CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: Asterisks (*) indicate sections where objective evidence is required. Grey Boxes are unique TNI requirements and not required for accreditation only to ISO/IEC 17043. TNI Requirements are based on TNI EL-V3-2009 – General Requirements for Environmental Proficiency Testing Providers & TNI V1M1-2009 - General Requirements for Stationary Source Audit Sample Providers 4. Technical Requirements 4.1 General Document Review Requirements Assessment Compliant Is the development and operation of proficiency testing schemes only undertaken by proficiency testing providers having competence to conduct interlaboratory comparisons and with the particular type of proficiency test items? Does the proficiency testing provider or subcontractors have competence in the measurement of the properties being determined? NOTE: ISO/IEC 17025 or ISO 15189 can be used to demonstrate the competence of a proficiency testing provider's laboratory, or the laboratory subcontracted to perform tests or measurements related to the proficiency testing schemes. ISO Guide 34 can be used to demonstrate the competence of producers of reference materials that provide proficiency test items. 4.2 Personnel 4.2.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider have managerial and technical personnel with the necessary authority, resources and technical competence required to perform their duties? 4.2.2 Requirements Has the proficiency testing provider's management defined the minimum levels of qualification and experience necessary for the key positions within its organization and ensure those qualifications are met? 4.2.3 Requirements Does the proficiency testing provider use personnel who are either employed by, or under contract to it? Where contracted and additional technical and key support personnel are used, does the proficiency testing provider ensure that such personnel are supervised and competent and that they work in accordance with the management system? NOTE: Where technical experts are used on an ad-hoc basis or as part of an advisory or steering group (see 4.4.1.4), the existence of formal agreements through, for example, group terms of reference or other means, can be considered to satisfy this requirement. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 4.2.4 Document Review Requirements Assessment Compliant Does the proficiency testing provider authorize specific personnel to: a) select appropriate proficiency test items; b) plan proficiency testing schemes; c) perform particular types of sampling; d) operate specific equipment; e) conduct measurements to determine stability and homogeneity, as well as assigned values and associated uncertainties of the measurands of the proficiency test item; f) prepare, handle and distribute proficiency test items; g) operate the data processing system; h) conduct statistical analysis; i) evaluate the performance of proficiency testing participants; j) give opinions and interpretations; and k) authorize the issue of proficiency testing reports? 4.2.5 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider maintain up-to-date records of the relevant authorization(s), competence, educational and professional qualifications, training, skills and experience of all technical personnel, including contracted personnel? Is this information readily available and include the date on which competence to perform their assigned tasks was assessed and confirmed? 4.2.6 Requirements Does the proficiency testing provider formulate the objectives with respect to the education, training, and skills for each staff member involved with the operation of the proficiency testing scheme? Does the proficiency testing provider have a policy and procedures for identifying training needs and providing training of personnel? Is the training program relevant to the present and anticipated needs of the proficiency testing provider? NOTE: It is advisable to consider the need to retrain staff periodically. Staff training policies can take account of technological change, the need to demonstrate ongoing competence and aim at continual skills upgrading. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 4.2.7 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider ensure that the staff receives the necessary training to ensure competent performance of measurements, operation of equipment and any other activities which affect the quality of the proficiency testing scheme? Is the effectiveness of training activities evaluated? NOTE: Objective measures can be used to assess the attainment of competence. 4.3 Accommodation and environment 4.3.1 Requirements Does the proficiency testing provider ensure that there is appropriate accommodation for the operation of the proficiency testing scheme? Does this include facilities and equipment for proficiency test item manufacturing, handling, calibration, testing, storage and dispatch, for data processing, for communications, and for retrieval of materials and records? 4.3.2 Requirements Does the proficiency testing provider ensure that the environmental conditions do not compromise the proficiency testing scheme or the required quality of operations? Is particular care taken when operations are undertaken at sites away from the proficiency testing provider's permanent facilities or are undertaken by subcontractors? Are the technical requirements for accommodation and environmental conditions that can affect the proficiency testing documented? 4.3.3 Requirements Are access to and use of areas affecting the quality of proficiency testing schemes controlled? Does the proficiency testing provider determine the extent of control based on its particular circumstances? 4.3.4 Requirements Does the proficiency testing provider identify environmental conditions that can significantly influence the quality of the proficiency test items and any testing and calibration carried out, including conditions that are required by relevant specifications and measurement procedures? Does the proficiency testing provider control and monitor these conditions, and record all relevant monitoring activities? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Are relevant proficiency testing activities stopped when the environmental conditions jeopardize the quality or the operations of the proficiency testing scheme? NOTE: Conditions can include, for example, biological sterility, dust, electromagnetic disturbances, radiation, humidity, electrical supply, temperature, and sound and vibrations levels, as appropriate to the technical activities concerned. 4.3.5 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Is there effective separation between neighboring areas in which there are incompatible activities? Is action taken to prevent cross-contamination? 4.3.6 Requirements Does the proficiency testing provider ensure that performance characteristics of laboratory methods and equipment used to confirm the content, homogeneity and stability of proficiency testing items are appropriately validated and maintained? * 4.4 Design of proficiency testing schemes 4.4.1 Planning 4.4.1.1 Document Review Requirements Assessment Compliant Does the proficiency testing provider identify and plan those processes which directly affect the quality of the proficiency testing scheme and ensure that they are carried out in accordance with prescribed procedures? NOTE: Stakeholders' interests can be considered in developing a plan and relevant information. 4.4.1.2 Document Review Requirements Assessment Compliant Is there evidence that the proficiency test provider does not subcontract the planning of the proficiency testing scheme (see 5.5.2)? NOTE: The proficiency testing provider can utilize advice or assistance from any advisors, experts or steering group (see 4.4.1.4). ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.4.1.3 Document Review Requirements Does the proficiency testing provider document a plan before commencement of the proficiency testing scheme that addresses the objectives, purpose and basic design of the proficiency testing scheme, including the following information and, where appropriate, reasons for its selection or exclusion: a) the name and address of the proficiency testing provider; Assessment Compliant * b) the name, address, and affiliation of the coordinator and other personnel involved in the design and operation of the proficiency testing scheme; c) the activities to be subcontracted and the names and addresses of subcontractors involved in the operation of the proficiency testing scheme; d) criteria to be met for participation; e) the number and type of expected participants in the proficiency testing scheme; f) selection of the measurand(s) or characteristic(s) of interest, including information on what the participants are to identify, measure, or test for in the specific proficiency testing round; g) a description of the range of values or characteristics, or both, to be expected for the proficiency test items; h) the potential major sources of errors involved in the area of proficiency testing offered; i) requirements for the production, quality control, storage and distribution of proficiency test items; j) reasonable precautions to prevent collusion between participants or falsification of results, and procedures to be employed if collusion or falsification of results is suspected; k) a description of the information which is to be supplied to participants and the time schedule for the various phases of the proficiency testing scheme; l) for continuous proficiency testing schemes, the frequency or dates upon which proficiency test items are to be distributed to participants, the deadlines for the return of results by participants and, where appropriate, the dates on which testing or measurement is to be carried out by participants; m) any information on methods or procedures which participants need to use to prepare the test material and perform the tests or measurements; n) procedures for the test or measurement methods to be used for the homogeneity and stability testing of proficiency test items and, where applicable, to determine their biological viability; o) preparation of any standardized reporting formats to be used by participants; p) a detailed description of the statistical analysis to be used; q) the origin, metrological traceability and measurement uncertainty of any assigned values; r) criteria for the evaluation of performance of participants; s) a description of the data, interim reports or information to be returned to participants; t) a description of the extent to which participant results, and the conclusions that will be based on the outcome of the proficiency testing scheme, are to be made public; and u) actions to be taken in the case of lost or damaged proficiency test items? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.4.1.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider have access to the necessary technical expertise and experience in the relevant field of testing, calibration, sampling or inspection, as well as statistics? Is this achieved by establishing an advisory group (named as appropriate)? 4.4.1.5 Requirements Is technical expertise used, as appropriate, to determine matters such as the following: a) planning requirements as listed in 4.4.1.3; b) identification and resolution of any difficulties expected in the preparation and maintenance of homogeneous proficiency test items, or in the provision of a stable assigned value for a proficiency test item; c) preparation of detailed instructions for participants; d) comments on any technical difficulties or other remarks raised by participants in previous proficiency testing rounds; e) provision of advice in evaluating the performance of participants; f) comments on the results and performance of participants as a whole and, where appropriate, groups of participants or individual participants; g) provision of advice for participants (within limits of confidentiality), either individually or within the report; h) responding to feedback from participants; and i) planning or participating in technical meetings with participants? 4.4.2 Preparation of proficiency test items 4.4.2.1 Requirements Does the proficiency testing provider establish and implement procedures to ensure that proficiency test items are prepared in accordance with the plan described in 4.4.1? * NOTE: It is advisable that the proficiency testing provider give due consideration to the preparation of sufficient numbers of proficiency test items, in order to allow for the need to replace any such proficiency test items lost or damaged during distribution, or intended to be provided for use after the results of the proficiency testing scheme have been evaluated. Such uses can include training aids for participants or use as a reference material. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.4.2.2 Document Review Requirements Does the proficiency testing provider establish and implement procedures to ensure appropriate acquisition, collection, preparation, handling, storage and, where required, disposal of all proficiency test items? Do the procedures ensure that materials used to manufacture proficiency test items are obtained in accordance with relevant regulatory and ethical requirements? Assessment Compliant * 4.4.2.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Do proficiency test items match in terms of matrix, measurands and concentrations, as closely as practicable, the type of items or materials encountered in routine testing or calibration? 4.4.2.4 Requirements In proficiency testing schemes that require participants to prepare or manipulate, or both prepare and manipulate, the proficiency test item and submit it to the proficiency testing provider, does the proficiency testing provider issue instructions for preparation, packaging and transport of the proficiency test item? * TNI 6.1 Design Review (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the PT provider demonstrate to the satisfaction of the PTPA that their PT sample designs and manufacturing processes: a) permit proficient laboratories, conforming to the calibration and quality control requirements of the analytical method(s) for which the sample was designed, to generate results that fall within the PT sample acceptance limits defined in the TNI Fields of Proficiency Testing Tables; b) provide equivalent challenge to all participant laboratories; and c) result in laboratory pass/fail rates that are consistent with historical norms? TNI 6.2 Sample Matrices (TNI specific requirement) Requirements TNI 6.2.1 Do matrices of all PT samples, to the extent possible, resemble the matrices which participant laboratories routinely analyze? Requirements TNI 6.2.2 Are matrix for soil PT samples well-characterized natural soil and not contain greater than 90% sand by mass? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: TNI 6.3 Sample Analytes (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant 6.3.1 Does the PT provider prepare samples that are compliant with the criteria defined by the PT Board and published in the TNI FoPT Tables on the TNI website? Requirements TNI 6.3.2 When the PT Board makes changes to the PT sample design criteria, does the PT provider comply with the revised requirements per the PT Board’s implementation schedule? Requirements TNI 6.3.3 For those multi-analyte categories designated in the TNI FoPT tables as not requiring all analytes to be spiked, does the PT Provider determine the number of analytes based on the following? a) PT samples that are to be scored for one (1) to ten (10) analytes shall include all of the analytes; b) PT samples that are to be scored for ten (10) to twenty (20) analytes shall include at least ten (10) analytes or 80% of the total, whichever number is greater; c) PT samples that are to be scored for more than twenty (20) analytes shall include at least sixteen (16) analytes, or 60% of the total analytes, whichever number is greater; d) If following TNI 6.3.3.b) or TNI 6.3.3.c) above and the calculated percentage of the total number of analytes in the PT sample is a fraction, the fraction shall be rounded up to the next whole number? Requirements TNI 6.3.4 Does the PT provider use a random-selection process to determine which analytes will be spiked and unspiked within any given PT sample? Requirements TNI 6.3.4.1 Does the PT provider make modifications to randomly-selected analyte lists based on technical (i.e. compatibility, interference) issues? Requirements TNI 6.3.4.2 Are modifications to randomly-determined analyte lists documented? Requirements TNI 6.3.5 Are the assigned value for unspiked analytes set to <PTRL? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant TNI 6.3.6 If the provider spikes analytes not on the TNI FoPT Tables in their PT samples, does the PT provider ensure, to the satisfaction of the PTPA, that these additional analytes do not interfere with laboratory performance for the required analytes? Does the PT provider ensure additional analytes do not count toward the minimum analyte requirements of Section 6.3.3? 4.4.3 Homogeneity and stability testing 4.4.3.1 Requirements Are the criteria for suitable homogeneity and stability established and based on the effect that inhomogeneity and instability will have on the evaluation of the participants' performance? * NOTE 1: The requirements in this sub clause are intended to ensure that every participant receives comparable proficiency test items, and that these proficiency test items remain stable throughout the proficiency testing. Careful planning, manufacture and shipping are necessary to achieve this, and testing is usually needed to confirm it. NOTE 2: In some cases, it is not feasible for proficiency test items to be subjected to homogeneity and stability testing. Such cases would include, for example, when limited material is available to prepare proficiency testing items. NOTE 3: In some cases, materials that are not sufficiently homogeneous or stable are the best available; in such cases, they can still be useful as proficiency test items, provided that the uncertainties of the assigned values or the evaluation of results take due account of this (see B.3.1.3 and ISO 13528:2005, Annex B). NOTE 4: Considerations for homogeneity and stability are further discussed in ISO Guide 34, ISO Guide 35 and ISO 13528. 4.4.3.2 Document Review Requirements Are the procedures for the assessment of homogeneity and stability documented and conducted, where applicable, in accordance with appropriate statistical designs? Where possible, does the proficiency testing provider use a statistically random selection of a representative number of proficiency test items from the whole batch of test material in order to assess the homogeneity of the material? Assessment Compliant * NOTE: In some cases, the use of a random stratified or systematic selection of proficiency test items from the whole batch is more appropriate. 4.4.3.3 Document Review Requirements Assessment Compliant Is the assessment of homogeneity normally performed after the proficiency test items have been packaged in the final form and before distribution to participants unless, for example, stability studies indicate that they should be stored in bulk form? NOTE 1: Homogeneity can be demonstrated prior to packaging where no influence of packaging is reasonably expected. NOTE 2: On some occasions, homogeneity testing cannot be carried out prior to distribution for practical, technical or logistical reasons. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.4.3.4 Document Review Requirements Are proficiency test items demonstrated to be sufficiently stable to ensure that they will not undergo any significant change throughout the conduct of the proficiency testing, including storage and transport conditions? Assessment Compliant * When this is not possible, is the stability quantified and considered as an additional component of the measurement uncertainty associated with the assigned value of the proficiency test item, and/or taken into account in the evaluation criteria? 4.4.3.5 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant When proficiency test items from previous rounds are retained for future use, are the property values to be determined in the proficiency testing scheme confirmed by the proficiency testing provider prior to distribution? 4.4.3.6 Requirements In circumstances where homogeneity and stability testing is not feasible, does the proficiency testing provider demonstrate that the procedures used to collect, produce, package and distribute the proficiency test items are sufficient for the purpose of the proficiency testing? TNI 7.2 Homogeneity Testing (TNI specific requirement) Requirements TNI 7.2.1 Does the PT provider analytically verify that all analytes in all PT samples within a packaging event are sufficiently homogenous prior to their use in a PT study? Requirements TNI 7.2.2 Is homogeneity verified using the procedure described in Appendix A or a procedure with an equivalent ability, as determined by the PTPA, to verify that differences between samples will not impact the laboratory evaluations? Requirements TNI 7.2.3 Is homogeneity testing performed on a representative selection of samples randomly selected from each final packaged PT sample batch prior to shipment to participant laboratories? Requirements TNI 7.2.4 Are PT samples which fail to meet the requirements of this Section not be used in a PT study? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: TNI 7.3 Stability Testing (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 7.3.1 Does the PT provider verify, after the closing date of the PT study but prior to the issuance of final reports, that all analytes in all PT samples remained stable during the course of the study? Requirements TNI 7.3.2 Does the PT provider retain samples of the original PT study material until the close of the study for use in post-study analytical verification? Requirements TNI 7.3.3 Is the PT sample stability assessments based on analytical data comparing the mean of a series of random samples analytically tested before the start of a study to the mean of a series of random samples analytically tested after the study close date? If the difference between the two means cannot be shown to affect an evaluation, is the analyte considered stable for the study period? Requirements TNI 7.3.4 Does the PT provider use a stability verification procedure approved of by the PTPA? Requirements TNI 7.3.5 Does post-study stability verification include ensuring that unspiked analytes are still below one-half the PTRL? Requirements TNI 7.3.6 Are PT samples or analytes which fail to meet the criteria of this Section invalidated in the PT study and described in the study discussion report? TNI 7.4 Verification, Homogeneity and Stability Testing Reporting (TNI specific requirement) Document Review Requirements Assessment Compliant TNI 7.4.1 Upon request, and only after the issuance of final evaluation reports, does the PT provider release to a designated participant-laboratory representative the results of the provider’s assigned value verification, homogeneity, and stability testing for any PT sample that the laboratory has reported data for? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 7.4.2 Upon request, and only after the issuance of final evaluation reports, does the PT provider release to laboratory accreditation bodies the results of the provider’s assigned value verification, homogeneity, and stability testing for any PT sample/analyte for which results were submitted to that laboratory accreditation body? Requirements TNI 7.4.3 Upon request and only after the issuance of final evaluation reports, does the PT provider release to the PT Board the results of the provider’s assigned value verification, homogeneity, and stability testing for any PT study sample/analyte? Requirements TNI 7.4.4 Does the PT provider supply to their PTPA the results of the PT provider’s assigned value verification, homogeneity and stability testing for all PT samples/analytes included in each PT study? Requirements TNI 7.4.5 Does the PT provider follow the format and schedule for submittal of this data as provided by the PTPA? Requirements V3 Appendix A.1 Does the PT Provider, in order to satisfy the requirements for the repeatability of test methods used to validate PT samples, determine the repeatability at two or more levels? 4.4.4 Statistical design 4.4.4.1 Requirements Are statistical designs developed to meet the objectives of the scheme, based on the nature of the data (quantitative or qualitative, including ordinal and categorical), statistical assumptions, the nature of errors, and the expected number of results (see B.3.2.2)? * NOTE 1: Statistical design covers the process of planning, collection, analysis and reporting of the proficiency testing scheme data. Statistical designs are often based on stated objectives for the proficiency testing scheme, such as detection of certain types of errors with specified power or determination of assigned values with specified measurement uncertainty. NOTE 2: Data analysis methods could vary from the very simple (e.g. descriptive statistics) to the complex, using statistical models with probabilistic assumptions or combinations of results for different proficiency test items. NOTE 3: In cases where the proficiency testing scheme design is mandated by a specification given by, for example, a customer, regulatory authority or accreditation body, the statistical design and data analysis methods can be taken directly from the specification. NOTE 4: In the absence of reliable information needed to produce a statistical design, a preliminary interlaboratory comparison can be used. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 4.4.4.2 Document Review Requirements Does the proficiency testing provider document the statistical design and data analysis methods to be used to identify the assigned value and evaluate participant results, and provide a description of the reasons for their selection and assumptions upon which they are based? Is the proficiency testing provider able to demonstrate that statistical assumptions are reasonable and that statistical analyzes are carried out in accordance with prescribed procedures? Assessment Compliant * * 4.4.4.3 Document Review Requirements Assessment Compliant In designing a statistical analysis, does the proficiency testing provider give careful consideration to the following: a) the accuracy (trueness and precision) as well as the measurement uncertainty required or expected for each measurand or characteristic in the proficiency testing; b) the minimum number of participants in the proficiency testing scheme needed to meet the objectives of the statistical design; in cases where there is an insufficient number of participants to meet these objectives or to produce statistically meaningful analysis of results, Does the proficiency testing provider document, and provide to participants, details of the alternative approaches used to assess participant performance; c) the relevance of significant figures to the reported result, including the number of decimal places; d) the number of proficiency test items to be tested or measured and the number of repeat tests, calibrations or measurements to be conducted on each proficiency test item or for each determination; e) the procedures used to establish the standard deviation for proficiency assessment or other evaluation criteria; f) procedures to be used to identify or handle outliers, or both; * g) where relevant, the procedures for the evaluation of values excluded from statistical analysis; and h) where appropriate, the objectives to be met for the design and the frequency of proficiency testing rounds? * * * 4.4.5 Assigned values 4.4.5.1 Document Review Requirements Does the proficiency testing provider document the procedure for determining the assigned values for the measurands or characteristics in a particular proficiency testing scheme? Does this procedure take into account the metrological traceability and measurement uncertainty required to demonstrate that the proficiency testing scheme is fit for its purpose? ACLASS Form 38 PT Provider Accreditation Checklist Assessment Compliant * * February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant TNI 5.1.4 Do the testing facilities used to support the verification, homogeneity and stability testing required in this Standard meet the requirements of ISO 17025 (General Requirements for the Competency of Testing and Calibration Laboratories)? NOTE: Metrological traceability is not always possible or appropriate. 4.4.5.2 Requirements Do proficiency testing schemes in the area of calibration have assigned values with metrological traceability, including measurement uncertainty? * 4.4.5.3 Document Review Requirements Assessment Compliant For proficiency testing schemes in areas other than calibration, are the relevance, needs and feasibility for metrological traceability and associated measurement uncertainty of the assigned value determined by taking into account specified requirements of participants or other interested parties, or by the design of the proficiency testing scheme? NOTE: The required metrological traceability chain can differ depending on the type of proficiency test item, the measurand or characteristic, and the availability of traceable calibrations and reference materials. 4.4.5.4 Document Review Requirements When a consensus value is used as the assigned value (see Annex B), does the proficiency testing provider document the reason for that selection and estimate the uncertainty of the assigned value as described in the plan for the proficiency testing scheme? Assessment Compliant * 4.4.5.5 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider have a policy regarding the disclosure of assigned values? Does the policy ensure that participants cannot gain advantage from early disclosure? TNI 6.4 Assigned Values (TNI specific requirement) Requirements TNI 6.4.1 Does the PT provider use a random process to determine the target assigned values for their PT samples? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 6.4.1.1 Does the PT provider make modifications to randomly-selected assigned values based on technical (i.e., solubility, compatibility, interference) issues? Requirements TNI 6.4.1.2 Are any modifications to randomly-selected assigned values documented? Requirements TNI 6.4.2 Are assigned values for aqueous, non-microbiological analytes that are measured (chemical concentrations, isotope activities, etc.): a) equal to the made-to values of the analytes based on gravimetric and volumetric measurements of a starting material of known concentration, and b) presented as three (3) significant figures? Requirements TNI 6.4.3 Are assigned values for quantitative microbiology analytes: a) equal to the mean of the assigned value verification and/or homogeneity testing conducted per Sections 7.1 and 7.2, and b) presented as a whole number with no more than three (3) significant figures? Requirements TNI 6.4.4 Are assigned values for solid and chemical matrix analytes: a) equal to the natural (background) concentration as analytically determined by the PT provider, plus the made-to concentrations of any spiked analytes based on gravimetric and volumetric measurements of a starting material of known concentration and b) presented as three significant figures? Requirements TNI 6.4.5 Are assigned values for qualitative analytes represented as “Present” or “Absent”? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: TNI 7.0 PT SAMPLE TESTING TNI 7.1 Verification of Assigned Value (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 7.1.1 Does the PT provider analytically verify the assigned value of all analytes in all PT samples prior to use in a PT study. Requirements TNI 7.1.2 Does the PT provider verify the assigned value by direct analysis against a calibration standard made from, or traceable to, a primary reference material (e.g. National Institute of Standards and Technology (NIST), United States Pharmacopeia (USP), etc) if available? Requirements TNI 7.1.3 If a primary reference material is not available, is verification performed against an independently prepared calibration material? Requirements TNI 7.1.4 Does the assigned value verification analytical event also include the analysis of a second source reference material from a source independent of the calibration standard and the PT sample being verified? Requirements TNI 7.1.5 Does the PT provider have documented criteria for the acceptance of the results of the second source reference material? Requirements TNI 7.1.6 Does the analytical method used by the PT provider for assigned value verification have a repeatability relative standard deviation of not more than one-sixth of the acceptance limits for the participant laboratories? Requirements TNI 7.1.7 Is the relative standard deviation of the provider’s verification method established by a method validation study for each method and instrument? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 7.1.8 For aqueous chemistry analytes, is the assigned value of an analyte verified if the mean of the provider’s verification analyses is within one-third of the laboratory acceptance limits, to a maximum of 10%, as calculated per Section 10.2, of either: a) the assigned value, if an unbiased verification method is used; or b) the expected mean value for the analyte, if a biased method is used? Requirements TNI 7.1.9 For solid matrix and microbiology analytes, is the assigned value of an analyte is verified if the mean of the provider’s verification analyses is within one-half of the laboratory acceptance limits, as calculated per Section 10.2, of either: a) the assigned value, if an unbiased verification method is used; or b) the expected mean value for the analyte, if a biased method is used? Requirements TNI 7.1.10 Is the standard deviation of the verification analyses less than one standard deviation as calculated for the participant laboratories? Requirements TNI 7.1.11 Are all unspiked analytes analytically verified to ensure that they are not present at or above one-half the PTRL? Requirements TNI 7.1.12 Is any PT sample that fails to meet the requirements of this Section not be used in a PT study? 4.5 Choice of method or procedure 4.5.1 Requirements Are participants normally expected to use the test method, calibration or measurement procedure of their choice, which should be consistent with their routine procedures? Does the proficiency testing provider instruct participants to use a specified method in accordance with the design of the proficiency testing scheme? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.5.2 Requirements Document Review Assessment Compliant Where participants are permitted to use a method of their choice, does the proficiency testing provider: a) have a policy and follow a procedure regarding comparison of results obtained by different test or measurement methods; * b) be aware of which different test or measurement methods for any measurand are technically equivalent, and take steps to assess participants' results using these methods accordingly? * 4.6 Conduct of proficiency testing schemes 4.6.1 Instructions to participants 4.6.1.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider give participants sufficient prior notice before sending proficiency test items, providing the date on which the proficiency test items are likely to arrive or to be dispatched, unless the design of the proficiency testing scheme makes it inappropriate to do so? 4.6.1.2 Requirements Does the proficiency testing provider give detailed documented instructions to all participants? Do instructions to participants include: a) the necessity to treat proficiency test items in the same manner as the majority of routinely tested samples (unless there are particular requirements of the proficiency testing scheme which require departure from this principle); b) details of factors which could influence the testing or calibration of the proficiency test items, e.g. the nature of the proficiency test items, conditions of storage, whether the proficiency testing scheme is limited to selected test methods, and the timing of the testing or measurement; c) detailed procedure for preparing or conditioning, or both preparing and conditioning, of the proficiency test items before conducting the tests or calibrations; d) any appropriate instructions on handling the proficiency test items, including any safety requirements; e) any specific environmental conditions for the participant to conduct tests or calibrations, or both, and, if relevant, any requirement for the participants to report relevant environmental conditions during the time of the measurement; f) specific and detailed instructions on the manner of recording and reporting test or measurement results and associated uncertainties. If the instructions include reporting of the uncertainty of the reported result or measurement, does it include the coverage factor and, whenever practicable, the coverage probability; g) the latest date for the provider to receive the proficiency testing or measurement results for analysis; ACLASS Form 38 PT Provider Accreditation Checklist * * * * * February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: h) information on the contact details of the proficiency testing provider for enquiries; and i) instructions on return of the proficiency test items, when applicable? * NOTE: This instruction usually includes parameters such as the units of measurement, the number of significant figures or decimal places and reporting basis (e.g. on dry weight, or “as received”). TNI 8.1 Study Duration (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Is the study closing date no more than forty-five (45) calendar days after the opening date of the study or as specified by the PT Board? Is the study closing date for the Whole Effluent Toxicity fields of proficiency testing, for non DMR-QA Studies no more than ninety (90) calendar days after the opening date of the study? For DMR-QA Studies, is the laboratory required to meet the time frames as stated in the Announcement letter? TNI 8.2 Study Instructions (TNI specific requirement) Requirements TNI 8.2.1 Does the PT provider provide instructions to each participant describing: a) how to dilute or otherwise prepare the PT samples; b) how to report their data to the PT provider; c) the close date of the PT study; and d) a warning that the TNI standard requires PT samples to be analyzed like “real” samples utilizing the same analysts, methods, and quality control procedures? Requirements TNI 8.2.2 Does the PT provider not: a) provide inappropriate assistance to the participant laboratories nor encourage the non-routine analysis of PT samples; b) suggest or direct laboratories to use additional quality control samples or quality control samples designed specifically for a given PT sample, in conjunction with any PT study; c) provide excessive volume of any PT sample that may encourage multiple, non-routine analyses? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.6.2 Proficiency test items handling and storage 4.6.2.1 Document Review Requirements Does the proficiency testing provider ensure that proficiency test items are appropriately identified and segregated and cannot become contaminated or degraded, from the time of preparation to their distribution to participants? Assessment Compliant * 4.6.2.2 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider provide secure storage areas or stock rooms, or both, which prevent damage or deterioration of any proficiency test item between preparation and distribution? Are appropriate procedures for authorizing dispatch to, and receipt from, such areas defined? 4.6.2.3 Requirements When appropriate, is the condition of stored or stocked proficiency test items, chemicals and materials assessed at specified intervals during their storage life in order to detect possible deterioration? 4.6.2.4 Requirements Where potentially hazardous proficiency test items, chemicals and materials are used, are facilities available to ensure their safe handling, decontamination and disposal? * 4.6.3 Packaging, labeling and distribution of proficiency test items 4.6.3.1 Document Review Requirements Does the proficiency testing provider control packaging and labeling processes to the extent necessary to ensure conformity with relevant national, regional, or international safety and transport requirements? Assessment Compliant * NOTE: The proper distribution of proficiency test items can present severe problems for some types of material, e.g. those which require uninterrupted storage in cold conditions or which should not be exposed to X-rays, shock or vibration. Most types of chemical materials would benefit from air-tight packaging to avoid contamination by atmospheric contaminants, e.g. fuel vapors or engine exhaust gases which can be encountered during transport. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.6.2.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider specify relevant environmental conditions for the transport of proficiency test items? Where relevant, does the proficiency testing provider monitor the pertinent environmental conditions of the proficiency test item during transport and assess the impact of environmental influences on the proficiency test item? 4.6.3.3 Requirements In proficiency testing schemes where participants are required to transport the proficiency test items to other participants, are documented instructions for this transport supplied? * 4.6.3.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider ensure that labels are securely attached to the packaging of individual proficiency test items and are designed to remain legible and intact throughout the proficiency testing round? 4.6.3.5 Requirements Does the proficiency testing provider follow a procedure to enable the confirmation of delivery of the proficiency test items? * NOTE: This could be achieved in accordance with 4.6.1.1 by asking participants to inform the proficiency testing provider if proficiency test items have not been received in line with the schedule of dates provided. TNI 8.3 Regularly Scheduled PT Studies (TNI specific requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 8.3.1 Do regularly scheduled PT studies consist of PT sample lots (or batches) that have not been provided, in any form or by any entity, to actual or potential participant laboratories prior to the opening date of the study? Requirements TNI 8.3.2 Is it assured that the assigned values for regularly scheduled PT samples are not be released to any entity outside of the PT provider, other than the provider’s PTPA, prior to the closing date of the PT study? TNI 8.4 Supplemental PT Studies TNI specific requirement Requirements TNI 8.4.1 For supplemental PT samples, does the PT provider: a) select a batch of PT samples that has been shown to meet all of the requirements of Sections 6 and 7 of this Volume; ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: b) conduct stability testing at the close of the supplemental PT study or have data showing, to the satisfaction of the PTPA, that the sample was stable during the time period of the supplemental study; c) have documented procedures and systems in place to track all lots and assigned values of samples received by laboratories that may be used as supplemental PT samples ; d) not supply a supplemental PT sample to a laboratory that has received that sample in a previous PT study, or in any other form, or has had access to the assigned values for that sample; e) remove the original lot number, study number, and/or tracking ID number of each supplemental PT sample and assign a unique identifier? Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 8.4.2 If the laboratory informs the PT provider that a supplemental PT sample is being used for corrective action purposes for a specific quantitative analyte or analytes, does the PT provider supply a supplemental PT sample that contains the specified analyte(s) spiked into the sample [i.e. the sample does not have an assigned value of zero or <PTRL for the laboratory-specified analyte(s)]? Requirements TNI 8.4.3 If the laboratory informs the PT provider that a supplemental PT sample is being used for corrective action purposes for a specific qualitative presence/absence) test, whether the analyte of interest is spiked into the sample, is the spiking randomly determined by the PT provider so that the laboratory will not automatically know that it is present or not? Requirements TNI 8.4.4 Is the closing date of a supplemental PT study the date that the participant(s) has reported study data for the required analytes? Requirements TNI 8.4.5 Is the closing date of supplemental PT studies no more than forty-five (45) days after the opening date of the study? 4.7 Data analysis and evaluation of proficiency testing scheme results 4.7.1 Data analysis and records 4.7.1.1 Requirements Is all data processing equipment and software validated in accordance with procedures before being brought into use? Does computer system maintenance include a back-up process and system recovery plan? Are the results of such maintenance and operational checks recorded? ACLASS Form 38 PT Provider Accreditation Checklist * February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.7.1.2 Document Review Requirements Are results received from participants recorded and analyzed by appropriate methods? Are procedures established and implemented to check the validity of data entry, data transfer, statistical analysis, and reporting? 4.7.1.3 Requirements Assessment Compliant * * Document Review Does data analysis generate summary statistics and performance statistics, and associated information consistent with the statistical design of the proficiency testing scheme? 4.7.1.4 Requirements Assessment Compliant * Document Review Assessment Compliant Document Review Assessment Compliant Is the influence of outliers on summary statistics minimized by the use of robust statistical methods or appropriate tests to detect statistical outliers? 4.7.1.5 Requirements Does the proficiency testing provider have documented criteria and procedures for dealing with test results that may be inappropriate for statistical evaluation, e.g. miscalculations, transpositions and other gross errors? 4.7.1.6 Requirements * Document Review Does the proficiency testing provider have documented criteria and procedures to identify and manage proficiency test items that have been distributed and are subsequently found to be unsuitable for performance evaluation, e.g. because of inhomogeneity, instability, damage or contamination? Assessment Compliant * TNI 9.0 System for Reporting by Participants TNI specific requirement Document Review Requirements Assessment Compliant Does the PT provider: 9a) have procedures and systems in place to ensure the accurate, timely and secure transmission of PT data from participant laboratories to the PT provider; 9b) have a reporting mechanism that ensures that the results received by the PT provider are consistent with those submitted by the participant laboratory; 9c) ensure that results reported by participant laboratories are not delayed or lost due to the provider’s reporting mechanism; 9d) ensure that participant laboratory data are kept secure and that they are not subject to unauthorized dissemination either during or after the data have been reported to the PT provider? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.7.2 Evaluation of performance 4.7.2.1 Requirements Document Review Does the proficiency testing provider use valid methods of evaluation which meet the purpose of the proficiency testing scheme? Are the methods documented and do they include a description of the basis for the evaluation? Is there objective evidence that the evaluation of performance has not been subcontracted (see 5.5.2)? Assessment Compliant * 4.7.2.2 Requirements Document Review Assessment Compliant Where appropriate for the purpose of the proficiency testing scheme, does the proficiency testing provider provide expert commentary on the performance of participants with regard to the following: a) overall performance against prior expectations, taking measurement uncertainties into account; b) variation within and between participants, and comparisons with any previous proficiency testing rounds, similar proficiency testing schemes, or published precision data; c) variation between methods or procedures; d) possible sources of error (with reference to outliers) and suggestions for improving performance; e) advice and educational feedback to participants as part of the continual improvement procedures of participants; f) situations where unusual factors make evaluation of results and commentary on performance impossible; g) any other suggestions, recommendations or general comments; and h) conclusions? NOTE: It can be useful to provide individual summary sheets for participants periodically during or after completion of a particular proficiency testing scheme. These can include updated summaries of performance for individual participants over successive proficiency testing rounds of a continuous proficiency testing scheme. Such summaries can be further analyzed and trends highlighted, if required. TNI 10.0 PT STUDY DATA ANALYSIS TNI 10.1 Data Review TNI specific requirement Document Review Requirements Assessment Compliant 10.1.1 Does the PT provider review all PT study data sets for bimodal or multimodal distributions and/or situations where results from a given method have disproportionately large failure rates or reporting anomalies? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant 10.1.2 If a multi-modal distribution is found related to analytical method and acceptance criteria are calculated using robust statistical analysis of participant data, are results evaluated on a method-specific basis? Requirements 10.1.3 Does the PT provider review all PT study data sets for disproportionately high or low failure rates compared to historical norms? 10.2 Acceptance Limit Determination TNI specific requirement Requirements 10.2.1 Does the PT provider calculate acceptance limits per the requirements defined in the TNI Fields of Proficiency Testing Tables? Requirements 10.2.2 Do analyte- or study-specific evaluation criteria defined in the TNI Fields of Proficiency Testing Tables supersede the criteria in this Section? Requirements 10.2.3 Are acceptance limits represented following the same significant figure rules as defined for assigned values in Section 6.4? Requirements 10.2.4 For acceptance limits calculated using only the PT provider’s assigned value (i.e. a fixed percentage limit around the assigned value, regression equation using the assigned value to determine an estimated mean and estimated standard deviation, etc.), does the PT provider use their assigned value and calculate the acceptance limits defined in the TNI Fields of Proficiency Testing Tables? Requirements 10.2.5 For acceptance limits calculated using the actual study mean, does the PT provider use the mean as calculated by the following procedures: a) for samples sizes of twenty (20) or more values: the biweight mean (per Section 2.1) using fifteen (15) iterations with c=4 and c o=6; b) for samples sizes of seven (7) to twenty (20) values: the arithmetic mean after outlier testing using the T test (see ASTM E178) or other PTPA-accepted outlier testing procedure. No more than 20% of the values in any set may be treated as outliers; c) sample sizes of less than seven (7) values shall only be evaluated using a statistical procedure approved by the PTPA? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant 10.2.6 For acceptance limits calculated using the actual study standard deviation, does the PT provider use the standard deviation as calculated by the following procedures: a) for samples sizes of twenty (20) or more values: the biweight standard deviation (per Section 2.1) using fifteen (15) iterations with c=4 and co=6; b) for samples sizes of seven (7) to twenty (20) values: the standard deviation after outlier testing with the T test (see ASTM E178) or other PTPA-accepted outlier testing procedure. No more than 20% of the values in any set may be treated as outliers; c) sample sizes of less than seven (7) values shall only be evaluated using a statistical procedure approved by the PTPA? Requirements 10.2.7 For acceptance limits calculated using the actual study median, does the PT provider use the median calculated from all properly reported data points, as defined by the PT Board, in the data set? Requirements 10.3.1 Does the PT provider adhere to the following: If the assigned value is greater than “0” the numerical value reported evaluated “Acceptable” if it is within the established acceptance limits and evaluated “Not Acceptable” if the numerical value reported is outside the established acceptance limits or the numerical value is reported with a less than (<) sign and the numerical value is less than the lower acceptance limit. For example, if the Assigned Value is “10.0”, the lower acceptance limit is “5.00” and the upper acceptance limit is “15.0”. a) Any reported numeric value between 5.00 and 15.0 shall be evaluated “Acceptable” b) Any reported numeric value greater than 15.0 shall be evaluated “Not Acceptable”. c) Any reported numeric value less than 5.00 shall be evaluated “Not Acceptable”. d) Any numeric value reported with a less than sign (<) shall be evaluated “Acceptable” if the reported numeric value associated with the less than sign is equal to or greater than the lower acceptance limit. In this example, a reported value of ‘< 5.00’ shall be evaluated as “Acceptable” because 5.00 is equal to the lower acceptance limit. e) Any numeric value reported with a less than sign (<) shall be evaluated “Not Acceptable” if the reported numeric values associated with the less than sign is less than the lower acceptance limit. In this example, a reported value of ‘< 4.99’ shall be evaluated as “Not Acceptable” because 4.99 is less than the lower acceptance limit? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant 10.3.2 If the Assigned Value is set to the PTRL with a less than sign (<) or set to “0”, any numeric value reported with a less than sign (<), a reported value of “0” or a reported numeric value less than the PTRL, is it scored “Acceptable”? For example, if the assigned value is set to “< 2.50” and 2.50 is the PTRL associated with a less than sign (<): a) Any reported numeric value reported with a less than (<) sign shall be evaluated “Acceptable”. b) A reported value of zero “0” shall be evaluated “Acceptable”. c) A reported numeric value between “0” and 2.50 shall be evaluated “Acceptable”. d) A reported numeric value greater than 2.50 shall be evaluated “Not Acceptable”. Requirements 10.3.3 Are reported values evaluated as “No Evaluation” if it cannot be evaluated (e.g., alpha characters for a quantitative test)? Requirements 10.3.4 Are analytes included in a PT sample but not reported by the laboratory evaluated as “Not Reported”? Requirements 10.3.5 If the PT Provider invalidates an analyte in a PT study, all evaluations for data reported for that analyte shall be “No Evaluation” and a discussion of the situation leading to the invalidation, is it included in the final report to participant labs and ABs? 4.8 Reports 4.8.1 Requirements Are proficiency test reports clear and comprehensive and include data covering the results of all participants, together with an indication of the performance of individual participants? Is there evidence that the authorization of the final report is not to be subcontracted (see 5.5.2)? * NOTE: Where all original data cannot be reported to participants, a summary of the results, e.g. in tabulated or graphical form, can be supplied. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.8.2 Document Review Requirements Do reports include the following, unless it is not applicable or the proficiency testing provider has valid reasons for not doing so: a) name and contact details for the proficiency testing provider; Assessment Compliant * b) name and contact details for the coordinator(s); c) name(s), function(s), and signature(s) or equivalent identification of person(s) authorizing the report; d) indication of which activities are subcontracted by the proficiency testing provider; e) date of issue and status (e.g. preliminary, interim, or final) of the report; f) page numbers and a clear indication of the end of the report; g) statement of the extent to which results are confidential; h) report number and clear identification of the proficiency testing scheme; i) a clear description of the proficiency test items used, including necessary details of the proficiency test item's preparation and homogeneity and stability assessment; j) the participants' results; k) statistical data and summaries, including assigned values and range of acceptable results and graphical displays; l) procedures used to establish any assigned value; m) details of the metrological traceability and measurement uncertainty of any assigned value; n) procedures used to establish the standard deviation for proficiency assessment, or other criteria for evaluation; o) assigned values and summary statistics for test methods/procedures used by each group of participants (if different methods are used by different groups of participants); p) comments on participants’ performance by the proficiency testing provider and technical advisers; q) information about the design and implementation of the proficiency testing scheme; r) procedures used to statistically analyze the data; s) advice on the interpretation of the statistical analysis; and t) comments or recommendations, based upon the outcomes of the proficiency testing round? NOTE: For continuous proficiency testing schemes, it can be sufficient to have simpler reports, such that many of the elements in this clause could be excluded from routine reports, but included in proficiency testing scheme protocols or in periodic summary reports that are available to participants. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: TNI 11.0 GENERATION OF STUDY REPORTS TNI 11.1 Schedule TNI specific requirement Requirements Document Review Assessment Compliant Document Review Assessment Compliant TNI 11.1.1 Are the reports defined in Sections 11.2 and 11.3 submitted to the required parties no later than twenty-one days after the close of the study? Requirements TNI 11.1.2 Are reports submitted to participant laboratories and laboratoryrequested accreditation bodies within the same twenty-four (24) hour period? TNI 11.2 Final Evaluation Report TNI specific requirement Assessment Compliant Requirements TNI 11.2.1 Does the PT provider submit final evaluation reports to all participant laboratories? Requirements Document Review Assessment Compliant Document Review Assessment Compliant TNI 11.2.2 Does the PT provider submit final evaluation reports to all laboratory accreditation bodies that have been requested by the laboratories to receive reports? Requirements TNI 11.2.3 Is the following information included in the final evaluation report: a) PT provider name; b) PT provider PTPA accreditation number; c) participant laboratory name; d) participant laboratory physical address; e) name, title and telephone number of laboratory point of contact, as provided; f) participant laboratory’s primary accreditation body ID, as provided; g) study type and study number; h) opening and closing dates of the study; i) date report was prepared; j) date report was amended, if applicable; ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: k) study discussion including any pertinent information which addresses unusual details of the study (e.g., need to change an assigned value or delete an analyte from evaluation)? Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant TNI 11.2.4 Are the following information included for each PT sample/analyte in the final evaluation report: a) lot or study number; b) analyte name; c) analyte code defined in the TNI FoPT Tables; d) identification of those analytes included and not included in the PT provider’s PTPA accreditation; e) assigned value; f) acceptance limits; g) laboratory value, as reported; h) method description, as reported; i) analysis dates as reported by the participating laboratory; j) evaluation per Section 10.3; k) mean calculated from all study participant data; and l) standard deviation calculated from all study participant data? Requirements TNI 11.2.5 Does each page of the final evaluation report shall include an indication of the length of the report, presented by either “Page X of Y” or the total number of pages with each page consecutively numbered? TNI 11.3 Study Failure Rate Report TNI specific requirement Requirements TNI 11.3.1 Upon request by either a participant laboratory or a laboratory accreditation body, does the PT provider make available a report listing the total number of participating laboratories and the number of laboratories scoring “Not Acceptable” for those analytes reported by the laboratory? Requirements TNI 11.3.2 Does the PT provider not disclose specific laboratory results or evaluations to any parties without a written release from the laboratory? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.8.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Are reports made available to participants within planned timescales? In sequential proficiency testing schemes, e.g. where the turn-around time may be very long, and in schemes involving perishable materials, are preliminary or anticipated results provided before final results are disclosed? NOTE: This allows for early investigation of possible error. 4.8.4 Requirements Does the proficiency testing provider have a policy for the use of reports by individuals and organizations? 4.8.5 Requirements When it is necessary to issue a new or amended report for a proficiency testing scheme, does the amended report include the following: a) a unique identification; b) a reference to the original report that it replaces or amends; and c) a statement concerning the reason for the amendment or re-issue? 4.9 Communication with participants 4.9.1 Requirements Does the proficiency testing provider make detailed information available about the proficiency testing scheme. Does this include: a) relevant details of the scope of the proficiency testing scheme; * b) any fees for participation; c) documented eligibility criteria for participation; d) confidentiality arrangements; and e) details of how to apply? 4.9.2 Document Review Requirements Assessment Compliant Are participants advised promptly by the proficiency testing provider of any changes in proficiency testing scheme design or operation? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 4.9.3 Document Review Requirements Are there documented procedures for enabling participants to appeal against the evaluation of their performance in a proficiency testing scheme? Is the availability of this process communicated to proficiency testing scheme participants? Assessment Compliant * 4.9.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Are relevant records of communications with participants maintained and retained, as appropriate? 4.9.5 Requirements If the proficiency testing provider issues statements of participation or performance, do the statements contain sufficient information to not be misleading? 4.10 Confidentiality 4.10.1 Requirements Are the identities of participants in a proficiency testing scheme confidential and known only to persons involved in the operation of the proficiency testing scheme, unless the participant waives confidentiality? * 4.10.2 Document Review Requirements Assessment Compliant Is all information supplied by a participant to the proficiency testing provider treated as confidential? NOTE: Participants can elect to waive confidentiality within the proficiency testing scheme for the purposes of discussion and mutual assistance, e.g. to improve performance. Confidentiality can also be waived by the participant for regulatory or recognition purposes. In most instances, the proficiency testing results can be provided to the relevant authority by the participants themselves. 4.10.3 Document Review Requirements Assessment Compliant When an interested party requires the proficiency testing results to be directly provided by the proficiency testing provider, are the participants made aware of the arrangement in advance of participation? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 4.10.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant In exceptional circumstances, when a regulatory authority requires proficiency testing results to be directly provided to the authority by the proficiency testing provider, are the affected participants notified of this action in writing? 5 Management Requirements 5.1 Organization 5.1.1 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider’s Quality Management System meet the requirements of ISO 9001 for the design, production, testing and distribution of audit samples, and the evaluation of audit sample analyses results or measurements? NOTE: This requirement can be met by demonstrating compliance with the Management System requirements of a standard that complies with ISO PAS 17005, such as ISO/IEC 17025 or ISO/IEC17043. 5.1.1 Requirements Is the proficiency testing provider, or the organization of which it is part, an entity that is legally identifiable and accountable? 5.1.2 Requirements Does the proficiency testing provider to carry out its proficiency testing operations in such a way as to meet the requirements of this International Standard and to satisfy the needs of the participants, regulatory authorities and organizations providing recognition? 5.1.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider’s manufacturing system meet the requirements of ISO Guide 34? 5.1.3 Requirements Does the management system cover work carried out in the proficiency testing provider's permanent facilities, at sites away from its permanent facilities, and in associated temporary facilities? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.1.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the design and operation of the Providers participation in the SSAS program meet the relevant requirements of ILAC G-13 (until replaced by ISO/IEC 17043 when approved)? 5.1.4 Requirements If the proficiency testing provider is part of an organization performing other activities, does the proficiency testing provider identify the responsibilities of key personnel in the organization that have an involvement in or could have influence on the proficiency test activities, in order to identify potential conflicts of interest? If potential conflicts of interest are identified, are procedures put in place to ensure that all activities of the proficiency testing provider are conducted with impartiality? Requirements * Document Review Assessment Compliant Document Review Assessment Compliant TNI 5.2 a) Does the PT provider seeking to obtain or maintain accreditation: a) document and certify to the satisfaction of the PTPA that they do not have any conflict of interest with any laboratory that may participate in their PT programs; TNI 5.2 b) inform all internal and contract personnel who perform work on PT studies of the PT provider’s obligation to report personal and organizational conflicts of interest to the PTPA; TNI 5.2 c) have a continuing obligation to identify and report any actual or potential conflicts of interest arising during the performance of work in support of PT Programs; TNI 5.2 d) immediately make a full disclosure to the PTPA of any identified actual or potential organizational conflict of interest. The disclosure shall include a description of any action that the provider has taken or proposes to take after consultation with the PTPA to avoid, mitigate or neutralize the actual or potential conflict of interest; TNI 5.2 e) have written procedures to ensure that the confidentiality of data associated with PT samples and programs is not compromised; TNI 5.2 f) not release the assigned values or acceptance limits of any PT sample prior to the conclusion of the study, except to the PTPA; TNI 5.2 g) only release participant laboratories’ PT study results and/or evaluations to a designated contact at the laboratory and to laboratory accreditation bodies and/or other entities as specifically designated by the laboratory? 5.1.4– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Do the testing facilities used to support the verification, homogeneity and stability testing required in the this Standard (volume 1, module 1) meet the requirements of ISO/IEC 17025? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.1.5 Document Review Requirements Assessment Compliant Does the proficiency testing provider: a) have managerial and technical personnel who, irrespective of other responsibilities, have the authority and resources needed to carry out their duties, including the implementation, maintenance and improvement of the management system, and to identify the occurrence of departures from the management system or from the procedures for providing proficiency testing schemes, and to initiate actions to prevent or minimize such departures; b) have arrangements to ensure that its management and personnel are free from any undue internal or external commercial, financial and other pressures that may adversely affect the quality of their work; c) have policies and procedures to ensure the protection of its participants' confidential information and proprietary rights, including procedures for their protection during electronic storage and transmission; d) have policies and procedures to avoid involvement in any activities that might diminish confidence in its competence, impartiality, judgement or operational integrity; e) define the organization and management structure, its place in any parent organization, and the relationships between quality management, technical operations and support services; f) specify the responsibility, authority, interrelationships and required competence of all personnel who manage, perform or verify work affecting the quality of the operation of proficiency testing g) ensure that the personnel are aware of the relevance and importance of their activities and how they contribute to the achievement of the objectives of the management system; h) provide adequate supervision of technical staff, including trainees, by persons familiar with procedures for each activity; i) have technical management which has overall responsibility for the technical operations and the provision of the resources needed to ensure the required quality of proficiency testing schemes, including access to the necessary technical expertise and experience in the relevant field of testing, calibration or inspection, as well as statistics, as indicated in 4.4.1.4; j) appoint a member of staff as quality manager (named as appropriate) who, irrespective of other duties and responsibilities, has defined responsibility and authority for ensuring that the management system is implemented and followed at all times; does the quality manager have direct access to the highest level of management at which decisions are taken on the proficiency testing provider's policies or resources; and k) appoint deputies for key managerial personnel? * * * * * NOTE: Where proficiency testing providers have a small number of personnel, individuals can have more than one function and it can be impractical to appoint deputies for all major functions. 5.1.6 Document Review Requirements Assessment Compliant Does top management ensure that appropriate communication processes are established within the organization and that communication takes place regarding the effectiveness of the management system? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.1.6 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider maintain all records related to each audit sample manufacturing lot for a minimum of five (5) years? 5.2 Management system 5.2.1 Requirements Does the proficiency testing provider establish, implement and maintain a management system appropriate to its scope of activities, including the type, range and volume of proficiency testing that it provides? 5.2.2 Requirements Does the proficiency testing provider define and document its policies, programs, procedures and instructions to the extent necessary to assure the quality of all aspects of proficiency testing? Is the system's documentation communicated to, understood by, available to, and implemented by the appropriate personnel? NOTE: These aspects include, but are not limited to, proficiency test item quality (e.g. homogeneity and stability), characterization (e.g. equipment calibration and method validation), assignment of property values (e.g. use of appropriate statistical procedures), evaluation of participant performance, distribution of proficiency test items, storage and transport procedures, statistical treatment of test results, and reporting. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.2.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Are the proficiency testing provider's management system policies related to quality, including a quality policy statement, defined in a quality manual (named as appropriate)? Are the overall objectives established and reviewed during management review. Is the quality policy statement issued under the authority of top management? Does it include at least the following: a) the management's commitment to the quality of its proficiency testing services to participants and other customers; b) the management's statement of the standard of service; c) the purpose of the management system related to quality; d) a requirement that all personnel concerned with the proficiency testing activities familiarize themselves with the quality documentation and implement the policies and procedures in their work; and e) the management's commitment to comply with this International Standard and to continually improve the effectiveness of the management system? 5.2.4 Requirements Has top management provided evidence of commitment to the development and implementation of the management system and to continually improving its effectiveness? 5.2.5 Requirements Has top management communicated to the organization the importance of meeting customer requirements, as well as statutory and regulatory requirements? 5.2.6 Requirements Does the quality manual include or make reference to the supporting procedures, including technical procedures? Does it outline the structure of the documentation used in the management system? 5.2.7 Requirements Are roles and responsibilities of technical management and the quality manager, including their responsibility for ensuring compliance with this International Standard, defined in the quality manual? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.2.8 Document Review Requirements Assessment Compliant Does top management ensure that the integrity of the management system is maintained when changes to the management system are planned and implemented? 5.2 – TNI Standard V1M1-2009 (SSAS Requirement)- Provider Conflict of Interest and Confidentiality Document Assessment Compliant Requirements Review Does the Provider seeking to obtain or maintain accreditation: a) Document and certify to the satisfaction to the Provider Accreditor that they do not have any conflict of interest with any Participant in the SSAS program? Note: Such a conflict of interest could take the form of a financial interest or sharing of personnel, facilities, or equipment with any Participant in the SSAS Program. b) Inform all internal and contract personnel who perform work on the SSAS Program of the Providers obligation to report personal and organizational conflicts of interest to the Provider Accreditor? c) Have a continuing obligation to identify and report any actual or potential conflicts of interests arising during the performance of work in support of the SSAS program? d) Immediately make a full written disclosure to the Provider Accreditor of any identified actual or potential organizational conflict of interest? e) f) Does the disclosure include a description of any action that the provider has taken or proposes to take after consultation with the Provider Accreditor to avoid, mitigate or neutralize the actual or potential conflict of interest? Have written procedures to ensure that the confidentially of data associated with audit samples and the SSAS Program is not compromised? Not release the assigned values or acceptance limits of any audit sample prior to the reporting of the audit sample analyses results? g) Not disclose specific Facility, Laboratory, or Stationary Source Tester results or evaluations to any parties other than as specified in Section 11.1.2 without written release from the Facility for Facility data, from the Laboratory for Laboratory data, or from the Stationary Source Tester for Stationary Source Tester data? Note: Providers may release, without permission of participant Laboratories, summaries of participant Laboratory results that do not identify individual Laboratories, Stationary Source Testers or Facilities. 5.3 Document control 5.3.1 General ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Document Review Requirements Does the proficiency testing provider establish and maintain procedures to control all documents that form part of its management system (internally generated, or from external sources), such as regulations, standards, other normative documents, proficiency testing scheme protocols, test or calibration methods, or both test and calibration methods, as well as drawings, software specifications, instructions and manuals? Assessment Compliant * 5.3.2 Document approval and issue 5.3.2.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Are all documents issued as part of the management system reviewed and approved for use by authorized personnel prior to issue? Is a master list or equivalent document control procedure identifying the current revision status and distribution of documents in the management system established and be readily available, in order to prevent the use of invalid or obsolete documents, or both? 5.3.2.2 Requirements Do procedures adopted also ensure that: a) authorized editions of appropriate documents are available at all locations where activities essential to the effective operation of proficiency testing schemes are performed; b) documents are periodically reviewed and updated, as necessary, to ensure continuing suitability and compliance with applicable requirements; c) invalid or obsolete documents are promptly removed from all points of issue or use, or otherwise assured against unintended use; and d) obsolete documents retained for either legal or knowledge preservation purposes are suitably marked? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.3.2.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Are management system documents generated by the proficiency testing provider uniquely identified? Does such identification include the date of issue or revision identification, or both, page numbering, the total number of pages or a mark to signify the end of a document, and the issuing authority/authorities? 5.3.3 Document changes 5.3.3.1 Requirements Are changes to documents reviewed and approved by the same function that performed the original review and approval, unless specifically designated otherwise? Do designated personnel have access to pertinent background information upon which to base their review and approval? 5.3.3.2 Requirements Where practicable, is the altered or new text identified in the document or the appropriate attachments? 5.3.3.3 Requirements If the proficiency testing provider's document control system allows for the amendment of documents by hand, pending re-issue of the documents, are the procedures and authorities for such amendments defined? Are amendments clearly marked, initialed and dated? Is a revised document issued as soon as practicable? 5.3.3.4 Requirements Are procedures established to describe how changes in documents maintained on computerized systems are made and controlled? 5.3 – TNI Standard V1M1-2009 (SSAS Requirement) - Provider Facilities and Personnel 5.3.1- TNI Standard V1M1-2009 (SSAS Requirement) Document Review Requirements Assessment Compliant Does the Provider have appropriate facilities, equipment and analytical instrumentation in place to produce, analytically verify, distribute and provide data evaluation and reporting functions for every audit sample for which they wish to obtain or maintain accreditation? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.3.2 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the provider employ sufficient technical and support staff to design, produce, analyze, distribute, and provide data evaluation and reporting functions for every audit sample for which they wish to obtain or maintain accreditation? 5.3.3 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider ensure that no portion of the design, production, testing, distribution, data collection, data evaluation, or data reporting functions are outside the direct control of the provider for any particular manufacturing lot. For the purpose of this Standard (Volume 1, Module 1), “direct control” means that these function are performed in the Provider’s facilities by the Provider’s staff or are subcontracted by means of a written agreement with defined Provider supervision to ensure that all requirements of this Standard are met. 5.3.4 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is any subcontracted function related to the design, production, testing, distribution, data collection, data evaluation, or data reporting available to be assessed? Does any subcontracted function meet the applicable requirements of this Standard? 5.4 Review of requests, tenders and contracts 5.4.1 Requirements Does the proficiency testing provider establish and maintain policies and procedures for the review of requests, tenders and contracts. Do these reviews ensure that: a) the requirements, including those for test and calibration methods, measuring equipment and proficiency test items to be used, are adequately defined, documented and understood; b) the proficiency testing provider has the capability and resources to meet the requirements; and c) the proficiency testing scheme is technically appropriate? * NOTE 1: This review is particularly important when a customer requests a proficiency testing scheme to be created for a specific purpose or for a different level or frequency of participation from that normally offered. NOTE 2: This review can be simplified when the proficiency test scheme is fully described in a catalogue or other notice, and the participant is enrolling for a routine shipment. 5.4.2 Document Review Requirements Assessment Compliant Are records of such reviews, including any changes, maintained? Are records also maintained of pertinent discussions with a customer relating to the customer's requirements, or the results of the work during the period of execution of the contract, or both? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.4.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the review cover all aspects of the request, including any work that is subcontracted by the proficiency testing provider? 5.4.4 Requirements Are the participants and other customers, as appropriate, informed of any deviation in the contract or agreed proficiency testing scheme design? 5.4.5 Requirements If a request or contract is amended after the proficiency testing scheme is underway, is the same review process repeated and any amendments communicated to all affected personnel? 5.4 – TNI Standard V1M1-2009 (SSAS Requirement) - Complaints Handling 5.4.1– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider have written procedures for handling both written and verbal complaints from Participants who receive audit sample reports? 5.4.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider record all complaints received concerning the SSAS Program, including any remedial or corrective actions taken? Is this record available upon request? 5.4.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is any complaint received by the Provider that remains unresolved after fortyfive (45) days submitted to the Provider Accreditor? 5.5 Subcontracting services 5.5.1 Requirements When a proficiency testing provider subcontracts work, does the proficiency testing provider demonstrate that the subcontractors' experience and technical competence are sufficient for their assigned tasks and that they comply with the relevant clauses of this International Standard and other appropriate standards? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: Requirements Document Review Assessment Compliant Document Review Assessment Compliant TNI 5.3.3 Is it assured that no portion of the design, production, testing, distribution, data collection, data evaluation, or data reporting functions may be outside the direct control of the PT provider for any particular study? For the purposes of this Standard, “direct control” means that these functions are performed in the PT provider’s facilities by the PT provider’s staff or are sub-contracted by means of a written agreement with defined PT provider supervision to ensure that all requirements of this Standard are met. TNI 5.3.4 Are any subcontracted function related to design, production, testing, distribution, data collection, data evaluation, or data reporting assessed and meet the applicable requirements of this Standard? 5.5.2 Requirements Does the proficiency testing provider not subcontract the planning of the proficiency test scheme (see 4.4.1.2), the evaluation of performance (see 4.7.2.1) or the authorization of the final report (see 4.8.1)? NOTE: This does not preclude the proficiency testing provider utilizing advice or assistance from any advisors, experts or steering group. 5.5.3 Document Review Requirements Assessment Compliant Does the proficiency testing provider inform participants, in advance and in writing, of services that are, or may be, subcontracted? NOTE: This notification can, for example, take the form of a statement in the proficiency testing scheme documentation, such as the following: “Various aspects of the proficiency testing scheme can from time to time be subcontracted. When subcontracting occurs, it is placed with a competent subcontractor and the proficiency testing provider is responsible for this work.” 5.5.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider be responsible to the participants and other customers for the subcontractor's work, except in the case where a regulatory authority specifies which subcontractor is to be used? 5.5.5 Requirements Does the proficiency testing provider maintain a register of all subcontractors used in the operation of proficiency testing schemes, including the scope of subcontracting and a record of the competence assessment against relevant parts of this International Standard and other appropriate standards for the work in question? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.5 – TNI Standard V1M1-2009 (SSAS Requirement) – Notification of Sample Integrity Document Requirements Review If any audit sample or analyte used in the SSAS Program is found not to meet any of the requirements of this Standard (Volume 1, Module 1), does the Provider notify (with full disclosures as to the scope and nature of the nonconformance) all affected Participants and the Provider’s Provider Accreditor within seven (7) calendar days of the discovery of the nonconformance? Assessment Compliant Purchasing services and supplies 5.6.1 Document Review Requirements Does the proficiency testing provider have a policy and procedure(s) for the selection of services and supplies that it uses and that affect the quality of its proficiency testing schemes? Do procedures exist for the purchase, reception and storage of reagents, proficiency test items, reference materials and other consumable materials relevant for the proficiency testing schemes? Assessment Compliant * * 5.6.2 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider ensure that purchased supplies, equipment and consumable materials that affect the quality of proficiency testing schemes are not used until they have been inspected or otherwise verified as complying with specifications or requirements? Are records of actions taken to check compliance maintained? 5.6.3 Requirements Are purchasing documents for items affecting the quality of proficiency testing schemes containing data describing the services and supplies ordered? Are these purchasing documents reviewed and approved for technical content prior to release? 5.6.4 Requirements Does the proficiency testing provider evaluate suppliers of critical supplies and services which affect the quality of proficiency testing schemes? Does the proficiency testing provider maintain records of these evaluations, and list those suppliers that are approved? * NOTE: It is understood that some proficiency testing providers can be required to implement their purchasing procedures in accordance with policies defined by their parent company or a host organization. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.7 Service to the customer 5.7.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the proficiency testing provider be willing to cooperate with participants and other customers in clarifying customers' requests and in monitoring the proficiency testing provider's performance in relation to the work performed, provided that the proficiency testing provider assures confidentiality to its participants? 5.7.2 Requirements Does the proficiency testing provider seek feedback, both positive and negative, from its customers? Is the feedback used and analyzed to improve the management system, proficiency testing schemes, and customer service? NOTE: Examples of the types of feedback include customer satisfaction surveys and review of proficiency testing reports with customers. 5.8 Complaints 5.8 Complaints Document Review Requirements Does the proficiency testing provider have a policy and follow a procedure for the resolution of complaints and appeals received from participants, customers or other parties? Are records maintained of all complaints, appeals, investigations and corrective actions taken by the proficiency testing provider? * * Document Review Requirements Assessment Compliant Assessment Compliant TNI 5.4.1 Does the PT provider have written procedures for handling both written and verbal complaints from PT study participants and laboratory accreditation bodies who receive PT study reports? TNI 5.4.3 Does any complaint received by a PT provider that remains unresolved after ninety (90) days get submitted to the PTPA? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.9 Control of nonconforming activities 5.9.1 Document Review Requirements Does the proficiency testing provider have a policy and procedure(s) that is implemented when any aspect of its activities does not conform to its own procedures or the agreed requirements of its customers? Do the policy and procedure(s) ensure that: a) the responsibilities and authorities for the management of nonconforming work are designated and actions (including halting work of ongoing programs and withholding reports, as necessary) are defined and taken when nonconforming work is identified; b) an evaluation of the significance of the nonconforming work is made; Assessment Compliant * c) a decision on the need for action and timescale is taken immediately, together with any decision about the acceptability of the nonconforming work; d) proficiency testing scheme participants and other customers, as appropriate, are informed and the nonconforming proficiency test items or reports already sent to participants are recalled or disregarded; e) the responsibility for authorization of the resumption of work is defined? NOTE: Identification of nonconforming work or problems with the management system or with technical activities can occur at various places within the management system and technical operations. Examples are participant complaints, management reviews and internal or external audits, quality control, preparations of proficiency test items, homogeneity and stability tests, data analysis, instructions to participants, and materials handling and storage. 5.9.2 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Where the evaluation indicates that nonconforming work could recur or that there is doubt about the compliance of the proficiency testing provider or subcontractor with their own policies and procedures, is the corrective action procedure in 5.11 promptly followed? Requirements TNI 5.5 Notification of Sample Integrity If any sample or analyte used in a PT study is found to not meet any of the requirements of this Standard, does the PT provider notify all affected laboratories and their designated accreditation bodies and the provider’s PTPA within seven (7) calendar days of the discovery of the noncompliance? 5.10 Improvement 5.10 Improvement Requirements Does the proficiency testing provider continually improve the effectiveness of its management system through the use of the quality policy, quality objectives, audit results, analysis of data, corrective and preventive actions and management review? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.11 Corrective action 5.11.1 General Document Review Requirements Does the proficiency testing provider establish a policy and procedure(s) and designate appropriate personnel for implementing corrective actions when nonconforming work or departures from the policies and procedures in the management system or technical operations have been identified? Assessment Compliant * NOTE See 5.9.1, Note. 5.11.2 Root Cause Document Review Requirements Does the procedure for corrective action start with an investigation to determine the root cause(s) of the problem? Assessment Compliant * NOTE: Cause analysis is the key and sometimes the most difficult part in the corrective action procedure. Often, the root cause is not obvious and thus a careful analysis of all potential causes of the problem is required. Potential causes could include customer requirements, proficiency test items and their specifications, methods and procedures, staff skills and training, consumable supplies, preparations of proficiency test items, homogeneity and stability tests, statistical design, instructions to participants, and materials handling and storage. 5.11.3.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Where corrective action is needed, does the proficiency testing provider identify potential corrective actions? Does the proficiency testing provider select and implement the action(s) most likely to eliminate the problem and to prevent recurrence? 5.11.3.2 Requirements Are corrective actions appropriate to the magnitude and risk of the problem? 5.11.3.3 Requirements Does the proficiency testing provider document and implement any required changes resulting from corrective action investigations? 5.11.3.4 Requirements Does the proficiency testing provider monitor the results to ensure that the corrective actions taken have been effective? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.11.3.5 Document Review Requirements Assessment Compliant Where the identification of nonconforming activities or departures from authorized procedures cast doubts on the compliance of the proficiency testing provider with its own policies and procedures, or on its compliance with this International Standard, Does the proficiency testing provider ensure that the appropriate areas of activity are audited in accordance with 5.14 as soon as possible? NOTE: Such additional audits often follow the implementation of the corrective actions to confirm their effectiveness. An additional audit can be necessary only when a serious issue or risk to the proficiency testing scheme is identified. 5.12 Preventive action 5.12.1 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Are areas for improvements and potential sources of nonconforming work, either technical or concerning the management system, identified? When improvement opportunities are identified, or if preventive action is required, are action plans developed, implemented and monitored, to reduce the likelihood of such nonconforming work and to take advantage of the opportunities for improvement? 5.12.2 Requirements Does the procedure for preventive action include the initiation of such actions and application of controls to ensure that they are effective? * 5.13 Control of records 5.13.1.1 General Document Review Requirements Does the proficiency testing provider establish and maintain procedures for identification, collection, indexing, access, filing, storage, maintenance and disposal of records? Do quality records include reports from internal audits and management reviews, as well as records of corrective and preventive actions? Assessment Compliant * 5.13.1.2 Document Review Requirements Assessment Compliant Are all records and stored and retained in such a way that they are readily retrievable in facilities that provide a suitable environment to prevent damage or deterioration and to prevent loss? Are retention times of records established? NOTE: Records can be in the form of any type of media, such as hard copy or electronic storage media. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.13.1.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Are all records kept secure and confidential, and in accordance with relevant regulatory requirements? 5.13.1.4 Requirements Does the proficiency testing provider follow procedures to protect and back-up records stored electronically and to prevent unauthorized access or amendment of these records? * 5.13.2 Technical records 5.13.2.1 Document Review Requirements Does the proficiency testing provider retain records of all technical data relating to each proficiency testing round for a defined period, including, but not necessarily limited to: a) results of homogeneity and stability testing; Assessment Compliant * b) instructions to participants; c) participants' original responses; d) collated data for statistical analysis; e) information required for reports (see 4.8); and f) final reports (summary or individual, or both)? NOTE 1: It is advisable to retain sufficient information to establish an audit trail for the processing of results from proficiency testing rounds. NOTE 2: Technical records are accumulations of data and information which result from carrying out all proficiency testing activities. They can include forms, contracts, work sheets, work books, check sheets, work notes, sub-contractor reports and participant feedback. 5.13.2.2 Document Review Requirements Assessment Compliant Are data entry, checking and calculations recorded at the time they are made and identifiable to the specific task and to the personnel responsible? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: 5.13.2.3 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant When mistakes occur in records and alterations are made, are actions taken to: a) identify the change and date of alteration; b) avoid loss of original data; and c) identify the person making the alteration? Requirements TNI 5.1.6 Does the PT providers maintain all records related to each PT study for a minimum of five (5) years after the close of the PT study? 5.14 Internal audits 5.14.1 Requirements Does the proficiency testing provider conduct internal audits of its activities periodically, and in accordance with a predetermined schedule and procedure, in order to verify that its operations continue to comply with the requirements of the management system and this International Standard? Does the internal audit program address all elements of the management system, including the technical procedures and proficiency test item preparation, storage and distribution, as well as reporting activities for the operation of a proficiency testing scheme? Does the quality manager to plan and organize audits as required by the schedule and requested by management? Are internal audits carried out by trained and qualified personnel who are, wherever resources permit, independent of the activity to be audited? * NOTE: It is advisable that the program for internal auditing of the management system be completed every 12 months. 5.14.2 Requirements Document Review Assessment Compliant Document Review Assessment Compliant When audit findings cast doubt upon the effectiveness of the operations, including the suitability and correctness of proficiency test items, procedures, statistical evaluations and data presentation, does the proficiency testing provider take timely corrective action and notify its customers or participants, or both, in proficiency testing schemes whose activities may have been affected? 5.14.3 Requirements Are the areas of audited activity, the audit findings and any corrective actions that arise from them recorded? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 5.14.4 Requirements Document Review Assessment Compliant Document Review Assessment Compliant Do follow-up audit activities verify and record the implementation and effectiveness of any corrective actions taken? 5.15 Management reviews 5.15.1 Requirements Does the proficiency testing provider's top management periodically, in accordance with a pre-determined schedule and procedure, conduct a review of the proficiency testing provider's management system and proficiency testing activities, in order to ensure their continued suitability and effectiveness and to introduce any necessary changes or improvements. Does the review take account of: a) the suitability of policies and procedures; * b) reports from management and supervisory personnel; c) the outcome of recent internal audits; d) corrective and preventive actions; e) assessments by external bodies; f) changes in the volume and type of work; g) customer, advisory group or participant feedback; h) complaints and appeals; i) recommendations for improvement; and j) other relevant factors, such as resources and staff training? NOTE 1: A typical period for conducting a management review is once every 12 months. NOTE 2: Results can feed into the proficiency testing provider's planning system and can include the objectives and action plans. NOTE 3: A management review includes consideration of related subjects at regular management meetings. NOTE 4: Where the proficiency testing provider is part of a larger organization, it can be appropriate to hold a separate review meeting to cover proficiency testing activities. 5.15.2 Document Review Requirements Assessment Compliant Are findings from management reviews, and the actions that arise from them, recorded? Does the management ensure that those actions are discharged within an appropriate and agreed timescale? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 6.0 – TNI Standard V1M1-2009 (SSAS Requirement) – Audit Sample Design and Manufacture 6.1 – TNI Standard V1M1-2009 (SSAS Requirement) – Design Review Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider demonstrate to the satisfaction of the Provider Accreditor that their audit sample design and manufacturing processes: a) Permit participants, conforming to the calibration and quality control requirements of the analytical method(s) for which the audit sample was designed, to generate results that fall within the acceptable limits defined in the SSAS table? b) Provide equivalent challenge to all Participants? c) Result in Participant acceptable/not acceptable rates that are consistent with historical norms? 6.2 – TNI Standard V1M1-2009 (SSAS Requirement) – Audit Sample Matrices Requirements Do the matrices of all audit samples, to the extent possible, resemble the matrices which Participants routinely analyze? 6.3 – TNI Standard V1M1-2009 (SSAS Requirement) – Audit Sample Analytes 6.3.1 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider prepare audit samples that are compliant with the criteria defined by the SSAS Expert Committee and published in the SSAS Table on the TNI website? If requested by the Regulatory Agency and/or the Facility, analytes that are not listed in the SSAS table may be included in an audit sample if the purpose and technical justification are documented, and if, where appropriate, the Regulatory Agency and/or facility are notified in advance. 6.3.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements When the SSAS Expert Committee makes changes to the audit sample design criteria, does the Provider comply with the revised requirements per the SSAS Expert Committee’s implementation schedule? 6.3.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider spike the analytes of interest into the audit sample according to the SSAS Table? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 6.3.4 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider produce audit samples that conform to the method being tested? 6.3.5 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements If the provider adds interference (not to be reported),normally present in the matrix being tested, to the audit sample, has this action been approved by the Provider Accreditor in accordance with the requirements of Section 6.1 of this Standard ( Volume 1, Module1)? 6.4 – TNI Standard V1M1-2009 (SSAS Requirement) - Audit Sample Concentration Ranges 6.4.1– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider supply audit samples that reflect the concentration ranges in the SSAS Table? If requested by the Regulatory Agency and/or the Facility, ranges that are not listed in the SSAS Table may be included in an audit sample if the purpose and technical justification are documented, and if, where appropriate, the Regulatory Agency and/or Facility are notified in advance. 6.4.2– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Are the assigned values for audit sample analytes that are measured (chemical concentration, isotope activities, etc): a) Equal to the made-to values of the analytes based on gravimetric and volumetric measurements of a starting material of known concentration if possible, and if not possible, set to the mean of the determined measure value? b) Presented in three (3) significant figures? 7.0– TNI Standard V1M1-2009 (SSAS Requirement) – Audit Sample Testing 7.1– TNI Standard V1M1-2009 (SSAS Requirement) – Verification of Assigned Value 7.1.1 – TNI Standard V1M1-2009 (SSAS Requirement) Document Review Requirements Assessment Compliant Does the Provider analytically verify the assigned value of all analytes in all manufacturing lots of audit samples prior to use? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 7.1.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Do Provider’s verify the assigned value by direct analysis against a calibration standard made from, or traceable to, a primary reference material (e.g. National Institute of Standards and Technology), if available? 7.1.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements If a primary reference material is not available, is verification performed against an independently prepared calibration material? Note: An independently prepared calibration material is one prepared from a raw material source independent of the source used to prepare the audit sample or one prepared and documented by a source external to the Provider. 7.1.4 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the assigned value verification analytical event also include the analysis of a second source reference material from a source independent of the calibration standard and the audit sample being verified? 7.1.5 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider have documented criteria for the acceptance of the results of the second source reference material? 7.1.6 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the analytical method used by the Provider for assigned value verification have a repeatability relative standard deviation of not more than one-sixth of the acceptance limits for the participant Laboratories? 7.1.7 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements For test methods listed in the SSAS Table, where the method performance precludes the use of the one-sixth limit defined in Section 7.1.6, does the Provider document the technical justification that the method used to verify the audit sample assigned value is adequate to ensure that it meets data user requirements? Has this been reviewed and approved by the Provider Accreditor? 7.1.8 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is the relative standard deviation of the Providers verification method established by a method validation study for each method and instrument? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 7.1.9 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant For analytes in aqueous media, the assigned value of an analyte is verified if the mean of the Providers verification analyses is within one-third of the Laboratory acceptance limits as defined in the SSAS table, to a maximum of 10% of either: The assigned value, if an unbiased verification method is used; or The expected mean value for the analyte, if a biased method is used. 7.1.10 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements For analytes contained on or in sampling media, the assigned value of an analyte is verified if the mean of the Providers verification analyses is within one-half of the Laboratory acceptance limits as defined in the SSAS table, of either: The assigned value, if an unbiased verification method is used; or The expected mean value for the analyte, if a biased method is used. 7.1.11 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is the standard deviation of the verification analyses less than one standard deviation, as calculated for the participant Laboratories? 7.1.12 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is any manufacturing lot that fails to meet the requirements of this Section not used as an audit sample? 7.2 – TNI Standard V1M1-2009 (SSAS Requirement) – Homogeneity Testing 7.2.1- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider analytically verify that all analytes in all manufacturing lots of audit samples are sufficiently homogenous, according to the requirements of Section 7.2, prior to their use as an audit sample? 7.2.2- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is homogeneity verified using a procedure, approved by the Provider Accreditor, to verify that differences between audit samples will not impact the evaluation of the stationary source test? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 7.2.3- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Is homogeneity testing performed on a representative selection of audit samples randomly selected from each final packaged audit sample batch prior to shipment? 7.2.4- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Is any manufacturing lot that fails to meet the requirements of this Section not used as an audit sample? 7.3- TNI Standard V1M1-2009 (SSAS Requirement) – Stability Testing 7.3.1 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider verify the expiration date of the audit sample manufacturing lot and verify that all analytes in all audit samples remained stable? 7.3.2 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider conduct stability testing of each lot of audit sample material or have data showing, to the satisfaction of the Provider Accreditor, that the sample was stable during the time period of use in the SSAS program? 7.3.3 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements If appropriate according to the sample design, does the Provider retain samples from each audit sample manufacturing lot for use in confirmation of the lot assigned values and subsequent analytical verification? 7.3.4 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider use a stability verification procedure approved by the Provider Accreditor? 7.3.5 - TNI Standard V1M1-2009 (SSAS Requirement) Requirements Are audit samples or analytes that fail to meet the criteria of this Section invalidated? Are all sample recipients notified with a detailed discussion report? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 7.4 - TNI Standard V1M1-2009 (SSAS Requirement) – Verification, Homogeneity, and Stability Testing Reporting 7.4.1- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Upon request, and only after the Provider has released their evaluation of the audit sample analyses results, does the Provider release, to a designated Participant, the results of the Providers assigned value verification, homogeneity, and stability testing for any audit sample/analyte for which the Participant has reported or received data? 7.4.2- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Upon request, and only after the Provider has released their evaluation of the audit sample analyses results, does the Provider release to the PT Executive Committee the results of the Providers assigned value verification, homogeneity, and stability testing for any audit sample/analyte? 7.4.3- TNI Standard V1M1-2009 (SSAS Requirement) Requirements To protect the blind nature of the audit sample, does the Provider ensure the manufacturing lot number does not appear on any labels or documentation they provide to Participants and the PT Executive Committee, for assigned value verification, homogeneity, or stability testing? 7.5- TNI Standard V1M1-2009 (SSAS Requirement) Requirements Do Providers label each audit sample with a unique identifier, the SSAS number? 8.0- TNI Standard V1M1-2009 (SSAS Requirement) - Ordering and Reporting Instructions 8.1 – TNI Standard V1M1-2009 (SSAS Requirement) Document Review Requirements Assessment Compliant Does the provider receive an audit sample order from a Facility? Does the provider contact the appropriate Regulatory Agency to request any specific requirements (e.g. changes to the audit sample concentration and/or shipment address) prior to shipment of the audit sample? The Provider may ship the audit sample if response is not received from the Regulatory Agency within fifteen (15) calendar days of such request. a) Does the Provider ensure that the audit sample is sealed such that opening or tampering will be apparent? b) Does the Provider ship the audit sample to the Facility, unless the Regulatory Agency requests that it be shipped, instead to the Regulatory Agency? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: c) If the Facility cancels or modifies an audit sample order at any time, does the Provider notify the Regulatory Agency of such cancellation or modification within two (2) business days of the receipt of such notice? 8.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Does the provider provide instructions with each audit sample shipment, describing : a) How to handle, store, dilute, or otherwise prepare the audit sample? b) How to report the data? Is the following attestation statement be signed and submitted with the data? “By affixing my signature below, I attest that the audit sample analyses results have met the following criteria: 1) I have no prior knowledge of the concentration of target analyte(s) in the audit sample. No additional information was solicited or received concerning the assigned values or acceptance ranges for the audit sample. 2) The audit sample(s) I am reporting was/were analyzed in the same laboratory under the same calibration, utilizing the same quality control standards, by the same analysts following audit sample instructions as the stationary source test samples. 3) The stationary source test laboratory results and the audit sample analyses results have been reported to the appropriate regulatory agency” c) The expiration date or valid time frame of the audit sample being provided? d) A warning that the TNI Standard requires audit samples to be analyzed at the same time as the stationary source test samples utilizing the same analysts, methods, and quality control procedures? e) A warning that the TNI Standard requires audit samples that test the field stack sampling process (e.g., for EPA Method 25), to be collected before, during, or after the collection of the field samples, or as directed by the Regulatory Agency, utilizing the same methods and quality control procedures? 8.3– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider not: a) Provide inappropriate assistance to the Participants, nor encourage the non-routine analysis of audit samples? b) Suggest or direct that Laboratories use additional quality control samples or quality control samples designed specifically for a given audit sample, in conjunction with any audit sample? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: c) Provide excessive volume of any audit sample that may encourage non-routine analyses? Note: The Provider Accreditor, in consultation with the PT Executive Committee, will determine what constitutes excessive volume based on method requirements and common Provider practices within the industry. d) Provide actual concentration of audit sample to the Facility? e) Ship an audit sample past its established expiration date? f) Send the same audit sample twice to the same Facility or Laboratory? 9.0 – TNI Standard V1M1-2009 (SSAS Requirement) – System from Reporting Document Review Requirements Assessment Compliant Does the provider: a) Have procedures and systems in place to ensure the accurate, timely, and secure transmission of audit sample data to the Provider? b) Have a reporting mechanism that ensures the results received by the Provider are consistent with those submitted? c) Ensure that results reported are not delayed or lost due to the Provider’s reporting mechanism? d) Ensure that data are kept secure and that they are not subject to unauthorized dissemination either during or after data reporting to the Provider? e) Evaluate only the analytes of interest for each audit sample as reported? 10.0 – TNI Standard V1M1-2009 (SSAS Requirement) – Audit Sample Data Analysis 10.1- TNI Standard V1M1-2009 (SSAS Requirement) – Data Review Document Review Requirements Assessment Compliant On a periodic basis to be determined by the Provider Accreditor, does the Provider review the data reported for the following conditions? 10.1.1 Does the Provider review all audit sample data for bimodal or multimodal distribution and/or situations where results from a given method have disproportionately large failure rates or reporting anomalies? 10.1.2 If a multi-modal distribution is found related to an analytical method, is this data reported to the SSAS Expert Committee? 10.1.3 Does the Provider review all audit sample data for disproportionately high or low failure rates compared to historical norms? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 10.2 - TNI Standard V1M1-2009 (SSAS Requirement) – Evaluation of Individual Participant Results 10.2.1 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider evaluate a result as “Acceptable” if it falls within the SSAS Table-defined acceptance limits? 10.2.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider evaluate a result as “Not Acceptable” if it falls outside the SSAS Table-defined acceptance limits? 10.2.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider evaluate a result as “Not Acceptable” if it cannot be evaluated (e.g. alpha characters for a quantitative test or reported as a less than or greater than value). 10.2.4 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements If the Provider invalidates an analyte in the audit sample, are all evaluations for data reported for that analyte reported as “No Evaluation”? Is a discussion of the situation leading to the invalidation included in the final report to Participants? 11.0 – TNI Standard V1M1-2009 (SSAS Requirement) – Generation of Reports 11.1- TNI Standard V1M1-2009 (SSAS Requirement) – Schedule 11.1.1 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider submit the evaluation reports defined in Section 11.2 to the required parties no later than three (3) business days after the reporting of the audit sample data? 11.1.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider submit evaluation reports to Facilities, Facility-requested Regulatory Agencies, Stationary Source Testers that performed the test and test method audited, Laboratories that analyzed the audit samples, other parties requested by the Facility, and to the SSAS Central Database within the same twenty-four (24) hour period? Note: Evaluation reports may be submitted in hardcopy of electronic form. ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME/LOCATION: ASSESSOR NAME: DATE: 11.2- TNI Standard V1M1-2009 (SSAS Requirement) – Evaluation Report 11.2.1– TNI Standard V1M1-2009 (SSAS Requirement) Requirements Document Review Assessment Compliant Document Review Assessment Compliant Document Review Assessment Compliant Does the Provider include the following information in the evaluation report? a) Provider Name b) Provider Accreditation Number c) Participant Facility Name d) Participant Facility physical address e) Name, title, and telephone number of Facility point of contact, as provided f) Laboratory’s or Stationary Source Tester’s name address, and other contact information (e.g. telephone, email and fax) g) Date evaluation report was prepared h) Date evaluation report was amended, if applicable i) Discussion including any pertinent information which addresses unusual details of the audit sample (e.g. need to change an assigned value or delete an analyte from evaluation) 11.2.2 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does the Provider include the following information for each audit sample/analyte in the final evaluation report? a) SSAS Number b) Analyte Name c) Analyte code defined in the SSAS Table d) Identification of any analytes not included in the Providers accreditation e) Assigned value f) Acceptance limits g) Laboratory value, as reported h) Method name or description, as reported i) Matrix description j) Analysis dates, as reported by the participating Laboratory k) Evaluation, per Section 10.2 above l) Stationary Source Test Start Date 11.2.3 – TNI Standard V1M1-2009 (SSAS Requirement) Requirements Does each page of the final evaluation report include an indication of the length of the report, presented by either “Page X of Y” or the total number of pages with each page consecutively numbered? ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 CUSTOMER NAME / LOCATION: ASSESSOR NAME: DATE: ACLASS SCOPE / METHOD ASSESSMENT REVIEW 17043 ASSESSMENT REPORT REVIEW MATRIX PTP NAME: ISO/IEC 17043 Section→ Parameter/ Test Name or Technology Test Identification Depth of Assessment *see codes ASSESSMENT DATE(S): 4.2 4.3 4.4 4.7 Name(s) of Personnel Interviewed Equipment / Materials Scheme Design / Assigned Value Data Analysis and Evaluation ASSESSOR NAME: Sampling; Handling/ Prep. Instructions Page ___ of ___ Quality Checks DATE COMPLETED: NOTES: ACLASS Form 38 PT Provider Accreditation Checklist February 1, 2013 5.13 4.8 Records Report