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LIMS Verification Report 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
Preview of the LIMS Verification Report as printed by LabToolkit Pro
Calculated automatically
Your LaboratoryLIMS Verification Report | YL-QM-FRM-17-F02 v1.0

Form: LIMS Verification Report

System / version
Plan ref. (PR17-F01)
Verification period
No.Area verifiedCases runPassedFailed% passedDeviations foundCorrective action / retest result
1User access, roles and passwords
2Patient registration and demographics
3Sample labelling and barcode reading
4Test ordering and test codes
5Manual result entry
6Calculated results (e.g. eGFR, ratios)
7Reference intervals, units and flags
8Delta checks and autoverification rules
9Critical value alerts
10Instrument interfaces (data transfer)
11Report format and content
12Report delivery (print, electronic, portal)
13Amended reports and audit trail
14Back-up and restore
15Downtime procedure and recovery
Conclusion (fit for use / not fit for use / fit with restrictions)
Restrictions or open issues

Sign-off

RoleNameSignatureDate
Verified by
Approved for use by (Laboratory Director)

Shaded cells are calculated automatically.

Controlled document. Printed copies are uncontrolled unless stamped.Page 1
A4 portrait · first page · showing 15 of 15 rowsExactly as LabToolkit Pro prints it — with your logo and colours

What it records

  • Area verified
  • Cases run
  • Passed
  • Failed
  • % passed
  • Deviations found
  • Corrective action / retest result

Sign-off

  • Verified by
  • Approved for use by (Laboratory Director)

Related templates

Use it as a live qc sheet in LabToolkit ProGet it in the ISO 15189 template pack (US$149)

Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.