JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Calibration of pipettes

Quality Audit Preparation

Process:

Calibration of Pipettes

Area:

Blood Bank

Auditees:

  • Blood bank staff BMS or MLA
  • Blood Transfusion Co-ordinator
  • Pathology Quality Services Manager

Initial preparation:

SOP

  • Does it have a title?
  • Does it have a unique identifier?
  • Does it have a revision number?
  • Does it have a date of implementation?
  • Does it have a review date and has the SOP been regularly reviewed?
  • Is the author identified?
  • Has it been authorised by an appropriate member of staff?
  • Are the number of copies and their locations identified?
  • Is the history page up to date?
  • Is there evidence that staff have signed and dated they have read and understood the SOP?
  • Are there COSHH and risk assessments if relevant?

Additional Evidence required:

  1. Are there training and competency assessments for the member of staff performing the calibration?
  2. Has the member of staff signed that they have read the current version of the SOP?
  3. Is any other equipment used i.e. balances been calibrated to UKAS standards

Interviews/

process:

  1. Observation of the member of staff undertaking the calibration process in real time
  2. Question the member of staff in relation to actions required if the calibration fails in relation to the following information
  3. Is the correct documentation completed
    • Signed
    • Dated
    • Action plan in event of failure
    • Review of action plan and completion

Additional requirements:

N/A