Implementing and Enforcing Policies and Procedures

Compliance Program Documentation RACI Chart

While corporate compliance programs certainly need to be “living” programs that are not limited to just words on paper, it is still important to document your program. Below is a RACI chart with suggested roles related to the effort of creating such documentation. A RACI chart is a project management tool describing levels of involvement in a project as Responsible, Accountable, Consulted, and Informed.

Table 1 indicates suggested parties for each category. These can and should be customized and changed to fit the needs and practices of your own specific organization.

Table 1: RACI Chart

Task

Responsible

Accountable

Consulted

Informed

Maintaining an updated written description of the structure, staffing, reporting lines, and different elements of the compliance program, including the logic and rationale for each

Compliance officer

Compliance committee

Compliance staff

Senior management

Maintaining the minutes from all board meetings during which compliance issues were raised

Corporate secretary

Board of directors

Compliance officer

Documentation of audit plans, reports, and deficiency mitigation plans

Audit officer

Audit committee

Audit staff

Senior management

Records of all compliance education provided (both live and computer based), including attendee and completion data

Compliance officer

Compliance committee

Compliance staff

Senior management

Records of all competitor contact, including industry association participation

Compliance officer

Compliance committee

Legal officer and subject matter experts

Senior management

Records of all reported actual or apparent conflicts of interest

Compliance officer

Compliance committee

Human Resources

Senior management and the audit committee of the board

Records of all helpline reports of any kind

Compliance officer

Compliance committee

Subject matter experts for each issue type

Senior management and the audit committee of the board

Records of all internal investigations of potential compliance issues, including investigation reports, findings, root cause analysis, and remediation steps taken (e.g., any employee discipline)

Compliance officer

Compliance committee

Compliance, Human Resources and Investigations staff

Senior management and audit committee of the board

Record of any request or visit from a regulator or government representative

Compliance officer

Compliance committee

Subject matter experts

Senior management

Record of any guidance or advice received from a regulator or oversight agency affecting the organization

Legal officer

Compliance committee

Compliance officer

Senior management

Document all conversations and correspondence with legal counsel relating to advice and recommendations for compliance-related issues

Legal officer

Compliance officer

Legal and Compliance staff

Senior management and compliance committee

Record of any fines, penalties, or assessments by a regulator for an alleged compliance violation

Compliance officer

Compliance committee

Legal officer

Senior management and audit committee of the board

Maintain a record of all policy and code revisions and updates

Compliance officer

Compliance committee

All policy owners

All employees affected by changes

Maintain a record of all policy and code certifications or attestations

Compliance officer

Compliance committee

Human Resources

Senior management

Maintain a record of all third-party due diligence activities, including all third parties not chosen or later terminated as a result of diligence findings

Compliance officer

Compliance committee

All third-party sponsors and relationship managers

Senior management

Maintain a record of all gifts and entertainment paid for by the organization above a de minimis amount

Compliance officer

Compliance committee

Travel and expense administrator

Senior management

Maintain a record of all gifts accepted by any employee of the organization above a de minimis amount

Compliance officer

Compliance committee

Human Resources

Senior management

Documentation of all cultural assessments or surveys performed by the organization

Compliance officer

Compliance committee

Human Resources

Senior management and the audit committee of the board

Documentation of all program assessments (self-assessments or assessments by an outside third party)

Compliance officer

Compliance committee

Legal officer

Senior management and the audit committee of the board

Documentation of all licenses and permits required for the organization’s operation

Compliance officer

Compliance committee

Subject matter experts

Senior management

Documentation of compliance with all specific regulatory compliance areas of the organization (e.g., environmental health and safety, REACH, conflict minerals, Anti-Kickback Statute, human trafficking prevention, data privacy, trade compliance)

Compliance officer

Compliance committee

Subject matter experts

Senior management

Documentation of all incentive programs in the organization

Compliance officer

Compliance committee

Human Resources and subject matter experts

Senior management

Documentation of all compliance monitoring activities (e.g., trend analysis, data analytics)

Compliance officer

Compliance committee

Compliance staff

Senior management and audit committee of the board

Documentation of all compliance risk assessments, results, and risk mitigation activities

Compliance officer

Compliance committee

Compliance and Risk Management staff

Senior management and audit committee of the board

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