HEALTHCARE LAB PROCEDURE CHECKLIST: QUALITY CONTROL & DOCUMENTATION

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--- SAMPLE RECEPTION & LOGGING ---
[ ] Date and Time of Receipt
[ ] Sample Volume (mL)
[ ] Sample Type (Blood, Urine, Tissue, Other)
[ ] Requisition Number
[ ] Special Handling Instructions
[ ] Image of Sample Label
[ ] Received By (Initials)

--- EQUIPMENT CALIBRATION & MAINTENANCE ---
[ ] Last Calibration Date
[ ] Calibration Reading (Current)
[ ] Calibration Reading (Target)
[ ] Calibration Standard Used (NIST traceable, Internal Standard, Other)
[ ] Technician Performing Calibration
[ ] Next Calibration Due Date
[ ] Calibration Notes / Deviations
[ ] Calibration Certificate (Optional)

--- REAGENT PREPARATION & STORAGE ---
[ ] Reagent Lot Number
[ ] Preparation Date (YYYY-MM-DD)
[ ] Reagent Type (Buffer, Enzyme, Standard, Stain, Other)
[ ] Expiry Date (YYYY-MM-DD)
[ ] Preparation Instructions Followed (Detailed)
[ ] Storage Location (Refrigerator (2-8°C), Freezer (-20°C), Liquid Nitrogen, Room Temperature)
[ ] Special Storage Conditions (e.g., light sensitive, humidity)

--- PROCEDURE EXECUTION & DATA RECORDING ---
[ ] Patient Identification Verification
[ ] Sample Volume (mL)
[ ] Reagent Lot Number (Lot #12345, Lot #67890, Lot #13579)
[ ] Procedure Start Time
[ ] Incubation Temperature (°C)
[ ] Instrument Used
[ ] Reading/Result Value
[ ] Procedure Date

--- QUALITY CONTROL SAMPLES & VALIDATION ---
[ ] Lot Number of QC Material
[ ] Target Value (Mean)
[ ] Acceptance Range (Lower Limit)
[ ] Acceptance Range (Upper Limit)
[ ] Measured Value
[ ] Result (Pass/Fail) (Pass, Fail)
[ ] Comments/Notes (if Fail)
[ ] Date of QC Run
[ ] Time of QC Run

--- RESULT VERIFICATION & REPORTING ---
[ ] Patient Age
[ ] Result Verified by (Initials) (Technician 1, Technician 2, Supervisor)
[ ] Verification Time
[ ] Verification Notes (e.g., discrepancies, corrections)
[ ] Result Status (Normal, Abnormal, Critical)
[ ] Date of Verification
[ ] Reporting Instructions (if applicable)

--- DOCUMENTATION & RECORD KEEPING ---
[ ] Date of Procedure
[ ] Time of Procedure
[ ] Technician Notes/Observations
[ ] Sample Volume (mL)
[ ] Result Status (Verified/Pending/Rejected) (Verified, Pending, Rejected)
[ ] Attachment: QC Data Sheet
[ ] Reviewer Signature
[ ] Result ID/Accession Number

--- WASTE DISPOSAL & SAFETY PROTOCOLS ---
[ ] Sharps Container Status (Full, Half Full, Less Than Half Full, Empty)
[ ] Biohazard Bag Status (Full, Half Full, Less Than Half Full, Empty)
[ ] Gloves Used (Estimate)
[ ] Spill Response Documentation
[ ] Last Chemical Waste Pickup Date
[ ] PPE Inspection (Satisfactory, Needs Replacement, Damaged)
[ ] Waste Disposal Verification

--- METHOD VALIDATION & REVIEW ---
[ ] Initial Validation Date
[ ] Number of Validation Runs
[ ] Acceptance Criteria (e.g., % Recovery)
[ ] Validation Method Used (Comparative, Recovery, Linearity, Other)
[ ] Validation Results & Analysis (Detailed Description)
[ ] Method Validation Status (Approved, Needs Revision, Rejected)
[ ] Last Review Date
[ ] Reviewer Signature

--- INCIDENT REPORTING & CORRECTIVE ACTION ---
[ ] Date of Incident
[ ] Time of Incident
[ ] Detailed Description of Incident
[ ] Severity Level (e.g., Minor, Moderate, Major) (Minor, Moderate, Major, Critical)
[ ] Type of Incident (e.g., Equipment Malfunction, Human Error, Process Failure) (Equipment Malfunction, Human Error, Process Failure, Environmental Hazard, Other)
[ ] Number of Patients Affected (if applicable)
[ ] Root Cause Analysis
[ ] Corrective Actions Taken
[ ] Supporting Documentation (e.g., Photos, Logs)
[ ] Signature of Person Completing Report

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