Qualification Certificate

Equipment Information

Equipment Name: Water System (PW/WFI) – Point of Use for LVP

Equipment Identifier: [Equipment Identifier]

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

Area: Utilities

Qualification Summary

DQ/IQ/OQ/PQ Flags: Yes/Yes/Yes/Yes

Requalification Frequency: 12 Months

Protocol References

Protocol Reference: [Protocol Reference]

Execution Details

Execution Dates: [Execution Dates]

Calibration Status: [Calibration Status]

Deviations Summary

Deviations Summary: [Deviations Summary Line]

Overall Qualification Statement

The Water System (PW/WFI) – Point of Use for LVP has been successfully qualified according to the established protocols and meets the required specifications for its intended use.

Approvals

Approved By: [Approver Name]

Date of Approval: [Approval Date]

Next Due Date

Next Due Date: [Next Due Date]