WORK SHEET

VALIDASI PEMBERSIHAN

Halaman

: 22/31

Tgl berlaku

Mengganti No. :
PT. Promedrahardjo Farmasi Industri

No. Dokumen :

Tanggal

WORK SHEET 1
VERIFIKASI DOKUMEN

No.

Penyimpangan

Dokumen

No. Dokumen

Tanggal
Berlaku

Verifikasi

.........................................................................................................................................
........................................................................................................................................
........................................................................................................................................

Dilaksanakan oleh

Supervisor QA

Paraf :

................................

Tanggal :

......................

Ditinjau oleh

Manager QA

Paraf :

................................

Tanggal :

......................

WORK SHEET
VALIDASI PEMBERSIHAN

Halaman

: 24/31

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Mengganti No. : PT. Promedrahardjo Farmasi Industri

No. Dokumen :

Tanggal

: -

WORK SHEET 2
VERIFIKASI MATERIAL

No.

Penyimpangan

Material

Kandungan

Merek

Manufacturer

.........................................................................................................................................
........................................................................................................................................
........................................................................................................................................

Dilaksanakan oleh

Supervisor QA

Paraf :

................................

Tanggal :

......................

Ditinjau oleh

Manager QC
Manager QA

Paraf :
Paraf :

................................
................................

Tanggal :
Tanggal :

......................
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WORK SHEET 3

WORK SHEET
VALIDASI PEMBERSIHAN

Halaman

: 24/31

Tgl berlaku

Mengganti No. : No. Dokumen :

PT. Promedrahardjo Farmasi Industri

Tanggal

: -

VERIFIKASI KUALIFIKASI/KALIBRASI PERALATAN

No.

Nama Mesin/Instrumen

Penyimpangan

No. Identitas
Mesin/Instrume
n

Tanggal
Kualifikasi/Kalibrasi

Verifikasi

.........................................................................................................................................
........................................................................................................................................
........................................................................................................................................

Dilaksanakan oleh

Supervisor QC

Paraf :

................................

Tanggal :

......................

Ditinjau oleh

Manager QC

Paraf :

................................

Tanggal :

......................

Manager QA

Paraf :

................................

Tanggal :

......................