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Quality Indicators Plan Form template

A form in the Quality Indicators procedure (PR25), mapped to ISO 15189:2022 clause 8.8.2. Fill it in whenever the task occurs. Used by the quality-management team.

FormISO 15189 · 8.8.2As needed
Preview of the Quality Indicators Plan Form as printed by LabToolkit Pro
Calculated automaticallyRed = outside limits
Your LaboratoryQuality Indicators Plan Form | YL-QM-FRM-25-F01 v1.0

Record: Quality Indicators Plan Form — October 2026

Year2026
Prepared by (QO)R. Naidoo
Approved byS. Dlamini
No.Quality IndicatorPhase (Pre/Ana/Post)Measure / KPITargetBaseline (Prior Year)Reporting FrequencyData SourceResponsible PersonQ1 ActualQ2 ActualStatus (Met/Partial/Not Met)
1Sample rejection ratePre% rejections / total received< 2%2026MonthlyPR20-F02QOClosed
2Requisition error ratePre% errors / total requisitions< 1%2026MonthlyReception LogQOIn progress
3IQC pass rate per analyserAna% runs passing Westgard≥ 95%2026MonthlyPR23-F04Tech StaffOpen
4EQA pass rate (all analytes)Ana% analytes passing100%2026Per schemePR24-F01QOClosed
5TAT compliance – routinePost% within TAT / total≥ 90%2026MonthlyLIMSLab HeadClosed
6TAT compliance – urgentPost% within TAT / total≥ 95%2026MonthlyLIMSLab HeadIn progress
7Critical result notification ratePost% notified within 1 hr100%2026MonthlyPR14-F04QOOpen
8Equipment downtimeAnaHours downtime / month< 8 hrs2026MonthlyPR16-F04Equip. Off.Closed
9Customer complaint ratePostNo. complaints / 1000 tests< 12026QuarterlyPR06-F02QOClosed
10NC closure rateQMS% NCs closed within target≥ 80%2026QuarterlyPR07-F02QOIn progress

… 4 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 14 rowsExactly as LabToolkit Pro prints it — with your logo and colours

What it records

  • Quality Indicator
  • Phase (Pre/Ana/Post)
  • Measure / KPI
  • Target
  • Baseline (Prior Year)
  • Reporting Frequency
  • Data Source
  • Responsible Person
  • Q1 Actual
  • Q2 Actual
  • Status (Met/Partial/Not Met)

Sign-off

  • Completed by
  • Reviewed by

Related templates

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