forum fm308: policy changes tuesday june 5 10:00 a.m. aiha laboratory accreditation policy...
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Forum FM308: Policy ChangesTuesday June 5 10:00 a.m. AIHA Laboratory Accreditation
Policy Changes—ISO 17025
“How Do Changes Affect My Laboratory?”
“What Happens with the Site Assessment?”
James H. Nelson, Ph.D., CIH
AIHA Policies—2001 Fundamental Changes—Why?
ISO 17025 Continued:
Adaptation Improvement
How do changes affect my laboratory?
AIHA 2001 Policies The Program
What’s new?
The Site Assessment What new elements will the Site
Assessor consider and evaluate?
The New Policies:What to Do?
Organize in accordance with requirements
Sometimes no written policy document is required
Language “Shall”—You must do it
“Should”—You do not have to do it
Compare: “Shall include” “Shall ensure”
Include—Look for an itemEnsure—Look for performance
Language Consider these phrases:
“when feasible” (2.7.10) “where appropriate” (2.7.5) “where needed” (2.7.16.3) “if appropriate” (2.7.14) “where applicable” (B.4.4.1) “when necessary for interpretation” (2.7.9.4)
How does one interpret these?
Two Essential Considerations
Practices: Establish systems of execution and
record keeping Policy: If required--write
brief, new Standard Operating
Procedures or Directives
New Primary Issues of Concern Communication with Clients Candidates for Modified or New
SOPs Expanded Lists of Specific
Requirements Uncertainty Associated with Test
Results
Client Communication General (2.7.12.1, 2.7.12.3) Analytical Methodology (2.6.2) Problems (2.7.6.4) Subcontracting (2.7.6.7) Notification of Corrective Action
(2.7.11.2)
SOP
SOPs Do I need a new SOP? Do I need a modified SOP?
SOPs (Candidates to Consider)
Equipment or Materials Used at a Location Other than the Primary Facility
(2.4.6, 2.4.9, 2.4.10, 2.7.7.4)
SOPs (Candidates to Consider) Protection of
Data—Accuracy/Integrity/Confidentiality (2.4.11)
SOPs (Candidates to Consider) Use of Non-Standard Methods
(2.6.4) Deviations from:
Methodology (2.6) SOPs Sampling Plans (where relevant)
(2.7.5)
SOPs (Candidates to Consider) Procurement
General (2.7.8) Reagents and Standards (2.7.7,
2.7.7.1) Use of Subcontractors (2.3, 2.7.9.4)
SOPs (Candidates to Consider) Management Review and
Preventive Action (2.7.11.3, 2.7.11.4, 2.7.14)
Uncertainty in Test Results Uncertainty
Policy and Procedures for Estimation of Uncertainty of Measurement (2.7.10)
Identification and Estimation of Components of Uncertainty (2.7.10.7)
Factors of Influence (2.7.9.2) Reporting (2.7.9.4)
Resources (Uncertainty) EURACHEM/CITAC Guide NIST Technical Note 1297 Environmental Testing & Analysis
November/December 2000 Thomas Georgian
Program Modifications
Additional elements have been added to previous requirements
Expanded Requirements Equipment descriptions and logs
(2.4.4) Name and unique identifier Manufacturer name Model number Serial number Location
Expanded Requirements Records of Validation of Computer
Programs (2.4.11)
Expanded Requirements Quality Assurance Manual
(2.7.1) Three Specific Additions
Procurement Preventive Action (Management
Review) Client Communications
Expanded Requirements Review of test data (2.7.9.1)
Correlation of results for more than one parameter (same sample)
Expanded Requirements Final Report of Results (2.7.9.4)
Unique identification of report on each page Clear identification of the end of the report Documentation of condition of test samples Statement that results relate only to the
items tested (where relevant) Note (as applicable) that results are not
relevant to AIHA Accreditation Subcontractor results clearly identified
Expanded Requirements Policy pertinent to amended
reports (2.7.9.5) Quality Control Data
Records (2.7.10.6) Monitor Trends
Policy Charts
Expanded Requirements Internal Audits (2.7.11.1, 2.7.11.2)
Policy and Procedures Schedule Verification of Adherence to SOPs
and Other Directives (AIHA; ISO 17025)
Documentation of Results Documentation of Resolution
Corrective Action (2.7.13) A core element of success Policy and Forms
(Documentation) Resolution and Closure Follow-up
Corrective Action--Preventive Action
What is the difference?
IHLAP and ELLAP Dates of authorization to
perform specific tasks (B.3.2.1 and C.3.2.1)
IHLAP Reporting Limits (B.4.3.3)
Verified annually or with modification of method or procedures
Matrix specific MDL study or processing of a media-
spiked sample through the entire analytical scheme (preparation and instrumental analysis)
IHLAP Instrument Performance at the
Reporting Limit (B.4.3.4) A calibration standard processed
at the reporting limit Each analytical batch
ELLAP Reporting Limits (RLs) (C.4.1)
RL (greater than or equal to: 2MDL
For paint and soil: RL must be less than 20% of the relevant regulatory limit
For dust wipe samples: RL must be less than 50% of the relevant regulatory limit
ELLAP
Wipe sampling media—ASTM E 1792 Specifications
MDL Studies (C.4.3) Recognition of Results (C.4.4)
ELLAP Reporting Limit Verification
(C.4.10, C.5.6) Matrix spike at the reporting limit Each day of analysis Results must be +/-20% of target
ELLAP Assessment of Accuracy and
Precision for Wipe Samples and for Filter Samples (Air) (C.5.3) MS/MSD—Spiked Blank Medium Solid material must be used for
spiking Material must be traceable to
NIST or similar organization (CRM)
ELLAP Laboratory Control Samples (C.5.5)
Matrix-matched to samples Source is independent of calibration
standards and traceable to NIST materials or other similar reference material
Liquid spikes are not permitted except for filter (air) samples
Frequency: 5% of workload
Goals of the Laboratory Meet the Requirements of the Client Meet the Requirements of the
Laboratory Accreditation Organization (AIHA)
Provide a Stimulating Work Environment