- Owner
- QA Manager
- Effective date
- September 15, 2026
- Review cycle
- Every 12 months
1.Purpose
To ensure laboratory data is recorded at the time it is generated, corrected transparently when needed, reviewed by a second person, and archived so it remains retrievable and trustworthy.
2.Scope
Applies to data recorded in bound notebooks, worksheets or the LIMS during sample testing, calculations and instrument readings, across all laboratory departments.
Definitions
- Contemporaneous entry
- A data entry made at the time the observation or measurement actually occurs, not from memory afterward.
- Audit trail
- The electronic or paper record showing who entered, changed or reviewed a piece of data and when.
- Out-of-specification (OOS) result
- A test result that falls outside the acceptance criteria and requires investigation before release.
3.Responsibilities
- Lab Analyst
- Records data at the time of observation and performs required calculations and self-checks.
- QA Specialist
- Performs second-person review of records and investigates flagged out-of-specification results.
- Laboratory Manager
- Approves record corrections beyond routine single-line strikeouts and resolves recurring documentation issues.
- LIMS Administrator
- Manages user access, backups and audit trail configuration in the LIMS.
RACI matrix
| Activity | Lab Analyst | QA Specialist | Laboratory Manager | LIMS Administrator |
|---|---|---|---|---|
| Record data at time of observation | R/A | - | - | - |
| Perform second-person review of records | C | R/A | I | - |
| Investigate an out-of-specification result | R | A | I | - |
| Manage LIMS user access and backups | I | C | I | R/A |
R = Responsible, A = Accountable, C = Consulted, I = Informed
4.Materials and PPE
Materials, tools and systems
- โLIMS or bound, page-numbered laboratory notebook
- โCalibrated instruments with current asset IDs
- โApproved worksheet and calculation templates
- โData correction and review log
- โRecords retention schedule
5.Procedure
- 5.1
Record data at the time of observation
Lab AnalystEnter each reading, weight or observation into the LIMS or notebook at the moment it is generated, not from memory later in the shift.
- 5.2
Use the approved recording method
Lab AnalystUse only the designated LIMS field, worksheet or bound notebook page for the test being performed, writing in permanent ink if recording on paper.
- 5.3
Identify the instrument and materials used
Lab AnalystRecord the asset ID of the instrument, and the lot numbers of reagents or reference standards, alongside the result they produced.
- 5.4
Sign and date each entry
Lab AnalystSign or initial and date each page or LIMS entry as it is completed, including partial entries left at the end of a shift.
- 5.5
Correct errors transparently
Lab AnalystDraw a single line through an incorrect entry so the original is still legible, write the correction beside it, and initial and date the change.
Warning: Never use correction fluid, erase, or overwrite an original entry.
- 5.6
Reference formulas in calculations
Lab AnalystShow the formula or reference used for any calculated result, not just the final number, so the calculation can be checked later.
- 5.7
Flag out-of-specification results
Lab AnalystWhen a result falls outside the acceptance criteria, flag it immediately in the LIMS and notify QA before releasing or repeating the test.
Checkpoint: An OOS result is flagged and communicated to QA before any retest is started.
- 5.8
Perform second-person review
QA SpecialistHave a qualified second reviewer check calculations, transcription and completeness of the record before results are released.
Checkpoint: The second reviewer's signature and date appear on the record before release.
- 5.9
Investigate flagged results
QA SpecialistOpen an investigation record for any OOS or flagged result, documenting the suspected cause and any corrective action taken.
- 5.10
Back up electronic records
LIMS AdministratorConfirm the LIMS or electronic worksheet backup runs on schedule and verify a recent backup can be restored.
- 5.11
Control access to records
LIMS AdministratorRestrict LIMS accounts and shared drive folders to authorized staff, and remove access promptly when someone changes roles or leaves.
- 5.12
Archive completed records
QA SpecialistMove completed notebooks, worksheets and LIMS batches to archive storage per the records retention schedule once testing is closed out.
6.Quality checks
- โEvery entry is signed, dated and made at the time of observation.
- โCorrections show the original entry, the change, and who made it.
- โEvery released result has a documented second-person review.
- โOOS results have a linked investigation record before disposition.
7.Records
- โLaboratory notebooks and worksheets
- โLIMS audit trail
- โData correction and review log
- โOOS investigation records
8.KPIs
- โPercentage of records with completed second-person review
- โNumber of documentation errors found per audit
- โAverage time to close an OOS investigation
- โNumber of backup restoration tests passed per year
9.Common mistakes
- โWriting down results from memory at the end of the shift instead of in real time.
- โUsing correction fluid to hide an incorrect entry.
- โReleasing a result before the second-person review is complete.
- โNot flagging an out-of-specification result before repeating the test.
10.Revision history
| Revision | Date | Description | Reviewed by |
|---|---|---|---|
| 1.0 | September 15, 2026 | Initial release | Ilia Pirozhenko |
This is a template. Adapt it to your organization, equipment and local regulations before use.