Qualification Certificate

Equipment Information

Equipment: Bottle Blow Molding Machine

Subcategory: IV Infusions (LVP/SVP – Bags/Bottles)

Area: Production

Qualification Status

DQ Status: Yes

IQ Status: Yes

OQ Status: Yes

PQ Status: Yes

Qualification Details

Equipment Identifier: [Insert Equipment Identifier]

Protocol Reference: [Insert Protocol Reference]

Execution Dates: [Insert Execution Dates]

Calibration Status: [Insert Calibration Status]

Deviations Summary

[Insert Deviations Summary]

Overall Qualification Statement

The Bottle Blow Molding Machine has been qualified in accordance with the established protocols and meets the necessary requirements for production of IV Infusions.

Approvals

Approved By: [Insert Approver Name]

Approval Date: [Insert Approval Date]

Next Due Date

Requalification Frequency: 24 Months

Next Due Date: [Insert Next Due Date]