INSTALLATION, OPERATIONAL and PERFORMANCE QUALIFICATION PROTOCOL Installation, Operational, Performance Qualification of the [name freezer with location here]
Validation No.XX and Asset No.XX Name your site here
Ref: XXXX
Rev: 1
Page No 1 of 4
Protocol Approval Name Author
Responsible Your Name
Signature
Date
Signature
Date
QA Sign Off Production Sign off Regulatory Affairs Sign off (if applicable)* Engineering Sign off
Protocol Execution Approval Name Author
Responsible Your Name QA Sign Off Production Sign off Regulatory Affairs Sign off (if applicable)* Engineering Sign off
*Please follow notes for sign off applicability with specific reference to regulatory affairs
Page 1 of 4