Archiving & Destruction Form template
A form in the Control of Records procedure (PR08), mapped to ISO 15189:2022 clause 8.4. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 8.4As needed
Calculated automaticallyRed = outside limits
Your LaboratoryArchiving & Destruction Form | YL-QM-FRM-08-F04 v1.0
Record: Archiving & Destruction Form — October 2026
| No. | Document / Record Title | Document ID | Date of Document | Date Archived / Sent for Destruction | Archive Location / Destruction Method | Destroyed by | Witnessed by | Authorization (Lab Head) | Comments |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Monthly QC review | REF-26-001 | 2026-10-01 | 2026-10-01 | Main laboratory | T. Moyo | T. Moyo | Within limits | |
| 2 | Equipment maintenance | REF-26-002 | 2026-10-08 | 2026-10-08 | Sample reception | R. Naidoo | R. Naidoo | ||
| 3 | Document review | REF-26-003 | 2026-10-15 | 2026-10-15 | Cold room | S. Dlamini | S. Dlamini | ||
| 4 | Competency assessment | REF-26-004 | 2026-10-22 | 2026-10-22 | Training room | A. Mensah | A. Mensah | Within limits | |
| 5 | Monthly QC review | REF-26-005 | 2026-10-29 | 2026-10-29 | Main laboratory | L. Banda | L. Banda | ||
| 6 | Equipment maintenance | REF-26-006 | 2026-11-05 | 2026-11-05 | Sample reception | K. Otieno | K. Otieno | ||
| 7 | Document review | REF-26-007 | 2026-11-12 | 2026-11-12 | Cold room | T. Moyo | T. Moyo | Within limits | |
| 8 | Competency assessment | REF-26-008 | 2026-11-19 | 2026-11-19 | Training room | R. Naidoo | R. Naidoo |
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Completed by | |||
| Reviewed by |
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
- Document / Record Title
- Document ID
- Date of Document
- Date Archived / Sent for Destruction
- Archive Location / Destruction Method
- Destroyed by
- Witnessed by
- Authorization (Lab Head)
- Comments
Sign-off
- Completed by
- Reviewed by
Related templates
- Documents & Records Backup Log (PR08-F01)
- Records Access Form (PR08-F02)
- Documents & Records Retention Schedule (PR08-F03)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.