Qualification Certificate

Equipment Information

Equipment: Solution Preparation Tank (Salt/Sugar Dissolution)

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

Area: Production

Qualification Flags

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

Qualification Details

Equipment Identifier: [Equipment Identifier]

Protocol Reference: [Protocol Reference]

Execution Date: [Execution Date]

Calibration Status: [Calibration Status]

Deviations Summary: [Deviations Summary]

Overall Qualification Statement

The Solution Preparation Tank has been qualified in accordance with established protocols and meets all necessary requirements for its intended use in the production of IV infusions.

Approvals

Qualified By: [Qualified By]

Approved By: [Approved By]

Next Due Date

Requalification Frequency: 12 Months

Next Due Date: [Next Due Date]