Fsis Form 5720-14 - State Meat And Poultry Inspection (Mpi) Program - Labaratory Quality Management System Checklist Page 2

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STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM
LABORATORY QUALITY MANAGEMENT SYSTEM CHECKLIST
2. Does the laboratory subcontract any MPI related analyses with one or more private
Yes
No
N/A
or non CIS/MPI state laboratories? If YES provide the name of each facility with
physical address, phone number and main point(s) of contact. Also, list the analyses
or tests that each subcontracted laboratory performs.
NOTE: For example, any work including confirmatiotttne or serology/serotyping that is
performed offsite or by another lab is considered subcontracted and must be listed.
Detailed written documentation, e.g., MOU or contract, between laboratories to
perform the work must be provided. Each laboratory shall submit the completed
checklist and requested information.
3. For laboratories performing analysis for MPI purposes:
a) Is the laboratory accredited to ISO/IEC 17025?
Yes
No
N/A
Yes
No
N/A
b) Are all methods used by the laboratory in support of the MPI program included in the
scope of accreditation?
SKIP to page 9, question 38, if the answers to 3a and 3b are yes.
NOTE: All laboratories must still comply with the listed QA checklist requirements.
Page 2 of 12
FSIS FORM 5720-14 (04/04/2017)

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