diff --git a/lib/rules/a11y-audit-called.js b/lib/rules/a11y-audit-called.js
new file mode 100644
index 0000000..2006758
--- /dev/null
+++ b/lib/rules/a11y-audit-called.js
@@ -0,0 +1,79 @@
+"use strict";
+
+const utils = require("../utils");
+
+/**
+ * @fileoverview Enforce importing and calling a11yAudit at least once in a file.
+ * @author Buck Doyle <https://github.com/backspace>
+ */
+
+//------------------------------------------------------------------------------
+// Requirements
+//------------------------------------------------------------------------------
+
+//------------------------------------------------------------------------------
+// Rule Definition
+//------------------------------------------------------------------------------
+
+module.exports = {
+  meta: {
+    type: "problem",
+
+    description: "enforce a11yAudit must be called at least once",
+    category: "Accessibility",
+    recommended: true,
+    url:
+      "https://github.com/a11y-tool-sandbox/eslint-plugin-ember-a11y-testing/blob/master/lib/rules/a11y-audit-called.js",
+
+    schema: [],
+
+    messages: {
+      a11yAuditCalled: "`{{name}}` must be called",
+      a11yAuditImported: "a11y audit helper must be imported",
+    },
+  },
+
+  create(context) {
+    const settings = utils.extractSettings(context);
+
+    const a11yImportDeclaration = utils.findA11yAuditImportDeclaration(
+      context,
+      settings
+    );
+
+    if (a11yImportDeclaration) {
+      const a11yAuditIdentifier = a11yImportDeclaration.local.name;
+      let a11yAuditCalled = false;
+
+      return {
+        "Program:exit": function (node) {
+          if (!a11yAuditCalled) {
+            context.report({
+              node,
+              messageId: "a11yAuditCalled",
+              data: {
+                name: a11yAuditIdentifier,
+              },
+            });
+          }
+        },
+
+        CallExpression(node) {
+          let identifier = node.callee.type === "Identifier" && node.callee;
+          if (!identifier || identifier.name !== a11yAuditIdentifier) return;
+
+          a11yAuditCalled = true;
+        },
+      };
+    } else {
+      return {
+        Program: function (node) {
+          context.report({
+            node,
+            messageId: "a11yAuditImported",
+          });
+        },
+      };
+    }
+  },
+};
diff --git a/tests/lib/rules/a11y-audit-called.js b/tests/lib/rules/a11y-audit-called.js
new file mode 100644
index 0000000..7f9ada3
--- /dev/null
+++ b/tests/lib/rules/a11y-audit-called.js
@@ -0,0 +1,105 @@
+"use strict";
+
+/**
+ * @fileoverview Tests for a11y-audit-called rule.
+ * @author Buck Doyle <https://github.com/backspace>
+ */
+
+//------------------------------------------------------------------------------
+// Requirements
+//------------------------------------------------------------------------------
+
+const rule = require("../../../lib/rules/a11y-audit-called");
+const { RuleTester } = require("eslint/lib/rule-tester");
+const { stripIndents: code } = require("common-tags");
+
+// Tests
+//------------------------------------------------------------------------------
+
+const ruleTester = new RuleTester();
+
+function runWithModernSyntax(testName, rule, options) {
+  const makeTestModern = (testCase) => {
+    const defaultParserOptions = {
+      parserOptions: {
+        ecmaVersion: 2018,
+        sourceType: "module",
+      },
+    };
+    return {
+      ...defaultParserOptions,
+      ...testCase,
+    };
+  };
+  const validCases = (options.valid || []).map(makeTestModern);
+  const invalidCases = (options.invalid || []).map(makeTestModern);
+  return ruleTester.run(testName, rule, {
+    ...options,
+    valid: validCases,
+    invalid: invalidCases,
+  });
+}
+
+runWithModernSyntax("a11y-audit-called", rule, {
+  valid: [
+    {
+      code: code`import a11yAudit from 'ember-a11y-testing/test-support/audit';
+      a11yAudit();`,
+    },
+    {
+      code: code`import a11yAudit from 'ember-a11y-testing/test-support/audit';
+      import { visit } from '@ember/test-helpers';
+
+      function test1() {
+        visit();
+        a11yAudit();
+      }
+
+      function test2() {
+        visit();
+      }`,
+    },
+    {
+      code: `import a11yAudit2 from 'custom-module'; a11yAudit2();`,
+      parserOptions: {
+        ecmaVersion: "2018",
+        sourceType: "module",
+      },
+      settings: {
+        "ember-a11y-testing": {
+          auditModule: {
+            package: "custom-module",
+            exportName: "default",
+          },
+        },
+      },
+    },
+  ],
+  invalid: [
+    {
+      code: code`
+            import { fillIn } from "@ember/test-helpers";
+            import a11yAudit from 'ember-a11y-testing/test-support/audit';
+            async function doStuff() {
+              return fillIn('#hi');
+            }`,
+      errors: [{ messageId: "a11yAuditCalled" }],
+    },
+    {
+      code: `import audit from 'custom-module'; a11yAudit();`,
+      errors: [{ messageId: "a11yAuditCalled" }],
+      settings: {
+        "ember-a11y-testing": {
+          auditModule: {
+            package: "custom-module",
+            exportName: "default",
+          },
+        },
+      },
+    },
+    {
+      code: `a11yAudit();`,
+      errors: [{ messageId: "a11yAuditImported" }],
+    },
+  ],
+});