In-house IQC Preparation Log template
A log in the Internal Quality Control procedure (PR23), mapped to ISO 15189:2022 clause 7.3.7.2. Fill it in monthly. Used by the laboratory team.
LogISO 15189 · 7.3.7.2Monthly
Calculated automaticallyRed = outside limits
Your LaboratoryIn-house IQC Preparation Log | YL-LAB-LOG-23-F02 v1.0
Record: In-house IQC Preparation Log — October 2026
| No. | IQC Material Name | Date Prepared | Prepared by | Source Material (Lot/Patient Pool) | Volume Prepared | No. Aliquots | Aliquot Volume | Storage Condition (Temp) | Expiry Date | Traceability Reference | Comments |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | S. Dlamini | 2026-10-01 | S. Dlamini | L2409-A | 10 | REF-26-001 | 10 | 23.40 | 2026-10-01 | NC-26-001 | Within limits |
| 2 | A. Mensah | 2026-10-08 | A. Mensah | L2410-B | 8 | REF-26-002 | 5 | 21.70 | 2026-10-08 | NC-26-002 | |
| 3 | L. Banda | 2026-10-15 | L. Banda | L2411-C | 5 | REF-26-003 | 8 | 22.50 | 2026-10-15 | NC-26-003 | |
| 4 | K. Otieno | 2026-10-22 | K. Otieno | L2412-D | 5 | REF-26-004 | 6 | 22.60 | 2026-10-22 | NC-26-004 | Within limits |
| 5 | T. Moyo | 2026-10-29 | T. Moyo | L2413-A | 5 | REF-26-005 | 8 | 21.50 | 2026-10-29 | NC-26-005 | |
| 6 | R. Naidoo | 2026-11-05 | R. Naidoo | L2414-B | 6 | REF-26-006 | 6 | 23.60 | 2026-11-05 | NC-26-006 | |
| 7 | S. Dlamini | 2026-11-12 | S. Dlamini | L2415-C | 8 | REF-26-007 | 9 | 23.20 | 2026-11-12 | NC-26-007 | Within limits |
| 8 | A. Mensah | 2026-11-19 | A. Mensah | L2416-D | 8 | REF-26-008 | 8 | 23 | 2026-11-19 | NC-26-008 |
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
- IQC Material Name
- Date Prepared
- Prepared by
- Source Material (Lot/Patient Pool)
- Volume Prepared
- No. Aliquots
- Aliquot Volume
- Storage Condition (Temp)
- Expiry Date
- Traceability Reference
- Comments
Sign-off
- Completed by
- Reviewed by
Related templates
- IQC Frequency Determination Form (PR23-F01)
- IQC Statistical Tool — Levey-jennings Chart Setup (PR23-F03)
- IQC Daily Log (PR23-F04)
- CV Calculator — Alternative IQC Method (PR23-F05)
- Levey-Jennings chart & Westgard multirule monitor (PR23-T01)
- Sigma metric & QC strategy planner (PR23-T02)
- Guide: Levey-Jennings charts and Westgard rules
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.