Standards › Standard 5 › Forms
Form · BLD-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 5.1
Purpose
Records the screening of each donor and any deferral.
How to complete
- Complete before each donation.
- Record any deferral and the reason.
- Record the return date.
Checks
| Check | Entry |
|---|---|
| Questionnaire completed | Yes |
| Examination completed and recorded | Yes |
| Eligible to donate | Yes or deferred |
| Deferral reason and return date | Yes or N/A |
| Screened by and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Donor criteria to follow the national blood service guidance. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
- Hand Hygiene and Standard Precautions (T-06)
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)