OUT OF SPECIFICATION INVESTIGATION REPORT Page 1 of 2
OOS Report No.:
(i) Material Name :
(ii) Sample Code :
(iii) Test result(s) :
(iv) Specification limit :
(v) Specification reference :
(vi) STP reference :
Analyst Name Signature Date
Review of analysis: (Use OOS review checklist)
□ Determinate Error □ Indeterminate Error □ Clerical Error
Details of corrective / Preventive action:
Investigation done by Name Signature Date
Analyst
Lab -In charge
xxxxxxxxxx
OUT OF SPECIFICATION INVESTIGATION REPORT Page 2 of 2
Results of Investigation (attach copies of repeat results if applicable)
Repeat analysis Result(s) Analyst / reference Date
Analyst “A”
Analyst “B”
Analyst “C”
Reported results:_______________________________________
Sample status: □ Meets specification □ Failure confirmed
Impact analysis (Related batches):
Lab In-charge Name Signature Date
QA Assessment
(i) Lab investigation has been reviewed and is
□ Complete □ Incomplete □ Further investigation required:
(ii) Corrective action adequate
□ Yes □ No □ Further corrective action required
(iii) Is this a recurring problem for this product
□ Yes □ No □ Further corrective action to eliminate the problem
(iv) Comments, if any:
OOS Report Name Signature Date
Approved by (QA)
Authorised by (Director)
IQAD/038-02/01