NABL Which Laboratory you will prefer to go? ABC Having untrained staff Having old deviated instruments Having Expired chemicals Having poor housekeeping XYZ Qualified and Trained Staff Calibrated instruments Valid Chemicals Proper storage mechanism Good Housekeeping What more do you expect from Good Laboratory? What is ISO? ISO: International organization for standardization, located in Geneva – Purpose: To Establish Quality Standard framework throughout the world – First released its standard ISO 9001:1987 NABL National Accreditation Board for Testing and Calibration Laboratories (NABL) is the sole Laboratory Accreditation body authorised by Government of India (GOI). NABL is an autonomous body under the aegis of Department of Science & Technology (GOI). The accreditation to testing and calibration laboratories are granted in accordance with ISO/ IEC 17025: 2005 and medical testing as per ISO 15189: 2003. NABL has established its accreditation system in accordance with ISO/IEC 17011: 2004 which is followed internationally. COMPETENCE OF A LABORATORY In evaluating the competence of a laboratory, the following methods are used: – On-the-spot assessment of the laboratory by the experts. – By evaluating the results of a particular test/measurement in a proficiency testing programme. International Standards and Guides applicable to laboratories ISO/IEC 17000 : ISO/IEC 17025: General Requirements for the Competence of Testing & Calibration Laboratories ISO 15189 Medical Laboratories Particular Requirements for Quality and Competence : Conformity assessment Vocabulary and general principles Functions of An Accreditation Body To promote the development and maintenance of good practice in testing and measuring To establish and maintain recognition for its national programmes international accreditation NABL Accredits For: Testing Laboratories Biological Chemical Electrical Electronics Fluid-Flow Mechanical Non-Destructive Testing etc. Clinical Forensic Calibration Laboratories Electro-Technical Mechanical Radiological Thermal & Optical Fluid-Flow etc Accreditation Procedure by which an authoritative body (NABL) gives formal recognition that a body (laboratory) or person (signatory) is competent to carry out specific tasks (scope) Criteria - ISO/IEC 17025 (includes all those requirements of ISO 9001 relevant to the scope of laboratories) Assures the client that the procedures and test results are technically valid Recognizes the technical competence of laboratory staff Endorses the the laboratory operates the the management system effectively BENEFITS OF ACCREDITATION National and international recognition Public and industry acceptance Assurance to clients of good laboratory practice Provides global equivalence Provides comparability in measurements Decision makers can rely on test results Improves staff motivation Ensures better support in the event of legal challenge Saves money by getting it right at first time. Information About Laboratory Required by NABL Testing /Calibration In-house/Open to others /Partially open Fixed/Mobile Legal status Name of the Lab 1. Lab is responsible for all legal requirements. 2. Testing and Calibration activity for 1. Customer needs 2. Regulatory authorities. 3. Organizations providing recognition. 3. Scope of Management System Labs Permanent facilities At sites away from Permanent facilities Associated temporary or mobile facilities If the Lab is part of larger organization -> Departments having conflicting interest do not adversely influence the interest of lab. 4. Testing Requirements - - Impartial Personnel are free from any undue commercial financial and other pressures which might influence their technical judgment Confidential Integrity 5. Managerial & Technical Personnel * have authorities and resources needed to carry out their duties. * to identify the occurrences of departures from the management system or from the procedures for performing testes/ and / or calibration * to initiate actions to prevent or minimize such departures. b) Free from any internal or external pressures a) c) Policies and Procedures for protection of - Its customer’s confidential information - Proprietary rights - Electronic Email. Policies and Procedures for Protection of customers confidential reports Property rights Protecting the electronic storage and transmission results Having confidence in its competence, impartiality, judgment or operational integrity. Organization Chart A Organization Chart B Organization Structure Who is Q.M. /T.M./Dy QM/Dy TM ? Can all be one person? What is NABL requirement for QM? What should be responsibilities of QM and TM? Quality Manager (QM) Responsibilities Day to day administration lab. To maintain discipline, safety within the lab. initiating needs for training of lab personnel. Checking for effectiveness for testing & management systems. Attending customer complaints and customer feedback and conducting customer satisfaction survey. To conduct management review meetings& internal audits Establishing, implementing & maintaining the laboratory management system as per IS/ISO 17025: 2005. Liasioning with NABL for Laboratory accreditation and managing associated activities Preparation of Test Report Reports to Director on QMS as well as Branch manager. Fulfills the Requirements of Clause No.4 Technical Manager (TM) Responsibility Preparation &/ Approval of Test SOPs. Maintenance & calibration of Lab. Equipments. Allotment of samples to chemist Preparation of Test Report Liasioning with external agencies Signing test report for final approval. Fulfills the Requirements of Clause No.5 Appointment letter of QM & TM Organization and Management Structure Its place in parent organization. Relationship between Quality Management, Technical Operations and Support Services. Responsibility, authority and interrelationship of all personnel managing, performing, verifying the work affecting in quality of tests/ calibration. Provide adequate supervision of testing and calibration staff including traineesBy persons familiar with methods and procedures. Purpose of each test and/ or calibration Assessment of the test or calibration results. Technical management has the overall responsibility for the technical operations and provision of resources. Appoint Quality Manager – responsible for Ensuring that the management system related to Quality Management is followed all times. Have access to the highest level of management at which decision are made on Laboratory Policy or resources. Appoint deputies for key managerial personnel Ensure that personnel are aware of their activities and contribution to Management System. 4.2 Management System 4.2.1 Laboratory shall Establish Implement Maintain Management system as per scope of the activities. 4.2.1 Lab shall document its Policies Procedures Systems Programmes Instructions Necessary to assure the quality of the test / calibration. 4.2.1 The Systems documentation shall be Communicated Understood Be available Implemented By concerned persons. 4.2.2 Quality Policy shall be defined to include Management’s commitment to good professional practice and to the quality of its testing and calibration in servicing its customers Managements statement of the Laboratory’s standard of service. The purpose of management system related to quality. All personnel concerned with testing and calibration activities with the lab familiar with the quality documentation and implement the policies and procedures in their work. Comply with this International standard and to continually improve the effectiveness of Management system. Tests and calibration shall always be carried out as per the stated methods and customers requirements. Quality Policy A We are committed for providing quality testing as per ISO 17025 and following best laboratory practices. Quality Policy B XYZ is committed to carry out reliable, accurate and timely testing related to Clinical Biochemistry, Clinical Pathology & Serology of samples by:* Following Good Clinical Laboratory practices, complying with IS/ISO 17025:2005 & NABL 104. * Following requirement of national and international standards for testing. * Providing best quality of services to satisfy customer’s requirements. * Creating awareness amongst the staff about established policies and procedures * Providing training to employees to update and enhance their skills, knowledge & competence. * Ensuring effective implementation of Laboratory Management System in day to day activities. * Ensuring proper maintenance and Calibration of equipment. Monitoring, measuring and continually improving the conditions affecting the test. The Policy is communicated to all the employees and is reviewed once in year for its suitability and its effectiveness. Date: Managing Director 4.2.3 Management Commitment For development and implementation of Management System. Continually improving its effectiveness. 4.2.4 Communicate to the organization the importance of meeting customer requirements. Importance of meeting statutory and regulatory requirements. Maintain integrity of Management system when changes are planned and implemented. Quality Objectives Quantified monitoring and measurement statements for achieving policy SMART Examples – Which are SMART Objectives Reduce error in sample collection & identification. Reduce error in transportation and processing. Generate error free examination report. Optimize the turnaround time of all examinations. Attend complaints promptly to enhance customer satisfaction. Reduce equipment downtime. Ensure control of Z Score in testing and measurement. Ensure acceptable performance in External Quality Assessment Scheme. Enhance skill, competency and knowledge of employees through training. 4.2.5 Quality Manual Include or make reference to the supporting procedures including technical procedure. Include structure of the documentation used in the management system. Roles and responsibilities of technical management and quality manager. Responsibilities for ensuring compliance with International Standard. Document What is document? (Exercise mix documents /records-which are documents) Show cover page of Quality Manual, What do you notice? How to identify document? Preparing /reviewing/ approving/issuing Document changes, how will you carry out? Controlled/ uncontrolled External origin document Document structure. What is obsolete document? How will you ensure it is removed from point of use? How will you distribute documents? What is document? Documents may be in any form or type of medium which reflects in terms of information or guideline, following examples: paper (“hard copy”) magnetic electronic or optical computer disc photograph master sample Examples of Documents Generic Examples of Documents ( Soft/Hard) • • • • • • • • • • • • Policies System procedures Operational procedures Work instructions Blank forms Manuals Plans and programs Drawings and schematics Standards and specifications Videos Photographs, Snapshots Sample boards Good Document Control Identification & Traceability Authorities for Preparation, Review ,Approve & Issue of document Document Issue, Distribution & Control (To ensure Current document is available at point of Use) Document Change & Obsolete Control Control of External Origin Documents Master List Identification & Traceability of Document Name of the company & Logo Title of document Identification Number Issue/ Revision Number Issue/ Revision Date XYZ Ltd., Nagpur Title: APEX MANNUAL Page Control Doc.No: XYZ/EnMGR/AML Issue/Rev No: 01/00 Iss/Rev.Date: 01.05.15 Page No: 1 of 2 Authorities for Preparation, Review ,Approve & Issue of document Authority Sr.no Doc.Name Doc.No. Prepared & Reviewed & Issued By Approved By XYZ/POLICY MR MD XYZ/OBJECTIVE MR MD MR MD 1 Policy 2 Objectives 3 Apex Manual XYZ/AML Procedure/Work XYZ/SOP/ 4 Instructions Abbreviation of SOP Jr. Engineer/Activity Incharge Section/Departm ent Head Document Issue, Distribution & Control Master Copy: Original Copy generally kept with originator (Soft/Hard) Controlled Copy: Distributed at point of uses/locations with controlled number to the concern( Here to give current version, responsibility lies with Originator) In soft: Write protected and controlled sharing through server Uncontrolled/Reference Copy: For reference Reading ( Here there is no responsibility of originator Document Change & Obsolete Control Process Change: any modification to product, document, process, equipment, instrument, system, facility etc. Change control: procedure reviews, verifies, regulates, manages, approves and controls changes made to the existing operating system or facility or process or procedure or document or product of any combination The key principles of change control are understanding and documenting: What was done, why, when, where, by whom, how and Results, including the impact of changes to other processes. Sr. No. Steps to Change the Document 1 Changes are proposed (In the Format: Encl) 2 Change Reviewed by Preparing authority 3 Change approved by Approving Authority 4 Changes made in the document 5 Master list of document modified 6 Entry made in Document change record 7 New document issued to concerned person as per distribution list 8 Old document retrieved from the place of use , Marked as obsolete & filed separately Format of Document Change Request Sr. No 1. Date: 15.05.2015 Document Document Original 01 Name ID No Issue/Rev. no DCN No: Changes required More Columns XYZ/DC 01/00 Required in data collection Table Change Impact details( by Preparing authority/TL) Data Collection Reason for change Document adequacy Reviewed by (Preparing Authority):________________________(Sign,, Name, Date, Time) Approved By(Approving Authority):________________________(Sign,, Name, Date, Time) Format of Change Record Sr. No . 1 Docume nt change note no 01 Docume nt name Data Collection Document Identificati on No. XYZ/DC Origina New Date l Issue of Issue / /Rev Iss/R Rev no. no. ev. 01/00 Change made Issued to Columns 01.05. added in data As per 01/0 2015/ collection distribut 1 15.05. Table ion list 2015 Control of External Origin Documents SR.NO 1 2 Name of the standard ISO 17025:2005 Standard Operational System CDs Revision/year Publications Controlled By 2005 BIS MR ABC Support & Implementation Head 2015 Master List Of Document S.N NAME OF DOCUMENTS ISSU ISSUE/R PREPARE APPROVE ISSUE TO E/RE EV. D D DOCUMENT V. NO. NO. DATE BY BY YZPECS Level 1 1 2 Apex Manual Annual Internal Audit Calender Internal Audit Schedule 3 Internal Audit observation Sheet 4 Internal Audit Summary Report XYZ/MR/AM 01/05/ 01/00 L 15 MR Documents XYZ /MR/AIAC 01/00 XYZ /MR/IAS 01/00 XYZ /MR/IAO 01/00 XYZ /MR/IASR 01/00 MR 01.05.1 5 MR 01.05.1 5 MR 01.05.1 5 MR 01.02.1 5 MR General XYZ Manager Members General XYZ Manager Members General XYZ Manager Members General XYZ Manager Members General XYZ Manager Members Protection, Retrieval 4.3. DOCUMENT CONTROL Establish procedure for control of all documents (Internally generated or from external sources). Documents include:– – – – – – – Regulations Standards or other normative documents. Test and Calibration methods Drawings Software Specifications Instructions. Manuals Policy statements. Photograph Procedures Specifications Calibrations tables Charts Text Books Posters Notices Memorandum Hard or Soft Copy 4.3.2 Document Approval and Issue 4.3.2.1 Authorized person for preparation, review, Approval and issue of documents. Master list to identify current revision status. List for distribution of documents. Avoid use of invalid/ obsolete documents. 4.3.2.2 Procedure shall ensure: Availability of authorized editions of documents at user location Periodic review and revision of documents. Removal of invalid/ obsolete documents from all points of issue / use to avoid unintended use. Marking of obsolete documents, suitably, retained for legal or knowledge purpose. Identify documents uniquely. Identification shall include:– – – – Date of Issue and/ or revision. Page numbering & total no. of pages. Mark to signify the end of document. Name/ signature of issuing authority. 4.3.3 Document Changes. 4.3.3.1 The same function should review and approve the changes. Provide access to them to pertinent background information. Identify the changes in the documents (Itallyic). The procedure can include amendment of documents by hand if authorities are defined. In such case amendments should be clearly marked, initiated and dated. Describe in the procedure how changes in document are maintained and controlled in computerized system. Before you accept to carry out testing work, what will you ascertain? How will you amend the requirements? What requirements to be fulfilled while sub contracting the work? 4.4 Review of Requests, Tenders & Contracts WHO IS CUSTOMER OF THE LAB HOW MANY CUSTOMERS INTERNAL OR EXTERNAL CUSTOMERS HOW MANY SAMPLES WHAT TYPE OF AGREEMENT WITH CUSTOMER CHANGES IN CUSTOMER REQUIREMENTS 4.4 Review of Requests, Tenders & Contracts. a) b) c) 4.4.1 Establish the procedures for the review of requests, tenders and contracts. Ensure that:The requirements including the methods to be used, are adequately defined, documented and understood. The laboratory has the capability and resources to meet the requirements. The appropriate test and/ or calibration method is selected and is capable of meeting the customers requirements. Resolve any differences between requests or tender and the contract before work begins. Contract is applicable and acceptable to laboratory and the customers. Review Parameters for contract review:- Financial, Legal and Time schedule. Capability to execute work Physical capabilities. Personnel and information resources. Skill and expertise of personnel Earlier participation in inter laboratory comparisons or proficiency testing Running of trial test or calibration program using samples in order to determine uncertainties of measurement, limit of detection, confidence limits. Contracts may be written or oral. 4.4.2 Records of reviews be maintained including.: Discussion with customers. Review the work that is subcontracted. 4.4.4 Communicate to the customer any deviations from the contract. 4.4.5 For any amendments, review as per the contract review process be repeated. Communicate amendments to all concerned. SUBCONTRACTING WORK IF A LAB DOES NOT PERFORM ANY TESTING/CALIBRATION WORK AND SUB-CONTRACTS ALL THE WORK THEN WILL YOU GIVE ACCREDITATION TO IT??? TO WHICH LAB WORK CAN BE SUBCONTRACTED? WHICH TYPE OF WORKS CAN BE SUB-CONTRACTED? 4.5 Subcontracting of Tests & Calibrations 4.5.1 Work can be sub- contracted because of – – – – – – Workload Need of Expertise Temporary incapacity Permanent subcontracting Franchisee arrangements Give the work to a competent subcontractor who complies with ISO 17025. 4.5.2 Communicate the arrangement of sub contracting to customer in writing and get the approval preferably in writing. 4.5.3 Laboratory owns the responsibility for subcontracted works if it has initiated the process. 4.5.4 - Maintain register of subcontractors – Record of evidence that subcontractor’s compliance with ISO 17025. Purchase What needs to be observed, while purchasing the lab materials? What should be done after receiving material from supplier? How to evaluate Suppliers? What records are related to purchase? 4.6 Purchasing services and supplies. 4.6.1 Establish Policy & procedures for SELECTION and PURCHASE of services and supplies that affect quality of test. Procedure for purchase, Receipt, storage of reagents, laboratory consumables. 4.6.2 Material should be used only after inspection and ensuring that they meet the requirements. Services & Supplies should comply with specified requirement. Records of inspection be maintained. 4.6.3 Describe clearly the requirements of supplies and services in purchase documents. Review and approve the documents for technical content before release. Technical content may include: – – – – – – – – – – Type Class Grade Precise Identification Specifications Drawings. Inspection instructions Approval of Test results Quality required Management system standard. 4.6.4 Evaluate the suppliers and maintain record of evaluation. Customer Who is your customer? How will you access customer requirements? What are the customer requirements? How customer complaint be handled? 4.7 Service to the Customer 4.7.1 Cooperate with customer, understand requirements and request. Cooperation for:– Visiting the relevant areas of Lab – Preparation, Packaging and dispatch of test items needed by customer for verification purpose. Provide good communication, advice and guidance on technical matters. Maintain communication throughout the work. Communicate with customer if any major deviations or delays. 4.7.2 Obtain feedback from customers. Analyze and improve the system. 4.8 Complaints. Policy and procedure for resolution of complaints. Record of complaints, investigations and corrective actions. Complaint Redressal Process Non Conforming Work What is Non conforming work? How can non conforming work be noted? What should be done if non conforming work is observed? 4.9 Control of non – conforming Testing/ Calibration. 4.9.1 Establish policies and procedures to identify non – conforming work [Work that does not conform to its own procedures or the agreed requirements of the customers] Procedure shall ensure:a) The responsibilities and authorities for the management of nonconforming work are designated and actions (including halting of work and withholding of test reports and calibration certificates, as necessary) are defined and taken when nonconforming work is identified. b) An evaluation of the significance of the nonconforming work is made. c) Correction is taken immediately, together with any decision about the acceptability of the nonconforming work. d) Where necessary, the customer is notified and work is recalled. e) The responsibility for authorizing the resumption of work is defined. Take Corrective actions. 4.10 Improvement Improve the effectiveness of management system through the use of: Quality Policy Quality Objectives Audit results Analysis of Data Corrective Actions Preventive Actions Management Review CAPA What is difference between correction, corrective action and preventive action? How to carry out corrective action? Root cause Analysis. Cause effective diagram. Paired comparison. 4.11 Corrective Actions 4.11.1 General Corrective actions are required when – Non- conforming work occurs – Departure from the policies and procedures in the management system or technical operations occur. Problem with Management System can be identified through activities such as:– – – – – Contract of Non- conforming work Internal or External Audits Management Reviews Feedback from customers. Feedback from staff. Establish Policy and Procedure for Corrective Action. 4.11.2 CAUSE ANALYSIS Investigate to determine Root cause Potential causes can include: Customer requirements Samples Sample Specifications Methods and Procedures Staff Skills and training Consumables Equipment and its Calibrations. Cause and Effect “Skeleton” Materials Procedures Quality Problem People Equipment Fishbone Diagram Measurement Faulty testing equipment Incorrect specifications Improper methods Inaccurate temperature control Dust and Dirt Environment Human Machines Out of adjustment Poor supervision Lack of concentration Tooling problems Old / worn Inadequate training Defective from vendor Not to specifications Materialhandling problems Materials Poor process design Ineffective quality management Deficiencies in Testing design Process Quality Problem 4.11.3 Selection and Implementation of C.A. Identify Potential Corrective Actions. Select and Implement the action(s). Document required changes resulting from Corrective Actions. 4.11.4 Monitor the effectiveness of Corrective Actions. 4.11.5 Additional Audits. Audit the activities or areas if it is observed that compliance with Policies and procedures or compliance with International Standard is doubtful. Additional audit helps to confirm the effectiveness of corrective actions. Additional audit is necessary when a serious issue of risk to the business is identified. 4.12 Preventive Actions. 4.12.1 Identify needed improvements and potential sources of non – conformities. Plan the preventive action. Implement and monitor 4.12.2 Procedure for Preventive Actions should include the initiation of such actions and application of controls to ensure that they are effective. Preventive action is a pro – active process to identify opportunities to improvement rather than a reaction to the identification of problem or complaints. Preventive actions may involve: – – – – Analysis of data Trend Analysis Risk Analysis Proficiency testing results. Records What are records? How to identify records? How to maintain records How to destroy records? How to correct mistake in records? What is Record? A document which has been authenticated and cant be changed. An evidence about the past, especially an account/information kept in writing or some other permanent form - All documents are not records. - All records are documents CONTROL OF RECORDS IDENTIFICATION STORAGE & RETRIEVAL RETENTION TIME DISPOSAL MASTER LIST Record Indexing & Storage Master List Of Record S.N 1 2 3 4 5 6 ISSU ISSU RETE RECOR PREPAR APPRO E/RE E/RE ISSUE LOC NTIO D ED VED V. V. NAME OF RECORDS ATIO N N PERIO NO. NO. DATE BY BY TO D MR Records Annual Internal Audit PTPS/MR 01.05. Calender /AIAC 01/00 15 PTPS/MR 01.05. Internal Audit Schedule /IAS 01/00 15 Internal Audit PTPS/MR 01.05. observation Sheet /IAO 01/00 15 Internal Audit Summary PTPS/MR 01.05. Report /IASR 01/00 15 PTPS/MR 01.05. Non conformity Report /NCR 01/00 15 PTPS/MR 01.05. Document Change Note /DCN 01/00 15 MR General PTPS MR Manager Members Cabin 3 Yrs. MR General PTPS MR Manager Members Cabin 3 Yrs. MR General PTPS MR Manager Members Cabin 3 Yrs. MR General PTPS MR Manager Members Cabin 3 Yrs. MR General PTPS MR Manager Members Cabin 3 Yrs. MR General PTPS MR Manager Members Cabin 3 Yrs. 4.13 Control of Records 4.13.1 General 4.13.1.1 Establish and maintain procedure for : Identification Collection Indexing Access Filing Storage Maintenance Disposal of Quality & Technical records. Quality records include:– Reports form Internal Audits. – Reports of Management Review. – Records of Corrective & Preventive Actions. Records should be – Legible – Retrievable – Protected from damage, loss Retention time Records may be in Hard Copy or Electronic Media. Security and confidentiality of Records Electrically stored records: – – – – Protection Back up of records Prevent unauthorized access Prevent amendment of records 4.13.2 Technical Records 4.13.2.1 Retain the records for defined Period Records of Original observations. Derived data. Information to establish an audit trait. Calibration records Staff records Copy of each test report Copy of Calibration Certificate issued. Record of each Test/ Calibration should include sufficient information to– Identify factors affecting uncertainty – Repetition of test under conditions as close as original Include– – – – Identity of person responsible for Sampling Performance of each test Checking of results. Technical records are accumulation of data and information which result from carrying out tests/ calibrations and which indicate whether specified quality or process parameters are achieved. These may include:Forms Contracts Work checks Work Books Check Sheets Work Notes Contract Graphs External and Internal test Reports Calibration Certificates Customers Notes papers and Feedback. 4.13.2.2 Observations, data and calculations should be recorded at the time they are made and shall be identifiable to the specific task. 4.13.2.3 If mistake occurs in recordsCross out each mistake. Do no Erase. Make it illegible or delete it. Enter corrected value alongside. Person making alterations/ correction should sign and initial. In case of electronic record similar actions be taken to avoid loss or change of original data. Internal Audit What is internal audit? Why to carry out internal audit? Internal Audit Process Review for evaluation of system against set system Frequency: Quarter/Six Monthly Output: Improvement of System Audit Documents: – – – – – Internal Audit Annual Calendar IA Schedule IA Observation Sheet IA Summery Sheet NCR 4.14 Internal Audit 4.14.1 Conduct internal audit to verify that: The operations comply with the requirements of management system & ISO 17025. Prepare procedure and schedule of internal audit. Internal audit program should cover all elements of management system. Quality manager should plan and organize audits. Audit should be conducted by independent, trained and qualified personnel. 4.14.2 If during the audit effectiveness of the operation or the correctness of results is doubtful, take timely corrective actions, Inform customers if it is found that Lab results might have been affected. 4.14.3 Record the area of activity audited, audit findings & Corrective Actions. Verify the effectiveness of implementation through following audit. Management Review What is management review? What should management review about lab? Management Review By Top Management – covers Process Performance Customer Feedback Non conformity & Corrective actions Statutory & Regulatory Compliance Resource Provision Audit Results Opportunity for improvement 4.15 Management Review 4.15.1 Conduct regular management review meetings to ensure continuing suitability and effectiveness Agenda The suitability of policies and procedures. Reports from managerial and supervisory personnel. The outcome of recent internal audit. Corrective and preventive actions. Assessments by external bodies. The results of inter-laboratory comparisons or proficiency test. Changes in the volume and type of the work. Customer feedback Complaints. Recommendations for improvement Other relevant factors, such as quality control activities, resources and staff training. 4.15.2 Record minutes of management reviews Take actions on recommendations of Management Reviews. 5. TECHNICAL REQUIREMENTS 5.1.1 Factors affecting the correctness and reliability of tests / Calibration Human Factors Accommodation and Environmental conditions Tests and Calibration Methods and method of validation. Equipment Measurement Traceability Sampling Handling of Tests & Calibration items. 5.1.2 The extent to which these factors contribute to the total uncertainty of measurement differs considerably between types of Tests & between types of calibrations. * These factors to be considered for Developing test and calibration methods and procedures. Training and qualification of personnel Selection and calibration of equipments and uses. 5.2 PERSONNEL Ensure competence of all who Operate specific equipment Perform tests and / or calibrations Evaluate results Sign test reports and Calibration certificates Provide supervision of staff undergoing training Qualified staff Education Training Experience Demonstrated Skills. Personnel certification as required by Regulatory bodies. Customers. Standards in specific areas. Requirements for personnel responsible for opinions and interpretations included in reports: Qualification Training Experience Satisfactory knowledge of Testing work. Relevant knowledge of the technology used for manufacturing of the items, materials, products tested. Knowledge of way the products are to be used or intended to be used. Defects or degradation which may occur during or in service. Knowledge of the general requirements of legislation and standards. Understanding of the importance of deviations found with regard to normal use of products, items or materials. Training Formulate the goals w.r.t. education, training and skills of Lab personnel. Define Policies and Procedures for identifying training needs and providing training. Relevance of training program for the present and future anticipated tasks. Effectiveness of training. Contract Personnel Can be employed. Provide supervision. Are competent. Work according to Lab’s Management System. 5.2.4 Maintain job descriptions for managerial, technical and key support personnel. Job Descriptions should include responsibilities for Performing tests/ calibrations Planning of tests/ calibrations & evaluation of results. Reporting opinions and interpretations. Method modification and development Validation of new methods. Expertise and experience required. Qualifications and training programmes. Managerial duties. 5.2.5 AUTHORISATION. To perform particular types of sampling, tests, calibration. To issue test reports and calibration certificates. To give opinions and interpretations. To operate particular type of equipment 5.2.5 Record of Relevant Authorization with date Competence Educational and professional qualifications. Training Skills Experience of all Technical and Contractual personnel. Ready availability with date. 5.3. ACCOMODATION AND ENVIRONMENTAL CONDITIONS 5.3.1 For correct performance of the tests/ calibrations. Environmental conditions should not invalidate the results or adversely affect required quality of measurement. Care at site, while taking sample Technical requirements for accomodation and environmental conditions affecting tests needs to be documented. 5.3.2 Conditions affecting Test results. Dust Electromagnetic disturbances. Radiation Humidity Electrical Supply Temperature Sound Biological Sterility Vibrations. Monitor, control and Record Environmental conditions as required by relevant specifications, methods or procedures. Stop the tests/ calibration if the environmental conditions are jeopardizing the results of tests. 5.3.3. Separation between neighboring areas to prevent CrossContaminations/Interference. 5.3.4. Limited access to test area as required. Control the access. 5.3.5 Good Housekeeping Procedure if required for housekeeping. 5.4 TESTS AND CALIBRATION METHODS AND METHOD VALIDATION 5.4.1 Methods and Procedures for – Sampling Handling Transport Storage Preparation of items to be tested/ calibrated. Estimation of measurement uncertainty Statistical techniques for analysis. Instructions for Use and Operation of the relevant equipment Handling and preparation of items of Testing Keep updated and make available all relevant instructions, standards, manuals and reference data. Deviation from tests and calibration methods is acceptable if deviation is Documented Technically justified. Authorized Accepted by Customer. International Standards, National Standards or other regional specifications may not be rewritten as procedures, 5.4.2 SELECTION OF METHODS Test and/or Calibration methods should Meet the requirements of the customer Appropriate for the purpose Methods published in International, National, Regional standards preferably be use. Use latest version of the standard. Use of methods given in scientific texts/ journals, specified by manufacturer of equipment. Non – standard methods to be confirmed with the customer. If standard method changes, confirmation with the customer shall be repeated. Confirm with the customer if the method suggested by customer is outdated or inappropriate. 5.4.3 Laboratory Developed Methods Develop tests and calibration methods in a planned way. Assign qualified personnel with resources. Ensure effective communication. 5.4.4 Non- standard Methods Take customer approval Give clear specification of customer requirement State purpose of Test Validate before use. 5.4.4 For new test/ calibration method, procedure should be developed to contain the following:a) Appropriate identification. b) Scope. c) Description of the type of item to be tested or calibrated. d) Parameters or quantities and ranges to be determined. e) Apparatus and equipment, including technical performance requirements. f) Reference standards and reference materials required. g) Environmental conditions required and any stabilization period needed. h) Description of the procedure, including - affixing of identification marks, handling, transporting, storing and preparation of items. - checks to be made before the work is started. - checks that the equipment is working properly and, where required, calibration and adjustment of the equipment before each use. - the method of recording the observations and results. - any safety measures to be observed. i) Criteria and/ or requirements for approval / rejection j) Data to be recorded and method of analysis and presentation. k) The uncertainty or the procedure for estimating uncertainty. 5.4.5 Validation of methods Validation is the confirmation by examination and the provision of objective evidence that the particular requirement for a specific intended use are fulfilled . To ensure methods are fit for intended use. Methods to be validated. Non- standard methods Laboratory designed/ developed methods Standard methods used outside their intended scope. Amplifications and modifications of the standard methods. Validation may include procedures for sampling, handling and transportation. Techniques used for determining the performance of method: Calibration using reference standard or reference material. Comparison of results achieved with other methods. Inter Laboratory comparison. Systematic assessment of the factors influencing the result. Assessment of the uncertainty of the results. 5.4.5.2 If some changes are made in the validated standard methods the influence of such changes should be documented and new validation should be carried out. 5.4.5.3 The range and accuracy of the values obtained from the validated methods include Uncertainty of the results. Detection limit. Selectivity of the method Linearity Limit of repeatability & reproducibility Robustness against external influences. Cross sensitivity against interference from the matrix of the sample/ test object. Validation includes: Specification of the requirements Determination of the characteristics of the methods Check that requirements can be fulfilled by using the method Statement on the validity. Regular reviews should be carried out during the development of the method. To any changes in the development plan, the same should be approved and authorized. Validation is a balance between costs, risks and technical possibilities. 5.4.6 Estimation of uncertainty of measurement 5.4.6.1 Estimate the uncertainty of measurement for all calibrations and types of calibrations. Reasonable estimation of uncertainty based on knowledge of the performance of the method, and on the measurement of scope is needed. Rigorousness of uncertainty measurement depends on- The requirements of test method - Requirements of the customer. - Existence of narrow limits on which decisions on conformity to specifications are based. Sources of uncertainty Reference standards. Reference material used. Methods and equipment used. Environmental conditions. Properties and conditions of the item being tested. Operator. When estimating the uncertainty of measurement, all uncertainty components which are of importance in the given situation will be taken into account using appropriate method of analysis. 5.4.7 CONTROL OF DATA 5.4.7.1 Ensure proper checks on calculations and Data transfers. 5.4.7.2 When automated equipment or computers are used for Acquisitions Processing Recording Reporting Storage Retrieval of test/ calibration data Ensure – Computer software is documented and validated. Procedures for protecting data are established and maintained covering Integrity & confidentiality of data entry Data storage Data transmission Data processing. Proper environmental and operating conditions are provided to computers/ equipments. 5.5 EQUIPMENT 5.5.1 Lab should have – All items of sampling Measurement and test equipment for all the work carried out 5.5.2 Equipment/ softwares should be capable of carrying the work. Establish the calibration programmes for key quantities or values of instruments. Before use calibrate and check instruments. 5.5.3 Provide authorization for operating equipment Provide upto date instructions for use. 5.5.4 Uniquely identify each item of equipment or software. 5.5.5 Maintain records of each item of equipment covering the following:a) The identity of the item of equipment and its software. b) The manufacturer’s name, type identification, and serial number or other unique identification. c) Checks that equipment complies with the specification d) The current location, where appropriate. e) The manufacturer’s instructions, if available, or reference to their location. f) dates, results and copies of reports and certificates of all calibrations, adjustments, acceptance criteria, and the due date of next calibration. g) The maintenance plan, where appropriate and maintenance carried out todate. h) Any damage, malfunction, modification or repair to the equipment. 5.5.6 Procedures to ensure proper functioning and to prevent contamination or deterioration be prepared for Safe handling Transport Storage Use General maintenance 5.5.7 The equipments which are mishandled or overloaded give suspected results. For such equipments Isolate to prevent its use Mark as out of service. Examine effect on previous tests carried out. Use “control of Non – conforming work” procedure. 5.5.8 Identifying all equipments with Equipment identification number Date of calibration Due date of calibration 5.5.9 If equipment is sent for outside work, check the function and calibration status before the equipment is used again. 5.5.10 Carry out the intermediate checks related to calibration status as per procedure. 5.5.11 The resulting correction factors of calibration are incorporated in measurements. 5.5.12 Safeguard the equipments from invalidating the test / calibration results. 5.6 MEASUREMENT TRACEABILITY 5.6.1 All equipment should be calibrated before being put to use. Plan the programme for calibration including system:– – – – – – – Selection Use Calibration Check Control Maintain Measurement standards reference materials and measuring equipment. 5.6.2.1 Calibration For calibration Laboratories design and create the calibration program traceable to the “International System of units (SI)” SISysteme International d unites Calibration certificate obtained shall contain: – Measurement results – Measurement uncertainty – Compliance with an identified methodological specifications. 5.6.2.12 Where calibration cannot be made in SI Units, traceability to appropriate measurement standards such as:– Use of certified reference materials provide by competent supplier. – Use of specified materials, and or consensus standards. Participation in a suitable programme of interlaboratory comparison is required where possible. 5.6.2.2 TESTING 5.6.2.2.1 For Testing Laboratory Their requirement given in 5.6.2.1 apply Equipment used should provide the uncertainty of measurement needed. 5.6.2.2.2 Traceability of measurements to SI units is not possible then refer 5.6.2.1.2 5.6.3 Reference standards & reference materials. 5.6.3.1 Reference Standards Programme & procedure for calibration of reference standard. Calibration agencies traceability Use reference standards only for calibration. Calibrate reference standards before and after any adjustments. 5.6.3.2 Reference materials. Be traceable to SI units of measurements or to certified reference materials. Check the Internal reference material. 5.6.3.3 Intermediate checks Carry out the checks of the calibration status of reference materials, working standards as per the procedures and schedules. 5.6.3.4 Transport and storage Procedure for :– – – – – Safe Handling Transport Storage Use of reference standards Reference materials To prevent contamination or deterioration To protect integrity. 5.7 SAMPLING 5.7.1 Sampling Plan and procedure where sampling is carried out. Make available sampling plan at location where sampling is carried out. Sampling plan shall be based on statistical methods. Sampling process shall address the factors to be controlled to ensure validity of the test and calibration results. Sampling is a defined procedure whereby a part of a substance / material or product is taken to provide for testing or calibration of a representative sample of the whole. Certain specifications gives sampling plan. Sampling procedure shall describe – – – – Selection Sampling plan Withdrawal Preparation of sample from substance 5.7.2. If customer requires deviations from the documented sampling plan – - Record the requirements - Communicate to the concerned. 5.7.3 Procedure for recording relevant data and operations relating to sampling. Records should include:– – – – – Sampling procedure used Identification of the samples Environmental conditions. Diagrams to identify sampling location. Statistics on which sampling procedure are based. 5.8 HANDLING OF TEST AND CALIBRATION ITEMS. 5.8.1 Establish the procedure for Transportation Receipt Handling Protection Storage Retention Disposal Of Test / Calibration items. 5.8.2 Establish a system for identifying test/ calibration items. Retain identification throughout the life of the item. System of identification be clear to avoid any confusion w.r.t. Physical, reference records, or other documents. System to include a Subdivision of groups of items and transfer of items within and from the laboratory. 5.8.3 On receipt of Test/ Calibration Items: Record the abnormalities or departures from normal or specified conditions as given in test/ calibration method. If there is doubt about suitability of material or when non – conforming material is received or when test/ calibration requirement are not specified in sufficient detail Consult the customer and record the discussion. 5.8.4 Procedures and appropriate facilities for avoiding deterioration, loss or damage to the test/ calibration item during storage, handling and preparation. Follow the handling instructions for the item. Maintain, Monitor and record environmental conditions. Arrangements for storage and security. When test item are to be returned into service after testing take special care that they are not damaged or injured during the handling, testing and storing. A Sampling, procedure on storage and transport of samples be provided. 5.9 ASSURING THE QUALITY OF TEST AND CALIBRATION RESULTS. 5.9.1 Establish Procedures for monitoring the validity of tests and calibrations undertaken. Monitor trends, use statistical techniques. Monitoring shall be planned and reviewed covering a) regular use of certified reference materials and/ or internal quality control using secondary reference materials. b) Participation in interlaboratory comparison or proficiency – testing programmes. c) Replicate tests or calibrations using the same or different methods. d) Retesting or recalibration of retained items. e) Correlation of results 5.9.2 Quality control data be analyzed and where they are found to be outside pre – defined criteria, planned action be taken to correct the problem and prevent incorrect results from being reported. 5.10 REPORTING THE RESULTS 5.10.1 Report the results Accuracy Clarity Unambiguously Objectively Report Test report or calibration certificates include: All the information requested by customer. Information required by method used. Incase of internal customers the results can be reported in simplified way. 5.10.2 Information required on Test report or Calibration certificate a) A title (e.g. “Test Report” or “Calibration Certificate”) b) The name and address of the laboratory, and the location where the tests and/ or calibration were carried out, if different from the address of the laboratory. c) Unique identification of the test report or calibration certificate (such as the serial number) and on each page an identification in order to ensure that the page is recognized as a part of the test report or calibration certificate, an a clear identification of the end of the test report or calibration certificate. d) The name and address of the customer. e) Identification of the method used. f) A description of the condition of and unambiguous identification of the item(s) tested or calibrated. g) The date of receipt of the test or calibration item (s) where this is critical to the validity and application of the results, and the date(s) of performance of the test or calibration. h) Reference to the sampling plan and procedures used by the laboratory or other bodies where these are relevant to the validity or application of the results. i) The test or calibration results with, where appropriate, the units or measurement. j) The name (s), function (s) and signature (s) or equivalent identification of person(s) authorizing the test report or calibration certificate. k) Where relevant, a statement to the effect that the results only to the items tested or calibrated. NOTE 1 Hard copies of test reports and calibration certificates should also include the page number and total number of pages. NOTE 2 It is recommended that laboratories include a statement specifying that the test report or calibration certificate shall not be reproduced except in full, without written approval of the laboratory. Test Certificate 5.10.3.1 a) Deviations from, additions to, or exclusions from the test method, and information on specific test conditions, such as environmental conditions. b) Where relevant, a statement of compliance/ non – compliance with requirements and / or specifications. c) Where applicable, a statement on the estimated uncertainty is needed in test reports when it is relevant to the validity or application of the test results, when a customer’s instruction so requires, or when the uncertainty affects compliance to a specification limit. d) Where appropriate and needed, opinions and interpretations e) Additional information which may be required by specific methods, customers or groups of customers. 5.10.3.2 a) The date of sampling. b) Unambiguous identification of the substance, material or product sampled (including the name of the manufacturer, the model or type of designation and serial numbers as appropriate). c) The location of sampling, including any diagrams, sketches or photographs. d) A reference to the sampling plan and procedure used. e) Details of any environmental conditions during sampling that may affect the interpretation of the test results. f) Any standard or other specification for the sampling method or procedure, and deviations, additions to or exclusions from the specification concerned. 5.10.4.1 a) The conditions (e.g. environmental ) under which the calibrations were made that have an influence on the measurement results. b) The uncertainty of measurement and/or a statement of compliance with an identified metrological specification or clauses thereof. c) Evidence that the measurements are traceable 5.10.4.2 Calibration certificate should relate only to the quantities and results of functional tests. If a statement of compliance with a specification is made, this shall identify which clauses of the specifications are met or not met. When statement of compliance are made, the records of measurement results and associated uncertainties be maintained. 5.10.4.3 If instrument for calibration is adjusted or repaired, the calibration results before and after adjustment or repair is recorded. 5.10.4.4 A calibration certificate shall not contain any recommendation on the calibration interval except when this has been agreed with the customer. This requirement may be superseded by legal regulations. 5.10.5 OPINIONS AND INTERPRETATIONS. Opinions and Interpretations included in test report may comprise– An opinion on the statement of compliance / non – compliance of the results with requirements. – Fulfillment of contractual requirements. – Recommendations on how to use the results. – Guidance to be used for improvement. Document the basis upon which opinions or interpretations are made. Mark these clearly on test reports. 5.10.6 TESTING AND CALIBRATIONS RESULTS OBTAINED FROM SUBCONTRACTORS. Identify these results clearly. Obtain results in writing or electronically Get the calibration certificate to the contracting laboratory. 5.10.7 Electronic Transmission of Results Refer 5.4.7 if reports are send by telephone, telex, email etc. 5.10.8 Format of reports and certificates The format design to include information to minimize possibility of misunderstanding and misuse. Standardize headings. Ensure easy assimilation by reader. 5.10.9 Amendments to test reports and Calibration certificates. Include the statement. “Supplement to Test Report (or Calibration Certificate), Serial No.” If a new certificate is to be issued identify it newly giving reference to original.