Incident Review Form

Incident Review Form

EQA Performance Issues - Incident Review Form

Following your laboratory’s recent performance issues, please inform us of the actions being taken by your laboratory.

Please submit the form below OR send us your laboratory’s internal supporting documents to organiser@ukneqasmicro.org.uk within 3 weeks.

We will keep the completed form/supporting documents on file as evidence of actions taken to ensure quality performance of testing within your laboratory.

A copy of the completed form will be available to you on request at any future date if required. Reporting and investigating EQA performance issues is recommended for all participating laboratories but is mandatory to all UK and Ireland participants.

After completing the form, click on the ‘Submit’ button below, and the results will be automatically sent to UK NEQAS for Microbiology and to the email address you have given on form.

Lab Identification No*

Select a Scheme Name*

Distribution Number*

Description of Problem*

ROOT CAUSE*

IMMEDIATE ACTION*

CONSEQUENCES/ RISKS*

CORRECTIVE/ PREVENTIVE ACTION*

FOLLOW UP/ REVIEW*

Note:
Please provide as much evidence as possible to confirm your actions, e.g. extracts from quality meetings. Please note that response is expected within 3 weeks.

Completed by*

Position

Email*

Verification: