Document Distribution and Retrieval Form template
A form in the Control of Documents procedure (PR02), mapped to ISO 15189:2022 clause 8.3. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 8.3As needed
Calculated automaticallyRed = outside limits
Your LaboratoryDocument Distribution and Retrieval Form | YL-QM-FRM-02-F03 v1.0
Record: Document Distribution and Retrieval Form — October 2026
Section / locationHaematology
Distributed by (QO)R. Naidoo
Sign when you receive a controlled copy on behalf of your section (PR02, 6.6.2). When a new version is issued, the previous copy is retrieved and recorded on the same line.
| No. | Doc ID | Title | Version | Copy no. | Date issued | Received by (name / sign) | Version retrieved | Date retrieved | Retrieved by |
|---|---|---|---|---|---|---|---|---|---|
| 1 | REF-26-001 | Monthly QC review | 2 | REF-26-001 | 2026-10-01 | R. Naidoo | 2 | 2026-10-01 | T. Moyo |
| 2 | REF-26-002 | Equipment maintenance | 2 | REF-26-002 | 2026-10-08 | S. Dlamini | 2 | 2026-10-08 | R. Naidoo |
| 3 | REF-26-003 | Document review | 2 | REF-26-003 | 2026-10-15 | A. Mensah | 2 | 2026-10-15 | S. Dlamini |
| 4 | REF-26-004 | Competency assessment | 2 | REF-26-004 | 2026-10-22 | L. Banda | 2 | 2026-10-22 | A. Mensah |
| 5 | REF-26-005 | Monthly QC review | 2 | REF-26-005 | 2026-10-29 | K. Otieno | 2 | 2026-10-29 | L. Banda |
| 6 | REF-26-006 | Equipment maintenance | 2 | REF-26-006 | 2026-11-05 | T. Moyo | 2 | 2026-11-05 | K. Otieno |
| 7 | REF-26-007 | Document review | 2 | REF-26-007 | 2026-11-12 | R. Naidoo | 2 | 2026-11-12 | T. Moyo |
| 8 | REF-26-008 | Competency assessment | 2 | REF-26-008 | 2026-11-19 | S. Dlamini | 2 | 2026-11-19 | 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
- Doc ID
- Title
- Version
- Copy no.
- Date issued
- Received by (name / sign)
- Version retrieved
- Date retrieved
- Retrieved by
Instructions on the form
- Sign when you receive a controlled copy on behalf of your section (PR02, 6.6.2). When a new version is issued, the previous copy is retrieved and recorded on the same line.
Sign-off
- Completed by
- Reviewed by
Related templates
- Document Attestation Form (PR02-F02)
- Document Change Request Log (PR02-F04)
- Archiving and Removal Form (PR02-F05)
- 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.