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Form · FRM-33

Confidentiality and Impartiality Declaration

Signed undertaking by staff, contractors and committee members.

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Purpose

The signed undertaking by every person who could influence laboratory activities - employees, contractors, consultants, committee members - to act impartially, declare conflicts of interest and keep confidential all information obtained or created during laboratory activities, renewed annually.

What it covers

  • Undertaking
  • Declaration of interests

How to complete it

  1. 1.Every person signs on engagement and annually thereafter; the Quality Manager reviews declarations and files them in the personnel competence file.
  2. 2.Declare all relationships and interests listed; where none, write 'none'. Update the declaration whenever circumstances change.
  3. 3.The undertaking survives the end of engagement.

Before you use it

  • Replace every square-bracket token, starting with [LABORATORY NAME], [ADDRESS] and [EFFECTIVE DATE]. The full token list is in GD-01 Read Me First.
  • Have the content technically reviewed against how your laboratory actually works, then approved by the responsible manager before it becomes a controlled document.
  • Update the Word fields after editing so the table of contents and page numbers are correct: select all, then press F9.
  • Record the document in your own document register and set its review date.

Related documents

This is an original template published by ValiTrac. It does not reproduce the text of ISO/IEC 17025 or of any accreditation body publication, and it does not by itself confer or guarantee accreditation. Customise, review and approve it before use.