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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

ISO 15189 Ready · The library

184 documents, English and Georgian — completely free, open to everyone

See every code and title, read every sample — then download the complete English pack or the complete Georgian pack, no payment and no account required.

35 policies · 20 procedures · 91 SOPs · 28 forms, registers, matrices · 10 job descriptions · 153 universal, the rest by discipline

The line that never moves. ASF prepares medical laboratories for ISO 15189. ASF does not accredit them. ISO 15189 accreditation is granted by a national accreditation body — in Georgia the Georgian Accreditation Centre; elsewhere the ILAC-recognised body of your country — after its own assessment. ASF takes no commission and recommends none. ISO 15189 Ready is a separate product from ISO 9001 Ready and from ASF healthcare accreditation.

Every policy, procedure and SOP carries a document-control block, purpose, scope, responsibilities, the steps, the records it produces and its references; every form and register carries the instruction for when and by whom it is completed and a filled-in example row; every job description follows clause 6.2 — ISO 15189:2022, CLSI, WHO and the national regulation. The structure, the samples and the complete pack are all free, in English and Georgian — download, print, edit and reuse them for your laboratory however you need.

Free
The complete pack — all 184 documents, English and Georgian. No payment, no login, no catch.

Documents per discipline module

153 of the 184 documents are universal and apply to every laboratory regardless of section. The remaining 31 are discipline-specific SOPs and job descriptions, included only when the corresponding section exists — shown here by module.

Clinical biochemistry
8
Hematology
7
Coagulation
6
Immunology / immunoassay
5
Urinalysis
5

Inside the bench — what the SOPs govern

Laboratory bench crowded with reagent bottles, sample tubes, pipette tip boxes and a multichannel pipette, equipment only

Photo: Adam Bezer / Unsplash
A row of calibrated pipettes racked above a sample tray in a laboratory, no people visible

Photo: Adam Bezer / Unsplash

Governance — Document Control & Risk Management · 7

Code Title Type Included when Sample
LAB-P-01 Quality Policy Policy Always Download sample (EN, .docx) →
LAB-P-02 Document Control Policy Policy Always in the pack
LAB-P-03 Records Management and Retention Policy Policy Always in the pack
LAB-P-04 Risk Management Policy Policy Always in the pack
LAB-PR-01 Document Control Procedure Procedure Always in the pack
LAB-PR-02 Records Control and Retention Procedure Procedure Always in the pack
LAB-PR-03 Risk Assessment Procedure Procedure Always in the pack

Management Requirements — Audit, CAPA, Review, Complaints, Impartiality · 16

Code Title Type Included when Sample
LAB-P-05 Internal Audit Policy Policy Always in the pack
LAB-P-06 Nonconformity, Correction and CAPA Policy Policy Always in the pack
LAB-P-07 Management Review Policy Policy Always in the pack
LAB-P-10 Data Protection and Confidentiality Policy Policy Always in the pack
LAB-P-23 Complaints Management Policy Policy Always in the pack
LAB-P-24 Ethics and Impartiality Policy Policy Always in the pack
LAB-P-25 Communication Policy Policy Always in the pack
LAB-PR-04 Internal Audit Conduct Procedure Procedure Always Download sample (EN, .docx) →
LAB-PR-05 CAPA Process Management Procedure Procedure Always in the pack
LAB-PR-06 Management Review Procedure Procedure Always in the pack
LAB-SOP-21 Nonconforming Work, Hold and Release, and CAPA SOP Always in the pack
LAB-SOP-CUST-01 Complaint Intake, Investigation and Response SOP Always in the pack
LAB-SOP-CUST-02 Client Feedback and Satisfaction Assessment SOP Always in the pack
LAB-SOP-HR-04 Personnel Awareness: Impartiality and Confidentiality SOP Always in the pack
LAB-SOP-PO-05 Data Correction SOP Always in the pack
LAB-SOP-PO-06 Customer Communication SOP Always in the pack

Resources — Personnel · 8

Code Title Type Included when Sample
LAB-P-08 Personnel Competence Policy Policy Always in the pack
LAB-P-09 Training and Education Policy Policy Always in the pack
LAB-P-31 Personnel Health and Immunization Policy Policy Always in the pack
LAB-PR-07 Competency Assessment Procedure Procedure Always in the pack
LAB-PR-08 Training Planning and Delivery Procedure Procedure Always in the pack
LAB-SOP-HR-01 Competency Assessment SOP Always in the pack
LAB-SOP-HR-02 Training Delivery and Attendance Documentation SOP Always in the pack
LAB-SOP-HR-03 Personnel Health, Immunization and Exposure Management SOP Always in the pack

Resources — Equipment & Reagents · 18

Code Title Type Included when Sample
LAB-P-18 Equipment Management Policy Policy Always in the pack
LAB-P-19 Calibration, Verification and Traceability Policy Policy Always in the pack
LAB-P-20 Equipment Maintenance Policy Policy Always in the pack
LAB-P-34 Equipment Decommissioning Policy Policy Always in the pack
LAB-PR-09 Equipment Selection, Acquisition and Acceptance Procedure Procedure Always in the pack
LAB-PR-10 Equipment Calibration and Traceability Procedure Procedure Always in the pack
LAB-PR-11 Equipment Performance Verification Procedure Procedure Always in the pack
LAB-SOP-A-05 Calibration and Calibration Verification SOP Always in the pack
LAB-SOP-A-09 Reagent Receipt, Storage and Lot Verification SOP Always in the pack
LAB-SOP-BIO-06 Biochemistry — Reagent/Calibrator Receipt, Storage and Lot Verification SOP Clinical biochemistry in the pack
LAB-SOP-BIO-07 Biochemistry Equipment Maintenance and Malfunction Management SOP Clinical biochemistry in the pack
LAB-SOP-EQ-01 Equipment Receipt, Inventory and Acceptance SOP Always in the pack
LAB-SOP-EQ-02 Calibration Log Maintenance and Control SOP Always in the pack
LAB-SOP-EQ-03 Scheduled Maintenance SOP Always in the pack
LAB-SOP-EQ-04 Equipment Breakdown Management SOP Always in the pack
LAB-SOP-EQ-06 Equipment Decommissioning SOP Always in the pack
LAB-SOP-IMM-04 Immunology Reagent and Calibrator Lot Verification and Calibration SOP Immunology / immunoassay in the pack
LAB-SOP-QC-02 QC Material Receipt, Storage and Lot Change SOP Always in the pack

Resources — Facilities, Environment & Suppliers · 11

Code Title Type Included when Sample
LAB-P-11 IT and Information Security Policy Policy Always in the pack
LAB-P-12 Biosafety Policy Policy Always in the pack
LAB-P-14 Medical Waste Management Policy Policy Always in the pack
LAB-P-21 Environmental Conditions Monitoring Policy Policy Always in the pack
LAB-P-22 Supplier and External Services Management Policy Policy Always in the pack
LAB-P-28 Fire Safety Policy Policy Always in the pack
LAB-PR-12 Environmental Conditions Monitoring Procedure Procedure Always in the pack
LAB-PR-13 Cleaning and Disinfection Procedure Procedure Always in the pack
LAB-PR-29 Supplier Evaluation and Monitoring Procedure Procedure Always in the pack
LAB-SOP-31 Information Security: Passwords, Access and Logging SOP Always in the pack
LAB-SOP-SF-07 Facility Cleaning Schedule and Control SOP Always in the pack

Pre-Examination — Specimen Pathway · 18

Code Title Type Included when Sample
LAB-P-16 Specimen Management Policy Policy Always in the pack
LAB-P-17 Specimen Rejection Policy Policy Always in the pack
LAB-PR-17 Specimen Reception Procedure Procedure Always in the pack
LAB-PR-18 Specimen Rejection Procedure Procedure Always in the pack
LAB-SOP-COAG-05 Coagulation Specimen Acceptance and Rejection Criteria (Citrate Tubes) SOP Coagulation in the pack
LAB-SOP-PA-01 Patient Preparation SOP Always in the pack
LAB-SOP-PA-02 Specimen Collection SOP Always in the pack
LAB-SOP-PA-03 Specimen Labeling and Identification SOP Always Download sample (EN, .docx) →
LAB-SOP-PA-04 Specimen Packaging SOP Always in the pack
LAB-SOP-PA-05 Specimen Transportation SOP Always in the pack
LAB-SOP-PA-06 Specimen Reception at Laboratory SOP Always in the pack
LAB-SOP-PA-07 Specimen Rejection SOP Always in the pack
LAB-SOP-PA-08 Pre-Analytical Storage SOP Always in the pack
LAB-SOP-PA-09 Pre-Treatment: Centrifugation, Serum Separation and Division SOP Always in the pack
LAB-SOP-PA-10 Aliquoting and Secondary Container Identification SOP Always in the pack
LAB-SOP-PA-11 Specimen Destruction and Retention Completion SOP Always in the pack
LAB-SOP-PA-12 Chain of Custody (When Required) SOP Always in the pack
LAB-SOP-UR-04 Urine Specimen Acceptance and Rejection Criteria SOP Urinalysis in the pack

Examination — General Analytical · 14

Code Title Type Included when Sample
LAB-P-30 Laboratory Access Control Policy Policy Always in the pack
LAB-P-36 Analytical Method Validation Policy Policy Always in the pack
LAB-P-37 Quality Control (QC/IQC/EQA) Policy Policy Always in the pack
LAB-P-43 IT Downtime and Access Control Policy Policy Always in the pack
LAB-PR-23 QC/IQC/EQA System Management Procedure Procedure Always in the pack
LAB-SOP-40-MU Measurement Uncertainty (MU): Calculation and Application Rules SOP Always in the pack
LAB-SOP-A-01 Method Verification SOP Always in the pack
LAB-SOP-A-02 Method Validation SOP Always in the pack
LAB-SOP-A-03 Internal Quality Control (IQC) SOP Always Download sample (EN, .docx) →
LAB-SOP-A-04 External Quality Assessment (EQA/PT) SOP Always in the pack
LAB-SOP-A-06 Analytical Run and Batch Management SOP Always in the pack
LAB-SOP-A-07 Analytical Error Management SOP Always in the pack
LAB-SOP-A-08 Analyzer Startup and Shutdown SOP Always in the pack
LAB-SOP-QC-01 QC Rules (Westgard/Trend) and Actions SOP Always Download sample (EN, .docx) →

Examination — Safety, IT & Admin · 12

Code Title Type Included when Sample
LAB-SOP-20 Patient Identification and Record Correlation SOP Always in the pack
LAB-SOP-32 Backup and Restore Testing SOP Always in the pack
LAB-SOP-AC-01 Access Control to Testing Areas SOP Always in the pack
LAB-SOP-CUST-04 Contract and Service Agreement SOP Always in the pack
LAB-SOP-ENV-01 Temperature and Humidity Monitoring — Execution SOP Always in the pack
LAB-SOP-EQ-05 Troubleshooting SOP Always in the pack
LAB-SOP-IT-01 IT Downtime: Manual Mode, Recovery and Records SOP Always in the pack
LAB-SOP-SF-01 Personal Protective Equipment (PPE) Use SOP Always in the pack
LAB-SOP-SF-02 Spill Management SOP Always in the pack
LAB-SOP-SF-03 Biological Waste Management SOP Always in the pack
LAB-SOP-SF-04 Fire Safety Instructions SOP Always in the pack
LAB-SOP-SF-05 Sharps Management SOP Always in the pack

Examination — Discipline-Specific · 17

Code Title Type Included when Sample
LAB-SOP-BIO-01 Biochemistry Analyzer Operation (Startup/Shutdown) and Daily Maintenance SOP Clinical biochemistry in the pack
LAB-SOP-BIO-02 Biochemistry Testing — Routine Process SOP Clinical biochemistry in the pack
LAB-SOP-BIO-03 Biochemistry — Internal Quality Control (IQC) in Section SOP Clinical biochemistry in the pack
LAB-SOP-BIO-04 Biochemistry — External Quality Assessment (EQA/PT) in Section SOP Clinical biochemistry in the pack
LAB-SOP-BIO-08 Biochemistry — Method/Reagent Change, Verification and Re-Assessment SOP Clinical biochemistry in the pack
LAB-SOP-COAG-01 Coagulation Analyzer Operation (Startup/Shutdown) and Daily Maintenance SOP Coagulation in the pack
LAB-SOP-COAG-02 Coagulation — PT/INR, APTT and Core Test Performance SOP Coagulation in the pack
LAB-SOP-COAG-03 Coagulation — Internal Quality Control (IQC) in Section SOP Coagulation in the pack
LAB-SOP-COAG-04 Coagulation — External Quality Assessment (EQA/PT) in Section SOP Coagulation in the pack
LAB-SOP-HEM-01 Hematology Analyzer Operation (Startup/Shutdown) and Daily Maintenance SOP Hematology in the pack
LAB-SOP-HEM-03 Hematology — Internal Quality Control (IQC) in Section SOP Hematology in the pack
LAB-SOP-HEM-04 Peripheral Blood Smear — Preparation, Staining and Microscopy SOP Hematology in the pack
LAB-SOP-HEM-06 Hematology — External Quality Assessment (EQA/PT) in Section SOP Hematology in the pack
LAB-SOP-IMM-01 Immunology — Analyzer/Immunoassay Performance (Routine Process) SOP Immunology / immunoassay in the pack
LAB-SOP-IMM-02 Immunology — Internal Quality Control (IQC) in Section SOP Immunology / immunoassay in the pack
LAB-SOP-IMM-03 Immunology — External Quality Assessment (EQA/PT) in Section SOP Immunology / immunoassay in the pack
LAB-SOP-UR-03 Urinalysis — Internal Quality Control (IQC) SOP Urinalysis in the pack

Post-Examination — General · 16

Code Title Type Included when Sample
LAB-P-15 Incident and Accident Notification and Registration Policy Policy Always in the pack
LAB-P-38 Turnaround Time (TAT) Policy Policy Always in the pack
LAB-P-39 Clinical Result Release Policy Policy Always in the pack
LAB-P-40 Critical Result Management Policy Policy Always in the pack
LAB-P-42 Result Authorization and Amendment Policy Policy Always in the pack
LAB-PR-16 Incident Notification and Management Procedure Procedure Always in the pack
LAB-PR-22 Post-Examination Process Procedure Procedure Always in the pack
LAB-PR-32 Result Authorization, Amendment and Re-Release Procedure Procedure Always in the pack
LAB-SOP-18 Result Authorization SOP Always in the pack
LAB-SOP-19 Critical Results Management SOP Always Download sample (EN, .docx) →
LAB-SOP-23 EQA/PT Program Management and Results Analysis SOP Always in the pack
LAB-SOP-CUST-03 Referral Laboratory Management and Results Control SOP Always in the pack
LAB-SOP-PO-01 Result Validation (Result Review) SOP Always in the pack
LAB-SOP-PO-02 Result Reporting Procedure (Reporting/Release) SOP Always in the pack
LAB-SOP-PO-03 Critical Results Notification SOP Always in the pack
LAB-SOP-PO-07 Results Amendment and Re-Release SOP Always in the pack

Post-Examination — Discipline-Specific · 9

Code Title Type Included when Sample
LAB-SOP-BIO-05 Biochemistry — Result Review/Delta-Check and Reflex Actions SOP Clinical biochemistry in the pack
LAB-SOP-COAG-06 Coagulation — Critical Results Notification (INR/APTT and Others) SOP Coagulation in the pack
LAB-SOP-HEM-02 Complete Blood Count (CBC) — Performance and Result Authorization SOP Hematology in the pack
LAB-SOP-HEM-05 Hematology — Pathological Results Confirmation/Reflex Algorithm SOP Hematology in the pack
LAB-SOP-HEM-07 Hematology — Critical Results Management SOP Hematology in the pack
LAB-SOP-IMM-05 Immunology — Result Review and Reporting (Interpretive Comments) SOP Immunology / immunoassay in the pack
LAB-SOP-UR-01 Urinalysis — Test Strip and Result Recording SOP Urinalysis in the pack
LAB-SOP-UR-02 Urine Sediment — Microscopy and Reporting SOP Urinalysis in the pack
LAB-SOP-UR-05 Urinalysis — Result Review and Critical Pathological Findings Management SOP Urinalysis in the pack

Forms · 21

Code Title Type Included when Sample
LAB-FR-CUST-05 Client Satisfaction Short Survey Form Always in the pack
LAB-FR-DOC-01 Document Change Request Form Form Always in the pack
LAB-FR-HR-05 Onboarding Checklist Form Always in the pack
LAB-FR-HR-07 Vaccination/Health Record Form Always in the pack
LAB-FR-IT-01 IT Access Log Form Always in the pack
LAB-FR-IT-03 Audit Trail Review Log Form Always in the pack
LAB-FR-IT-04 Backup Performance Log Form Always in the pack
LAB-FR-IT-05 Restore Testing Log Form Always in the pack
LAB-FR-IT-06 Downtime Log Form Always in the pack
LAB-FR-MRM-04 Risk and CAPA Status Review (MRM Annex) Form Always in the pack
LAB-FR-MRM-05 Resource Request Form Form Always in the pack
LAB-FR-MRM-06 Management Decisions and Actions Tracker Form Always in the pack
LAB-FR-MU-01 Measurement Uncertainty (MU) Calculation Sheet Form Always in the pack
LAB-FR-RISK-01 Risk Assessment Form Form Always in the pack
LAB-FR-RISK-04 Impartiality/Conflict of Interest Declaration Form Always in the pack
LAB-FR-RISK-05 Risk Treatment Plan Form Always in the pack
LAB-FR-RISK-06 Risk Monitoring Record Form Always in the pack
LAB-FR-SM-05 Aliquoting Log Form Always in the pack
LAB-FR-SM-06 Sample Storage Location Log Form Always in the pack
LAB-FR-SM-07 Sample Storage Temperature Log Form Always in the pack
LAB-FR-SM-08 Chain of Custody Form Form Always in the pack

Registers · 4

Code Title Type Included when Sample
LAB-R-01 Document Register Register Always in the pack
LAB-R-02 SOP Register Register Always in the pack
LAB-R-07 Incident Register Register Always in the pack
LAB-R-10 Risk Register Register Always in the pack

Matrices · 3

Code Title Type Included when Sample
LAB-MX-01 Authorization Matrix Matrix Always in the pack
LAB-MX-03 Risk Matrix Matrix Always in the pack
LAB-MX-04 Retention Matrix Matrix Always in the pack

Job Descriptions · 10

Code Title Type Included when Sample
LAB-JD-01 Job Description — Laboratory Director Job description Always in the pack
LAB-JD-02 Job Description — Quality Manager Job description Always in the pack
LAB-JD-03 Job Description — Biochemistry Section Head Job description Always in the pack
LAB-JD-04 Job Description — Hematology Section Head Job description Always in the pack
LAB-JD-05 Job Description — Coagulation Section Head Job description Always in the pack
LAB-JD-06 Job Description — Immunology Section Head Job description Always in the pack
LAB-JD-07 Job Description — Urinalysis Section Head Job description Always in the pack
LAB-JD-08 Job Description — IT/Information Security Lead Job description Always in the pack
LAB-JD-09 Job Description — Equipment Custodian Job description Always in the pack
LAB-JD-10 Job Description — HR/Training Lead Job description Always in the pack

Download the complete pack — free

All 184 documents, English and Georgian. No payment, no account.

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