| Product Name | Part/Model Number | ||
|---|---|---|---|
| Batch/Lot Number | Quantity | ||
| Production Date | Expiration Date | ||
| Work Order/Job Number |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Product meets specifications | ||||
| Lot history record reviewed | ||||
| Device Labeling verified | ||||
| Packaging inspected | ||||
| Sterility/Sterilization record reviewed (if applicable) | ||||
| Documented deviations and dispositions reviewed | ||||
| Certificates of Compliance/Analysis available | ||||
| Quality Control release completed | ||||
| Final inspection performed | ||||
| Product identified and traced per procedures |
| Prepared By | Reviewed By | Approved By |
|---|---|---|
| Date: | Date: | Date: |