Microbiology Report Form – Fill Out and Use This PDF

Microbiology Report Form serves as an essential tool for many healthcare professionals. It provides invaluable insights related to microorganisms, proteins, and other biology laboratories used in clinical procedures. Such results include identification of their components, checking the activity of drugs and monitoring effectiveness of treatments. Since these reports play a significant role in ensuring value healthcare practices, its accuracy must be observed at all times. All laboratory personnel should strictly adhere to consistent analytical methods to double check specifications and conditions in order to furnish positive outcomes regularly. With realistic standards to back it up, multiple sets of data can easily be entered into the form to gain precise information. Ultimately, clinicians have leveraged this resource which alleviates crucial concerns that arise during laboratory analyses extensively.

Microbiology Report Form PDF Details

If you work in a microbiology lab, or even simply study microbes, then it's essential to understand how to properly and accurately record data in the form of a lab report. A good lab report not only communicates your findings, but also allows for accuracy when later referencing any information that was recorded. The importance of an accurate and comprehensive microbiology report is immense – from following safety guidelines to tracking results between tests over time. But if you still need some help getting started on creating an effective microbiology report form, keep reading!

Question	Answer
Form Name	Microbiology Report Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	oos form sample, oos form fillable, oos form online, fillable treasure report templete

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Form 690

Issue date:

Microbiology Out of Specification (OOS)

Investigation and Report Form

(Ref. MICLAB 110)

Phase 1

Out of Specification Result

Out of Limits Result

(Action Level Excursions)

(Alert Limit Excursions)

SECTION A Product or Sample Details

Form Initiated by:

Unique

Identifier

Product

DR Number

Description

Batch Production

Product Code

Number (BPN)

Original Test Result

Limits/

Specification

Micro Manager Notified

Yes

By who?

Initial and Date

SECTION B Evaluation of Laboratory Testing

Test Type

(tick)

SOP Reference

Control Method reference

(if applicable)

Non-Sterile Testing

MICLAB 075

Water

MICLAB 055

Sterility Testing

MICLAB 060

Endotoxin

KCA

MICLAB 085

GEL

MICLAB 080

Other ………………………..

Name of Technician who

Training records

Yes

performed the test

complete

Date Sampled

Date Test

performed

Was test conducted in

If No, comment:

accordance with SOP &

Yes

Control method

Media/Reagents Used

Lot Number

Expiry Date

Passed QC Checks

Yes

File Location:

Date Printed:

Page 1 of 3

Form 690

Issue date:

Microbiology Out of Specification (OOS)

Investigation and Report Form

(Ref. MICLAB 110)

PART B Evaluation of Laboratory Testing (continued)

Equipment Used

Calibration Due Date

Temperature Trends in range

Yes

N/A

Yes

N/A

Yes

N/A

Yes

N/A

Yes

N/A

Yes

N/A

Test result record

Yes

Comments:

Attached?

Are Calculations Verified

Yes

Comments:

and correct?

Negative Controls

Yes

Comments:

passed?

Other tests from same

Comments:

test session within

Yes

limits?

Other Sources of Error?

Comments:

Technician observations

Yes

during testing?

Brief Description of the

Investigation Findings to

date.

If No, is re-testing

Yes

N/A

required

Is initial Result Valid?

If Yes, is confirmatory or

(ie has root cause been

Yes

investigational testing

Yes

N/A

identified)

required?

If Yes, DR raised &

Yes

recorded in Section A

Initials & Date

Note : If any of the above questions were answered NO, an evaluation of the validity of the test needs to be conducted by the Micro Manager.

Approved By:

Micro Manager

Sign

Date

NOTE: Refer to MICLAB 110 for appropriate Retest Procedures.

File Location:

Date Printed:

Page 2 of 3

Form 690

Issue date:

Microbiology Out of Specification (OOS)

Investigation and Report Form

(Ref. MICLAB 110)

Phase 2

PART C Retest Protocol
	Retest testing of Original Sample(s)		Yes	No	N/A

	Confirmatory Testing of Original or retention Sample(s) for		Yes	No	N/A
	investigational purposes		Yes	No	N/A
	investigational purposes
	Retest of Retain samples		Yes	No	N/A

	Retest of Both Original and retain sample		Yes	No	N/A

	Number of Replicates to be Tested

	Test Method

	Limits for Retest

	Retesting Conducted by
		Print		Sign and Date

Please document the purpose of additional testing as detailed above.

Retest Protocol

Approved By:

Micro Manager

Sign

Date

PART C Retest Protocol (continued) - Retest Results

Document result of Retesting in this section. Please attach hardcopy of raw data.

Approved By:

Micro Manager

Sign

Date

File Location:

Date Printed:

Page 3 of 3

Microbiology Report Form – Fill Out and Use This PDF

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