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11 installation qualification summary report – K-Patents PR-23 for K-Patents User Manual

Page 43

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Onsite Qualification Protocols and Records: Installation Qualification

7

© Copyright K-Patents 2011. All rights reserved.

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7.11 Installation Qualification Summary Report

Successful completion of the preceding activities and checks indicates that this instrument
has been satisfactorily delivered and installed. This instrument has passed the Installation
Qualification and may now be submitted for Operational Qualification.

IQ completed by

Name:

Function:

Date:

Signature:

Signature:

IQ deviations approved by

Name:

Function:

Date:

Signature:

Signature:

IQ approved by

Name:

Function:

Date:

Signature:

Signature:

Comments (including discrepancies)