Fsis Form 5720-14 - State Meat And Poultry Inspection (Mpi) Program - Labaratory Quality Management System Checklist

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US Department of Agriculture
Food Safety Inspection Service
Office of Public Health Safety
STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM
LABORATORY QUALITY MANAGEMENT SYSTEM CHECKLIST
This checklist is intended to help laboratories improve the quality of their testing programs with regard to meat and poultry testing samples, in order to
ensure those laboratories are “at least equal to” the U.S. Department of Agriculture, Food Safety and Inspection Service Field Service Laboratories.
The laboratory management should strive to ensure that policies and procedures are written and each laboratory meets the elements listed herein. All
quality system documentation and supporting records must be available for the assessor's review.
DATE OF REVIEW:
STATE MPI PROGRAM:
LABORATORY NAME:
LABORATORY ADDRESS:
CITY:
STATE:
ZIP:
LABORATORY DIRECTOR/POINT(S) OF CONTACT:
LABORATORY REPRESENTATIVE(S) AT REVIEW:
REVIEWER(S):
FOR USE AS A SELF ASSESSMENT TOOL, PARTICIPATING LABORATORY PERSONNEL ARE TO COMPLETE AND SUBMIT TO FSIS AS
PART OF THEIR ANNUAL SUBMISSION PACKAGE.
Instead of completing its own testing, does the State have a partnership with another State,
1.
private laboratory or federal laboratory meeting all MPI requirements
to maintain some or all
Yes
No
N/A
testing capability for MPI purposes?
If YES, describe the relationship below:
Page 1 of 12

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