Medical Device Packing List Compliance Form
Company Name
Contact Person
Date
Shipment Details
Shipment Number
Destination
Carrier
Device List
Device Name
Model/REF
Lot/Serial No.
Qty
Compliance Status
Compliance Checklist
Labelling verified as per regulatory requirement
IFUs included
Packaging intact
Expiry dates checked
All documents attached
Remarks/Comments
Checked by
Date Checked