Pharmaceutical Cleanroom Validation Form
General Information
Facility Name
Location/Room
Date
Performed By
Reviewed By
Room Classification
Validation Tests Summary
Test Parameter
Specification
Result
Pass/Fail
Comments
Airborne Particle Count
Pass
Fail
Air Changes per Hour (ACH)
Pass
Fail
HEPA Integrity Test
Pass
Fail
Pressure Differential
Pass
Fail
Temperature and Humidity
Pass
Fail
Recovery Test
Pass
Fail
Viable Count
Pass
Fail
Observations
Corrective Actions (if any)
Approvals
Validated By
Date
Approved By
Date