Records Access Form template
A form in the Control of Records procedure (PR08), mapped to ISO 15189:2022 clause 8.4. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 8.4As needed
Calculated automaticallyRed = outside limits
Your LaboratoryRecords Access Form | YL-QM-FRM-08-F02 v1.0
Record: Records Access Form — October 2026
Complete whenever archived records are accessed by anyone outside the section, including escorted visitors, assessors, regulators and students (PR08, 6.5.4–6.5.5).
| No. | Date | Name | Organisation / role | Record(s) accessed | Purpose | Time in | Time out | Escorted by | Signature |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026-10-01 | R. Naidoo | Medical Technologist | 08:00 | 08:00 | S. Dlamini | |||
| 2 | 2026-10-08 | S. Dlamini | Senior Technologist | 14:00 | 14:00 | A. Mensah | |||
| 3 | 2026-10-15 | A. Mensah | Quality Officer | 08:05 | 08:05 | L. Banda | |||
| 4 | 2026-10-22 | L. Banda | Lab Assistant | 13:55 | 13:55 | K. Otieno | |||
| 5 | 2026-10-29 | K. Otieno | Medical Technologist | 08:00 | 08:00 | T. Moyo | |||
| 6 | 2026-11-05 | T. Moyo | Senior Technologist | 14:00 | 14:00 | R. Naidoo | |||
| 7 | 2026-11-12 | R. Naidoo | Quality Officer | 08:05 | 08:05 | S. Dlamini | |||
| 8 | 2026-11-19 | S. Dlamini | Lab Assistant | 13:55 | 13:55 | A. Mensah |
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
A4 landscape · first page · showing 8 of 8 rowsExactly as LabToolkit Pro prints it — with your logo and colours
What it records
- Date
- Name
- Organisation / role
- Record(s) accessed
- Purpose
- Time in
- Time out
- Escorted by
- Signature
Instructions on the form
- Complete whenever archived records are accessed by anyone outside the section, including escorted visitors, assessors, regulators and students (PR08, 6.5.4–6.5.5).
Sign-off
- Completed by
- Reviewed by
Related templates
- Documents & Records Backup Log (PR08-F01)
- Documents & Records Retention Schedule (PR08-F03)
- Archiving & Destruction Form (PR08-F04)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.