LIMS Verification Plan template
A qc sheet in the Laboratory Information Management procedure (PR17), mapped to ISO 15189:2022 clause 7.6. Fill it in whenever the task occurs. Used by the quality-management team.
Qc sheetISO 15189 · 7.6As needed
Calculated automaticallyRed = outside limits
Your LaboratoryLIMS Verification Plan | YL-QM-FRM-17-F01 v1.0
Record: LIMS Verification Plan — October 2026
System / vendorMedSupply Ltd
Version / release2
Reason (new / upgrade / change)
Modules in scope
Planned start
Planned end
Verify the system against the manufacturer's specifications, including calculations and data transfers, before use and after changes (PR17, 6.14.1).
| No. | Area to verify | Verification method | Test cases / sample size | Acceptance criterion | Responsible | Planned date |
|---|---|---|---|---|---|---|
| 1 | User access, roles and passwords | Glucose | S. Dlamini | 2026-10-01 | ||
| 2 | Patient registration and demographics | Creatinine | A. Mensah | 2026-10-08 | ||
| 3 | Sample labelling and barcode reading | ALT | L. Banda | 2026-10-15 | ||
| 4 | Test ordering and test codes | Haemoglobin | K. Otieno | 2026-10-22 | ||
| 5 | Manual result entry | Potassium | T. Moyo | 2026-10-29 | ||
| 6 | Calculated results (e.g. eGFR, ratios) | Glucose | R. Naidoo | 2026-11-05 | ||
| 7 | Reference intervals, units and flags | Creatinine | S. Dlamini | 2026-11-12 | ||
| 8 | Delta checks and autoverification rules | ALT | A. Mensah | 2026-11-19 | ||
| 9 | Critical value alerts | Haemoglobin | L. Banda | 2026-11-26 | ||
| 10 | Instrument interfaces (data transfer) | Potassium | K. Otieno | 2026-12-03 | ||
| 11 | Report format and content | Glucose | T. Moyo | 2026-12-10 | ||
| 12 | Report delivery (print, electronic, portal) | Creatinine | R. Naidoo | 2026-12-17 | ||
| 13 | Amended reports and audit trail | ALT | S. Dlamini | 2026-12-24 | ||
| 14 | Back-up and restore | Haemoglobin | A. Mensah | 2026-12-31 | ||
| 15 | Downtime procedure and recovery | Potassium | L. Banda | 2027-01-07 |
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Prepared by | |||
| Approved by (Laboratory Manager) |
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
- Area to verify
- Verification method
- Test cases / sample size
- Acceptance criterion
- Responsible
- Planned date
Instructions on the form
- Verify the system against the manufacturer's specifications, including calculations and data transfers, before use and after changes (PR17, 6.14.1).
Sign-off
- Prepared by
- Approved by (Laboratory Manager)
Related templates
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.