Bulk Analyst Audit Form Rev 1 08062015 form140

• Reason for audit

• Audit Number

• Analyst

• Conducted on

  Date

• Prepared by

• Location
  Address

QA, Aims and Replicate QC Analysis

• Has the analyst successfully completed the analysis of 4 no bulk samples from the laboratory s stock of QC bulk samples ?

  Yes

  No

  N/A

• Has the analyst successfully completed the analysis of the AIMs samples? If results are known

  Yes

  No

  N/A

• Has the analyst successfully completed the required number of re analysis samples?

  Yes

  No

  N/A

• Has the analyst got a P401 (or equivalent) and relevant training file up to date?

  Yes

  No

  N/A

Health and Safety

• Sample handling in line with company procedures?

  Yes

  No

  N/A

• Risk Assessment s / COSHH for RI liquids available?

  Yes

  No

  N/A

• Risk assessments / COSHH for all other chemicals available (Acid , Acetone etc) ?

  Yes

  No

  N/A

• Cabinet cleaned between samples ?

  Yes

  No

  N/A

• Is the analyst aware of emergency procedures ?

  Yes

  No

  N/A

• Is the analyst aware of spillage procedures ?

  Yes

  No

  N/A

Equipment

• Is the fume cabinet working correctly and are relevant safety checks and service details in date.Record the ID no and last Service date , date of last weekly check, record of flow rate checks and PAT test dates.

  Yes

  No

  N/A

• PLM microscope present ? Record ID no, service date and PAT test info

  Yes

  No

  N/A

• Stereo microscope present ? Record ID no , service date and PAT test info

  Yes

  No

  N/A

• Type H Vacuum Present ? Record ID no , service date and PAT test info

  Yes

  No

  N/A

• RI Liquids present ? Record all batch numbers and use by dates

  Yes

  No

  N/A

• Tools in good working condition ?

  Yes

  No

  N/A

• Petri dishes clean with no deep scratches that could harbour contamination ?

  Yes

  No

  N/A

• Hot plate / stirer in good condition ? Clean and electricity tested if applicable

  Yes

  No

  N/A

• Suitable lighting and seating for both fume cabinet and microscope ?

  Yes

  No

  N/A

• Is any additional equipment in use in the fume cabinet ?

  Yes

  No

  N/A

• Warning signs on door of laboratory ?

  Yes

  No

  N/A

Analysis Procedure

• Lab sample booking in file filled in correctly ?

  Yes

  No

  N/A

• Analyst wearing lab coat ?

  Yes

  No

  N/A

• Fume cabinet on ?

  Yes

  No

  N/A

• Sample placed into appropriate receptacle (Petri dish) ?

  Yes

  No

  N/A

• Sample inspected under stereo microscope ?

  Yes

  No

  N/A

• Sample preparation appropriate to material ?

  Yes

  No

  N/A

• Fibers mounted in correct RI liquid with cover slip fitted ?

  Yes

  No

  N/A

• Slide transferred to PLM ?

  Yes

  No

  N/A

• PLM microscope procedure followed (each step demonstrated to auditor) ?

  Yes

  No

  N/A

• Analysis sheet correctly filled in ?

  Yes

  No

  N/A

Witnessed Bulk Analysis

• Project No

• Material

• Sample examined under stereo microscope

• Sample mounted (RI)

• Morphology

• Elongation

• Pleochrism

• Dispersion Staining

• Fibre identified

• Birefringence

• Summary

• Bulk Analyst

  Sign

• Auditor

  Sign