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LAB LOGO & NAME              Document No.:   Issue No.: 0.1
                             WPMEL-LAB.QM    Issue Date: 5 May 11
Title:                                       Issued By:
         MANUAL OF QUALITY POLICIES          Page 1 of 27




          Water Pollution & Marine
         Environment Lab – Institute
               of Graduate Studies &
                         Researches




         Manual of Quality Policies
LAB LOGO & NAME                                   Document No.:         Issue No.: 0.1
                                                  WPMEL-LAB.QM          Issue Date: 5 May 11
Title:                                                                  Issued By:
              MANUAL OF QUALITY POLICIES                                Page 2 of 27

Table of Contents
Section Topic                                                                                 Page
1.       Introduction                                      --------------------------------    3
2.       Controlled distribution of the QM                 --------------------------------    3
3.       Quality Policy Statement                          --------------------------------    3
4.       Management Requirements                           --------------------------------    3
4.1        Organization                                    --------------------------------    3
4.2        Management System                               --------------------------------    5
4.3        Document Control                                --------------------------------    8
4.4        Review of Requests, Tenders and Contracts       --------------------------------    9
4.5        Subcontracting of Tests                         --------------------------------    10
4.6        Purchasing Services and Supplies                --------------------------------    11
4.7        Service to the Customer                         --------------------------------    11
4.8        Complaints                                      --------------------------------    12
4.9        Control of Non-conforming Work                  --------------------------------    12
4.10       Improvement                                     --------------------------------    13
4.11       Corrective Action                               --------------------------------    13
4.12       Preventive Action                               --------------------------------    14
4.13       Control of Records                              --------------------------------    14
4.14       Internal Audits                                 --------------------------------    15
4.15       Management Reviews                              --------------------------------    16
5.0      Technical Requirements                            --------------------------------    16
5.1        General                                         --------------------------------    16
5.2        Personnel                                       --------------------------------    17
5.3        Accommodation and Environmental Conditions      --------------------------------    18
5.4        Test Methods and Method Validation              --------------------------------    19
5.5        Equipment                                       --------------------------------    22
5.6        Measurement Traceability                        --------------------------------    24
5.7        Sampling Operations                             --------------------------------    26
5.8        Handling of Samples                             --------------------------------    27
5.9        Assuring the Quality of Test Results            --------------------------------    28
5.10       Reporting the Results                           --------------------------------    28
LAB LOGO & NAME                              Document No.:           Issue No.: 0.1
                                             WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                               Issued By:
             MANUAL OF QUALITY POLICIES                              Page 3 of 27

Introduction.1

This Water Pollution and Marine Environmental Laboratory Quality Manual has been
prepared to meet the requirements for laboratory accreditation of the International
Organization for Standardization/International Electro-technical Commission (ISO/IEC)
17025 (2005). It has been formatted using clause numbers from ISO/IEC 17025 to provide
ease in review.

     Controlled Distribution of the Quality Manual.2
The Quality Manager (QM) is responsible for maintaining the official master soft and hard
copy of this quality manual.

Quality Policy Statement .3
Water Pollution and Marine Environmental Laboratory is committed to laboratory
accreditation according to the requirements of ISO/IEC 17025. This commitment is evident
 .by the approval signatures for this manual
The quality policy statement is stated in this QM, Subsection 4.2.2

Management Requirements .4

Organization 4.1
Water Pollution and Marine Environmental Laboratory is a government laboratory 4.1.1
under Institute of Graduate Studies & Researches – Alexandria University. The laboratory
is required to follow the Ministerial Decree No. #. The laboratory provides its services as a
second party laboratory in the field of environmental testing, particularly chemical and
.microbiological analysis of water and wastewater
The intent of Water Pollution and Marine Environmental Laboratory Top 4.1.2
:Management is to operate the laboratory according to the following requirements
            ;ISO/IEC 17025•
            Customer contracts; and•
           .Laws and Regulations•

The management system outlined in this quality manual covers the work carried out 4.1.3
in Water Pollution and Marine Environmental Laboratory permanent facilities at the
:following address

Water Pollution and Marine Environmental Laboratory
136 Hirreya Avenue,
Alexandria,
Egypt
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                                             WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                               Issued By:
             MANUAL OF QUALITY POLICIES                              Page 4 of 27

Water Pollution and Marine Environmental Laboratory organization chart is 4.1.4
:indicated below

         Water Pollution and Marine Environmental Laboratory Organization Chart

                                  Laboratory Director
                                   (Dean of Institute)



                                 Laboratory Executive
                                      Manager

              Quality Manager



      Technical Manager                                       Technical Manager
     Chemistry Laboratory                                   Microbiology Laboratory




Responsibility of the Laboratory Director as the Dean of the Institute of Graduate Studies
and Researches – Alexandria University


4.1.5
a. The laboratory Top Management delegate full authorities to the lab Quality Manager,
and Technical manager to discharge their duties as reflected in the prepared job
descriptions. This authority delegation includes the implementation, maintenance, and
improvement of the management system. The resources needed to discharge these duties
are identified in Section 5.2 through Section 5.6 in this manual.

b. Management applies restrict arrangements to ensure that the laboratory personnel are
free from any undue internal and external pressure. Therefore, the laboratory pursues an
effective communication system between the laboratory management and the staff giving
sufficient attention to internal complaints or concerns from employees aiming at avoiding
any internal undue pressure. Also, precautions are taken to ensure that the lab staff is
:always free from external undue pressure. These precautions include
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               The lab staff does not deal directly with the lab customers e.g. samples are.1
               received and reports are delivered to the customers in specially designated
               .area
               .Sample information is hidden from the lab staff during testing processes.2

c. The lab ensures the protection of customers’ confidential information and proprietary
:rights at all times through
             Dealing with customers’ confidential information is restricted to the reports.1
             .issuing and approval authorities
             Test results are submitted either manually or electronically to the customer.2
             .according to the contact information identified within the test request form
             Lab computer facilities that contain customer related information are access-.3
              .controlled for further protection
             The lab is not allowed to use the customers’ confidential information without.4
             .prior consent of the customers to protect the customers’ proprietary rights

d. To avoid involvement in any activities that would diminish confidence in the lab
competence, impartiality, judgment or operational integrity employees are familiar with
and observe Code of Ethics. The following core concepts are embodied in this code of
 :ethics
           ,Employees shall not use public office for private gain.1
           Employees shall act impartially and not give preferential treatment to any.2
            .private organization or individual

e. The organization and the relationship among the laboratory staff is reflected in the
 .laboratory’s organizational chart described in section 4.1.4

f. Lab personnel authorities and responsibilities are documented in the management system
procedures and operating instructions. The roles and responsibilities of the lab quality and
technical managers are defined in this quality manual section 4.2.6. Job descriptions of lab
 (staff are defined and maintained according to the procedure of personnel (QP-5.2-1

g. The laboratory employees performing testing have access to consensus standards,
instrument manufacturers’ manuals, and laboratory procedures for reference evidence of
desired familiarity with laboratory methods. Supervisors are designated and trainees do not
perform regulatory work until competent as per the laboratory training program.

h. The lab defines Technical Managers who have the overall responsibility for the technical
operations of the laboratory. Resources for training, laboratory methods, measurement
 .traceability, and purchasing are described in sections of this manual, and in procedures

i. The laboratory Quality Manager is responsible for the laboratory’s management system
and its implementation. The Quality Manager has direct access to the Laboratory Top
 .Management, who is responsible for decisions concerning policy and resources

j. Qualified laboratory personnel are assigned to serve in the absence of key managerial
personnel, such as Laboratory Top Management, Quality Manager, Technical Managers
.and Senior Technical Personnel. Deputies are appointed in the Job Description records
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k. The lab ensures that its personnel are aware of the relevance and importance of their
activities and how they contribute to the achievement of the objectives of the management
system through ensuring the availability of the minutes of the lab management review
 .meetings to all lab staff

4.1.6 Effective communication from management occurs through the use of but not limited
to staff meetings, memos, newsletters, electronic presentations, emails, or verbally to
laboratory personnel regarding the effectiveness of the management system.

Related Documents & Records
              Code of Ethics•

Management System 4.2
The laboratory quality management system (QMS) is outlined in the following 4.2.1
 :documents
           ;Quality manual includes all lab policies•
           ;Quality procedures•
            Work Instructions; and•
            .Forms and records•
This quality management system is established to address the requirements in ISO/IEC
17025. A master list of all quality management system documents is maintained by the lab
as per document control procedure (QP 4.3-1). These documents are accessible to all
.personnel and are included in the laboratory’s training program

Policies and Objectives 4.2.2

            Quality Policy Statement•

Water Pollution and Marine Environmental Laboratory is committed to an
excellent professional testing service, which meets the needs of the customers,
statutory, and regulatory requirements and the requirements of ISO/IEC
17025; and to continually improve the effectiveness of the management
 .system

The purpose of Water Pollution and Marine Environmental Laboratory
management system is to assure the accuracy and precision of laboratory
  .results so that they will be reliable, interpretable, repeatable, and defensible

Water Pollution and Marine Environmental Laboratory personnel involved
in testing activities are required to become familiar with the lab quality
management system documentation and implement its policies and procedures
.at                                 all                              times
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Water Pollution and Marine Environmental Laboratory Top Management
commits to good professional practice, to offer high testing services quality to
the laboratory customers according to the requirements of international
standards ISO/IEC 17025:2005.
            Quality Objectives•

Water Pollution and Marine Environmental Laboratory overall objectives are
established on annual basis by the lab Top Management. These objectives are reviewed
.during the management review meetings

Evidence of management’s commitment to the management system and its continual 4.2.3
improvement in effectiveness is demonstrated by, but not limited to, conducting the
management reviews, performance of internal audits, proficiency testing, and the analysis
.of quality control samples

4.2.4 The lab Top management communicates to the organization the importance of
meeting customer requirements as well as statutory and regulatory requirements through
the lab quality policy statement.

Procedures and Outline of the Management System 4.2.5
Management system procedures supporting quality policies are cited in the Related
Procedures at the end of each section of this manual. The outline of the management
.system is included in this manual, Subsection 4.2.1

Roles and Responsibilities 4.2.6
General roles and responsibilities for Water Pollution and Marine Environmental
:Laboratory personnel are summarized as follows
            Quality Manager•
            Ensures that the management system is established, implemented,‐
            and maintained in conformance with the requirements of ISO/IEC
             .17025
           Technical Management•
             .Oversee technical functions‐
             .Ensure compliance with the requirements of ISO/IEC 17025‐
            Ensure management system procedures, applicable standards,‐
             .specifications, and regulations are followed
            Ensure that qualified, skilled, and trained personnel and other‐
             .resources are available
            .Ensure that products and services satisfy customer requirements‐

Top management ensures that the integrity of the management system is maintained 4.2.7
when changes to the management system are planned and implemented through applying
.the document change procedure outlined in procedure QP 4.3
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The management system process and procedures as defined in this manual maintain the
integrity of the management system when changes such as a change in the structure of the
.organization or management, or a change is a policy or procedure are made

Document Control 4.3
 General 4.3.1
The document control and management procedure in the laboratory describes the process
for controlling quality documents that form part of its management system. The quality
documents include those required for the generation of laboratory data. These documents
include those published by the laboratory and those used from external sources.
Documents of external origin include regulations, standards, test methods, instructions and
 .manuals

Document Approval and Issue 4.3.2

Documents issued to personnel in the laboratory as part of the management system 4.3.2.1
are reviewed and approved for use prior to issue in accordance with the laboratory’s
document control and management procedure. The laboratory’s master list identifies the
current revision status and distribution of documents in the management system. Through
the use of the master list, quality documents are posted to personnel to preclude the use of
 .invalid or obsolete documents

 Procedure Content 4.3.2.2
The laboratory’s master list and document control and record management procedure
 :provide for the following
a. Authorized management system documents and external documents are at locations
 .where operations essential to the effective functioning of the laboratory are performed
b. Documents are reviewed according to a schedule and revised to ensure continuing
suitability and conformance with the management system and ISO/IEC 17025
 .requirements
c. Invalid or obsolete documents are promptly removed from all points of issue or use, or
 .marked as Obsolete to assure against unintended use
d. Obsolete documents retained for either legal or knowledge preservation purposes are
 .marked as Archived

 Document Identification 4.3.2.3
A document control header as described in the laboratory’s document control and
management procedure uniquely identifies management system documents generated by
the laboratory. Such identification includes the date of revision, identification number and
inclusive pagination. The issuing authority is indicated by the name of the approving
.official in the document history section at the end of each document

 Document Changes 4.3.3
Changes to documents are reviewed and approved in accordance with the laboratory’s
document control and management procedure. Unless designated otherwise, this procedure
is followed by the same personnel or function as in the original review or approval. The
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use of reference documents and information is required upon which to base the review and
 .approval

The altered or new text is identified in the history section at the end of each 4.3.3.1
.document

The laboratory’s document control and management procedure addresses the 4.3.3.2
.handling of document amendments by hand pending reissue

Computerized Systems 4.3.3.3
The laboratory’s document control and management procedure addresses the control of
.electronic management system documents

Related Documents
.WPMEL-LAB 4.3 – Document Control



Review of Requests, Tenders and Contracts 4.4
 Review 4.4.1
Water Pollution and Marine Environmental Laboratory Management puts accommodating
customers’ requests and satisfying their needs at priority. The laboratory designates certain
personnel for dealing with the customers. These personnel have the required capabilities of
handling the normal customer requests. However, in case of receiving a special customer
request either for a new type of analysis and/or matrix or for an unusual number of samples
etc, the request is directed to the related Technical Manager to review. This review
:includes, but is not limited to, the following
                            Ensuring the capability of meeting the customer requested test(a
                            method and/or the modifications required in an existing method
                            and that these requirements are adequately defined, documented
                            ;and understood
                            Ensuring that the laboratory has the technical capability(b
                            represented by sufficient number of personnel who have the
                            ;skills and expertise to handle the special customer request
                            Ensuring that the laboratory work schedule is able to(c
                            ;accommodate the customer request
                            Ensuring the accessibility to resources such as certified/reference(d
                            materials, chemicals, calibration, etc to meet the contractual
                            ;requirements
                            Ensuring the capability of generating additional data that might(e
                            be needed to support the test result such as measurement
                            ;uncertainty, detection limit, confidence limits, etc

This review process should lead to a contract between the laboratory and the customer to
.provide testing services

The results of this process are discussed and documented as part of the laboratory’s annual
.management review
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 Records of Review 4.4.2
Water Pollution and Marine Environmental Laboratory maintains records of requests
.reviews, changes, and change requests. Records of discussions are also maintained

 Subcontracting Laboratories 4.4.3
.The laboratory does not subcontract its services

 Contract Deviations 4.4.4
In case of any deviation from the contract, the deviation is reported in the final test report
 .issued by the laboratory

 Amendments to Contracts 4.4.5
If a contract needs to be amended after work has commenced, the same contract review
process is repeated and any amendments are communicated to all affected personnel
.named in the contract

Related Documents
Analysis request form



Subcontracting of Tests 4.5
Water Pollution and Marine Environmental Laboratory does not subcontract routine
.analyses within its scope of accreditation



Purchasing Services and Supplies 4.6
Procedure 4.6.1
Water Pollution and Marine Environmental Laboratory uses the related procedures for the
procurement of materials, supplies and services that critically affect the quality of the tests.
These procedures describe the process for the selection, purchase, reception and storage of
equipment, services and supplies, including reagents and laboratory consumable materials,
used in the performance of the tests. The laboratory has work instructions describing the
.processing of requisitions

 Inspection and Verification 4.6.2
The laboratory’s purchasing procedure describes how purchased equipment, supplies,
services, reagents, and consumable materials that critically affect the quality of tests are
inspected or verified prior to use. Inspection or verification criteria are used to establish
conformance with requests made by the customer, included in standard specifications, or
.defined in the methods

Purchasing Documents 4.6.3
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Purchasing documents for items affecting the quality of laboratory output describe the
services or supplies ordered. These purchasing documents are reviewed and approved for
.technical content prior to submission

 Records and Registry 4.6.4
Records of supplier evaluations and a list of approved suppliers are maintained by the
.laboratory
Related Documents
.WPMEL-LAB 4.6 - Purchasing Services and Supplies



Service to the Customer 4.7
The laboratory clarifies the customer's request within the framework of the contract 4.7.1
review process described in this manual, section 4.4 - Review of Requests, Tenders and
Contracts. The laboratory maintains communications regarding deviations from contract
 .work
The opportunity for the customer to witness laboratory activity is given upon request,
providing the laboratory is able to maintain confidentiality to other customers during such
 .cases

The laboratory seeks customer feedback on their services and general performance. 4.7.2
Records of the comments, both positive and negative, are maintained and are taken into
account for identifying management system improvements during the reviews performed
.by management

Related Documents
None •



Complaints 4.8
The laboratory has a complaint procedure describing the process for the receipt and
recording of complaints received from any party. Records of all complaints received are
maintained according to the procedure. Complaints identified as nonconformities are
.processed according to this manual, section 4.11 - Corrective Action

Related Documents
.WPMEL-LAB.4.8 Complaints



Control of Non-conforming Work 4.9
Procedure 4.9.1
Water Pollution and Marine Environmental Laboratory has a control of non-conforming
work procedure that is implemented when any aspect of their testing work, or the results of
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this work, does not conform to requirements of the management system, testing methods,
 :or the requests of the customer. This procedure addresses the following elements
            responsibilities and authorities for the management of identified non-•
            conforming work and taking actions such as the halting of work, the
             ;withholding of test reports
             ;application of criteria to evaluate the significance of non-conforming work•
            remedial action taken, together with any decision about the acceptability of the•
             ;non-conforming work
             notification of the customer, and if necessary, recall of work; and•
             .responsibility for authorizing the resumption of work•

 Follow-Up 4.9.2
If the non-conforming work could recur, or there are other significant problems identified,
the corrective action procedures in this manual, section 4.11 - Corrective Action are
.promptly followed

 Related Documents
A procedure for handling control of non-conforming work. WPMEL-LAB.4.9 Control of •
.Non-conforming Work



Improvement 4.10
The effectiveness of the laboratory’s management system is improved by using the following
activities: internal audits; management reviews; analysis of quality control data; corrective
.actions; preventive actions; the quality policy; and the quality objectives



Corrective Action 4.11
 General 4.11.1
Water Pollution and Marine Environmental Laboratory has a corrective action procedure
that designates the authorities for implementing corrective action when one of the
 :following is identified
            ,non-conforming work•
            departures from the policies and procedures in the management system, and•
            .departures from required technical operations•

Cause Analysis 4.11.2
The procedure for corrective action includes investigating and determining the root cause
.of the non-conformance

Selection and Implementation of Corrective Actions 4.11.3
Potential corrective actions are identified. The action most likely to eliminate the problem
.and to prevent recurrence is selected
The corrective action chosen addresses the magnitude of the non-conformance and the risk
.attributed to the non-conformance
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Corrective actions are documented, and any changes resulted from the corrective action
.investigation are implemented

Monitoring of Corrective Actions 4.11.4
The corrective action procedure addresses the monitoring for the effectiveness of
.corrective actions performed

 Additional Audits 4.11.5
Where the identification of non-conformances may affect the laboratory’s conformance
with management system policies and procedures or conformance with ISO/IEC 17025,
the areas of activity affected by the non-conformance are audited as soon as possible in
.accordance with section 4.14 Internal Audits of this manual

Related Documents
.Corrective action procedure. WPMEL-LAB.4.11 Corrective Action



Preventive Action 4.12
 General 4.12.1
Sources for needed improvements and potential sources of non-conformance are identified
according to the process described in the laboratory’s preventive action procedure, and are
part of the management review process. Preventive actions plans are developed,
 .implemented, and monitored to address the identified opportunities for improvement

Procedure 4.12.2
The procedure includes the initiation of action. The management review process monitors
.the effectiveness of such actions in providing improvement to the management system

 Related Documents
 .A preventive action procedure. WPMEL-LAB. 4.12 - Preventative Action •
.A management review procedure. WPMEL-LAB. 4.15 - Management Review •



Control of Records 4.13
 General 4.13.1
 Procedure 4.13.1.1
Water Pollution and Marine Environmental Laboratory has a control of records procedure
for identifying, collecting, indexing, accessing, filing, storing, maintaining, and disposing
of quality and technical records. Quality records include reports from internal audits,
management reviews, corrective actions, and preventive actions. Technical records are
accumulation of data and include, but are not limited to, forms, worksheets, control charts,
.calibration certificates and reports

Legibility, Storage, and Retention 4.13.1.2
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Records are to be legible. Laboratory records are archived in a way that can be easily
.retrieved. A record retention period is identified in the control of records procedure

Security and Confidentially 4.13.1.3
Records are stored in secured areas and only authorized personnel are allowed to retrieve
.them

 Electronic Records 4.13.1.4
Water Pollution and Marine Environmental Laboratory has a procedure describing the
protection and back-up of electronic records. The procedure also describes the amendment
 .of electronic records
 Technical Records 4.13.2

Retained Records, Audit Trail, and Identification 4.13.2.1
Staff records, equipment calibration, and verification reports as well as other laboratory
.records are retained in accordance with the laboratory’s control of records procedure

Laboratory records contain sufficient information that, depending on the type of analysis,
include calculations, standard preparation, instrument printouts, and results. These
information are sufficient to enable establishing audit trails and to repeat the test under
 .conditions as close as possible to the original

Recording and Identification 4.13.2.2
Observations, data, and calculations are recorded at the time they are made and are
identifiable to the activity performed. Method numbers and titles are used to provide
.traceability of records

Corrections 4.13.2.3
When errors occur in records, each mistake is lined out, not erased, not made illegible, nor
.deleted. The correct value is entered and initialed

Related Documents
.Control of records procedure. WPMEL-LAB.4.13 Record and Data Management



Internal Audits 4.14
 General 4.14.1
Internal audits are conducted according to a schedule included in the laboratory’s audit
procedure. Internal audits are conducted of activities to verify that operations continue to
 .conform to the requirements of the management system and ISO/IEC 17025
The internal audit program addresses all elements of the management system, including
testing activities. The laboratory’s Quality Management System Manager is responsible for
 .the coordination of internal audits as listed by the schedule and requested by management
Trained and qualified personnel are responsible for conducting internal audits. Audits are
 .performed by personnel other than those who performed the work being audited

Corrective Action 4.14.2
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When audit findings cast doubt on the effectiveness of the operations or on the correctness
or validity of the laboratory’s test results, corrective action is undertaken according to the
 .laboratory’s corrective action procedure
The customer is notified if investigations show that non-conformances related to audit
results also have affected work performed for the customer. This notification is
 .documented


 Audit Records 4.14.3
The area of activity audited, the audit findings, and corrective action that arise from them
 .are recorded according the laboratory’s audit procedure
 Follow-up Audit Activities 4.14.4
Follow-up audit activities are conducted to verify and record the implementation and
effectiveness of the corrective action taken. This follow-up is included as part of the
.management review process

Related Documents
.WPMEL-LAB 4.14 – Internal Audits



Management Reviews 4.15
 General 4.15.1
The laboratory’s management review procedure includes the schedule for conducting
management reviews. This review is conducted by the laboratory’s executive management
to ensure continuing fitness for use and effectiveness of the management system and to
 .introduce needed changes or improvements
The management review addresses the elements of the management system and includes
 :but is not limited to the following elements
             Overall quality objectives•
             ;Suitability of policies and procedures•
              ;Reports from managerial and supervisory personnel•
              ;Outcome of recent internal audits•
              ;Corrective and preventive actions•
              ;Assessments by external bodies•
              ;Results of interlaboratory comparisons, proficiency test, and quality control•
              ;Changes in the volume and type of work•
              ;Customer feedback•
              Complaints; and•
              .Other factors, such as quality control activities, resources•

Findings and actions that arise from the review are recorded according to the laboratory’s
.management review procedure. Each action includes a due date for resolution

Related Documents
.WPMEL-LAB 4.15 – Management Reviews
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Technical Requirements 5.0

General 5.1
The sections following below address the factors affecting the correctness and 5.1.1
.reliability of the tests performed by a laboratory
:These factors include contributions from
             ,Personnel•
             ,Accommodation and environmental conditions•
             ,Test methods and method selection and validation•
             ,Equipment selection and calibration•
             Measurement uncertainty and traceability, and•
             .Handling of test items•

 Contribution to Total Uncertainty of Measurement 5.1.2
These factors are considered in determining and updating total measurement uncertainty.
Additionally, these factors are considered by the laboratory when developing test
procedures, in the training and qualification of personnel, and in the selection of the
.equipment utilized



Personnel 5.2
 Personnel Competence 5.2.1
Laboratory management ensures that laboratory personnel have the knowledge, skills, and
abilities to perform their duties. Competence is based on education, experience,
demonstrated skills, and training. Staff records contain the documentation of personnel
.education, experience, skills, and training for the position held

Trainees undergo a training program in accordance with the laboratory’s training
procedure. For in-house training, a senior analyst serves as the trainer. Trainees perform
procedures when training is completed and competency has been demonstrated. The
documented demonstration of competence is an exercise that the trainee performs
independent of supervision. The trainee is considered competent after the specified criteria
.have been successfully met

 Education, Training and Skills 5.2.2.1
The annual performance evaluation process can be used to discuss career advancement and
training possibilities. By using this process, individuals have the opportunity to identify
 .areas of study and request training

In-house training is conducted according to laboratory’s training procedure. The
effectiveness of personnel training is documented in but not limited to management
reviews, internal audits, external assessments, proficiency testing, and performance
.evaluations
LAB LOGO & NAME                                Document No.:           Issue No.: 0.1
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Title:                                                                 Issued By:
             MANUAL OF QUALITY POLICIES                                Page 17 of 27

Skills of personnel are based upon demonstration of competence. This demonstration is to
.be completed successfully before analysts generate data independently

 Employees and Contracted Personnel 5.2.3
Water Pollution and Marine Environmental Laboratory utilizes the skills and talent of both
full-time employees. In case of hiring contracted personnel, the requirements of the
management system are administered equally to both categories. No differentiation is made
between the two categories of workers in the requirement of the management system.
Supervision, training, and competence are documented for all technical and key support
.personnel

Job Descriptions 5.2.4
The laboratory maintains active job descriptions for managerial, technical, and key support
.personnel involved in tests

Management Authorization 5.2.5
:The Laboratory Executive Manager authorizes identified personnel to
           ,perform testing and calibration•
           ,issue test reports•
           give opinions and interpretations, and•
           .operate particular types of equipment•
Records of authorizations, demonstration of competence, education, training, and
.experience are maintained by the laboratory and dated



Accommodation and Environmental Conditions 5.3
 Facilities and Environmental Conditions 5.3.1
Water Pollution and Marine Environmental Laboratory maintains proper environmental
conditions that facilitate the correct performance of analytical testing and ensures the
 .quality of test results

Monitoring 5.3.2
Test methods used by the laboratory include instructions addressing applicable
environmental conditions. The laboratory monitors and records critical environmental
conditions that are mainly temperature and humidity unless otherwise specified in the
method to ensure that results and the quality of the measurement are not adversely
 .affected

 .Where environmental controls are needed, the environmental conditions are recorded
Testing activities are stopped when the environmental conditions invalidate the test results
.or adversely affect quality control

Cross-contamination 5.3.3
Separate areas are maintained for incompatible activities. Measures taken to prevent cross-
:contamination include but are not limited to
            ,Chemistry laboratories are separated from microbiology laboratories•
            ,Sample receiving and storage are conducted in designated areas•
LAB LOGO & NAME                              Document No.:          Issue No.: 0.1
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Title:                                                              Issued By:
            MANUAL OF QUALITY POLICIES                              Page 18 of 27

            Separate storage for standards and reference materials and cultures, and•
            Microbiology media preparation and sterilization are separated from work•
           .areas

Access 5.3.4
Water Pollution and Marine Environmental Laboratory controls access to areas of critical
impact on the quality of test results. Visitors are not allowed in the laboratory unless
 .escorted by laboratory staff




 Housekeeping 5.3.5
Laboratory areas are maintained clean and orderly to prevent contamination of samples and
to facilitate the efficiency of laboratory operations. The laboratory maintains procedure
 .that specifies minimum housekeeping measures

Related Documents
Facilities and Environmental Conditions. WPMEL-LAB.5.3

Test Methods and Method Validation 5.4
 General 5.4.1
Water Pollution and Marine Environmental Laboratory uses methods and procedures for
all tests within its scope identified in the laboratory’s accreditation program
documentation.
The laboratory instructions for the use and operation of equipment specified by the
laboratory methods is either a laboratory procedure identified on the master list or as
 .equipment manuals
Deviations from test methods are documented, technically justified, authorized, and
accepted by the customer according to the procedure, WPMEL-LAB.5.10 Reporting
.Laboratory Data

Selection of Methods 5.4.2
          Laboratory methods are selected to meet the customer’s need as addressed in•
           .this manual, section 4.4 Review of Requests, Tenders and Contracts
          The laboratory methods are controlled as external documents according to this•
           .manual, section 4.3 Document Control
          When the customer does not specify the method to be used, a standard method•
          is preferred and is verified for use in the laboratory. Those methods specified by
           .the manufacturer of the equipment are considered as standard methods
          The laboratory informs the customer when the method proposed by the•
          customer is considered to be the incorrect choice or the incorrect revision for
          the intended purpose. This is done as part of contract review addressed in this
          .manual, Section 4.4 Review of Requests, Tenders and Contracts

Laboratory Developed Methods 5.4.3
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Title:                                                                 Issued By:
             MANUAL OF QUALITY POLICIES                                Page 19 of 27

Water Pollution and Marine Environmental Laboratory does not have any developed
.methods

Non-standard Methods 5.4.4
.Water Pollution and Marine Environmental Laboratory uses standard methods only

Validation of Methods 5.4.5

Definition 5.4.5.1
Validation is the confirmation by examination and the provision of objective evidence that
.the particular specifications for an intended use are fulfilled

 Methods Requiring Validation 5.4.5.2
The laboratory validates modified standard methods including use outside the intended
scope and applications, if any. Moreover, the laboratory confirms its proper
 .implementation of standard methods. All records are maintained

 Process 5.4.5.3
The validation process addresses the needs of the given application or field of application.
The laboratory analyst records the results obtained according to the procedure, WPMEL-
LAB.5.4.5 Methods, Method Verification and Validation. The validation results include a
statement as to whether the method is fit for the intended use. The needs of the customer
define the intended use of the method. The attributes and data quality objectives include
 :but are not limited to
             ,accuracy•
             ,precision•
             ,specificity•
             ,detection limit•
             ,limit of quantitation•
            linearity, and•
    • range.

If all the data quality objectives are met as indicated by the data collected, the method is
.considered as validated

Estimation of Uncertainty of Measurement 5.4.6

Procedure for Calibration Activities 5.4.6.1
Water Pollution and Marine Environmental Laboratory is a testing laboratory and does not
.perform its own calibrations

 Procedure for Testing Activities 5.4.6.2
The laboratory has a procedure, WPMEL-LAB.5.4.6, Estimation of Uncertainty of
 .Measurement, to estimate the uncertainty of measurement for testing activities
An attempt is made to identify all the components of uncertainty and make a reasonable
estimation of the measurement uncertainty. This estimation is based on knowledge,
experience, and validation data of the performance of the method and on the measurement
scope. If needed as a part of the laboratory data, the uncertainty estimation is reported
.according to the same procedure
LAB LOGO & NAME                              Document No.:           Issue No.: 0.1
                                             WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                               Issued By:
             MANUAL OF QUALITY POLICIES                              Page 20 of 27


 Uncertainty Components 5.4.6.3
When estimating the uncertainty of measurement, all important uncertainty components
are recorded in the uncertainty records for each determination as addressed in the
 .procedure, WPMEL-LAB.5.4.6, Estimation of Uncertainty of Measurement

Control of Data 5.4.7

Data Transfers 5.4.7.1
Calculations and data transfers are reviewed before the data is reported. All changes are
identified and verified where they occur. This process is detailed in the procedure for
laboratory quality control identified in this manual, Section 5.9 Assuring the Quality of
 .Test Results
 Computer Use 5.4.7.2
Computers are used for the acquisition and storage of automated equipment test results
such as calibration curves, chromatograms, etc. They are also used for the processing,
recording and reporting of test data. Excel spreadsheets are developed to facilitate
calculations of validation data, uncertainty and quality control data. Computers are used as
the means to produce laboratory records, but the laboratory does not keep softcopies of
 .records and considers the hard copies as the only official and controlled type of record

           Excel spreadsheets developed by the laboratory are documented in detail and(a
           .validated before use

           The laboratory ensures the protection of test data stored on automated(b
           equipment computers by applying strict data protection procedure that ensures
           data integrity and data confidentiality during entry, collection, storage,
            .transmission and processing

           Computers and automated equipment are maintained to ensure proper(c
           functioning and are provided with the environmental and operating conditions
           .to maintain the integrity of test and data

Equipment 5.5
 Laboratory Equipment 5.5.1
The laboratory has sample preparation, measurement and test equipment for the correct
performance of its tests. The laboratory also has ancillary equipment for processing
 .samples and for processing data
The laboratory purchases the used equipment and establishes maintenance contracts as
 .needed
Water Pollution and Marine Environmental Laboratory maintains an equipment inventory
.of all laboratory equipment used to perform regulatory testing


Equipment Capability 5.5.2
LAB LOGO & NAME                               Document No.:           Issue No.: 0.1
                                              WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                                Issued By:
             MANUAL OF QUALITY POLICIES                               Page 21 of 27

                  Equipment and its software used for testing are ensured to•
                  achieve the accuracy expected and comply with specifications of
                   .the testing concerned
                  Laboratory equipment that has a significant effect on the results•
                  follow a calibration schedule. The equipment performance is
                   .verified and verification records are maintained
                  Equipment is to meet the laboratory's testing parameters and•
                  conform to standard specifications before being placed into
                  .service


 Authorized Operation 5.5.3
Personnel are authorized to operate equipment according to this manual, subsection 5.2.5
Management Authorization. Authorization is based on work assignment, training,
experience and demonstrated proficiency. Equipment manuals and maintenance procedures
are maintained and supplied to laboratory personnel as described in this manual, subsection
4.3.1 General and procedure, WPMEL-LAB.5.5.1 Instrument and Equipment
 .Documentation and Records

Equipment Identification 5.5.4
Each item of equipment used for testing has an identification number that is unique to each
.instrument

 Equipment Records 5.5.5
Records are maintained of each item of equipment and its software significant to the tests
or calibrations performed according to the procedure, WPMEL-LAB.5.5.1 Instrument and
 .Equipment Documentation and Records

:Records include at least the following items
           ;identity of the item of equipment and its software•
          manufacturer’s name, type identification, and serial number or other unique•
           ;identification
          performance checks that equipment conforms to testing parameters and•
           ;acceptance criteria
           ;location of the equipment•
           ;manufacturer’s instructions•
          dates, results and copies of reports and certificates of calibrations, adjustments,•
           ;acceptance criteria, and the due date of next calibration
           maintenance plan and maintenance carried out to date; and•
           .any damage, malfunction, modification or repair to the equipment•

 Management of Equipment 5.5.6
The laboratory implements a procedure, WPMEL-LAB.5.5 Equipment, for the safe
handling, transport, storage, use and planned maintenance of measuring equipment to
 .ensure proper functioning and to prevent contamination or deterioration

 Out of Service 5.5.7
Equipment that has been subjected to overloading or mishandling, gives suspect results, or
has been shown to be defective or outside specified limits, is taken out of service. It is
LAB LOGO & NAME                                Document No.:           Issue No.: 0.1
                                               WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                                 Issued By:
             MANUAL OF QUALITY POLICIES                                Page 22 of 27

isolated to prevent its use and clearly labeled as being “Out of Service” to prevent its use
 .until it has been repaired and shown to perform correctly

Laboratory personnel examine the effect of the defect or departure from specified limits on
previous tests and report on a non-conforming work according to the laboratory procedure
 .WPMEL-LAB 4.9 Control of Non-conforming Work

 Calibration Status 5.5.8
Equipment under the control of the laboratory and requiring calibration is labeled or coded
to indicate the calibration status, including the date of last calibration and the date due for
recalibration. Alternatively, equipment calibration status may be identified in an associated
 .record to indicate the status of calibration

 Equipment Leaving the Laboratory 5.5.9
Equipment are not allowed to leave the laboratory. However, if for any unforeseen reason,
equipment leaves the direct control of the laboratory, the function and calibration status of
the equipment is checked upon return and shown to be satisfactory before the equipment is
.returned to service

Calibration Confirmation 5.5.10
Intermediate calibration confirmation checks are performed to maintain confidence in the
calibration status of the equipment. These checks are conducted according to the procedure
 .in this manual, Section 5.9 Assuring the Quality of Test Results

Correction Factors 5.5.11
Where calibrations give rise to a set of correction factors, these factors are communicated
.to users

 Safeguards 5.5.12
Test equipment, including both hardware and software, are safeguarded from adjustments
that would invalidate the test results. Safeguards are provided using access control to the
.laboratory, as practicable



Measurement Traceability 5.6
 General 5.6.1
The laboratory equipment is calibrated before being placed into service, as scheduled and
following repairs. Procedures for equipment calibration are provided in procedure,
 .WPMEL-LAB.5.5 Equipment

Specific Requirements 5.6.2

Calibration 5.6.2.1

As a testing laboratory, details about measurement traceability are found in section 5.6.2.2
.of this quality manual
LAB LOGO & NAME                               Document No.:            Issue No.: 0.1
                                              WPMEL-LAB.QM             Issue Date: 5 May 11
Title:                                                                 Issued By:
             MANUAL OF QUALITY POLICIES                                Page 23 of 27

 Testing 5.6.2.2
Water Pollution and Marine Environmental Laboratory ensures its measurement 5.6.2.2.1
traceability to the International System of Units (SI) through conducting its external
calibrations in calibration laboratories that are accredited to ISO/IEC 17025 in the
requested scope. In case of the unavailability of an accredited laboratory in the required
parameter, Water Pollution and Marine Environmental Laboratory seeks this calibration
 .(from the National Institute for Standardization (NIS

The laboratory uses Certified Reference Material (CRM) as another means of 5.6.2.2.2
.achieving measurement traceability to SI units

Reference Standards and Reference Materials 5.6.3

Reference Standards 5.6.3.1
The laboratory implements a calibration program for its reference standards. Details are
.included in procedure, WPMEL-LAB.5.5 Equipment
The reference standards are calibrated by an accredited laboratory and are used only for
.calibration purposes

 Reference Materials 5.6.3.2
A reference material is a homogenous and well characterized substance used for
standardization of equipment used in the testing process. Reference materials are, where
possible, traceable to SI units, or certified reference materials (CRMs) from competent
.suppliers of reference materials and are checked, as practicable

Intermediate Confirmation of Calibration Status 5.6.3.3

Metrological confirmation for reference standards and reference materials included in the
calibration program is conducted according to a schedule addressed in the procedure in the
procedure, WPMEL-LAB.5.5 Equipment. The confirmation is conducted to maintain
 .confidence in the calibration status of reference standards and reference materials

Transport and Storage 5.6.3.4

The procedure, WPMEL-LAB.5.6 Measurement Traceability, addresses the safe handling,
transport, storage and use of reference standards and reference materials. These activities
are established in order to prevent contamination, deterioration, and to protect the integrity
.of reference standards and reference materials



Sampling Operations 5.7
Procedure 5.7.1

Water Pollution and Marine Environmental Laboratory does not routinely perform
sampling in the sense of collecting a representative sample from a product lot to represent
 .the whole
LAB LOGO & NAME                                Document No.:            Issue No.: 0.1
                                               WPMEL-LAB.QM             Issue Date: 5 May 11
Title:                                                                  Issued By:
             MANUAL OF QUALITY POLICIES                                 Page 24 of 27

Sample Collection Conducted by the Customer; but occasionally, laboratory personnel are
consulted about sampling parameters such as sample type or size or guidance for a
particular sampling or analytical need. However, Water Pollution and Marine
Environmental Laboratory, exert no direct control over such sampling and do not have
.responsibility for sampling

Sampling conducted by Water Pollution and Marine Environmental Laboratory involves
for the most part those analyses that call for a portion or aliquot of the total sample
received by the laboratory to be analyzed. Generally, this calls for mixing or preparing of
samples to assure homogeneity before portions are taken for analysis. Sample preparation
and subsampling protocols are found in the analytical methods, compliance programs, and
.assignments




Handling of Samples 5.8
 Protection of Samples 5.8.1
The laboratory procedure, WPMEL-LAB.5.8 Sample Management, describes the receipt,
processing, protection, storage, retention and disposal of samples. This procedure
 .addresses the laboratory activities conducted to protect sample integrity

 Identification of Samples 5.8.2
The laboratory has a system for uniquely identifying samples. The sample number is used
to track its progress from the time the sample is received into the lab until the analysis is
completed and the sample is disposed. The sample number is also used to provide
traceability between the sample and the data. The numbering system also provides
traceability during transfer of samples within the laboratory. The identification system is
 .described in procedure, WPMEL-LAB.5.8 Sample Management

 Departures, Additions or Exclusions 5.8.3
Upon receipt of the sample, abnormalities or departures from normal or specified
conditions are recorded according to the procedure, WPMEL-LAB.5.8 Sample
 .Management
When samples received do not meet established acceptance criteria, laboratory personnel
consult the customer for further instructions before proceeding. Communication with the
 .customer is documented

 Protection of Samples during Processing and Storage 5.8.4
The procedure, WPMEL-LAB.5.8 Sample Management, provides the details for protecting
test items from deterioration, loss or damage during storage and processing. The laboratory has
 .arrangements for storage and security that protect the condition and integrity of samples

Processing Instructions 5.8.4.1
Handling instructions provided with the sample are followed, as well as the instructions in the
.procedure, WPMEL-LAB.5.8 Sample Management
LAB LOGO & NAME                                 Document No.:            Issue No.: 0.1
                                                WPMEL-LAB.QM             Issue Date: 5 May 11
Title:                                                                   Issued By:
              MANUAL OF QUALITY POLICIES                                 Page 25 of 27


 Monitoring of Environmental Conditions 5.8.4.2
When samples are held under environmental conditions specified in the test method, those
conditions are maintained, monitored and recorded. Monitoring records are collected according
to established procedures. These activities are conducted according to the policies stated in this
.manual, Section 5.3 Laboratory Environment



Assuring the Quality of Test Results 5.9
 Quality Control Procedures 5.9.1
The laboratory has quality control procedures to validate the results of tests undertaken
 .according to procedure, WPMEL-LAB.5.9 Assuring the Quality of Test Results
The monitoring data is recorded in control charts. Monitoring activities are planned and
evaluated according to the same procedure. Depending on the type of test, one or more of
:the following monitoring techniques may be used
             ;Scheduled use of certified reference materials(a
            ;Scheduled participation in interlaboratory comparison or proficiency-testing(b
             ;Replicate tests using the same or different methods(c
             Retesting of reference materials and retained customer samples; and(d
            Correlation of results from tests conducted for different characteristics of a(e
             .sample

When data is found to be outside the established limits of the control charts or when 5.9.2
there is a violation of the quality control program requirements, action is taken in
.accordance with the laboratory’s control of non-conforming work procedure



Reporting the Results 5.10
General .5.10.1
Test reporting is addressed in the procedure, WPMEL-LAB.5.10 Reporting Laboratory
Data. This procedure gives the details for reporting data using consistent reporting formats.
.Reports are reviewed against acceptance criteria that address accuracy

 Reporting Results 5.10.2
Data entered onto the worksheets includes all the information specified by Water Pollution
and Marine Environmental Laboratory as described in the procedure WPMEL-LAB.5.10
Reporting Laboratory Data. Other government agency-specified data is recorded by the
.laboratory on sample forms that accompany the samples

Specific Requirements .5.10.3
The following information is included in test reports for the interpretation of the test
:results, where necessary for the interpretation of test results
           Deviations from, additions to, or exclusions from the test method, and(f
            ;information on test conditions, such as environmental conditions
            ;A statement of conformance or non-conformance with specifications(g
LAB LOGO & NAME                               Document No.:           Issue No.: 0.1
                                              WPMEL-LAB.QM            Issue Date: 5 May 11
Title:                                                                Issued By:
             MANUAL OF QUALITY POLICIES                               Page 26 of 27

           A statement of the estimated uncertainty of measurement upon customer(h
            ;request
            ,Opinions and interpretations as detailed in this manual, Section 5.10.5; and(i
           .Additional information that may be requested by methods or customers(j

 Calibration Certificates 5.10.4
Water Pollution and Marine Environmental Laboratory is a testing laboratory and does not
.perform calibration activities

Opinions and Interpretations 5.10.5
Laboratory management expresses its opinion and interpretation of the compliance or non-
.compliance of the results through the laboratory classification assigned to each sample

Testing Results Obtained from Subcontractors 5.10.6
Subcontracting laboratories are not utilized by Water Pollution and Marine Environmental
Laboratory, therefore, there is no such data found for incorporation in the analysis report to
.the customer

Electronic Transmission of Results 5.10.7
Water Pollution and Marine Environmental Laboratory submits hard copies only to the
.laboratory representative and does not submit the results electronically

Format of report 5.10.8
The format of laboratory reports is designed to accommodate the type of test conducted to
minimize the possibility of misunderstanding or misuse. The report format is described in
.the procedure, WPMEL-LAB.5.10 Reporting Laboratory Data

 Amendments to report 5.10.9
Material amendments to analytical findings after issue are made only in the form of an
additional document. They are flagged “Supplement to Test Report #” in accordance with
procedure WPMEL-LAB.5.10 Reporting Laboratory Data. Amendments are to meet the
.same reporting criteria
LAB LOGO & NAME               Document No.:   Issue No.: 0.1
                              WPMEL-LAB.QM    Issue Date: 5 May 11
Title:                                        Issued By:
          MANUAL OF QUALITY POLICIES          Page 27 of 27

Document/Change History
Issue #         Issue date     Issued By       Approved By

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Quality Manual for Water Pollution Lab

  • 1. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 1 of 27 Water Pollution & Marine Environment Lab – Institute of Graduate Studies & Researches Manual of Quality Policies
  • 2. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 2 of 27 Table of Contents Section Topic Page 1. Introduction -------------------------------- 3 2. Controlled distribution of the QM -------------------------------- 3 3. Quality Policy Statement -------------------------------- 3 4. Management Requirements -------------------------------- 3 4.1 Organization -------------------------------- 3 4.2 Management System -------------------------------- 5 4.3 Document Control -------------------------------- 8 4.4 Review of Requests, Tenders and Contracts -------------------------------- 9 4.5 Subcontracting of Tests -------------------------------- 10 4.6 Purchasing Services and Supplies -------------------------------- 11 4.7 Service to the Customer -------------------------------- 11 4.8 Complaints -------------------------------- 12 4.9 Control of Non-conforming Work -------------------------------- 12 4.10 Improvement -------------------------------- 13 4.11 Corrective Action -------------------------------- 13 4.12 Preventive Action -------------------------------- 14 4.13 Control of Records -------------------------------- 14 4.14 Internal Audits -------------------------------- 15 4.15 Management Reviews -------------------------------- 16 5.0 Technical Requirements -------------------------------- 16 5.1 General -------------------------------- 16 5.2 Personnel -------------------------------- 17 5.3 Accommodation and Environmental Conditions -------------------------------- 18 5.4 Test Methods and Method Validation -------------------------------- 19 5.5 Equipment -------------------------------- 22 5.6 Measurement Traceability -------------------------------- 24 5.7 Sampling Operations -------------------------------- 26 5.8 Handling of Samples -------------------------------- 27 5.9 Assuring the Quality of Test Results -------------------------------- 28 5.10 Reporting the Results -------------------------------- 28
  • 3. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 3 of 27 Introduction.1 This Water Pollution and Marine Environmental Laboratory Quality Manual has been prepared to meet the requirements for laboratory accreditation of the International Organization for Standardization/International Electro-technical Commission (ISO/IEC) 17025 (2005). It has been formatted using clause numbers from ISO/IEC 17025 to provide ease in review. Controlled Distribution of the Quality Manual.2 The Quality Manager (QM) is responsible for maintaining the official master soft and hard copy of this quality manual. Quality Policy Statement .3 Water Pollution and Marine Environmental Laboratory is committed to laboratory accreditation according to the requirements of ISO/IEC 17025. This commitment is evident .by the approval signatures for this manual The quality policy statement is stated in this QM, Subsection 4.2.2 Management Requirements .4 Organization 4.1 Water Pollution and Marine Environmental Laboratory is a government laboratory 4.1.1 under Institute of Graduate Studies & Researches – Alexandria University. The laboratory is required to follow the Ministerial Decree No. #. The laboratory provides its services as a second party laboratory in the field of environmental testing, particularly chemical and .microbiological analysis of water and wastewater The intent of Water Pollution and Marine Environmental Laboratory Top 4.1.2 :Management is to operate the laboratory according to the following requirements ;ISO/IEC 17025• Customer contracts; and• .Laws and Regulations• The management system outlined in this quality manual covers the work carried out 4.1.3 in Water Pollution and Marine Environmental Laboratory permanent facilities at the :following address Water Pollution and Marine Environmental Laboratory 136 Hirreya Avenue, Alexandria, Egypt
  • 4. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 4 of 27 Water Pollution and Marine Environmental Laboratory organization chart is 4.1.4 :indicated below Water Pollution and Marine Environmental Laboratory Organization Chart Laboratory Director (Dean of Institute) Laboratory Executive Manager Quality Manager Technical Manager Technical Manager Chemistry Laboratory Microbiology Laboratory Responsibility of the Laboratory Director as the Dean of the Institute of Graduate Studies and Researches – Alexandria University 4.1.5 a. The laboratory Top Management delegate full authorities to the lab Quality Manager, and Technical manager to discharge their duties as reflected in the prepared job descriptions. This authority delegation includes the implementation, maintenance, and improvement of the management system. The resources needed to discharge these duties are identified in Section 5.2 through Section 5.6 in this manual. b. Management applies restrict arrangements to ensure that the laboratory personnel are free from any undue internal and external pressure. Therefore, the laboratory pursues an effective communication system between the laboratory management and the staff giving sufficient attention to internal complaints or concerns from employees aiming at avoiding any internal undue pressure. Also, precautions are taken to ensure that the lab staff is :always free from external undue pressure. These precautions include
  • 5. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 5 of 27 The lab staff does not deal directly with the lab customers e.g. samples are.1 received and reports are delivered to the customers in specially designated .area .Sample information is hidden from the lab staff during testing processes.2 c. The lab ensures the protection of customers’ confidential information and proprietary :rights at all times through Dealing with customers’ confidential information is restricted to the reports.1 .issuing and approval authorities Test results are submitted either manually or electronically to the customer.2 .according to the contact information identified within the test request form Lab computer facilities that contain customer related information are access-.3 .controlled for further protection The lab is not allowed to use the customers’ confidential information without.4 .prior consent of the customers to protect the customers’ proprietary rights d. To avoid involvement in any activities that would diminish confidence in the lab competence, impartiality, judgment or operational integrity employees are familiar with and observe Code of Ethics. The following core concepts are embodied in this code of :ethics ,Employees shall not use public office for private gain.1 Employees shall act impartially and not give preferential treatment to any.2 .private organization or individual e. The organization and the relationship among the laboratory staff is reflected in the .laboratory’s organizational chart described in section 4.1.4 f. Lab personnel authorities and responsibilities are documented in the management system procedures and operating instructions. The roles and responsibilities of the lab quality and technical managers are defined in this quality manual section 4.2.6. Job descriptions of lab (staff are defined and maintained according to the procedure of personnel (QP-5.2-1 g. The laboratory employees performing testing have access to consensus standards, instrument manufacturers’ manuals, and laboratory procedures for reference evidence of desired familiarity with laboratory methods. Supervisors are designated and trainees do not perform regulatory work until competent as per the laboratory training program. h. The lab defines Technical Managers who have the overall responsibility for the technical operations of the laboratory. Resources for training, laboratory methods, measurement .traceability, and purchasing are described in sections of this manual, and in procedures i. The laboratory Quality Manager is responsible for the laboratory’s management system and its implementation. The Quality Manager has direct access to the Laboratory Top .Management, who is responsible for decisions concerning policy and resources j. Qualified laboratory personnel are assigned to serve in the absence of key managerial personnel, such as Laboratory Top Management, Quality Manager, Technical Managers .and Senior Technical Personnel. Deputies are appointed in the Job Description records
  • 6. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 6 of 27 k. The lab ensures that its personnel are aware of the relevance and importance of their activities and how they contribute to the achievement of the objectives of the management system through ensuring the availability of the minutes of the lab management review .meetings to all lab staff 4.1.6 Effective communication from management occurs through the use of but not limited to staff meetings, memos, newsletters, electronic presentations, emails, or verbally to laboratory personnel regarding the effectiveness of the management system. Related Documents & Records Code of Ethics• Management System 4.2 The laboratory quality management system (QMS) is outlined in the following 4.2.1 :documents ;Quality manual includes all lab policies• ;Quality procedures• Work Instructions; and• .Forms and records• This quality management system is established to address the requirements in ISO/IEC 17025. A master list of all quality management system documents is maintained by the lab as per document control procedure (QP 4.3-1). These documents are accessible to all .personnel and are included in the laboratory’s training program Policies and Objectives 4.2.2 Quality Policy Statement• Water Pollution and Marine Environmental Laboratory is committed to an excellent professional testing service, which meets the needs of the customers, statutory, and regulatory requirements and the requirements of ISO/IEC 17025; and to continually improve the effectiveness of the management .system The purpose of Water Pollution and Marine Environmental Laboratory management system is to assure the accuracy and precision of laboratory .results so that they will be reliable, interpretable, repeatable, and defensible Water Pollution and Marine Environmental Laboratory personnel involved in testing activities are required to become familiar with the lab quality management system documentation and implement its policies and procedures .at all times
  • 7. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 7 of 27 Water Pollution and Marine Environmental Laboratory Top Management commits to good professional practice, to offer high testing services quality to the laboratory customers according to the requirements of international standards ISO/IEC 17025:2005. Quality Objectives• Water Pollution and Marine Environmental Laboratory overall objectives are established on annual basis by the lab Top Management. These objectives are reviewed .during the management review meetings Evidence of management’s commitment to the management system and its continual 4.2.3 improvement in effectiveness is demonstrated by, but not limited to, conducting the management reviews, performance of internal audits, proficiency testing, and the analysis .of quality control samples 4.2.4 The lab Top management communicates to the organization the importance of meeting customer requirements as well as statutory and regulatory requirements through the lab quality policy statement. Procedures and Outline of the Management System 4.2.5 Management system procedures supporting quality policies are cited in the Related Procedures at the end of each section of this manual. The outline of the management .system is included in this manual, Subsection 4.2.1 Roles and Responsibilities 4.2.6 General roles and responsibilities for Water Pollution and Marine Environmental :Laboratory personnel are summarized as follows Quality Manager• Ensures that the management system is established, implemented,‐ and maintained in conformance with the requirements of ISO/IEC .17025 Technical Management• .Oversee technical functions‐ .Ensure compliance with the requirements of ISO/IEC 17025‐ Ensure management system procedures, applicable standards,‐ .specifications, and regulations are followed Ensure that qualified, skilled, and trained personnel and other‐ .resources are available .Ensure that products and services satisfy customer requirements‐ Top management ensures that the integrity of the management system is maintained 4.2.7 when changes to the management system are planned and implemented through applying .the document change procedure outlined in procedure QP 4.3
  • 8. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 8 of 27 The management system process and procedures as defined in this manual maintain the integrity of the management system when changes such as a change in the structure of the .organization or management, or a change is a policy or procedure are made Document Control 4.3 General 4.3.1 The document control and management procedure in the laboratory describes the process for controlling quality documents that form part of its management system. The quality documents include those required for the generation of laboratory data. These documents include those published by the laboratory and those used from external sources. Documents of external origin include regulations, standards, test methods, instructions and .manuals Document Approval and Issue 4.3.2 Documents issued to personnel in the laboratory as part of the management system 4.3.2.1 are reviewed and approved for use prior to issue in accordance with the laboratory’s document control and management procedure. The laboratory’s master list identifies the current revision status and distribution of documents in the management system. Through the use of the master list, quality documents are posted to personnel to preclude the use of .invalid or obsolete documents Procedure Content 4.3.2.2 The laboratory’s master list and document control and record management procedure :provide for the following a. Authorized management system documents and external documents are at locations .where operations essential to the effective functioning of the laboratory are performed b. Documents are reviewed according to a schedule and revised to ensure continuing suitability and conformance with the management system and ISO/IEC 17025 .requirements c. Invalid or obsolete documents are promptly removed from all points of issue or use, or .marked as Obsolete to assure against unintended use d. Obsolete documents retained for either legal or knowledge preservation purposes are .marked as Archived Document Identification 4.3.2.3 A document control header as described in the laboratory’s document control and management procedure uniquely identifies management system documents generated by the laboratory. Such identification includes the date of revision, identification number and inclusive pagination. The issuing authority is indicated by the name of the approving .official in the document history section at the end of each document Document Changes 4.3.3 Changes to documents are reviewed and approved in accordance with the laboratory’s document control and management procedure. Unless designated otherwise, this procedure is followed by the same personnel or function as in the original review or approval. The
  • 9. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 9 of 27 use of reference documents and information is required upon which to base the review and .approval The altered or new text is identified in the history section at the end of each 4.3.3.1 .document The laboratory’s document control and management procedure addresses the 4.3.3.2 .handling of document amendments by hand pending reissue Computerized Systems 4.3.3.3 The laboratory’s document control and management procedure addresses the control of .electronic management system documents Related Documents .WPMEL-LAB 4.3 – Document Control Review of Requests, Tenders and Contracts 4.4 Review 4.4.1 Water Pollution and Marine Environmental Laboratory Management puts accommodating customers’ requests and satisfying their needs at priority. The laboratory designates certain personnel for dealing with the customers. These personnel have the required capabilities of handling the normal customer requests. However, in case of receiving a special customer request either for a new type of analysis and/or matrix or for an unusual number of samples etc, the request is directed to the related Technical Manager to review. This review :includes, but is not limited to, the following Ensuring the capability of meeting the customer requested test(a method and/or the modifications required in an existing method and that these requirements are adequately defined, documented ;and understood Ensuring that the laboratory has the technical capability(b represented by sufficient number of personnel who have the ;skills and expertise to handle the special customer request Ensuring that the laboratory work schedule is able to(c ;accommodate the customer request Ensuring the accessibility to resources such as certified/reference(d materials, chemicals, calibration, etc to meet the contractual ;requirements Ensuring the capability of generating additional data that might(e be needed to support the test result such as measurement ;uncertainty, detection limit, confidence limits, etc This review process should lead to a contract between the laboratory and the customer to .provide testing services The results of this process are discussed and documented as part of the laboratory’s annual .management review
  • 10. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 10 of 27 Records of Review 4.4.2 Water Pollution and Marine Environmental Laboratory maintains records of requests .reviews, changes, and change requests. Records of discussions are also maintained Subcontracting Laboratories 4.4.3 .The laboratory does not subcontract its services Contract Deviations 4.4.4 In case of any deviation from the contract, the deviation is reported in the final test report .issued by the laboratory Amendments to Contracts 4.4.5 If a contract needs to be amended after work has commenced, the same contract review process is repeated and any amendments are communicated to all affected personnel .named in the contract Related Documents Analysis request form Subcontracting of Tests 4.5 Water Pollution and Marine Environmental Laboratory does not subcontract routine .analyses within its scope of accreditation Purchasing Services and Supplies 4.6 Procedure 4.6.1 Water Pollution and Marine Environmental Laboratory uses the related procedures for the procurement of materials, supplies and services that critically affect the quality of the tests. These procedures describe the process for the selection, purchase, reception and storage of equipment, services and supplies, including reagents and laboratory consumable materials, used in the performance of the tests. The laboratory has work instructions describing the .processing of requisitions Inspection and Verification 4.6.2 The laboratory’s purchasing procedure describes how purchased equipment, supplies, services, reagents, and consumable materials that critically affect the quality of tests are inspected or verified prior to use. Inspection or verification criteria are used to establish conformance with requests made by the customer, included in standard specifications, or .defined in the methods Purchasing Documents 4.6.3
  • 11. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 11 of 27 Purchasing documents for items affecting the quality of laboratory output describe the services or supplies ordered. These purchasing documents are reviewed and approved for .technical content prior to submission Records and Registry 4.6.4 Records of supplier evaluations and a list of approved suppliers are maintained by the .laboratory Related Documents .WPMEL-LAB 4.6 - Purchasing Services and Supplies Service to the Customer 4.7 The laboratory clarifies the customer's request within the framework of the contract 4.7.1 review process described in this manual, section 4.4 - Review of Requests, Tenders and Contracts. The laboratory maintains communications regarding deviations from contract .work The opportunity for the customer to witness laboratory activity is given upon request, providing the laboratory is able to maintain confidentiality to other customers during such .cases The laboratory seeks customer feedback on their services and general performance. 4.7.2 Records of the comments, both positive and negative, are maintained and are taken into account for identifying management system improvements during the reviews performed .by management Related Documents None • Complaints 4.8 The laboratory has a complaint procedure describing the process for the receipt and recording of complaints received from any party. Records of all complaints received are maintained according to the procedure. Complaints identified as nonconformities are .processed according to this manual, section 4.11 - Corrective Action Related Documents .WPMEL-LAB.4.8 Complaints Control of Non-conforming Work 4.9 Procedure 4.9.1 Water Pollution and Marine Environmental Laboratory has a control of non-conforming work procedure that is implemented when any aspect of their testing work, or the results of
  • 12. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 12 of 27 this work, does not conform to requirements of the management system, testing methods, :or the requests of the customer. This procedure addresses the following elements responsibilities and authorities for the management of identified non-• conforming work and taking actions such as the halting of work, the ;withholding of test reports ;application of criteria to evaluate the significance of non-conforming work• remedial action taken, together with any decision about the acceptability of the• ;non-conforming work notification of the customer, and if necessary, recall of work; and• .responsibility for authorizing the resumption of work• Follow-Up 4.9.2 If the non-conforming work could recur, or there are other significant problems identified, the corrective action procedures in this manual, section 4.11 - Corrective Action are .promptly followed Related Documents A procedure for handling control of non-conforming work. WPMEL-LAB.4.9 Control of • .Non-conforming Work Improvement 4.10 The effectiveness of the laboratory’s management system is improved by using the following activities: internal audits; management reviews; analysis of quality control data; corrective .actions; preventive actions; the quality policy; and the quality objectives Corrective Action 4.11 General 4.11.1 Water Pollution and Marine Environmental Laboratory has a corrective action procedure that designates the authorities for implementing corrective action when one of the :following is identified ,non-conforming work• departures from the policies and procedures in the management system, and• .departures from required technical operations• Cause Analysis 4.11.2 The procedure for corrective action includes investigating and determining the root cause .of the non-conformance Selection and Implementation of Corrective Actions 4.11.3 Potential corrective actions are identified. The action most likely to eliminate the problem .and to prevent recurrence is selected The corrective action chosen addresses the magnitude of the non-conformance and the risk .attributed to the non-conformance
  • 13. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 13 of 27 Corrective actions are documented, and any changes resulted from the corrective action .investigation are implemented Monitoring of Corrective Actions 4.11.4 The corrective action procedure addresses the monitoring for the effectiveness of .corrective actions performed Additional Audits 4.11.5 Where the identification of non-conformances may affect the laboratory’s conformance with management system policies and procedures or conformance with ISO/IEC 17025, the areas of activity affected by the non-conformance are audited as soon as possible in .accordance with section 4.14 Internal Audits of this manual Related Documents .Corrective action procedure. WPMEL-LAB.4.11 Corrective Action Preventive Action 4.12 General 4.12.1 Sources for needed improvements and potential sources of non-conformance are identified according to the process described in the laboratory’s preventive action procedure, and are part of the management review process. Preventive actions plans are developed, .implemented, and monitored to address the identified opportunities for improvement Procedure 4.12.2 The procedure includes the initiation of action. The management review process monitors .the effectiveness of such actions in providing improvement to the management system Related Documents .A preventive action procedure. WPMEL-LAB. 4.12 - Preventative Action • .A management review procedure. WPMEL-LAB. 4.15 - Management Review • Control of Records 4.13 General 4.13.1 Procedure 4.13.1.1 Water Pollution and Marine Environmental Laboratory has a control of records procedure for identifying, collecting, indexing, accessing, filing, storing, maintaining, and disposing of quality and technical records. Quality records include reports from internal audits, management reviews, corrective actions, and preventive actions. Technical records are accumulation of data and include, but are not limited to, forms, worksheets, control charts, .calibration certificates and reports Legibility, Storage, and Retention 4.13.1.2
  • 14. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 14 of 27 Records are to be legible. Laboratory records are archived in a way that can be easily .retrieved. A record retention period is identified in the control of records procedure Security and Confidentially 4.13.1.3 Records are stored in secured areas and only authorized personnel are allowed to retrieve .them Electronic Records 4.13.1.4 Water Pollution and Marine Environmental Laboratory has a procedure describing the protection and back-up of electronic records. The procedure also describes the amendment .of electronic records Technical Records 4.13.2 Retained Records, Audit Trail, and Identification 4.13.2.1 Staff records, equipment calibration, and verification reports as well as other laboratory .records are retained in accordance with the laboratory’s control of records procedure Laboratory records contain sufficient information that, depending on the type of analysis, include calculations, standard preparation, instrument printouts, and results. These information are sufficient to enable establishing audit trails and to repeat the test under .conditions as close as possible to the original Recording and Identification 4.13.2.2 Observations, data, and calculations are recorded at the time they are made and are identifiable to the activity performed. Method numbers and titles are used to provide .traceability of records Corrections 4.13.2.3 When errors occur in records, each mistake is lined out, not erased, not made illegible, nor .deleted. The correct value is entered and initialed Related Documents .Control of records procedure. WPMEL-LAB.4.13 Record and Data Management Internal Audits 4.14 General 4.14.1 Internal audits are conducted according to a schedule included in the laboratory’s audit procedure. Internal audits are conducted of activities to verify that operations continue to .conform to the requirements of the management system and ISO/IEC 17025 The internal audit program addresses all elements of the management system, including testing activities. The laboratory’s Quality Management System Manager is responsible for .the coordination of internal audits as listed by the schedule and requested by management Trained and qualified personnel are responsible for conducting internal audits. Audits are .performed by personnel other than those who performed the work being audited Corrective Action 4.14.2
  • 15. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 15 of 27 When audit findings cast doubt on the effectiveness of the operations or on the correctness or validity of the laboratory’s test results, corrective action is undertaken according to the .laboratory’s corrective action procedure The customer is notified if investigations show that non-conformances related to audit results also have affected work performed for the customer. This notification is .documented Audit Records 4.14.3 The area of activity audited, the audit findings, and corrective action that arise from them .are recorded according the laboratory’s audit procedure Follow-up Audit Activities 4.14.4 Follow-up audit activities are conducted to verify and record the implementation and effectiveness of the corrective action taken. This follow-up is included as part of the .management review process Related Documents .WPMEL-LAB 4.14 – Internal Audits Management Reviews 4.15 General 4.15.1 The laboratory’s management review procedure includes the schedule for conducting management reviews. This review is conducted by the laboratory’s executive management to ensure continuing fitness for use and effectiveness of the management system and to .introduce needed changes or improvements The management review addresses the elements of the management system and includes :but is not limited to the following elements Overall quality objectives• ;Suitability of policies and procedures• ;Reports from managerial and supervisory personnel• ;Outcome of recent internal audits• ;Corrective and preventive actions• ;Assessments by external bodies• ;Results of interlaboratory comparisons, proficiency test, and quality control• ;Changes in the volume and type of work• ;Customer feedback• Complaints; and• .Other factors, such as quality control activities, resources• Findings and actions that arise from the review are recorded according to the laboratory’s .management review procedure. Each action includes a due date for resolution Related Documents .WPMEL-LAB 4.15 – Management Reviews
  • 16. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 16 of 27 Technical Requirements 5.0 General 5.1 The sections following below address the factors affecting the correctness and 5.1.1 .reliability of the tests performed by a laboratory :These factors include contributions from ,Personnel• ,Accommodation and environmental conditions• ,Test methods and method selection and validation• ,Equipment selection and calibration• Measurement uncertainty and traceability, and• .Handling of test items• Contribution to Total Uncertainty of Measurement 5.1.2 These factors are considered in determining and updating total measurement uncertainty. Additionally, these factors are considered by the laboratory when developing test procedures, in the training and qualification of personnel, and in the selection of the .equipment utilized Personnel 5.2 Personnel Competence 5.2.1 Laboratory management ensures that laboratory personnel have the knowledge, skills, and abilities to perform their duties. Competence is based on education, experience, demonstrated skills, and training. Staff records contain the documentation of personnel .education, experience, skills, and training for the position held Trainees undergo a training program in accordance with the laboratory’s training procedure. For in-house training, a senior analyst serves as the trainer. Trainees perform procedures when training is completed and competency has been demonstrated. The documented demonstration of competence is an exercise that the trainee performs independent of supervision. The trainee is considered competent after the specified criteria .have been successfully met Education, Training and Skills 5.2.2.1 The annual performance evaluation process can be used to discuss career advancement and training possibilities. By using this process, individuals have the opportunity to identify .areas of study and request training In-house training is conducted according to laboratory’s training procedure. The effectiveness of personnel training is documented in but not limited to management reviews, internal audits, external assessments, proficiency testing, and performance .evaluations
  • 17. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 17 of 27 Skills of personnel are based upon demonstration of competence. This demonstration is to .be completed successfully before analysts generate data independently Employees and Contracted Personnel 5.2.3 Water Pollution and Marine Environmental Laboratory utilizes the skills and talent of both full-time employees. In case of hiring contracted personnel, the requirements of the management system are administered equally to both categories. No differentiation is made between the two categories of workers in the requirement of the management system. Supervision, training, and competence are documented for all technical and key support .personnel Job Descriptions 5.2.4 The laboratory maintains active job descriptions for managerial, technical, and key support .personnel involved in tests Management Authorization 5.2.5 :The Laboratory Executive Manager authorizes identified personnel to ,perform testing and calibration• ,issue test reports• give opinions and interpretations, and• .operate particular types of equipment• Records of authorizations, demonstration of competence, education, training, and .experience are maintained by the laboratory and dated Accommodation and Environmental Conditions 5.3 Facilities and Environmental Conditions 5.3.1 Water Pollution and Marine Environmental Laboratory maintains proper environmental conditions that facilitate the correct performance of analytical testing and ensures the .quality of test results Monitoring 5.3.2 Test methods used by the laboratory include instructions addressing applicable environmental conditions. The laboratory monitors and records critical environmental conditions that are mainly temperature and humidity unless otherwise specified in the method to ensure that results and the quality of the measurement are not adversely .affected .Where environmental controls are needed, the environmental conditions are recorded Testing activities are stopped when the environmental conditions invalidate the test results .or adversely affect quality control Cross-contamination 5.3.3 Separate areas are maintained for incompatible activities. Measures taken to prevent cross- :contamination include but are not limited to ,Chemistry laboratories are separated from microbiology laboratories• ,Sample receiving and storage are conducted in designated areas•
  • 18. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 18 of 27 Separate storage for standards and reference materials and cultures, and• Microbiology media preparation and sterilization are separated from work• .areas Access 5.3.4 Water Pollution and Marine Environmental Laboratory controls access to areas of critical impact on the quality of test results. Visitors are not allowed in the laboratory unless .escorted by laboratory staff Housekeeping 5.3.5 Laboratory areas are maintained clean and orderly to prevent contamination of samples and to facilitate the efficiency of laboratory operations. The laboratory maintains procedure .that specifies minimum housekeeping measures Related Documents Facilities and Environmental Conditions. WPMEL-LAB.5.3 Test Methods and Method Validation 5.4 General 5.4.1 Water Pollution and Marine Environmental Laboratory uses methods and procedures for all tests within its scope identified in the laboratory’s accreditation program documentation. The laboratory instructions for the use and operation of equipment specified by the laboratory methods is either a laboratory procedure identified on the master list or as .equipment manuals Deviations from test methods are documented, technically justified, authorized, and accepted by the customer according to the procedure, WPMEL-LAB.5.10 Reporting .Laboratory Data Selection of Methods 5.4.2 Laboratory methods are selected to meet the customer’s need as addressed in• .this manual, section 4.4 Review of Requests, Tenders and Contracts The laboratory methods are controlled as external documents according to this• .manual, section 4.3 Document Control When the customer does not specify the method to be used, a standard method• is preferred and is verified for use in the laboratory. Those methods specified by .the manufacturer of the equipment are considered as standard methods The laboratory informs the customer when the method proposed by the• customer is considered to be the incorrect choice or the incorrect revision for the intended purpose. This is done as part of contract review addressed in this .manual, Section 4.4 Review of Requests, Tenders and Contracts Laboratory Developed Methods 5.4.3
  • 19. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 19 of 27 Water Pollution and Marine Environmental Laboratory does not have any developed .methods Non-standard Methods 5.4.4 .Water Pollution and Marine Environmental Laboratory uses standard methods only Validation of Methods 5.4.5 Definition 5.4.5.1 Validation is the confirmation by examination and the provision of objective evidence that .the particular specifications for an intended use are fulfilled Methods Requiring Validation 5.4.5.2 The laboratory validates modified standard methods including use outside the intended scope and applications, if any. Moreover, the laboratory confirms its proper .implementation of standard methods. All records are maintained Process 5.4.5.3 The validation process addresses the needs of the given application or field of application. The laboratory analyst records the results obtained according to the procedure, WPMEL- LAB.5.4.5 Methods, Method Verification and Validation. The validation results include a statement as to whether the method is fit for the intended use. The needs of the customer define the intended use of the method. The attributes and data quality objectives include :but are not limited to ,accuracy• ,precision• ,specificity• ,detection limit• ,limit of quantitation• linearity, and• • range. If all the data quality objectives are met as indicated by the data collected, the method is .considered as validated Estimation of Uncertainty of Measurement 5.4.6 Procedure for Calibration Activities 5.4.6.1 Water Pollution and Marine Environmental Laboratory is a testing laboratory and does not .perform its own calibrations Procedure for Testing Activities 5.4.6.2 The laboratory has a procedure, WPMEL-LAB.5.4.6, Estimation of Uncertainty of .Measurement, to estimate the uncertainty of measurement for testing activities An attempt is made to identify all the components of uncertainty and make a reasonable estimation of the measurement uncertainty. This estimation is based on knowledge, experience, and validation data of the performance of the method and on the measurement scope. If needed as a part of the laboratory data, the uncertainty estimation is reported .according to the same procedure
  • 20. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 20 of 27 Uncertainty Components 5.4.6.3 When estimating the uncertainty of measurement, all important uncertainty components are recorded in the uncertainty records for each determination as addressed in the .procedure, WPMEL-LAB.5.4.6, Estimation of Uncertainty of Measurement Control of Data 5.4.7 Data Transfers 5.4.7.1 Calculations and data transfers are reviewed before the data is reported. All changes are identified and verified where they occur. This process is detailed in the procedure for laboratory quality control identified in this manual, Section 5.9 Assuring the Quality of .Test Results Computer Use 5.4.7.2 Computers are used for the acquisition and storage of automated equipment test results such as calibration curves, chromatograms, etc. They are also used for the processing, recording and reporting of test data. Excel spreadsheets are developed to facilitate calculations of validation data, uncertainty and quality control data. Computers are used as the means to produce laboratory records, but the laboratory does not keep softcopies of .records and considers the hard copies as the only official and controlled type of record Excel spreadsheets developed by the laboratory are documented in detail and(a .validated before use The laboratory ensures the protection of test data stored on automated(b equipment computers by applying strict data protection procedure that ensures data integrity and data confidentiality during entry, collection, storage, .transmission and processing Computers and automated equipment are maintained to ensure proper(c functioning and are provided with the environmental and operating conditions .to maintain the integrity of test and data Equipment 5.5 Laboratory Equipment 5.5.1 The laboratory has sample preparation, measurement and test equipment for the correct performance of its tests. The laboratory also has ancillary equipment for processing .samples and for processing data The laboratory purchases the used equipment and establishes maintenance contracts as .needed Water Pollution and Marine Environmental Laboratory maintains an equipment inventory .of all laboratory equipment used to perform regulatory testing Equipment Capability 5.5.2
  • 21. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 21 of 27 Equipment and its software used for testing are ensured to• achieve the accuracy expected and comply with specifications of .the testing concerned Laboratory equipment that has a significant effect on the results• follow a calibration schedule. The equipment performance is .verified and verification records are maintained Equipment is to meet the laboratory's testing parameters and• conform to standard specifications before being placed into .service Authorized Operation 5.5.3 Personnel are authorized to operate equipment according to this manual, subsection 5.2.5 Management Authorization. Authorization is based on work assignment, training, experience and demonstrated proficiency. Equipment manuals and maintenance procedures are maintained and supplied to laboratory personnel as described in this manual, subsection 4.3.1 General and procedure, WPMEL-LAB.5.5.1 Instrument and Equipment .Documentation and Records Equipment Identification 5.5.4 Each item of equipment used for testing has an identification number that is unique to each .instrument Equipment Records 5.5.5 Records are maintained of each item of equipment and its software significant to the tests or calibrations performed according to the procedure, WPMEL-LAB.5.5.1 Instrument and .Equipment Documentation and Records :Records include at least the following items ;identity of the item of equipment and its software• manufacturer’s name, type identification, and serial number or other unique• ;identification performance checks that equipment conforms to testing parameters and• ;acceptance criteria ;location of the equipment• ;manufacturer’s instructions• dates, results and copies of reports and certificates of calibrations, adjustments,• ;acceptance criteria, and the due date of next calibration maintenance plan and maintenance carried out to date; and• .any damage, malfunction, modification or repair to the equipment• Management of Equipment 5.5.6 The laboratory implements a procedure, WPMEL-LAB.5.5 Equipment, for the safe handling, transport, storage, use and planned maintenance of measuring equipment to .ensure proper functioning and to prevent contamination or deterioration Out of Service 5.5.7 Equipment that has been subjected to overloading or mishandling, gives suspect results, or has been shown to be defective or outside specified limits, is taken out of service. It is
  • 22. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 22 of 27 isolated to prevent its use and clearly labeled as being “Out of Service” to prevent its use .until it has been repaired and shown to perform correctly Laboratory personnel examine the effect of the defect or departure from specified limits on previous tests and report on a non-conforming work according to the laboratory procedure .WPMEL-LAB 4.9 Control of Non-conforming Work Calibration Status 5.5.8 Equipment under the control of the laboratory and requiring calibration is labeled or coded to indicate the calibration status, including the date of last calibration and the date due for recalibration. Alternatively, equipment calibration status may be identified in an associated .record to indicate the status of calibration Equipment Leaving the Laboratory 5.5.9 Equipment are not allowed to leave the laboratory. However, if for any unforeseen reason, equipment leaves the direct control of the laboratory, the function and calibration status of the equipment is checked upon return and shown to be satisfactory before the equipment is .returned to service Calibration Confirmation 5.5.10 Intermediate calibration confirmation checks are performed to maintain confidence in the calibration status of the equipment. These checks are conducted according to the procedure .in this manual, Section 5.9 Assuring the Quality of Test Results Correction Factors 5.5.11 Where calibrations give rise to a set of correction factors, these factors are communicated .to users Safeguards 5.5.12 Test equipment, including both hardware and software, are safeguarded from adjustments that would invalidate the test results. Safeguards are provided using access control to the .laboratory, as practicable Measurement Traceability 5.6 General 5.6.1 The laboratory equipment is calibrated before being placed into service, as scheduled and following repairs. Procedures for equipment calibration are provided in procedure, .WPMEL-LAB.5.5 Equipment Specific Requirements 5.6.2 Calibration 5.6.2.1 As a testing laboratory, details about measurement traceability are found in section 5.6.2.2 .of this quality manual
  • 23. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 23 of 27 Testing 5.6.2.2 Water Pollution and Marine Environmental Laboratory ensures its measurement 5.6.2.2.1 traceability to the International System of Units (SI) through conducting its external calibrations in calibration laboratories that are accredited to ISO/IEC 17025 in the requested scope. In case of the unavailability of an accredited laboratory in the required parameter, Water Pollution and Marine Environmental Laboratory seeks this calibration .(from the National Institute for Standardization (NIS The laboratory uses Certified Reference Material (CRM) as another means of 5.6.2.2.2 .achieving measurement traceability to SI units Reference Standards and Reference Materials 5.6.3 Reference Standards 5.6.3.1 The laboratory implements a calibration program for its reference standards. Details are .included in procedure, WPMEL-LAB.5.5 Equipment The reference standards are calibrated by an accredited laboratory and are used only for .calibration purposes Reference Materials 5.6.3.2 A reference material is a homogenous and well characterized substance used for standardization of equipment used in the testing process. Reference materials are, where possible, traceable to SI units, or certified reference materials (CRMs) from competent .suppliers of reference materials and are checked, as practicable Intermediate Confirmation of Calibration Status 5.6.3.3 Metrological confirmation for reference standards and reference materials included in the calibration program is conducted according to a schedule addressed in the procedure in the procedure, WPMEL-LAB.5.5 Equipment. The confirmation is conducted to maintain .confidence in the calibration status of reference standards and reference materials Transport and Storage 5.6.3.4 The procedure, WPMEL-LAB.5.6 Measurement Traceability, addresses the safe handling, transport, storage and use of reference standards and reference materials. These activities are established in order to prevent contamination, deterioration, and to protect the integrity .of reference standards and reference materials Sampling Operations 5.7 Procedure 5.7.1 Water Pollution and Marine Environmental Laboratory does not routinely perform sampling in the sense of collecting a representative sample from a product lot to represent .the whole
  • 24. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 24 of 27 Sample Collection Conducted by the Customer; but occasionally, laboratory personnel are consulted about sampling parameters such as sample type or size or guidance for a particular sampling or analytical need. However, Water Pollution and Marine Environmental Laboratory, exert no direct control over such sampling and do not have .responsibility for sampling Sampling conducted by Water Pollution and Marine Environmental Laboratory involves for the most part those analyses that call for a portion or aliquot of the total sample received by the laboratory to be analyzed. Generally, this calls for mixing or preparing of samples to assure homogeneity before portions are taken for analysis. Sample preparation and subsampling protocols are found in the analytical methods, compliance programs, and .assignments Handling of Samples 5.8 Protection of Samples 5.8.1 The laboratory procedure, WPMEL-LAB.5.8 Sample Management, describes the receipt, processing, protection, storage, retention and disposal of samples. This procedure .addresses the laboratory activities conducted to protect sample integrity Identification of Samples 5.8.2 The laboratory has a system for uniquely identifying samples. The sample number is used to track its progress from the time the sample is received into the lab until the analysis is completed and the sample is disposed. The sample number is also used to provide traceability between the sample and the data. The numbering system also provides traceability during transfer of samples within the laboratory. The identification system is .described in procedure, WPMEL-LAB.5.8 Sample Management Departures, Additions or Exclusions 5.8.3 Upon receipt of the sample, abnormalities or departures from normal or specified conditions are recorded according to the procedure, WPMEL-LAB.5.8 Sample .Management When samples received do not meet established acceptance criteria, laboratory personnel consult the customer for further instructions before proceeding. Communication with the .customer is documented Protection of Samples during Processing and Storage 5.8.4 The procedure, WPMEL-LAB.5.8 Sample Management, provides the details for protecting test items from deterioration, loss or damage during storage and processing. The laboratory has .arrangements for storage and security that protect the condition and integrity of samples Processing Instructions 5.8.4.1 Handling instructions provided with the sample are followed, as well as the instructions in the .procedure, WPMEL-LAB.5.8 Sample Management
  • 25. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 25 of 27 Monitoring of Environmental Conditions 5.8.4.2 When samples are held under environmental conditions specified in the test method, those conditions are maintained, monitored and recorded. Monitoring records are collected according to established procedures. These activities are conducted according to the policies stated in this .manual, Section 5.3 Laboratory Environment Assuring the Quality of Test Results 5.9 Quality Control Procedures 5.9.1 The laboratory has quality control procedures to validate the results of tests undertaken .according to procedure, WPMEL-LAB.5.9 Assuring the Quality of Test Results The monitoring data is recorded in control charts. Monitoring activities are planned and evaluated according to the same procedure. Depending on the type of test, one or more of :the following monitoring techniques may be used ;Scheduled use of certified reference materials(a ;Scheduled participation in interlaboratory comparison or proficiency-testing(b ;Replicate tests using the same or different methods(c Retesting of reference materials and retained customer samples; and(d Correlation of results from tests conducted for different characteristics of a(e .sample When data is found to be outside the established limits of the control charts or when 5.9.2 there is a violation of the quality control program requirements, action is taken in .accordance with the laboratory’s control of non-conforming work procedure Reporting the Results 5.10 General .5.10.1 Test reporting is addressed in the procedure, WPMEL-LAB.5.10 Reporting Laboratory Data. This procedure gives the details for reporting data using consistent reporting formats. .Reports are reviewed against acceptance criteria that address accuracy Reporting Results 5.10.2 Data entered onto the worksheets includes all the information specified by Water Pollution and Marine Environmental Laboratory as described in the procedure WPMEL-LAB.5.10 Reporting Laboratory Data. Other government agency-specified data is recorded by the .laboratory on sample forms that accompany the samples Specific Requirements .5.10.3 The following information is included in test reports for the interpretation of the test :results, where necessary for the interpretation of test results Deviations from, additions to, or exclusions from the test method, and(f ;information on test conditions, such as environmental conditions ;A statement of conformance or non-conformance with specifications(g
  • 26. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 26 of 27 A statement of the estimated uncertainty of measurement upon customer(h ;request ,Opinions and interpretations as detailed in this manual, Section 5.10.5; and(i .Additional information that may be requested by methods or customers(j Calibration Certificates 5.10.4 Water Pollution and Marine Environmental Laboratory is a testing laboratory and does not .perform calibration activities Opinions and Interpretations 5.10.5 Laboratory management expresses its opinion and interpretation of the compliance or non- .compliance of the results through the laboratory classification assigned to each sample Testing Results Obtained from Subcontractors 5.10.6 Subcontracting laboratories are not utilized by Water Pollution and Marine Environmental Laboratory, therefore, there is no such data found for incorporation in the analysis report to .the customer Electronic Transmission of Results 5.10.7 Water Pollution and Marine Environmental Laboratory submits hard copies only to the .laboratory representative and does not submit the results electronically Format of report 5.10.8 The format of laboratory reports is designed to accommodate the type of test conducted to minimize the possibility of misunderstanding or misuse. The report format is described in .the procedure, WPMEL-LAB.5.10 Reporting Laboratory Data Amendments to report 5.10.9 Material amendments to analytical findings after issue are made only in the form of an additional document. They are flagged “Supplement to Test Report #” in accordance with procedure WPMEL-LAB.5.10 Reporting Laboratory Data. Amendments are to meet the .same reporting criteria
  • 27. LAB LOGO & NAME Document No.: Issue No.: 0.1 WPMEL-LAB.QM Issue Date: 5 May 11 Title: Issued By: MANUAL OF QUALITY POLICIES Page 27 of 27 Document/Change History Issue # Issue date Issued By Approved By