Introduction: We aimed to ascertain the adequacy of completion of CT request forms in a district general hospital in London, England, against the standards delineated in guidelines published by the Royal College of Radiologists in 2011. Materials and Methods: We conducted as a retrospective audit of both CT request forms and medical records over a four-month period for all patients undergoing CT Thorax/Abdomen/Pelvis, CT Abdomen/Pelvis and CT Kidney/Ureter/Bladder for surgical indications and requested by a surgical team in our institution. CT request forms were collated from departmental lists for each surgical specialty and each request assessed for adequacy completeness against the RCR guideline’s required parameters – by assigning a score for degree of completeness. A database of these results was constructed using a scoring system of 0-2 ranging from 0= incomplete, 1= complete but inadequate to 3= complete and adequate. The data was analysed in Excel for completion of the required field by each surgical specialty and as a department. Results: 189 CT requests were analysed, showing 100% compliance with patient demographics which are auto populated on the computerised request system, meeting RCR standards. Overall 85% of requests scored 2 for Clinical Background, 95% for Clinical Question. Only 4.7% of the Consulting Physician field scored 2, with 95% scoring 0. Overall, 62% of requests were completed fully and adequately in all required fields. Conclusion: Our CT requests met the RCR standards for patient demographics however were substandard in fields requiring clinician input. We will be implementing training sessions on how to adequately complete request forms and will re-audit in 4 months’ time.