IQC Statistical Tool — Levey-jennings Chart Setup template
A qc sheet in the Internal Quality Control procedure (PR23), mapped to ISO 15189:2022 clause 7.3.7.2. Fill it in whenever the task occurs. Used by the laboratory team.
Qc sheetISO 15189 · 7.3.7.2As needed
Calculated automatically
Your LaboratoryIQC Statistical Tool — Levey-jennings Chart Setup | YL-LAB-FRM-23-F03 v1.0
Form: IQC Statistical Tool — Levey-jennings Chart Setup
Reference SOP
Enter 20 values to auto-calculate mean, SD and control limits. Use after initial lot setup (20 data points).
Test
Control Level
| Day | Date | Result | Mean | –1SD | –2SD | –3SD | +1SD | +2SD | +3SD |
|---|---|---|---|---|---|---|---|---|---|
Computed Statistics
N (data points)auto
Meanauto
SDauto
CV%auto
–1SDauto
–2SDauto
–3SDauto
+1SDauto
+2SDauto
+3SDauto
… 10 more rows continue on the next page
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Completed by | |||
| Reviewed by |
Shaded cells are calculated automatically.
Controlled document. Printed copies are uncontrolled unless stamped.Page 1
A4 landscape · first page · showing 10 of 20 rowsExactly as LabToolkit Pro prints it — with your logo and colours
What it records
- Day
- Date
- Result
- Mean
- –1SD
- –2SD
- –3SD
- +1SD
- +2SD
- +3SD
Instructions on the form
- Enter 20 values to auto-calculate mean, SD and control limits. Use after initial lot setup (20 data points).
Sign-off
- Completed by
- Reviewed by
Related templates
- IQC Frequency Determination Form (PR23-F01)
- In-house IQC Preparation Log (PR23-F02)
- 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.