Pharmaceutical Batch Testing Log Form
Record pharmaceutical batch testing details, methods, results, deviations, and final disposition for each batch.
Batch Identification
Product Name
*
Batch/Lot Number
*
Manufacturing Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Test Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Testing and Results
Test Type / Method
*
Please Select
Identity
Potency
Purity
Dissolution
Sterility
Other
Test Result Summary
*
Deviation or OOS/OOT Flag
*
No
Yes
Deviation Details
Final Batch Disposition
*
Released
On Hold
Rejected
Re-test Required
Reviewer Confirmation
Reviewer Name
*
First Name
Last Name
Reviewer Role
*
Final Confirmation Note / Initials
*
Submit
Should be Empty: