DESIGN QUALIFICATON REPORT
Instrument : Tablet Compression Machine
REPORT NO. EFFECTIVE DATE
REF. PROTOCOL NO. PAGE NO
INSTRUMENT DETAILS
Name of Equipment Tablet Compression Machine
Location of the Equipment
Equipment Identification No.
Model No
Make
Date of Purchase
TABLE OF CONTENTS
1.0 Objective
2.0 Scope
3.0 Responsibility
4.0 User requirement specification
5.0 FAT Procedure
6.0 Design qualification approval
7.0 Reference documents
1.0 Objectives:
To perform design qualification of Tablet Compression Machine and assure
that the machine is manufactured as per the URS and it complies with the
scope of supply.
2.0 Scope
The scope of this qualification document is limited to the design qualification of Tablet
Compression Machine . The equipment shall be used for compression of drug to form
it’s tablet dosage form.
Prepared By Checked By Approved By
Name &
Designation
Sign & Date
DESIGN QUALIFICATON REPORT
Instrument : Tablet Compression Machine
REPORT NO. EFFECTIVE DATE
REF. PROTOCOL NO. PAGE NO
3.0 Responsibility
4.0 USER REQUIREMENT SPECIFICATIONS:
DESCRIPTION SPECIFICATION OBSERVATION
5.0 FAT Procedure
After the completion of the erection work of the machine, client shall be informed to
perform the FAT
Client shall perform the FAT at the manufacturer site and record the data in the
prescribed FAT document as per details given below
1. Test criteria
2. Design verification check list
3. Deficiency and corrective action report
4. Pre installation requirement
5. Final report
Prepared By Checked By Approved By
Name &
Designation
Sign & Date
DESIGN QUALIFICATON REPORT
Instrument : Tablet Compression Machine
REPORT NO. EFFECTIVE DATE
REF. PROTOCOL NO. PAGE NO
6.0 Design qualification approval :
According to the data collected as a result of this study, the equipment has been properly
designed & qualified in accordance with standards and is now available for process
qualification.
Suppliers Name Position Signature Date
7.0 Reference documents :
1. Manufacturing brochure
2. DQ Protocol No.:
Written By Checked By Approved By
Signature
Date
Prepared By Checked By Approved By
Name &
Designation
Sign & Date
DESIGN QUALIFICATON REPORT
Instrument : Tablet Compression Machine
REPORT NO. EFFECTIVE DATE
REF. PROTOCOL NO. PAGE NO
Prepared By Checked By Approved By
Name &
Designation
Sign & Date