Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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What Methods are being audited?
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List Other Methods Here:
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Which office location?
Pre-Test
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Test plan available on site?
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SOPs and Test Methods available?
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Pre-test work completed? Stack measurement, cyclonic flow, stratification checks.
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Qualified Individual on site?
Set-up
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Calibrations complete?
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Passing leak check?
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Cal gases or chemicals checked and certified?
Test Performance
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Testing performed according to the method and SOP?
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Redundant systems used (instrumental)?
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Test runs correct & bias performed as required?
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Correct sample volume pulled?
Post-Test
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Post-test leak check performed?
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Sufficient test runs completed?
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All calibrations completed and passed?
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Data QA checked in the field?
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All problems, issues, and deviations logged in detail?
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Personnel performed in accordance with Golden policies and procedures?
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Personnel continually qualified?
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Additional notes?
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Notes
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Auditor Signature
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Auditor Printed Name