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Lot-to-lot Verification Log template

A log in the Lot-to-Lot Verification procedure (PR19), mapped to ISO 15189:2022 clause 6.6.3. Fill it in monthly. Used by the laboratory team.

LogISO 15189 · 6.6.3Monthly
Preview of the Lot-to-lot Verification Log as printed by LabToolkit Pro
Calculated automaticallyRed = outside limits
Your LaboratoryLot-to-lot Verification Log | YL-LAB-LOG-19-F01 v1.0

Record: Lot-to-lot Verification Log — October 2026

Verification is mandatory before putting a new lot into use. Use the preferred IQC comparison method.
No.Reagent / Test NameOld Lot No.New Lot No.Expiry Date (New Lot)Verification Method (IQC Comp. / Patient Samples / Other)
IQC Comp. / Patient Samples / Other
Sample 1 Old LotSample 1 New LotSample 2 Old LotSample 2 New LotSample 3 Old LotSample 3 New LotOutcome (Pass/Fail)Action / Comments
1R. NaidooL2409-AL2409-A2026-10-01P-20817L2409-AL2409-AL2409-AL2409-AL2409-AL2409-APassNone required
2S. DlaminiL2410-BL2410-B2026-10-08P-20830L2410-BL2410-BL2410-BL2410-BL2410-BL2410-BPassNone required
3A. MensahL2411-CL2411-C2026-10-15P-20843L2411-CL2411-CL2411-CL2411-CL2411-CL2411-CPassNone required
4L. BandaL2412-DL2412-D2026-10-22P-20856L2412-DL2412-DL2412-DL2412-DL2412-DL2412-DFailInvestigated and repeated: within limits
5K. OtienoL2413-AL2413-A2026-10-29P-20869L2413-AL2413-AL2413-AL2413-AL2413-AL2413-APassNone required
6T. MoyoL2414-BL2414-B2026-11-05P-20882L2414-BL2414-BL2414-BL2414-BL2414-BL2414-BPassNone required
7R. NaidooL2415-CL2415-C2026-11-12P-20895L2415-CL2415-CL2415-CL2415-CL2415-CL2415-CPassNone required
8S. DlaminiL2416-DL2416-D2026-11-19P-20908L2416-DL2416-DL2416-DL2416-DL2416-DL2416-DPassNone required

Sign-off

RoleNameSignatureDate
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

  • Reagent / Test Name
  • Old Lot No.
  • New Lot No.
  • Expiry Date (New Lot)
  • Verification Method (IQC Comp. / Patient Samples / Other)
  • Sample 1 Old Lot
  • Sample 1 New Lot
  • Sample 2 Old Lot
  • Sample 2 New Lot
  • Sample 3 Old Lot
  • Sample 3 New Lot
  • Outcome (Pass/Fail)
  • Action / Comments

Instructions on the form

  • Verification is mandatory before putting a new lot into use. Use the preferred IQC comparison method.

Sign-off

  • Completed by
  • Reviewed by

Related templates

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