HTML Preview Blank control charts page number 1.
Form 6 Quality Control Log - Semi-Annual Tests
Page _____ of ______
Each time a listed procedure is completed, person performing it must fill in date, their initials and note if equipment passed or failed. If equipment failed, the
appropriate person(s) must be notified and corrective action taken. Procedure should be repeated after correction to ensure that equipment now passes.
Performance and results of repeat tests should be listed on chart.
P = PASS F = FAILED Y = YES N = NO
Date
Performed by
Repeat Rate
Calculation
(Procedure 9)
(Page 39)
Form 10, Page 83
Repeat Rate
Calculated
Date
Performed by
Artifact Evaluation
(Procedure 10)
(Page 41)
If equipment failed,
appropriate person(s)
notified
Date
Performed by
Analysis of fixer
Retention
(Procedure 11)
(Page 43)
If artifacts present,
appropriate person(s)
notified
Date
Performed by
Darkroom Fog
(Procedure 12)
(Page44)
If equipment failed,
appropriate person(s)
notified
Comments can be recorded on reverse of form.