Qualification Certificate

Equipment Information

Equipment Name: Bottle Unscrambler

Subcategory: Solid Dosage Form (OSD)

Area: Packaging/Primary

Equipment Identifier: [Equipment Identifier]

Qualification Flags

• Design Qualification (DQ): Yes
• Installation Qualification (IQ): Yes
• Operational Qualification (OQ): Yes
• Performance Qualification (PQ): Yes

Protocol References

Protocol Reference: [Protocol Reference]

Execution Dates

Execution Date: [Execution Date]

Calibration Status

Calibration Status: [Calibration Status]

Deviations Summary

Deviations Summary: [Deviations Summary]

Overall Qualification Statement

The Bottle Unscrambler has been successfully qualified in accordance with the protocols outlined above.

Approvals

Approved By: [Approver Name]

Approval Date: [Approval Date]

Next Due Date

Next Due Date: [Next Due Date]

Requalification Frequency

Requalification Frequency: 24 Months