Equipment maintenance and calibration checks Guideline Purpose and use of this guideline document Where there is a requirement for the analysis or evaluation of clinical trial samples to be performed to GCP standards, all equipment used for the storage, handling, analysis and disposal of samples must be adequately tested, calibrated, serviced and maintained. This document provides guidelines for how this can be approached in general, and also describes calibration procedures for specific types of instruments in common use. It can be used for the development and implementation of trial- and/or laboratory-specific written procedures. Record keeping Records of equipment service, maintenance and calibration must be maintained and available for inspection. Example forms are available and are referenced where appropriate in the body of this document below. All records must be stored safely and securely throughout the trial and archived with the other trial documents when the trial closes. Developing written procedures You are advised to include the following: A description of the piece(s) of equipment covered. The name or job title of the person(s) responsible for carrying out the procedures and the maintenance and storage of records (it is recognised that routine servicing and calibration checks are often carried out by equipment manufacturers under service contracts, and records are kept centrally by Technical Managers). Procedures developed from the guidelines below. Adverse events You are strongly advised to consider the actions to be taken should a piece of equipment fail, or fail a calibration check, and what impact this may have on sample integrity or analysis. The failure of the equipment and the repairs to be carried out should be recorded, as should the impact assessment. Other guideline documents and example forms are available to help with the development of specific procedures for adverse events and the records associated with this (see UoB-CLN-LAB-QCD-010 Impact assessment of equipment failure or equipment calibration failure, UoB-CLN-LAB-QCD-016 Adverse Events in the analytical laboratory, UoB-CLN-LAB-QCD-019 Procedures following failure of storage unit, UoB-CLN-LAB-QCD-021 Equipment maintenance record, UoB-CLN-LAB-QCD-029 Impact assessment of equipment failure of equipment calibration failure and UoB-CLN-LAB-QCD-032 Adverse Event report). General guidelines New equipment Ensure that new equipment is tested and only released for use when it is performing adequately. Labelling of equipment Assign a unique ID number to each piece of equipment and label the equipment clearly with this number. Label equipment with the date when the next routine service or calibration check is due. Label any uncalibrated equipment as such. UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 1 of 6 Equipment maintenance and calibration checks Guideline If a piece of equipment fails, fails a calibration check or becomes otherwise unfit for use, label with ‘Out of Use’. Deciding on service, maintenance and calibration check requirements Assess this jointly with Technical Manager(s), manufacturers, or expert users of the equipment. Base on the manufacturer’s recommendations, use of the equipment, stability of measurement and the consequences of the equipment failing or being found outside acceptable calibration. Calibration checks Identify an acceptable range of results for a particular instrument. Use a recognised national or international reference standard where possible, or a standard that has documented traceability to a national/international reference standard. For instruments that are normally calibrated with each use (e.g. pH meters, osmometers, HPLCs, some scanners, sequencers), record the ‘as used’ calibrations as part of the analytical detail recorded. Record keeping Consider setting up a separate Equipment maintenance record for each piece of equipment (for an example form see UoB-CLN-LAB-QCD-021 Equipment Maintenance Record). Record all routine service, maintenance and calibration checks. Date and initial all entries. If an item of equipment fails, or fails a calibration check, record this information together with details of repairs. If routine maintenance or calibration is missed for any reason, indicate this on the records with a statement such as ‘not taken’ or ‘not carried out’ so that the record is not left blank. Instructions for calibration checks Air-displacement pipettes Air-displacement pipettes require calibration checks to ensure that the volumes dispensed are accurate. It is recommended that pipette function checks, seal checks and calibration checks are carried out at least once every 6 months (or more regularly if failures occur). It is common practice for air-displacement pipettes to be checked and calibrated by pipette specialists or manufacturer or equivalent and records/certificates should always be kept. However it is also possible for this to be carried out ‘in house’. Consider following the instructions below and develop a written procedure accordingly. Example forms are available (see UoB-CLN-LAB-QCD-022 Single channel pipette calibration check record and UoB-CLN-LAB-QCD-023 Multi channel pipette calibration check record). General points 1. Pipettes used to dispense volumes of 10μl or less should not be calibrated ‘in house’. 2. It is strongly recommended that all pipettes should be stored vertically on a dedicated stand between uses. Pipette function and seal check 1. Check the pipette for signs of damage and poor action, no damage should be apparent and the pipetting action should be smooth. 2. Attach a clean tip securely to the pipette. 3. Draw up into the pipette tip the maximum volume handled by the pipette. 4. Suspend the pipette vertically, tip downward for 1 minute. 5. Observe for droplet formation from the tip(s). UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 2 of 6 Equipment maintenance and calibration checks Guideline 6. If a drop forms then the pipette should be cleaned and the seals replaced as necessary. 7. Record details of pipette function and seal check. ‘In house’ calibration check (single channel pipettes) 1. Ensure the balance used is level and within calibration. 2. Each pipette should have a new record for each calibration check. 3. Set the volume on the pipette according to the pipette size, as shown in Table 1 below. 4. Firmly attach a clean tip to the pipette. 5. Pipette and discard two volumes to wet the pipette tip. 6. Pipette distilled or deionised water (at ambient temperature) into a tared weighing boat on the balance. Record the weight of the volume and repeat until 10 volumes have been dispensed (zero the balance between each volume). Work as quickly as accuracy allows in order to reduce the evaporative loss of water. 7. Any dispensing operation where water is seen to be retained in the tip (i.e. pipetting error) may be rejected and replaced with an additional weight. 8. Calculate and record the mean dispensing weight. This should be within the range specified in Table 1 below. 9. Each individual accepted weight should be in the range of +/- 10% of the mean dispensing weight. 10. If the mean dispensing weight and the individual weights are inside the specified range, the pipette is acceptable for use. 11. If the mean dispensing weight and any individual weight are outside the specified range, the pipette should be re-checked up to a total of three times: o The pipette is acceptable if the individual and mean weights obtained from two out of three checks are within the specified ranges o The pipette is unacceptable if the individual and mean weights obtained from two out of three checks are outside the specified range 12. If the pipette is acceptable, re-label it with the next “calibration check due” date. Table 1 Pipette ranges Set volume Specified range weight of water * 10 - 20 l 20 l 19.7 - 20.3 mg 10 - 50 l 20 l 19.7 - 20.3 mg 10 - 100 l 50 l 49.6 - 50.6 mg 50 - 200 l 100 l 99.2 - 101.2 mg 20 - 500 l 250 l 248.6 - 252.6 mg 200 - 1000 l 500 l 496 - 506 mg 1000 - 5000 l 2000 l 1985 - 2026 mg * This value has been corrected for deionised water at 18.5°C and 907 mbar air pressure (Z = 1.0025). It is to be used for calibration checks undertaken within the temperature range 12.0 - 25.0°C. ‘In house’ calibration check (multi channel pipettes) 1. Ensure the balance used is level and within calibration. 2. Each pipette will have a new record for each calibration check. 3. Place a fresh tip firmly on each channel of the pipette. UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 3 of 6 Equipment maintenance and calibration checks Guideline 4. Draw the liquid up into the tips, hold the pipette vertically and observe the level of the liquid in the tips: o If the liquid level is uniform across the tips proceed to the next section. o If the level is different between tips then the pipette requires repair. 5. Set the volume according to Table 1 above. 6. Pipette distilled or deionised water (at ambient temperature) from all channels simultaneously into a tared vessel. Record the weight of the volume and repeat until 10 volumes have been dispensed (zero the balance between each volume). 7. Record the volume dispensed from each channel by using the following calculation: Mean weight of water per channel (mg) = Total weight of water (mg) 10 x number of channels 8. The mean weight should be in the range specified in Table 1. 9. If the mean weight is outside the specification range the pipette should be rechecked up to a total of three times: o If two means are within specification the pipette is acceptable o If two means are outside specification then the pipette is unacceptable 10. Each time a multi channel pipette fails a calibration check the information must be recorded on the calibration record together with details of repairs. 11. If the pipette is acceptable, re-label it with the next “calibration check due” date. Thermometers and temperature probes Uncertified thermometers and temperature probes are commonly used to monitor temperature controlled equipment. Some electronic temperature probes or logging devices may be calibrated and certified externally and records/certificates should always be kept, however it is very likely that some will require in-house calibration checks. An example form for recording calibration checks of thermometers and temperature probes is available (see UoB-CLN-LAB-QCD-024 Thermometer and temperature probe calibration check record). Note: Some fridges or freezers may have more than one temperature monitoring probe, for example, there may be an electronic pre-installed probe, and there may be a temperature probe sited within the freezer which is linked to monitoring software/dial-out alarms etc. It is vital to make it clear which probe is being used as the primary temperature monitor; wherever possible this should be the probe connected to the dial-out alarm system. Calibration check 1. Uncertified electronic thermometers and temperature probes require a calibration check against a certified reference thermometer each calendar year and non-electronic thermometers require a calibration check every five years. 2. Certified reference thermometers (electronic or otherwise) must be sent to an accredited calibration facility for recertification every calendar year. 3. If thermometer/probe calibration checks are being carried out within the cold room ensure the door is fully closed. 4. During calibration checks in a water bath/beaker of water, immerse the certified thermometer to the extent required by the individual device, and immerse the test thermometer or probe to the extent marked on the individual device or inferred by the device literature. 5. Where heated water baths are used, turn off the heater to read the thermometers to reduce the differential time responses to temperature change that may occur between the test and reference thermometer. 6. Always allow temperature readings to equilibrate for 30 minutes or until the temperature readouts are seen to be stable. UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 4 of 6 Equipment maintenance and calibration checks Guideline 7. Record the actual temperature reading of both the certified thermometer, and the in-use thermometer or probe. 8. Following a successful calibration check label the equipment with the date when the next routine calibration check is due. 9. Acceptable readings are: – 70C or colder + 5C – 20C or colder + 3C + 37C + 1C + 4C to Laboratory balances Balances should be labelled clearly with the ‘working’ range. An example form for recording calibration checks of laboratory balances is available (see UoB-CLN-LAB-QCD-025 Balance calibration check). Calibration check 1. Balances should be checked using a set of certified weights (directly traceable to national standards) once every month. 2. These certified weights should be sent to be recertified to national standards every two years. 3. For all balances three different weights should be used which reflect the weighing range of the balance (ideally at the upper, lower and middle of the ‘working’ range for each balance). o Weights must not be handled directly. o For larger weights wear cotton or similar gloves (no powdered gloves) and use forceps for small weights. 4. The table below shows the reference weights available and the range of acceptable readings. Reference weight (g) Acceptable range (g) 0.001 0.00095 - 0.00105 0.05 0.0495 - 0.0505 1 0.99 - 1.01 10 9.9 - 10.1 100 99 - 101 500 498 - 502 1000 999-1001 2000 1998 - 2002 UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 5 of 6 Equipment maintenance and calibration checks Guideline Related documents UoB-CLN-LAB-SOP-001 Procedures for GCP compliance in the laboratory UoB-CLN-LAB-QCD-010 Impact assessment of equipment failure or equipment calibration failure UoB-CLN-LAB-QCD-016 Adverse events in the analytical laboratory UoB-CLN-LAB-QCD-019 Procedures following failure of storage unit UoB-CLN-LAB-QCD-021 Equipment maintenance record UoB-CLN-LAB-QCD-022 Single channel pipette calibration check record UoB-CLN-LAB-QCD-023 Multi channel pipette calibration check record UoB-CLN-LAB-QCD-024 Thermometer and temperature probe calibration check record UoB-CLN-LAB-QCD-025 Balance calibration check record UoB-CLN-LAB-QCD-029 Impact assessment of equipment failure or equipment calibration failure report UoB-CLN-LAB-QCD-032 Adverse event report UoB-CLN-LAB-QCD-002 Equipment maintenance and calibration checks v1.0 (EAv1.0) Page 6 of 6