Emergency Preparedness Review template
A form in the Emergency Preparedness procedure (PR13), mapped to ISO 15189:2022 clause 7.8. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 7.8As needed
Calculated automaticallyRed = outside limits
Your LaboratoryEmergency Preparedness Review | YL-QM-FRM-13-F02 v1.0
Record: Emergency Preparedness Review — October 2026
| No. | Review Criterion / Drill Activity | Date Conducted | Participants | Outcome (Pass/Fail/Partial) | Gaps Identified | Corrective Action Required | Responsible Person | Target Date | NC Opened (Y/N) |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Monthly QC review | 2026-10-01 | Pass | None required | T. Moyo | 2026-10-01 | Y | ||
| 2 | Equipment maintenance | 2026-10-08 | Pass | None required | R. Naidoo | 2026-10-08 | Y | ||
| 3 | Document review | 2026-10-15 | Pass | None required | S. Dlamini | 2026-10-15 | Y | ||
| 4 | Competency assessment | 2026-10-22 | Fail | Investigated and repeated: within limits | A. Mensah | 2026-10-22 | N | ||
| 5 | Monthly QC review | 2026-10-29 | Pass | None required | L. Banda | 2026-10-29 | Y | ||
| 6 | Equipment maintenance | 2026-11-05 | Pass | None required | K. Otieno | 2026-11-05 | Y | ||
| 7 | Document review | 2026-11-12 | Pass | None required | T. Moyo | 2026-11-12 | Y | ||
| 8 | Competency assessment | 2026-11-19 | Pass | None required | R. Naidoo | 2026-11-19 | Y |
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
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What it records
- Review Criterion / Drill Activity
- Date Conducted
- Participants
- Outcome (Pass/Fail/Partial)
- Gaps Identified
- Corrective Action Required
- Responsible Person
- Target Date
- NC Opened (Y/N)
Sign-off
- Completed by
- Reviewed by
Related templates
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.