Fsis Form 5720-14 - State Meat And Poultry Inspection (Mpi) Program - Labaratory Quality Management System Checklist Page 6

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STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM
LABORATORY QUALITY MANAGEMENT SYSTEM CHECKLIST
26. Does the laboratory follow written procedures to ensure the proper
N/A
tests and/or calibrations concerned, use and plan maintenance
Yes
No
of all equipment, and ensure that any defective equipment, e.g.,
equipment outside specified limits, is removed from service and clearly
labeled as "out of service"?
27. Are records for this equipment and software maintained and do they include at least
the following:
a) The identity and unique identification of the equipment and/or software?
Yes
No
N/A
b) User instructions (preferably manufacturer's instructions)?
Yes
No
N/A
c) Checks that the equipment complies with the required specifications?
Yes
No
N/A
d) Dates, results and copies of reports and certificates of all maintenance,
Yes
No
N/A
calibrations, and adjustments, including any damage, malfunction,
modification or repair to the equipment?
28. Does the laboratory follow written policies and procedures for the calibration of its
equipment and the use of reference standards and materials, and do they include at
least the following:
a) Calibrations performed prior to being placed in service?
Yes
No
N/A
b) Instructions for the safe handling, transport, storage and
Yes
No
N/A
use of reference standards and reference materials in order to
prevent contamination or deterioration and in order to protect their
integrity?
c) Are certified reference cultures (CRC) traceable to a nationally or
Yes
No
N/A
internationally recognized type culture collection, e.g., ATCC, or reference
cultures (RC) from laboratory sources identified for key biochemical and
physiological characteristic relative to standard reference sources used?
(Microbiology)
d) Are these CRCs and RCs transferred no more than 5 times to maintain
Yes
No
N/A
their biochemical reaction and physiological characteristic integrity before
being replaced or re-identified for key biochemical and physiological
characteristics using nationally or internationally recognized reference
sources? (Microbiology)
Yes
No
N/A
e) Are reagents, standards, and reference materials in each method traceable?
Page 6 of 12
FSIS FORM 5720-14 (04/04/2017)

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