On-call Roster template
A form in the Personnel, Training and Competence procedure (PR12), mapped to ISO 15189:2022 clause 6.2. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 6.2As needed
Calculated automaticallyRed = outside limits
Your LaboratoryOn-call Roster | YL-QM-FRM-12-F11c v1.0
Record: On-call Roster — October 2026
SectionHaematology
Month / YearOctober 2026
| Day | Date | Name On Call | Contact No. | Designation | Shift Hours | Backup On Call | Backup Contact | Called In? (Y/N) | Comments |
|---|---|---|---|---|---|---|---|---|---|
| Monday | 2026-10-01 | T. Moyo | REF-26-001 | Medical Technologist | +27 11 555 0110 | Y | Within limits | ||
| Tuesday | 2026-10-08 | R. Naidoo | REF-26-002 | Senior Technologist | +27 11 555 0111 | Y | |||
| Wednesday | 2026-10-15 | S. Dlamini | REF-26-003 | Quality Officer | +27 11 555 0112 | Y | |||
| Thursday | 2026-10-22 | A. Mensah | REF-26-004 | Lab Assistant | +27 11 555 0113 | N | Within limits | ||
| Friday | 2026-10-29 | L. Banda | REF-26-005 | Medical Technologist | +27 11 555 0114 | Y |
Saturday
Sunday
Saturday
Sunday
Saturday
Sunday
Saturday
Sunday
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
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What it records
- Day
- Date
- Name On Call
- Contact No.
- Designation
- Shift Hours
- Backup On Call
- Backup Contact
- Called In? (Y/N)
- Comments
Instructions on the form
- Saturday
- Sunday
- Saturday
- Sunday
- Saturday
- Sunday
- Saturday
- Sunday
Sign-off
- Completed by
- Reviewed by
Related templates
- Personnel File Checklist (PR12-F01)
- Personnel Orientation Checklist (PR12-F02)
- Code of Ethics, Impartiality & Confidentiality Declaration (PR12-F03)
- Personnel Training & Continuous Professional Development Plan (PR12-F04)
- Training Evaluation Form (PR12-F05)
- Competence Matrix (PR12-F06)
- General Competence Assessment Form (PR12-F07a)
- Management System Training and Competence Form (PR12-F07b)
- Departmental Technical Training and Competency Assessment (template for F07c–F07i) (PR12-F07c)
- Competency Assessment Form (PR12-F08)
- Personnel Authorization Matrix (PR12-F09)
- Authorised Signatures & Initials Log (PR12-F10)
- Work Schedule (PR12-F11a)
- Departmental Duty Roster (PR12-F11b)
- Personnel Replacement Form (PR12-F12)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.