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Form · VAL-F03

IQ Execution Record and Checklist

Executed IQ checks with results and deviations.

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Purpose

The execution record for the IQ under VAL-P05: for each check or test, the expected result, the actual result with evidence, pass / fail, the executor and date, and any deviation, followed by a summary and approval. It is the objective evidence that the qualification stage was performed as approved.

What it covers

  • IQ checks / tests
  • Summary
  • Authorisation

How to complete it

  1. 1.Execute only against an approved VAL-P05 protocol; enter the protocol number and revision.
  2. 2.Record actual results at the time (values, observations, attachment references); never pre-fill results.
  3. 3.Record any deviation on VAL-F09 and reference it; do not proceed to the next stage on failed critical items without QA assessment.
  4. 4.Complete the summary and obtain post-execution approval.

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.