Company Name_________
|
Quality Assurance Department
|
Line
Clearance Certificate
|
|
Issue
Date: Revision No.
|
Section:_______________________ Area / Stage: ____________________
Product:_______________________
Batch No. : ______________________
QA#: _________________________
Date/Time: _______________________
General
Cleanliness
Floor: Windows:
Walls: Ceiling:
Packing Belt: Containers: Uniform: Dust Bin:
Ensure that there should not be any remnant of
previous product/batch
Previous Product: ___________________ Batch No. : _____________________
Completion Date: ___________________
Completion
Time: _________________
Batch Documents: Ampoules: Labels:
Vials: Cartons: Tablets:
Leaflet: Capsules: Shippers:
Printed Al. Foil: Bulk Material: Alu-Alu / PVC Foil
Capsule/Tablets Blisters Bottles: Empty Capsule Shells:
Released Slip: Caps:
Satisfactory ( P )
Not Satisfactory (X)
Not Applicable
( -- )
Temperature
|
Humidity
|
Certified that above
mentioned items are checked & found
Satisfactory/
Not Satisfactory and Area/ Line is Approved / Not Approved
to start the operation.
Checked
By: ___________________
(IPQA)
Prepared By:
QA Officer
|
Reviewed By:
QA Manager
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Authorized By:
Director
|