Laboratory Standards
and Regulations
 
The Collection of Standard Forms
Note: Listed below are the standard testing forms; they are in MS word format. If your browser cannot open these forms, right click on the one(s) you want to see and save the file(s) to disk. Then open them in Word for Windows, version 6.0 or later. 
Form 1  Proficiency Testing (PT) Survey Listing & Participation Summary 
Form 2  Proficiency Testing (PT) Processing, Enrollment, and Testing of Samples: Flow Cytometry 
Form 3  Remedial Action: Unacceptable Proficiency Testing Results, Flow Cytometry 
Form 4  Quality Assurance Review: Evaluation of Corrective Actions on Unsatisfactory Proficiency Testing Results 
Form 5a  Cytometry Equipment and Function Checks 
Form 5b  Laboratory Equipment and Function Checks 
Form 5c  Corrective Action: Preventive Maintenance and Function Checks 
Form 5d  Equipment Service Log 
Form 6  Pipette Calibration 
Form 7  Adequacy of Methods/Equipment/Instruments for Testing 
Form 8  Quality Control 
Form 9  Remedial Action: Test Results Reported in Error 
Quality Assurance Review Forms
Form 10  Criteria for Specimen Collection and Handling 
Form 11  Evaluation of Criteria for Specimen Rejection 
Form 12  Completeness of Information on Requisitions and Reports 
Form 13  Quality Assurance for Quality Control Corrective Action 
Form 14  Relationship between Test Results Using Different Methods, Instruments, or Testing Sites 
Form 15  Evaluation of Patient Test Results Inconsistent with Patient Criteria 
Form 16  Employee Qualification Documentation 
Form 17  Employee Competence Review–Flow Cytometry 
Form 18  Documentation of Complaints and Problems Reported to Laboratory 
Form 19  Quality Assurance Review with Staff 
Back to standards & regulations 
     
CD-ROM Vol 4 was produced by Monica M. Shively and other staff at the Purdue University 
Cytometry Laboratories and distributed free of charge as an educational service to the
cytometry community. If you have any comments please direct them to Dr. J. Paul Robinson, 
Professor & Director, PUCL, Purdue University,West Lafayette, IN 47907, Phone: (765)-494-0757
FAX(765) 494-0517, Web http://www.cyto.purdue.edu , EMAIL cdrominfo@flowcyt.cyto.purdue.edu