Equipment Operating List template
A form in the Equipment and Calibration procedure (PR16), mapped to ISO 15189:2022 clauses 6.2, 6.4. Fill it in whenever the task occurs. Used by the laboratory team.
FormISO 15189 · 6.2, 6.4As needed
Calculated automaticallyRed = outside limits
Your LaboratoryEquipment Operating List | YL-LAB-FRM-16-F02 v1.0
Record: Equipment Operating List — October 2026
EquipmentChemistry analyser
Equipment IDEQ-012
Serial no.EQ-012
LocationMain laboratory
Manufacturer / modelMedSupply Ltd
Section HeadHaematology
Only trained, competent and authorized personnel operate critical equipment (PR16, 5.5.1). Keep one list per instrument and attach it near the instrument.
| No. | Operator name | Designation | Training date | Competency assessed | Authorized? | Authorized by | Re-assessment due | Initials |
|---|---|---|---|---|---|---|---|---|
| 1 | R. Naidoo | Medical Technologist | 2026-10-01 | Yes | R. Naidoo | 2026-10-01 | TM | |
| 2 | S. Dlamini | Senior Technologist | 2026-10-08 | Yes | S. Dlamini | 2026-10-08 | RN | |
| 3 | A. Mensah | Quality Officer | 2026-10-15 | Yes | A. Mensah | 2026-10-15 | SD | |
| 4 | L. Banda | Lab Assistant | 2026-10-22 | No | L. Banda | 2026-10-22 | AM | |
| 5 | K. Otieno | Medical Technologist | 2026-10-29 | Yes | K. Otieno | 2026-10-29 | LB | |
| 6 | T. Moyo | Senior Technologist | 2026-11-05 | Yes | T. Moyo | 2026-11-05 | KO | |
| 7 | R. Naidoo | Quality Officer | 2026-11-12 | Yes | R. Naidoo | 2026-11-12 | TM | |
| 8 | S. Dlamini | Lab Assistant | 2026-11-19 | Yes | S. Dlamini | 2026-11-19 | RN |
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
- Operator name
- Designation
- Training date
- Competency assessed
- Authorized?
- Authorized by
- Re-assessment due
- Initials
Instructions on the form
- Only trained, competent and authorized personnel operate critical equipment (PR16, 5.5.1). Keep one list per instrument and attach it near the instrument.
Sign-off
- Completed by
- Reviewed by
Related templates
- Equipment Inventory List (PR16-F01)
- Equipment Decontamination Form (PR16-F03)
- Equipment Maintenance & Occurrence Log (PR16-F04)
- Calibration Certificate Review Form (PR16-F05)
- Interpolation Calculator (PR16-F06)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.