QM0204_Quality System Documentation_Widiastuti Setyaningsih

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  • 8/6/2019 QM0204_Quality System Documentation_Widiastuti Setyaningsih

    1/27

    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    1

    Deadline : March 02, 2011

    Prepared by : Widiastuti Setyaningsih and Mohamed Yahia

    Supervised by : Professor Monserrat Llaurado

    QM0204QUALITY SYSTEM DOCUMENTATION

    TABLE OF CONTENT

    1. Introduction-Presentation of the Laboratory ..... 22. Structure of the Documents of the QMS... 33. List of Documents of the Quality System Documentation (QSD) .. 44. Document or Documents Related to the Control of Documentation ... 125. Cover Page for Validation Sheet and Controlling the Document Applied for Any Kind of Documentation .. 136. SOP for the Document or Documents Related to the Control of Documentation 157. Example of Check Sheet for the Document or Forms Related to the Control of Documentation 228. References . 27

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    1. INTR

    WM Analyti

    food matrice

    requirements

    WM analytical laboratory was estab

    approximately 100 samples per week

    people and continual improvement of

    WM analytical laboratorys general o

    authorities along with a detailed organ

    Figure 1

    The Internal Audit

    This report focuses on the elaborati

    preparing an accreditation process ac

    newly developed and validated met

    Residues in Milk Using Ultra High P

    Switching. The method was develop

    Ad

    External

    Auditor

    Widiastuti Setyanin

    European M

    Em

    DUCTION- PRESENTATION OF THE LABOR

    al Laboratory is a premier company specialized in t

    . The laboratory works under the Quality First pri

    of national and international standards and regulation.

    lished in February 2010 in Jakarta, Indonesia. It h

    . The laboratory is committed to exceed costumers

    its management system.

    ganization chart is presented in Figure 1 below. Job d

    izational chart are found in the document WM/TR/PE

    WM Analytical Laboratorys Organizational Ch

    r is subcontracted as stated in the corresponding quali

    n of the quality management system (QMS) of an

    ording to the requirements of the ISO/IEC 17025 st

    hod coded as WM/TR/CV/AM/01 entitled Deter

    rformance Liquid ChromatographyTandem Mass S

    d and validated by the WM team composed of a very

    Director

    Quality

    anager

    inistrator

    Technical

    Manager

    Analysts Technician

    sih and Mohamed Yahia

    ster in Quality Analytical in Laboratory

    University of Barcelona

    il [email protected]

    [email protected]

    2

    ATORY

    he analysis of drug residues in

    nciple and is sincerely fulfilling

    .

    as 25 employees and receives

    satisfaction, development of its

    escriptions, responsibilities and

    /S/07.

    rt.

    ty procedure

    analytical laboratory which is

    ndard. The accreditation of the

    ination of Anthelmintic Drug

    ectrometry with Rapid Polarity

    competent analyst.

    Financial

    Manager

    Receptionist Accountant

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    STRUCTURE OF THE DO

    WM have a coding system in place w

    five parts and it contains the followin

    The first part identifies that t The second part indicates if i The third part is the two or th The fourth part indicates if in The fifth part indicates the ru

    Example: Code for the SOP in perfor

    Note:

    WM Name of the Laboratory

    MR Management Requirement

    DC Document Control

    SOP Standard Operational Procedure

    01 Running Number

    And below is the Structure of the Doc

    Requireme

    Missi

    Includes Quality Policies

    Describes the

    Additional Details which are

    Evidence of Compliance to The

    WM MR DC

    Widiastuti Setyanin

    European M

    Em

    CUMENTS OF THE QUALITY SYSTEM DOCU

    hich is according to the structure of ISO-17025. Codi

    information.

    e document belongs to the WM Accredited Analytic

    t is Management Requirement or a Technical Require

    ree letter abbreviation of the sections of ISO 17025.

    dicates if its an SOP, forms, work instruction, etc.

    nning series number.

    ing document control.

    umentation System Applied in WM Accredited Labor

    ISO/IEC 17025nts for Competence of Testing and Calibration Labor

    Quality Policy and Quality Strategy

    n Statement and How the Policies are implemented

    Quality Manual

    and Strategies of Intent for Meeting Applicable Stan

    Testing Procedures

    Detail of How Processes Which Affect Quality Are Car

    Work Instructions and Forms

    escribe How The Specific Jobs are Carried Out and C

    Quality Records

    equirements of ISO 17025 and WM laboratory Proce

    SOP 01

    sih and Mohamed Yahia

    ster in Quality Analytical in Laboratory

    University of Barcelona

    il [email protected]

    [email protected]

    3

    MENTATION (QSM)

    ng of documents is broken into

    l Laboratory.

    ent

    atory

    tory

    ard Requirements

    ried Out

    eck Sheet for a Process

    dures and Test Instruction

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    5

    LIST OF DOCUMENTS OF THE QUALITY SYSTEM DOCUMENTATION (QSD)TO OBTAIN THE ACCREDITATION

    Presented below is the master list identifying the documents in the management system which are classified according to

    the section of ISO/IEC 17025.

    Applicable ISO/IEC

    17025:2005 clause(s)Document Code

    4. Management Requirements

    4.2Management

    system

    Quality policy

    Quality strategy

    Quality manual

    WM/MR/MS/QP/01

    WM/MR/MS/QS/01

    WM/MR/MS/QM/01

    4.3Document

    control

    SOP: document control

    WI: document approval and issue

    WI: document changes

    Form: document control

    WM/MR/DC/SOP/01

    WM/MR/DC/WI/01

    WM/MR/DC/WI/02

    WM/MR/DC/F/01

    4.4

    Review of

    requests, tenders

    and contracts

    SOP: reviewing the requests, tenders and contracts

    WI: reviewing the requests, tenders and contracts

    F: recording the review

    WM/MR/RE/SOP/01

    WM/MR/RE/WI/01

    WM/MR/RE/F/01

    4.5 SubcontractingProcesses

    SOP: subcontracting processes

    WI: subcontracting processes

    F: recording the subcontracting processes

    WM/MR/SP/SOP/01

    WM/MR/SP/WI/01

    WM/MR/SP/F/01

    4.6

    Purchasing

    services and

    supplies

    SOP: procurement

    SOP: reception and storage of purchased items

    SOP: evaluating suppliers of critical supplies and services

    WI: procurement, reception and storage the purchased items

    Specification: HPLC-Grade Methanol (MeOH)

    Specification: HPLC-Grade Acetonitrile (MeCN)

    Specification: Deuterated MeOH

    Specification: Ammonium Formate (Puriss Pro Analysis)

    Specification: DMSO (Analytical Grades)

    Specification: Isopropil Alcohol

    Specification: Glacial Acetic Acid (HOAc)

    Specification: Premix 1 (Anh. MgSO4 and NaCl)

    Specification: Premix 2 (Anh. MgSO4 and C18)

    Specification: Water Purification System (Millipore)

    Specification: Glass Dispenser (Dispensette III, Brand)

    Specification: Centrifuge (Mistral 3000i)

    WM/MR/PP/SOP/01

    WM/MR/PP/SOP/02

    WM/MR/PP/SOP/03

    WM/MR/PP/WI/01

    WM/MR/PP/S/01

    WM/MR/PP/S/02

    WM/MR/PP/S/03

    WM/MR/PP/S/04

    WM/MR/PP/S/05

    WM/MR/PP/S/06

    WM/MR/PP/S/07

    WM/MR/PP/S/08

    WM/MR/PP/S/09

    WM/MR/PP/S/10

    WM/MR/PP/S/11

    WM/MR/PP/S/12

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    6

    Applicable ISO/IEC

    17025:2005 clause(s)Document Code

    4. Management Requirements

    Specification: Multi Vortexer

    Specification: Evaporator (Turbolap LV)

    Specification: Ultrasonic Bath (Transsonic 780LH)

    Specification: UPLC (Waters, Milford)

    Specification: Spectrometer

    Form: procurement record

    WM/MR/PP/S/13

    WM/MR/PP/S/14

    WM/MR/PP/S/15

    WM/MR/PP/S/16

    WM/MR/PP/S/17

    WM/MR/PP/F/01

    4.7Costumer

    Service

    SOP: customer service

    WI: customer service

    External Memo

    WM/MR/CS/SOP/01

    WM/MR/CS/WI/01

    WM/MR/CS/EM/01

    4.8 Complaints

    SOP: complaint

    WI: complaint

    Notification

    WM/MR/CO/SOP/01

    WM/MR/CO/WI/01

    WM/MR/CO/N/01

    4.9

    Control of Non-

    Conforming test/

    calibration work

    SOP: Controlling the nonconforming testing and/or calibration work

    WI: Controlling the nonconforming testing and/or calibration work

    Form: Controlling nonconforming testing and/or calibration work

    WM/MR/CN/SOP/01

    WM/MR/CN/WI/01

    WM/MR/CN/F/01

    4.10 Improvement SOP: improving the effectiveness of management system WM/MR/I/SOP/01

    4.11 Corrective action

    SOP: correction action

    SOP: Selection and implementation of corrective actions

    SOP: Monitoring of corrective actions

    Form: corrective action

    WM/MR/CA/SOP/01

    WM/MR/CA/SOP/01

    WM/MR/CA/SOP/01

    WM/MR/CA/F/01

    4.12Preventive

    Action

    SOP: preventive action

    WI: preventive action

    Form: preventive action

    WM/MR/PA/SOP/01

    WM/MR/PA/WI/01

    WM/MR/PA/F/01

    4.13Control of

    Records

    SOP : control of recordsWI : identification of quality and technical records

    WI : collection of quality and technical records

    WI : indexing of quality and technical records

    WI : access of quality and technical records

    WI : filing of quality and technical records

    WI : storage of quality and technical records

    WI : maintenance of quality and technical records

    WI : disposal of quality and technical records

    WI : protect and back-up records stored electronically

    WI : prevent unauthorized access or change the records.

    WM/MR/CR/SOP/01WM/MR/CR/WI/01

    WM/MR/CR/WI/02

    WM/MR/CR/WI/03

    WM/MR/CR/WI/04

    WM/MR/CR/WI/05

    WM/MR/CR/WI/06

    WM/MR/CR/WI/07

    WM/MR/CR/WI/08

    WM/MR/CR/WI/09

    WM/MR/CR/WI/10

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    7

    Applicable ISO/IEC17025:2005 clause(s)

    Document Code

    4. Management Requirements

    4.14 Internal audits

    SOP: internal audit

    WI: internal audit

    Form: internal audit check list

    WM/MR/IA/SOP/01

    WM/MR/IA/WI/02

    WM/MR/IA/F/01

    4.15Management

    Reviews

    SOP: management review

    WI: management review

    Form: management review

    WM/MR/MR/SOP/01

    WM/MR/MR/WI/01

    WM/MR/MR/F/01

    5. Technical requirements

    5.2 Personnel

    SOP: recruitment

    Specification: qualifications and training programmes

    Specification: managerial duties

    Specification: responsibilities to performing tests or calibrations

    Specification: responsibilities to the planning of tests and/or

    calibrations and evaluation of results

    Specification: responsibilities for reporting opinions

    and interpretations

    Specification: responsibilities to method modification and

    development and validation of new methodsStructure of the Laboratory Organization

    WM/TR/PE/SOP/01

    WM/TR/PE/S/01

    WM/TR/PE/S/02

    WM/TR/PE/S/03

    WM/TR/PE/S/04

    WM/TR/PE/S/05

    WM/TR/PE/S/06

    WM/TR/PE/S/07

    5.3

    Accommodation

    &environmental

    Conditions

    SOP: monitor, control and record environmental conditions

    Specification: accommodation & environmental conditions

    Form: conditions monitoring

    WM/TR/AE/SOP/01

    WM/TR/AE/S/01

    WM/TR/AE/F/01

    5.4

    Test and

    calibration

    methods and

    method

    validation

    SOP: Determination of anthelmintic drug residues in milk

    using UPLC-MS with rapid polarity switching

    SOP: selection of methods

    SOP: laboratory-developed methods

    SOP: non-standard methodsSOP: method validation: determination of anthelmintic drug

    residues in milk by UPLC-MS with rapid polarity switching

    SOP: estimation of uncertainty of measurement

    WM/TR/CV/SOP/01

    WM/TR/CV/SOP/02

    WM/TR/CV/SOP/03

    WM/TR/CV/SOP/04WM/TR/CV/SOP/05

    WM/TR/CV/SOP/06

    SOP: control of data WM/TR/CV/SOP/07

    SOP: equipment calibration of UPLC (Waters, Milford)

    SOP: equipment calibration of Volumetric Glass

    SOP: equipment calibration of Analytical Balance

    SOP: software calibration of UHPC-MS/MS controlling

    SOP : software UHPC-MS/MS data processing

    WM/TR/CV/SOP/08

    WM/TR/CV/SOP/09

    WM/TR/CV/SOP/10

    WM/TR/CV/SOP/11

    WM/TR/CV/SOP/12

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    8

    Applicable ISO/IEC17025:2005 clause(s)

    Document Code

    5. Technical requirements

    5.4

    Test,

    calibrationmet

    hods, and

    method

    validation

    WI: Preparation of Ultrapure Water

    WI: Preparation of Primary Stock Standard Solutions

    WI: Preparation of Internal Standard

    WI: Preparation of Avermectins

    WI: Preparation of TCB Metabolites

    WI: Preparation of Benzimidazoles

    WI: Preparation of Intermediate Working Standard

    WI: Preparation of Working Internal Standard Mix Solutions

    WI: Preparation of Extracted Matrix Calibrants Solution

    WI: Preparation of Matrix Matched Calibrants Solution

    WI: Preparation of Blank Matrix Samples

    Form: Testing

    Form: Calibration

    Report: Validation

    WM/TR/CV/WI/01

    WM/TR/CV/WI/02

    WM/TR/CV/WI/03

    WM/TR/CV/WI/04

    WM/TR/CV/WI/05

    WM/TR/CV/WI/06

    WM/TR/CV/WI/07

    WM/TR/CV/WI/08

    WM/TR/CV/WI/09

    WM/TR/CV/WI/10

    WM/TR/CV/WI/11

    WM/TR/CV/F/01

    WM/TR/CV/F/02

    WM/TR/CV/R/01

    5.5 Equipment

    SOP: equipment maintenance

    SOP: equipment control and inventoryUser Manual: Water Purification System (Millipore)

    User Manual: Glass Dispenser (Dispensette III, Brand)

    User Manual: Centrifuge (Mistral 3000i)

    User Manual: Multi Vortexer

    User Manual: Evaporator (Turbolap LV)

    User Manual: Ultrasonic Bath (Transsonic 780LH)

    User Manual: UPLC (Waters, Milford)

    User Manual: Spectrometer

    WI: Water Purification System (Millipore)

    WI: Glass Dispenser (Dispensette III)

    WI: Centrifuge (Mistral 3000i)

    WI: Multi Vortexer

    WI: Evaporator (Turbolap LV)

    WI: Ultrasonic Bath (Transsonic 780LH)

    WI: UPLC (Waters, Milford)

    WI: Spectrometer

    WI: UHPC-MS/MS Controlling (MassLynxTM)

    WI: UHPC-MS/MS Data Processing (TargetLynxTM)

    WM/TR/E/SOP/01

    WM/TR/E/SOP/02WM/TR/E/UM/01

    WM/TR/E/UM/02

    WM/TR/E/UM/03

    WM/TR/E/UM/04

    WM/TR/E/UM/05

    WM/TR/E/UM/06

    WM/TR/E/UM/07

    WM/TR/E/UM/08

    WM/TR/E/WI/01

    WM/TR/E/WI/02

    WM/TR/E/WI/03

    WM/TR/E/WI/04

    WM/TR/E/WI/05

    WM/TR/E/WI/06

    WM/TR/E/WI/07

    WM/TR/E/WI/08

    WM/TR/E/WI/09

    WM/TR/E/WI/10

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    9

    Applicable ISO/IEC17025:2005 clause(s)

    Document Code

    5. Technical requirements

    5.6Measurement

    traceability

    SOP: traceability in calibration

    SOP: traceability in testing

    RMC: Abamectin (ABA)

    RMC: Albendazole (ABZ)

    RMC: Bithionol (BITH)

    RMC: Clorsulon (CLOR)

    RMC: Closantel (CLOS)

    RMC: Coumaphos (COUM)

    RMC: Doramectin (DORA)

    RMC: Emamectin (EMA)

    RMC: Fenbendazole (FBZ)

    RMC: Haloxon (HAL)

    RMC: Ivermectin (IVER)

    RMC: Levamisole (LEVA)

    RMC: Morantel (MOR)

    RMC: Niclozamide (NICL)RMC: Nitroxynil (NITR)

    RMC: Oxfendazole (OFZ)

    RMC: Oxyclozanide (OXY)

    RMC: Rafoxanide (RAF)

    RMC: Thiabendazole (TBZ)

    RMC: Albendazole-2-amino-sulphone (ABZ-NH2 -SO2 )

    RMC: Albendazole-sulphone (ABZ-SO2 )

    RMC: Albendazole-sulphoxide (ABZ-SO)

    RMC: Amino-oxibendazole (OXI-NH2 )RMC: 5-hydroxy-thiabendazole (5-OH-TBZ)

    RMC: Fenbendazole-sulphone (FBZ-SO2 )

    RMC: Triclabendazole (TCB)

    RMC: Triclabendazole-sulphone (TCB-SO2 )

    RMC: Triclabendazole-sulphoxide (TCB-SO)

    RMC: Coumaphos-oxon (COUM-O)

    RMC: Cambendazole (CAM)

    RMC: Oxibendazole (OXI)

    RMC: Amino-flubendazole (FLU-NH2 )

    WM/TR/MT/SOP/01

    WM/TR/MT/SOP/02

    WM/TR/MT/RMC/01

    WM/TR/MT/RMC/02

    WM/TR/MT/RMC/03

    WM/TR/MT/RMC/04

    WM/TR/MT/RMC/05

    WM/TR/MT/RMC/06

    WM/TR/MT/RMC/07

    WM/TR/MT/RMC/08

    WM/TR/MT/RMC/09

    WM/TR/MT/RMC/10

    WM/TR/MT/RMC/11

    WM/TR/MT/RMC/12

    WM/TR/MT/RMC/13

    WM/TR/MT/RMC/14WM/TR/MT/RMC/15

    WM/TR/MT/RMC/16

    WM/TR/MT/RMC/17

    WM/TR/MT/RMC/18

    WM/TR/MT/RMC/19

    WM/TR/MT/RMC/20

    WM/TR/MT/RMC/21

    WM/TR/MT/RMC/22

    WM/TR/MT/RMC/23WM/TR/MT/RMC/24

    WM/TR/MT/RMC/25

    WM/TR/MT/RMC/26

    WM/TR/MT/RMC/27

    WM/TR/MT/RMC/28

    WM/TR/MT/RMC/29

    WM/TR/MT/RMC/30

    WM/TR/MT/RMC/31

    WM/TR/MT/RMC/32

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    10

    Applicable ISO/IEC17025:2005 clause(s)

    Document Code

    5. Technical requirements

    5.6Measurement

    traceability

    RMC: Hydroxy-flubendazole (FLU-OH)

    RMC: Hydroxy-mebendazole (MBZ-OH)

    RMC: Flubendazole (FLU)

    RMC: Mebendazole (MBZ)

    RMC: Eprinomectin (EPR)

    RMC: Moxidectin (MOXI)

    RMC: Albendazole-D3 (ABZ-D3)

    RMC: Albendazole-sulphone-D3 (ABZ-SO2 -D3)

    RMC: Albendazole-sulphoxide-D3 (ABZ-SO-D3)

    RMC: Fenbendazole-D3 (FBZ-D3)

    RMC: Fenbendazole-sulphone-D3 (FBZ-SO2 -D3)

    RMC: Levamisole-D5 (LEVA-D5)

    RMC: Mebendazole-D3 (MBZ-D3)

    RMC: Thiabendazole-D3(TBZ-D3)

    RMC: Triclabendazole-D3 (TCB-D3)

    RMC: Albendazole-2-amino-sulphone-D2 (ABZ-NH2-SO2 D2RMC: Selamectin (SELA)

    RMC: Salicylanilide (SALI)

    RMC: 4-Nitro-3-(trifluoromethyl)phenol (TFM)

    RMC: Ioxynil (IOX)

    RMC: Amino-triclabendazole (TCB-NH2 )

    WM/TR/MT/RMC/34

    WM/TR/MT/RMC/35

    WM/TR/MT/RMC/36

    WM/TR/MT/RMC/37

    WM/TR/MT/RMC/38

    WM/TR/MT/RMC/39

    WM/TR/MT/RMC/40

    WM/TR/MT/RMC/41

    WM/TR/MT/RMC/42

    WM/TR/MT/RMC/43

    WM/TR/MT/RMC/44

    WM/TR/MT/RMC/45

    WM/TR/MT/RMC/46

    WM/TR/MT/RMC/47

    WM/TR/MT/RMC/48

    WM/TR/MT/RMC/49WM/TR/MT/RMC/50

    WM/TR/MT/RMC/51

    WM/TR/MT/RMC/52

    WM/TR/MT/RMC/53

    WM/TR/MT/RMC/54

    5.7 Sampling

    SOP: sampling procedure

    WI: sampling scheme, sampling drawing, sampling instruction

    Form: sampling

    WM/TR/SA/SOP/01

    WM/TR/SA/WI/02

    WM/TR/SA/F/01

    5.8

    Handling of

    test and

    calibration

    items

    SOP: transportation, receipt, handling, protection, storage,retention and/or disposal of test and/or calibration item

    SOP: identifying test and/or calibration items.

    SOP: handling of test and calibration items

    Form: test and calibration condition recording

    WM/TR/TC/SOP/01

    WM/TR/TC/SOP/02

    WM/TR/TC/SOP/03

    WM/TR/TC/F/01

    5.9

    Assuring the

    quality of test

    and

    calibrationresults

    SOP: quality control for calibration

    SOP: monitoring the validity of tests

    SOP: regular use of CRM and/or internal quality control using

    secondary RM

    SOP: proficiency-testing programs

    WM/TR/AQ/SOP/01

    WM/TR/AQ/SOP/02

    WM/TR/AQ/SOP/03

    WM/TR/AQ/SOP/04

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    Widiastuti Setyaningsih and Mohamed Yahia

    European Master in Quality Analytical in Laboratory

    University of Barcelona

    Email [email protected]

    [email protected]

    11

    Applicable ISO/IEC17025:2005 clause(s)

    Document Code

    5. Technical requirements

    5.10Reporting the

    Results

    SOP: reporting the test reports and calibration certificates

    SOP: reporting the analysis reports

    SOP: generating the calibration certificates

    SOP: defining the opinions and interpretations

    SOP: reporting the testing and calibration results obtained

    from subcontractors

    SOP: reporting by electronic transmission of results

    WM/TR/RR/SOP/01

    WM/TR/RR/SOP/02

    WM/TR/RR/SOP/03

    WM/TR/RR/SOP/04

    WM/TR/RR/SOP/05

    WM/TR/RR/SOP/06

    Note : Raws with light blue shadow are the document or documents related to the control of documentation

    4.2 MANAGEMENT SYSTEM

    4.2.1 Management System consisting of Quality Manual, test procedures, work instructions, forms, reports etc. as per

    requirements of ISO/IEC-17025-2005 and WM Acreedited Laboratory requirements has been established,

    implemented and is being maintained at all the levels in the laboratory. Management ensures Management System

    documentation of the laboratory is communicated to, understood by, available with and is implemented by thosepersonnel who are responsible for maintaining the quality of test.

    4.2.2 (a,b,c,d) To achieve the Quality Policy, Objectives and Quality Planning is evolved. Management will be committed

    to ensure that the quality policy is understood, implemented and maintained by the personnel at all levels of the

    organization.

    The quality policy is displayed prominently at appropriate locations in the laboratory. The employees are educatedabout the quality policy and their role and responsibilities towards achieving it. The quality policy is relevant to the

    management organizational goals and needs of the customer. It complies with the international standards of

    ISO/IEC 17025-2005.

    The effective implementation of the quality policy is monitored by key managerial personnel on day to day basis

    and through internal quality audits and periodic management review meetings. All personnel are committed to

    implement and maintain the quality policy. Quality Policy can be reviewed for its continuing suitability during

    Management Review Meeting, if required.

    4.2.2 (e) Management will be committed to comply with ISO/IEC-17025-2005 standard and to continually improve the

    effectiveness of the management system

    4.2.3 The WM Accredited laboratory has established, documented, implemented and is maintaining a ManagementSystem. Quality Manager maintains the records to provide evidence of conformity to requirements and

    effectiveness of the Management System established. Such records comprise of:-

    a) Achievement of Quality :-- Inspection Report- Test Data- Supplier Assessment Report- Corrective Action Report- Preventive Action Report- Training Record- Improvement Record

    b) System Effectiveness :-- Internal Audit Report- Minutes of Management Review Meeting- Customer Feed Back, Complaints and Suggestions received

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    4.2.4 Quality Manager ensures the promotion of awareness of customer requirement in the Organization. The mainconsideration of the laboratory to meet the importance of customer requirement, statutory requirement and

    regulatory requirement are :-

    - The identification of process and determination of their sequence and interaction needed forManagement System and their application.

    - To ensure the availability of resources and information necessary to support the operation andmonitoring to these process.

    Laboratory has procured all documents related to statutory and regulatory bodies relevant to scope of work.

    4.2.5 The Management System is being implemented with the support of following documents.

    Level I Quality Manual Level II Management System Procedure Level III Standard Operating Procedure Level IV Work Instruction ManualResponsibilities related to various documents of the Management System are given below. The actual systems

    that are implemented are described in relevant sections.

    4.2.6 The roles and responsibilities of Technical Manager and Quality Manager are defined under clause 4.1.4. In case

    of absence of Quality Manager, Technical Manager shall take the additional responsibility of Quality Managerand vice-versa. In case of absence of both Lab In-charge shall take the responsibility of the duties of Quality

    Manager and Team Manager.

    4.2.7 The integrity of the management system is maintained through documents maintained as per MSP/05.

    .

    DOCUMENT OR DOCUMENTS RELATED TO THE CONTROL OF DOCUMENTATION

    Applicable ISO/IEC

    17025:2005 clause(s) Document Code

    4.3 Document

    control

    SOP: document control

    WI: document approval and issue

    WI: document changes

    Form: document control

    WM/MR/DC/SOP/01

    WM/MR/DC/WI/01

    WM/MR/DC/WI/02

    WM/MR/DC/F/01

    4.13 Control of

    Records

    SOP : control of records

    WI : identification of quality and technical records

    WI : collection of quality and technical records

    WI : indexing of quality and technical records

    WI : access of quality and technical recordsWI : filing of quality and technical records

    WI : storage of quality and technical records

    WI : maintenance of quality and technical records

    WI : disposal of quality and technical records

    WI : protect and back-up records stored electronically

    WI : prevent unauthorized access or change the records.

    WM/MR/CR/SOP/01

    WM/MR/CR/WI/01

    WM/MR/CR/WI/02

    WM/MR/CR/WI/03

    WM/MR/CR/WI/04WM/MR/CR/WI/05

    WM/MR/CR/WI/06

    WM/MR/CR/WI/07

    WM/MR/CR/WI/08

    WM/MR/CR/WI/09

    WM/MR/CR/WI/10

    5.4Test & calibrationmethods & method

    validation

    SOP: control of data

    WI: control of data

    Form: control data

    WM/TR/CV/SOP/07

    WM/TR/CV/WI/07

    WM/TR/CV/F/07

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    COVER PAGE FOR VALIDATION SHEET AND CONTROLLING THE DOCUMENTAAPLIED FOR ANY KIND OF DOCUMENTATION

    WM ACCREDITED

    LABORATORY

    Document No.

    WM/XX/XX/XX/XX

    Copy number: 00XX

    Issue number : 00XX

    Issued to:

    Date: XX.XX.XXXX

    Page X of XDoc. Effective Date

    XX.XX.XXXX

    VALIDATION SHEET AND CONTROLLING

    -TYPE OF DOCUMENT-

    -DOCUMENTATION-

    No. of Copy :Distribute to :Date of Distribution :

    Distribution Status : Controlled Document

    Uncontrolled DocumentNote. Give mark to the suitable one

    This system procedure is published for internal usage of MW Accredited LaboratoryRestricted to copy this document without written permission from MW Accredited Laboratory

    Prepared By Checked By Approved By

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    WM ACCREDITED

    LABORATORY

    Document No.

    WM/XX/XX/XX/XX

    Copy number: 00XX

    Issue number : 00XX

    Issued to:

    Date: XX.XX.XXXX

    Page X of XDoc. Effective Date

    XX.XX.XXXX

    CHECK SHEET FOR DOCUMENTS CHANGES

    Section No. Improvement Published Date Improved No. Improved Date Signature

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    SOP FOR THE DOCUMENT OR DOCUMENTSRELATED TO THE CONTROL OF DOCUMENTATION

    These Standard Operational Procedures (SOPs) are prepared by WM Accredited laboratory to describe the detailed

    information about the control of documentation which is complying with ISO/IEC 175025 standard.

    Applicable ISO/IEC 17025:2005 clause : (4. 3) Document Control

    Title:

    DOCUMENT AND RECORD

    CONTROL

    Document No.

    WM/MR/DC/SOP/01

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 2

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    1.PurposeValid documents will be available at all places of usage by appropriate control of documents so that the

    Management System can be implemented and maintained.

    2.ScopeThe documents used in the operation of the Management System will be controlled and issued after reviewingfor their total adequacy and approved by the authority.

    3.References01 WM/MR/DC/WI/01

    02 WM/MR/DC/WI/02

    03 WM/MR/DC/F/01

    4.Procedure PICA. Management System Establishment

    01 Management System Quality Manager

    The laboratory has established procedures to control all documents that form part of Management

    System and existing regulations.

    B. Document Approval and Issue

    01 Approval and Issue of Controlled Documents Quality Manager

    All the controlled documents are periodically reviewed by QM and Approved by Director and

    issued by Quality Manager. Records of amendment/revision and obsolete documents are

    maintained as defined in WM/MR/DC/WI/01. Issue record of QM, QSP, SOP, WIM and Raw data

    notebooks are also maintained and record in WM/MR/DC/F/01.

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    Title:DOCUMENT AND RECORD

    CONTROL

    Document No.WM/MR/DC/SOP/01

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 2 of 2

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    02 Identification of the Management System Documents Quality Manager

    SOPs, WIM, standard specifications and other operation reference books are available in the

    laboratory for effective execution of testing jobs. Management System documents are uniquely

    identified and include Title, Copy No., Date of issue, Revision No., Page No. and issuing

    authority. Documents are reviewed after six months and revised if necessary and discussed in

    management review meeting.

    03 Controlling of Management System Documents Quality Manager

    Management System documents generated by the laboratory are controlled by cover page and

    inside sections indicating Title, Copy No., Revision No., Issue No., Dates, Section No. and Page

    Nos. At the time of initial preparation, the document has issue no 00 revision No. 00. Revision of

    document is indicated 01 for first revision and 02 for second revision and so on along with date

    C. Document Changes

    01 Reviewing the Draft Documents Quality Manager

    For bringing improvement in the Management System and working of the laboratory sometimes

    changes are required in the documents. Before incorporation these changes in the documents,

    these are reviewed by Quality Manager and approved by Director.

    02 Amendment in the installed Management System Quality Manager

    In case it is felt to incorporate changes or amendments in the management system, it is ensured

    that changes do not affect the objective, quality policy and requirements of the accreditation body.

    All such changes are immediately informed to the certified body

    03 Changes/Revision Control Quality Manager

    In case the document is to be revised based upon the feedback/suggestions/comments from the

    relevant persons/complaint the inputs are reviewed and changes incorporated by Quality Manager

    and forwarded to director for approval. Records of amendments and obsolete documents are

    maintained. Documents related to Management System which are maintained in computer have

    specific password which are known to the Quality Manager/Director. Periodic changes in

    password should be brought into effect to prevent misuse of the information in the computer

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    Applicable ISO/IEC 17025:2005 clause : (4. 13) Control of Records

    Title:

    CONTROL OF RECORDS

    Document No.

    WM/MR/CR/SOP/01

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 2

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    1. PurposeTo ensure that the technical and quality records are properly maintained.

    2.ScopeCovers all technical and quality records, which demonstrate smooth and effective operations of the Laboratory

    as per ISO/IEC 17025 Management System Requirements.

    3.References01 WM/MR/CR/WI/01

    02 WM/MR/CR/WI/02

    03 WM/MR/CR/WI/0304 WM/MR/CR/WI/04

    05 WM/MR/CR/WI/05

    06 WM/MR/CR/WI/06

    07 WM/MR/CR/WI/07

    08 WM/MR/CR/WI/08

    09 WM/MR/CR/WI/09

    10 WM/MR/CR/WI/10

    4.Procedure PICA. General

    01 Defining the Documentations of Records Quality Manager

    Technical records are those which include raw data, analysis protocols, analytical reports, graph

    sheets. Whereas the quality records are those records which include reports from Internal Quality

    Audits, Management Review Meetings, Calibration Records of Equipments, SOPs, Quality

    Manual, Management System Procedures and other records of corrective and preventive action.

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    University of Barcelona

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    Title:CONTROL OF RECORDS

    Document No.WM/MR/CR/SOP/01

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 2 of 2

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    02 Records Maintaining Quality Manager

    The records are maintained in such a way that the identification (WM/MR/CR/WI/01), collection

    (WM/MR/CR/WI/02), indexing (WM/MR/CR/WI/03), access (WM/MR/CR/WI/04), filing

    (WM/MR/CR/WI/05), storage (WM/MR/CR/WI/06), maintenance (WM/MR/CR/WI/07), disposal

    (WM/MR/CR/WI/08) and retrieval (WM/MR/CR/WI/09) are easy.

    03 Records Storing Quality Manager

    The records are stored and retained in a manner that they are easily retrievable. The records are

    stored in a safe place to prevent damage or deterioration. Retention period of the records is

    established. The records are generated in the laboratory to maintain the Management System. All

    records are held secure and in confidence. All records are kept under the supervision of Quality

    Manager/Technical Manager/Lab In Charge and Commercial In Charge

    04 Records Security Quality Manager

    The laboratory has implemented appropriate procedures for maintaining security of data including

    the prevention of unauthorized access and amendments of computer records by using passwords as

    explained detail in WM/MR/CR/WI/10.

    B. Technical Records

    01 Defining the Documentations of Technical Records Quality ManagerThe laboratory maintains records of original operations, derived calibration records, staff records

    and test reports for defined period

    02 Analysis Records Analyst

    Date of start, observations and date of completion are recorded on the raw data note book by the

    analyst. Analysts should make corrections when mistake occurs. Each mistake should be crossed

    out but not erase or made illegible or deleted and correct value is entered and initialed.

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    Applicable ISO/IEC 17025:2005 clause: (5. 4) Test&Calibration Methods and Method Validation : Control of Data

    Title:

    CONTROL OF DATA

    Document No.

    WM/TR/CV/SOP/07

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 3

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    1.PurposeTo describe how data are recorded, controlled, reviewed, and retained to ensure security, confidentiality, and

    loss prevention

    2.ScopeCovers all technical and quality data, which demonstrate smooth and effective operations of the Laboratory as

    per ISO/IEC 17025 Management System Requirements.

    3.References01 WM/TR/CV/WI/07

    02 WM/TR/CV/F/07

    4.Procedure PICA. Hard Copies

    01 Records Classification Quality Manager

    Paper hard copies are the primary source document for all WM Accredited Laboratory records.

    Classifications of WM Accredited Laboratory records are described below.

    Customer records: Document actions taken regarding customer products. All customer records

    are confidential and privileged, thus are only available to WM Accredited Laboratory staff.

    Personnel records: Document qualifications and performance of WM Accredited Laboratory

    staff. Personnel records include signed job descriptions, resumes/qualifications, safety training,

    and individual proficiency testing results, continuing education, retraining or counseling

    documentation, annual evaluations, and competency checklists. Individual staff members records

    are not available to other staff, and are stored in the Supervisors secured files and released to staff

    members as needed.

    Equipment records: Document equipment performance. Equipment records include

    documentation of preventative maintenance, calibration, validation, service and repairs.

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    Title:

    CONTROL OF DATA

    Document No.

    WM/TR/CV/SOP/07

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 2 of 3

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    Quality control records: Document activities intended to ensure and verify environmental and

    process control. Quality control records include equipment and reagent performance verifications,

    supply log sheets, facility environmental monitoring, and external proficiency testing results.

    Quality assurance records: Document activities intended to ensure continued and improved

    quality through detailed examination, reports, and corrective/preventative action. Quality

    assurance records include Nonconforming Product and Events Log and reports, Adverse Reaction

    Logs, Validation Protocols, quality assessments, and product log sheets.

    02 Records Storage Administrator

    All WM Accredited Laboratory records are stored in secured file cabinets in an orderly, readily

    retrievable manner. Records may be transferred to WM Accredited Laboratory Record Center for

    continued storage or scanned into the computer and stored electronically.

    03 Records Identification Administrator

    Store the records in folders clearly labeled with their contents. If transferred off-site, an inventory

    of each storage box must be maintained in the WM Accredited Laboratory secured file cabinets,

    including the WM Accredited Laboratory name and the name of the person preparing the

    inventory. Place a copy of this inventory in the front of each box. All WM Accredited Laboratory

    records must be retained indefinitely, as required by applicable standards and regulations.

    B. Soft Copies

    01 Authorization AdministratorOnly WM Accredited Laboratory staff and the Quality Manager have read-write access to create

    or modify documents and records in the LAB folder of the WM Accredited Laboratory shared

    drive. All other WM Accredited Laboratory staff can access the LAB folder as read-only.

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    Title:

    CONTROL OF DATA

    Document No.

    WM/TR/CV/SOP/07

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 3 of 3

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    02 Costumer Data Base AdministratorThe databases of all customers are unique alphanumeric identifiers, and processing data is located

    on the WM Accredited Laboratory shared drive in the LAB folder. Separate passwords are

    required for routine use (i.e., data entry) and for administrative use (i.e., editing and design). These

    passwords are changed quarterly.

    03 Back Up AdministratorThe WM Accredited Laboratory shared drive is backed-up nightly by Information Systems staff

    according to their SOPs. In addition, the patient database and current SOPs and forms are backed

    up monthly onto a USB storage device that is kept in the WM Accredited Laboratory Supervisors

    office.

    C. Error Correction of Records

    01 Handwritten Records AdministratorIf errors are detected, records may be modified using appropriate error correction technique. If the

    error is detected on a handwritten record, a single horizontal line is drawn (in indelible black ink)

    through the incorrect portion of the record without obscuring the original entry. The correct word

    or result is written as close to the error as possible. The person correcting the error must initial and

    date next to the error.

    02 Computer Generated Records AdministratorIf errors are detected on a computer-generated record that has already been released, reprint the

    record, clearly indicating both the originally reported result and the changed result with the

    statement Corrected Report. If copies of the record were distributed to other files or

    departments, re-distribute a copy of the corrected record.

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    EXAMPLE OF CHECK SHEET FOR THE DOCUMENT OR FORMSRELATED TO THE CONTROL OF DOCUMENTATION

    Title:

    DOCUMENT DISTRIBUTION

    LIST

    Document No.

    WM/MR/DC/F/01-01

    Copy number: 001

    Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 1

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    Document Number Name of DocumentList of Document Recipient

    1 2 3 4 5 6 7 8*

    Note.

    1. Master Document2. Director3. Quality Manager4. Technical Manager5. Financial Manager6. Analyst7. Administrator8. Technician

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    Title:COPIED DOCUMENT

    DISTRIBUTION LIST

    Document No.WM/MR/DC/F/01-02

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 1

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    Number of Copy Name Function Department Note

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    Title:BORROWING DOCUMENT

    HISTORY LIST

    Document No.WM/MR/DC/F/01-03

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 1

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    No. Name of Document Date Number of Letter Recipient Name Returned Date

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    Title:RECEIVING DOCUMENT

    PROOF

    Document No.WM/MR/DC/F/01-04

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 1

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    Received From :

    Destination :

    Execution Date :

    Amount Detail

    Received By : Sign :

    Execution Date :

    Note : Please CC the signed paper to QA department

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    Title:RECEIVING DOCUMENT

    HISTORY

    Document No.WM/MR/DC/F/01-05

    Copy number: 001Issue number : 001

    Issued to:

    All Department

    Date: 21.07.2010

    Page 1 of 1

    Doc. Type

    SOP

    Prepared by:

    Administrator

    Widiastuti Setyaningsih

    Approved by:

    Quality Manager

    Mohamed Yahia

    Effective Date

    21.07.2010

    Controlled Document

    No Department Publication Date Receiving Date Name Signature

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    REFERENCES

    EMQAL QM0104 Laboratory Quality Systems: ISO_17025 study materials (power point presentation) by Professor

    Ramon Campanyo

    EMQAL QM0204 Quality Systems Documentation study materials (power point presentation) by Professor Montse

    Llaurado

    International Standard: ISO/IEC_17025, 2nd edition, 2005.

    P. Konieczka, J. Namienik, Quality Assurance and Quality Control in the Analytical Chemistry Laboratory. A Practical

    Approach, CRC Press/Francis and Taylor, Boca Raton, FL, 2009