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Personnel Authorization Matrix 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
Preview of the Personnel Authorization Matrix as printed by LabToolkit Pro
Calculated automaticallyRed = outside limits
Your LaboratoryPersonnel Authorization Matrix | YL-QM-FRM-12-F09 v1.0

Record: Personnel Authorization Matrix — October 2026

SectionHaematology
Year2026
Key: A = Authorised P = Authorised with supervision N = Not Authorised
Activity / PermissionStaff Member 1 [Name]Staff Member 2 [Name]Staff Member 3 [Name]Staff Member 4 [Name]Staff Member 5 [Name]Staff Member 6 [Name]Staff Member 7 [Name]Staff Member 8 [Name]Staff Member 9 [Name]Staff Member 10 [Name]Staff Member 11 [Name]Staff Member 12 [Name]
Results Release
Release routine resultsT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoR. NaidooR. NaidooR. Naidoo
Release urgent / critical resultsR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooS. DlaminiS. DlaminiS. Dlamini
Release HIV/VL resultsS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiA. MensahA. MensahA. Mensah
Authorize result amendmentsA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahL. BandaL. BandaL. Banda
Equipment
Operate analyser – ChemistryL. BandaL. BandaL. BandaL. BandaL. BandaL. BandaL. BandaL. BandaL. BandaK. OtienoK. OtienoK. Otieno
Operate analyser – HaematologyK. OtienoK. OtienoK. OtienoK. OtienoK. OtienoK. OtienoK. OtienoK. OtienoK. OtienoT. MoyoT. MoyoT. Moyo
Operate CD4 analyserT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoT. MoyoR. NaidooR. NaidooR. Naidoo
Operate Viral Load PCR systemR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooR. NaidooS. DlaminiS. DlaminiS. Dlamini
Calibrate equipmentS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiS. DlaminiA. MensahA. MensahA. Mensah
Qms Activities
Open nonconformity recordsA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahA. MensahL. BandaL. BandaL. Banda

… 13 more rows continue on the next page

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 10 of 23 rowsExactly as LabToolkit Pro prints it — with your logo and colours

What it records

  • Activity / Permission
  • Staff Member 1 [Name]
  • Staff Member 2 [Name]
  • Staff Member 3 [Name]
  • Staff Member 4 [Name]
  • Staff Member 5 [Name]
  • Staff Member 6 [Name]
  • Staff Member 7 [Name]
  • Staff Member 8 [Name]
  • Staff Member 9 [Name]
  • Staff Member 10 [Name]
  • Staff Member 11 [Name]
  • Staff Member 12 [Name]

Instructions on the form

  • Key: A = Authorised P = Authorised with supervision N = Not Authorised

Sign-off

  • Completed by
  • Reviewed by

Related templates

Use it as a live form 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.