PW Storage Tank – Validation Summary Report (VSR) Template

Validation Summary Report (VSR)

Equipment Information

Equipment: PW Storage Tank

Subcategory: Utilities (Water Systems)

Area: Utilities

Validation Flags

DQ: Yes

IQ: Yes

OQ: Yes

PQ: Yes

Acceptance Criteria Reference

Reference: URS Annex15

Key Critical Parameters

Parameters: Temp level microbial integrity

Requalification Frequency

Frequency: 12 Months

Summary

This Validation Summary Report outlines the validation activities conducted for the PW Storage Tank in the Utilities area, ensuring compliance with URS Annex15 and maintaining critical parameters for microbial integrity.

Scope and Boundaries

The scope of this validation includes the Design Qualification (DQ), Installation Qualification (IQ), Operational Qualification (OQ), and Performance Qualification (PQ) of the PW Storage Tank. The boundaries encompass all associated utilities and systems impacting the tank’s performance.

Executed Protocol List

  • DQ Protocol
  • IQ Protocol
  • OQ Protocol
  • PQ Protocol

Deviations Summary

No significant deviations were noted during the validation process. All protocols were executed as per the predefined criteria.

CPP Verification Summary

All critical process parameters (CPPs) related to temperature and microbial integrity were verified during the qualification phases, ensuring compliance with established acceptance criteria.

Conclusion

The validation of the PW Storage Tank has been successfully completed in accordance with applicable regulations and standards. The system is qualified for use, with a requalification frequency set at 12 months.

Attachments Index

  • Executed Protocols
  • Deviation Reports
  • Verification Records

Approvals

Prepared by: [Name]

Approved by: [Name]

Date: [Date]

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