Healthcare Laboratory Work Station

HEALTHCARE LABORATORY WORK STATION CHECKLIST

Workstation Identification

Date of check:   Shift start:   Shift end:

Patient Information (If handling patient specimens)

DOB:   Gender:

Equipment and Consumables

Biosafety Cabinet In Use: Yes   Certification Date:

Serial/ID:   Last Maintenance:

Reagents/Lot Numbers (list in comments): Confirmed

Quality Control and Calibration

Daily QC Performed: Yes   QC Record ID:

Environmental and Safety Checks

Ambient Temperature (°C):   Ambient Humidity (%):

Spill Kit Available: Yes   Sharps Container Secure: Yes

Specimen Handling and Chain of Custody

Specimen labels verified: Yes   Specimen integrity confirmed: Yes

Training and Access Authorization

Operator Name:

Access Authorization Current: Yes   Authorization Expiration:

Deviations and Corrective Actions

Acknowledgments and Certifications

By signing below, I certify that I have conducted the checks and verifications documented on this form in accordance with institutional policies and applicable laboratory standards. I acknowledge responsibility for reporting any deviation, potential specimen compromise, or safety incident to supervisory personnel immediately. I understand that intentional falsification of records is subject to disciplinary action.

Patient Data Handling: I affirm that patient-identifiable information observed during these workstation activities has been accessed only as necessary for performance of duties and will be maintained in accordance with privacy and confidentiality obligations.

Privacy Acknowledgment: I acknowledge the privacy and confidentiality obligations described above.

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