Checklist Personnel
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Has commitment to implement a quality management system been created among laboratory staff? Interview various staff members to find out if a meeting was held and if this was successful. |
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Has an SOP for Competency Assessment been developed? |
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Does this SOP contain one or more standardized form(s) that must be used to record the findings of the assessment? |
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Are competency assessments done annually for each staff member? |
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Is a report made of each competency assessment? |
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Are the points for improvement described in the report of a competency assessment, including with a description of the strategy on how to improve these points? |
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Are the reports of the competency assessments stored in the personnel files? |
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If training needs are identified during competency assessment, is the staff member send to the appropriate training? |
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Is the competency of the Laboratory Manager annually assessed? |
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Has the laboratory investigated if there are potential conflicts of interest among laboratory staff? |
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If potential conflicts of interest among laboratory staff were identified, were they appropriately solved and documented? |
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Is staff safeguarded from overburdening? |
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Have all staff members participated in an introductory course in quality management for medical laboratories? |
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Have certificates of the introductory course in quality management been stored in the Personnel Files folder? |
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Does the laboratory have an induction program for new staff? |
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Is the procedure of the induction program documented in an SOP? |
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Does the SOP for Induction of New Personnel include a checklist for verifying correct completion of the program? |
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Are completed checklists stored at a logical location (e.g. in the personnel file of the new staff member)? |
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Is a personnel replacement matrix present in the laboratory? |
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Is a backup staff member defined for each staff member in the laboratory? |
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Is the competency of the backup staff members checked for the tasks they need to take over from absent staff members? |
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Is the laboratory staff aware of the existence of the personnel replacement matrix and which purpose it serves? Take a sample by interviewing some staff members. |
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Does the laboratory have a standardized procedure for hiring new permanent and temporary staff, and having guests? |
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Is the procedure for hiring new permanent and temporary staff and having guests correctly documented? |
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Does the procedure for hiring new permanent and temporary staff cover all the following elements:
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Has the Biosafety Officer received laboratory biosafety training? |
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Is the certificate of the laboratory biosafety training of the Biosafety Officer stored in a folder called "Personnel Files"? |
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Are performance appraisals performed for all staff members at least once per two years?
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Are findings of performance appraisals discussed with staff members that were assessed to find the root cause and come to a good approach on eliminating this root cause and improving performance? |
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Are findings of performance appraisals recorded, including the identification of root causes behind poor performance and the approach chosen to eliminate these and improve performance? |
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Are all staff members appropriately trained for the tasks performed? |
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Are educational needs consistently assessed in competency assessments and performance appraisals? |
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Are training needs consistently fulfilled? |
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Does the laboratory have an Authorization Matrix, showing for each position in the laboratory the authorizations, responsibilities and tasks? |
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Is the Authorization Matrix signed and dated by the Laboratory Manager? |
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Is the Authorization Matrix accessible to all staff members? |
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Do staff members know what the Authorization Matrix is? |
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Are staff members able to find the Authorization Matrix? |
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Are staff members able to explain how the Authorization Matrix works? |
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Is a personnel file present of each staff member? |
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Are all the records described in ISO 15189:2012 article 5.1.9 (ISO 15189:2007 5.1.2) present in the personnel file of each staff member? |
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Are the personnel files structured in an orderly fashion? |
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Is the Personnel Files folder stored in a locked cabinet that is only accessible to the Laboratory Manager and the secretary? |
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Does the laboratory have a Continuous Education Program? |
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Is budget available for the Continuous Education Program? |
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Is the Continuous Education Program included as element in the Quality Year Plan? |
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Does the laboratory have a job description for each position in the laboratory? |
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Does the job description for each position in the laboratory give a complete and clear impression of the tasks, responsibilities and authorities of each position? |
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Is the ability of all technical staff members to correctly perform examinations observed by letting them analyze external quality assessment samples and evaluating the results? |
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Have Personal Job Descriptions been made for all the staff members? |
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Are all job descriptions (both Position Job Descriptions and Personal Job Descriptions) up to date? |
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Are Personal Job Descriptions stored in an orderly fashion in the Personnel Files folder? |
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Has a laboratory staff member appropriately been trained in performing failure-mode-effect-analyses? |
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Has the personnel file of the staff member participating in failure mode effect analysis training been updated after completing this training? |
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Have all staff members adequately been trained in the procedures they are performing? Ask several staff members this question for the procedure they are doing at that moment and cross-check with their Personnel File. |
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Is the folder Personnel Files up-to-date; i.e. have all certificates and diplomas been collected for all staff members and been stored in the personnel files? |
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