Qualification Certificate

Equipment: Octagonal Blender

Subcategory: Solid Dosage Form (OSD)

Area: Production/Blending

Equipment Identifier: [Equipment Identifier]

Protocol References: [Protocol References]

Execution Dates: [Execution Dates]

Calibration Status: [Calibration Status]

Qualification Flags:

• DQ: Yes
• IQ: Yes
• OQ: Yes
• PQ: Yes

Deviations Summary: [Deviations Summary]

Overall Qualification Statement: The Octagonal Blender has been successfully qualified in accordance with the established protocols and meets the required specifications for production and blending.

Approvals:

[Approvals]

Next Due Date for Requalification: [Next Due Date]

Requalification Frequency: 24 Months