Coin Type | Expected Count | Actual Count | Variance Count | Value per Unit | Total Variance Value | |
|---|---|---|---|---|---|---|
1.00 | 200 | 200 | 0 | $1.00 | $0.00 | |
0.50 | 150 | 148 | -2 | $0.50 | -$1.00 | |
0.25 | 300 | 304 | 4 | $0.25 | $1.00 | |
0.10 | 250 | 250 | 0 | $0.10 | $0.00 | |
0.05 | 200 | 195 | -5 | $0.05 | -$0.25 | |
0 | $0.00 | |||||
0 | $0.00 | |||||
0 | $0.00 | |||||
0 | $0.00 | |||||
0 | $0.00 |
Does this variance involve foreign currency or non-standard denominations?
Total Transaction Volume Processed During Shift
Total Number of Transactions Processed
Peak Hour Transaction Count (Highest 60-min period)
Document all audit and reconciliation procedures performed to identify root cause. Include timestamps, personnel involved, and outcomes of each step. Follow-up questions will appear based on your responses.
Was an immediate physical recount performed?
Was a witness present during the recount/audit process?
Was system-level reconciliation attempted using core banking platform?
Which manual audit procedures were completed? (Select all that apply)
Transaction log printout reviewed
Cash-in/cash-out tickets verified
ATM settlement reconciliation
Teller assist device audit
Previous day carry-forward verification
Endorsement verification
Cash transfer logs checked
Vault access logs cross-referenced
None of the above
Were any system errors or technical issues encountered during the shift?
Were any cash handling equipment malfunctions identified (e.g., bill counter, coin sorter)?
What is the current reconciliation status?
Fully Reconciled - Root cause identified
Partially Reconciled - Some questions remain
Unreconciled - Root cause unknown
Pending External Review
Under Investigation
Does this variance require escalation beyond branch level?
Timestamp when variance was first discovered
Time duration spent on initial investigation (hh:mm)
Detailed chronological log of all audit steps performed, including timestamps and responsible personnel:
Record all security-related investigations including camera footage review, transaction monitoring, and any suspicious activity identification. This section is critical for fraud detection and loss prevention.
Has security camera footage been reviewed for the shift period?
List specific camera IDs and timestamps reviewed (e.g., CAM-04: 14:30-15:45):
Total number of security cameras reviewed
Were customer-facing cash transactions reviewed in detail?
Were high-value transactions (above institutional threshold) specifically reviewed?
Was any suspicious behavior or potential fraud indicators observed?
Were any procedural violations by staff identified?
Are there indicators of potential external theft or robbery attempt?
Has all relevant evidence been preserved and secured?
Evidence storage location/reference number
Has law enforcement or internal security been notified?
Security Officer on Duty (Name & ID)
Overall Security Risk Rating for this incident (1=Low Risk, 5=Critical Risk)
Final review and compliance verification by branch management. Ensure all required approvals, notifications, and corrective action plans are documented before final submission.
Has the Branch Manager reviewed and verified all reconciliation findings?
Branch Manager Full Name
Branch Manager Employee ID
Has the Regional/Area Manager been notified of this variance?
Has the institutional compliance checklist been completed for this incident?
Compliance Items Verified (Select all that apply):
Regulatory reporting requirements checked
Insurance notification completed
Internal audit notified
Loss prevention guidelines followed
Documentation retention policy applied
Employee conduct review initiated
Customer impact assessment completed
Data privacy protocols maintained
Are corrective actions required to prevent recurrence?
Is additional training or coaching required for involved personnel?
Branch Manager Digital Signature - Verifying accuracy of reported information
Branch Manager Sign-Off Timestamp
Does this incident require Internal Audit Department review?
Final Resolution Status
Open - Under Investigation
Resolved - Root cause addressed
Closed - No further action required
Pending - Awaiting external input
Referred - Escalated to specialized unit
Estimated Final Resolution Date
Final Documentation Storage Location/Reference
Additional Comments, Observations, or Recommendations:
Attach supporting documents (e.g., transaction logs, recount sheets, system screenshots)