METHOD WITNESS (OPIEF) FORM CUSTOMER: ASSESSOR REPORT ASSESSMENT DATE(S): Page ___ of ___ METHOD REVIEW MATRIX Parameter/ Test Name or Technology Depth of Assessment *see codes Name(s) of Personnel interviewed DATE COMPLETED: Standards/ Equipment/ Ref. Materials Procedure/ Operating Instructions Measurement Uncertainty Verification Traceability; Verification/ Calibration Sampling; Handling/ Preparation Quality Checks Records Report/ Certificate ASSESSOR: NOTES: *O = Observed Test; P = Procedure Reviewed; I = Interviewed Personnel; E = Equipment Inspected; F = Field (On-Site); NR = Not Running ACLASS & FQS Form 57 Method Witness (OPIEF) Form May 14, 2013 INSTRUCTIONS FOR COMPLETION OF SCOPE/METHOD ASSESSMENT REVIEW Please complete table for each parameter/test/technology and the corresponding method(s) in the following categories: Parameter, Test Name or Technology: For calibration labs, list parameter and tool (dimensional-calipers, force, etc.); For testing labs list Test category and name (Chemical, Biological, etc.) and GC-MS or Salmonella Depth of Assessment: Record the extent to which the parameter/test was assessed as follows: o O = Observed Calibration or Test o I = Interviewed Person(nel) o P = Procedure Reviewed o E = Equipment Inspected o F = Field (On-Site) Calibration and/or Test You may have a combination of the above (e.g. O/I/P, I/P, I/E, O/I/E/F) You must verify, at a minimum, that the laboratory has the equipment, method, and trained personnel to perform each calibration/test on the proposed Scope of Accreditation. Personnel Interviewed: List name(s) of personnel with prospective competence for the method. Environmental Conditions,: Indicate whether the environment/facility/equipment was suitable for the methods listed, and any environmental monitoring devices (which may also require traceability).. Standards/Equipment//Reference Materials: all reference standards and equipment utilized, trying to list all those mentioned on the proposed scope of accreditation, Procedure/Operating Instructions: Indicate the specific laboratory internal procedures or instructions for performing the calibration or test, and whether they were acceptable. Be sure to note the same methods as noted on the proposed scope of accreditation. Measurement Uncertainty: Indicate whether uncertainty analysis is required for the method; if required, indicate if laboratory analysis is acceptable. May indicate to be verified later (TBV) Verification/Calibration: Indicate whether the calibration or verification data for the relevant equipment is acceptable, and any objective evidence observed. Sampling; Handling/Preparation of Items: Indicate all protective gear used for the methods, whether the laboratory performs any sampling for the listed methods, and indicate if those activities, as well as any handling or preparation performed, are acceptable. Quality Checks: Indicate what quality checks are in place and whether they are acceptable. Records: Indicate whether the appropriate records are maintained for the listed methods, and what records were reviewed. Note all hand-written. Logbooks, or forms utilized. Many may have differing record retention times. Report/Certificate: Indicate whether the results for the listed methods are appropriately reported in accordance with 17025 and any requirements of the methods. Note if reports issue out of a database, electronic or templates. See example below: 17025 ASSESSOR REPORT LAB: ASSESSMENT DATE(S): 24-25 December 2010 Page __1_ of __4_ METHOD REVIEW MATRIX Parameter/ Test Name or Technology Depth of Assessment *see codes Floor scale (5000 lb x 0.1 lb) OPIE F Name(s) of Personnel interviewed John Doe ACLASS & FQS Form 57 Standards/ Equipment/ Ref. Materials Procedure/ Operating Instructions Measurement Uncertainty Verification Class F wts OK-laboratory SOP -6 Reviewed/ Acceptable Traceability; Verification/ Calibration Sampling; Handling/ Preparation Quality Checks Records Report/ Certificate OK-cal.certs reviewed -- wts (NVLAP) Temp-ControlCo. (A2LA) Each tech has truck w/ weights Tare, Cor ner cks OK- OK-reviewed calibration Certificate/report Method Witness (OPIEF) Form reviewed records – all use hand datasheet May 14, 2013