DCA 2000+ HbA1C CONTROL LOG SHEET - DOC

							                     DCA 2000+ HbA1C CONTROL LOG SHEET
Health Department___________________________, County____________________________

Month __________                    Year ________
Frequency: Run a normal and abnormal control at the beginning of each testing day and with each new lot number of
reagents.
In addition, run one control with each new box of reagents opened.

                                  QUALITY CONTROL DATA
 ITEM                            LOT           EXPIRATION                   EXPECTED RANGE
                               NUMBER             DATE

 Reagent Cartridge
 Normal Control                                                                         to
 Abnormal Control                                                                       to
                                                           .

                               QUALITY CONTROL RESULTS
                (Values are reported in Percentage. Record a “P” for pass or a “F” for failed)

        DATE                NORMAL              ABNORMAL               PASS/FAIL              INITIALS
                            CONTROL              CONTROL




  DATE                                            CORRECTIVE ACTION




RLF-45
Rev. 6/9/2006