Archiving and Removal Form template
A form in the Control of Documents procedure (PR02), mapped to ISO 15189:2022 clauses 8.3, 8.4. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 8.3, 8.4As needed
Calculated automaticallyRed = outside limits
Your LaboratoryArchiving and Removal Form | YL-QM-FRM-02-F05 v1.0
Record: Archiving and Removal Form — October 2026
Log every obsolete document withdrawn for archiving (PR02, 6.11.5). One archived copy is marked OBSOLETE and dated; the rest are destroyed and recorded on PR08-F04 after the retention period.
| No. | Doc ID | Title | Version | Date obsolete | Copies withdrawn | Withdrawn from (locations) | Archive location / box | Retain until | Withdrawn by / sign |
|---|---|---|---|---|---|---|---|---|---|
| 1 | REF-26-001 | Monthly QC review | 2 | 2026-10-01 | Main laboratory | Main laboratory | |||
| 2 | REF-26-002 | Equipment maintenance | 2 | 2026-10-08 | Sample reception | Sample reception | |||
| 3 | REF-26-003 | Document review | 2 | 2026-10-15 | Cold room | Cold room | |||
| 4 | REF-26-004 | Competency assessment | 2 | 2026-10-22 | Training room | Training room | |||
| 5 | REF-26-005 | Monthly QC review | 2 | 2026-10-29 | Main laboratory | Main laboratory | |||
| 6 | REF-26-006 | Equipment maintenance | 2 | 2026-11-05 | Sample reception | Sample reception | |||
| 7 | REF-26-007 | Document review | 2 | 2026-11-12 | Cold room | Cold room | |||
| 8 | REF-26-008 | Competency assessment | 2 | 2026-11-19 | Training room | Training room |
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Verified by (Quality Officer) |
Shaded cells are calculated automatically. Values in red are outside their limits. † marks a corrected value (see Corrections).
Controlled document. Printed copies are uncontrolled unless stamped.Page 1
A4 landscape · first page · showing 8 of 8 rowsExactly as LabToolkit Pro prints it — with your logo and colours
What it records
- Doc ID
- Title
- Version
- Date obsolete
- Copies withdrawn
- Withdrawn from (locations)
- Archive location / box
- Retain until
- Withdrawn by / sign
Instructions on the form
- Log every obsolete document withdrawn for archiving (PR02, 6.11.5). One archived copy is marked OBSOLETE and dated; the rest are destroyed and recorded on PR08-F04 after the retention period.
Sign-off
- Verified by (Quality Officer)
Related templates
- Document Attestation Form (PR02-F02)
- Document Distribution and Retrieval Form (PR02-F03)
- Document Change Request Log (PR02-F04)
- Guide: ISO 15189 document control
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.