Form 640 Issue date:
Sample Identification Checklist For Terminally Sterilised Products (Ref. MICLAB 095)
Terminally Sterilised Products Deliver filled product samples for the Microlab. Complete this Checklist and include with the samples.
PRODUCT NAME:
CONTAINER & FILL SIZE:
MATERIAL
BPN.
CODE No.
Autoclave Load No. (Sub-lot No.)
Number of autoclaved loads in the batch:
DATE OF AUTOCLAVE:
END OF BPN?
CYCLE No:
Yes
No. SAMPLES
No. SAMPLES
Sterility:
Pyrogen:
No. SAMPLES
SIGN:
(Before autoclaving) Bioburden:
DATE
File Location:
Date Printed:
No
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