Health-Checks Service - Quality Log Sheet

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Health-Checks Service – Quality Log Sheet
.... / .... / 2015
Site Name : ...................
NB: For every CardioChek PA Analyzer you must use a separate log sheet for each
(Internal) Quality Control Tests - CardioChek PA - Serial Number :- …………………………………………...
Control Solution & Level being
Lot no. of
Expiry date of
Test
Reason for test - mark or tick (ONE only)
Product
Batch #
Date of
control
control solution
User’s
tested
Date of
Expiry date of
Expected results
result
DATE
number code
of test
opening (strip
solution
opening vial
test strips
range (mmol/L)
initials
New strip
After suspect
MC
MC
HDL
HDL
of test strips
strips
pot)
Routine
(mmol/L)
batch
test sample
L1 (w)
L2 [r]
L1 (y)
L2 (g)
27/01/2013
R
-
-
X
-
-
-
MC13A
28/02/2014
01/11/2012
BIOS002
U201
01/09/2012
08/05/2013
4.4 - 7.7
6.7
JAC
Report faults out of range QC results to the BHR Support-Line on 02476377210
BHR PHARMACEUTICALS LTD 41 Hammond Close, Nuneaton, Warwickshire CV11 6RY. E-mail: support@bhr.co.uk
CCPA IQC-log-sheet version 201501

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