Laboratory Personnel Evaluation

Testing Analyst: _________________________ Date:___________

Mark Yes, No, or Not Applicable:

____ Observation of all phases of testing show that all written

            steps of the procedure are followed without deviation.

____ Instrument maintenance and function checks are performed and documented according to written procedures.

____ Patient test results are recorded and reported according to protocol.

____ Quality control and proficiency test records are reviewed and acted when necessary.

____ When problems arise, the testing analyst knows how to assess the 

            situation does what is required to resolve the problem.

____ Accurate test performance has been proven by internal blind test samples, external proficiency testing, or analyzing previously tested specimens.

____ The testing analyst does not report out patient test results

             when quality control is not acceptable.

____ The testing analyst documents all remedial actions

            associated with QC,  QA, instrumentation, and proficiency testing.

____ The testing analyst recognizes all system failures, unacceptable

            QC and calibrations, and inconsistent or erroneous patient test results.

____ The testing analyst contacts the appropriate person when

            questions concerning testing and/or reporting results.

Reviewed by:_____________________________________________

Title:____________________________ Date:___________________

Quality America, Inc.