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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

ISO 15189 Ready · The library

184 documents, English and Georgian — the structure and samples free, the pack on order

See every code and title, read the samples, then order the English pack or the Georgian edition — or run the free Simulation first.

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 and six samples are free so that a laboratory can judge the quality before paying; the pack is delivered within one working day of the bank transfer.

Free
the structure (Excel index, this map) and the six sample documents marked below
The pack
English € 390 · Georgian edition (PHIG-adapted, English included) € 790 · generated and verified + € 300

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

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English or Georgian edition; add the generated pack for your names and logo in every document.

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