Goods Receiving Inspection Checklist template
A form in the Reagents and Consumables procedure (PR18), mapped to ISO 15189:2022 clause 6.6. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 6.6As needed
Calculated automaticallyRed = outside limits
Your LaboratoryGoods Receiving Inspection Checklist | YL-QM-FRM-18-F01 v1.0
Record: Goods Receiving Inspection Checklist — October 2026
Supplier / Delivery Note No.REF-26-001
Date Received2026-10-01
| No. | Item Description / Reagent Name | Catalogue No. | Lot No. | Expiry Date | Qty Ordered | Qty Received | Temp on Arrival (°C) °C | Cold Chain Maintained? (Y/N) | Condition (OK/Damaged) | Awaiting Verification? (Y/N) | Action / Comments |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | R. Naidoo | REF-26-001 | L2409-A | 2026-10-01 | T. Moyo | 21.80 | Y | Y | None required | ||
| 2 | S. Dlamini | REF-26-002 | L2410-B | 2026-10-08 | R. Naidoo | 23.70 | Y | Y | None required | ||
| 3 | A. Mensah | REF-26-003 | L2411-C | 2026-10-15 | S. Dlamini | 23.90 | Y | Y | None required | ||
| 4 | L. Banda | REF-26-004 | L2412-D | 2026-10-22 | A. Mensah | 22.70 | N | N | Investigated and repeated: within limits | ||
| 5 | K. Otieno | REF-26-005 | L2413-A | 2026-10-29 | L. Banda | 21.10 | Y | Y | None required | ||
| 6 | T. Moyo | REF-26-006 | L2414-B | 2026-11-05 | K. Otieno | 23.90 | Y | Y | None required | ||
| 7 | R. Naidoo | REF-26-007 | L2415-C | 2026-11-12 | T. Moyo | 22.70 | Y | Y | None required | ||
| 8 | S. Dlamini | REF-26-008 | L2416-D | 2026-11-19 | R. Naidoo | 22.30 | Y | Y | None required |
Invoice / Delivery Note attached? (Y/N)Y
Goods entered into Received Register? (Y/N)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
- Item Description / Reagent Name
- Catalogue No.
- Lot No.
- Expiry Date
- Qty Ordered
- Qty Received
- Temp on Arrival (°C)
- Cold Chain Maintained? (Y/N)
- Condition (OK/Damaged)
- Awaiting Verification? (Y/N)
- Action / Comments
Sign-off
- Completed by
- Reviewed by
Related templates
- In-house Reagent Preparation Log (PR18-F02)
- Reagent Label (PR18-F03)
- Stock-take & Expired Items Record (PR18-F04)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.