Information
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Audit Title
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Document No.
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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
Event Informarion
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Material / Product:
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Lot No.
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Test:
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Method No: / Rev. / Method Tittle / Effective Date
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Initial Result
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Specification:
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Test Date:
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When the event was detected (Date of Occurence):
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Description of Event (What Happened):
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The data generated is accurate (i.g. System Suitability was within specifications, elements of the analysis were found correct)
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Type of Result
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Inmediate Correction:
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Initial Impact Assesment (What is the extention of the event)
Laboratory Investigation:
Analyst Evaluation
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The analyst that perform the analysis was qualified to perform the analysis?
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The analyst has experience in the analysis (He/She performed the test on the past)?
Standard Preparation Evaluation
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The Standard Weight are correct?
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The Glassware used was correct
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Standard preparation reference:
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The standard preparation was performed as per method instructions?
Sample integrity
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Did sample was received in the correct container
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Did the sample came in a bag with desicant?
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The sample was stored in the correct area (Document the area of storage (If applicable document the humidity of the room)
Sample Preparation Evaluation:
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The sample was received in the appropriate container
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The glassware used in the analysis is correct (i.g. volumetric flask, pippets, etc)?
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The sample weight performed was correct?
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The solution used for the sample preparation is correct (Reference)
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Evaluate the sample preparation against the method instruction with the analyst. That any deviation or error was found?
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Re-measutements was performed?
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Results of re-measurements
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The original result was confirmed??
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If the OOS was confirmed, open and investigation to other area (i.g. Mfg, MTDP etc) to expand the investigation process. Refer to:Root
Instrument Evaluation
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Instrument used
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Calibration Due Date:
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The instrument was verified and it was detected an error (i.g leak, error message, etc)
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All the instrument parameters were correct (No error message or equipment malfuntion was detected)
Re-Test
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Re-Test Performed?
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Re-Test Results (Document)
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Did re-test results confirmed the original results
Trending Evaluation
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Evaluate the history the previous year and document the findings
Root Cause
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Laboratory Root Cause
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Trackwise Root Cause
- Enviroment
- Machine
- Manpower
- Material
- Multiple
- Quality Systems
- Undetermined
Correction or Corrective Action
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Type:
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Action Taken
Preventive Action (This prevent the recurrence of the root cause identified)
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Action Taken
Final Conclusion
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Describe the results that will be used as official to report the test.