Sync template from atomicqms-style deployment

This commit is contained in:
2025-12-27 11:24:08 -05:00
parent 410ed16ea6
commit c0c7c71ccd
28 changed files with 1864 additions and 2 deletions

View File

@@ -0,0 +1,192 @@
# Chain of Custody Form
| Form ID | FRM-BIO-002 | Revision | 1.0 |
|---------|-------------|----------|-----|
---
## Specimen Information
| Field | Entry |
|-------|-------|
| Specimen ID(s) | |
| Number of Containers | |
| Specimen Type | ☐ Blood ☐ Serum ☐ Plasma ☐ Tissue ☐ DNA ☐ RNA ☐ Cells ☐ FFPE ☐ Other: _______ |
| Protocol/Study ID | |
| Subject/Donor ID | |
| Collection Date | |
| Collection Time | |
| Collected By | |
---
## Required Storage Conditions
| Condition | Check |
|-----------|-------|
| ☐ Ambient (15-25°C) | |
| ☐ Refrigerated (2-8°C) | |
| ☐ Frozen (-20°C) | |
| ☐ Ultra-low (-80°C) | |
| ☐ Liquid Nitrogen (-196°C) | |
| ☐ Other: _______ | |
**Special Handling Instructions:**
---
## Chain of Custody Log
### Transfer 1
| Field | Entry |
|-------|-------|
| Released By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred From | |
| Storage Condition at Release | |
| Received By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred To | |
| Condition on Receipt | ☐ Acceptable ☐ Compromised |
| Notes | |
### Transfer 2
| Field | Entry |
|-------|-------|
| Released By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred From | |
| Storage Condition at Release | |
| Received By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred To | |
| Condition on Receipt | ☐ Acceptable ☐ Compromised |
| Notes | |
### Transfer 3
| Field | Entry |
|-------|-------|
| Released By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred From | |
| Storage Condition at Release | |
| Received By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred To | |
| Condition on Receipt | ☐ Acceptable ☐ Compromised |
| Notes | |
### Transfer 4
| Field | Entry |
|-------|-------|
| Released By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred From | |
| Storage Condition at Release | |
| Received By | |
| Title/Role | |
| Date | |
| Time | |
| Signature | |
| Location Transferred To | |
| Condition on Receipt | ☐ Acceptable ☐ Compromised |
| Notes | |
---
## Temperature Monitoring (for transport)
| Time Point | Temperature | Within Range? | Initials |
|------------|-------------|---------------|----------|
| Departure | °C | ☐ Yes ☐ No | |
| Checkpoint 1 | °C | ☐ Yes ☐ No | |
| Checkpoint 2 | °C | ☐ Yes ☐ No | |
| Arrival | °C | ☐ Yes ☐ No | |
**Temperature Monitor ID/Lot:**
---
## Shipping Information (if applicable)
| Field | Entry |
|-------|-------|
| Carrier | |
| Tracking Number | |
| Ship Date | |
| Expected Arrival | |
| Actual Arrival | |
| Package Condition | ☐ Intact ☐ Damaged (describe below) |
| Temperature Indicator Status | ☐ Within range ☐ Exceeded (describe below) |
Condition/Temperature Notes:
---
## Deviation Documentation
| Field | Entry |
|-------|-------|
| Was specimen condition compromised? | ☐ Yes ☐ No |
| If yes, describe deviation: | |
| Temperature excursion? | ☐ Yes ☐ No |
| If yes, duration: | |
| If yes, max/min temp: | |
| Action taken: | |
| Deviation Report #: | |
| Specimen disposition: | ☐ Accepted ☐ Quarantined ☐ Rejected |
---
## Final Disposition
| Field | Entry |
|-------|-------|
| Final Storage Location | |
| Freezer/Tank ID | |
| Rack/Box Position | |
| Date/Time Stored | |
| Stored By | |
| LIMS Entry Completed? | ☐ Yes |
| LIMS Accession # | |
---
## Verification
| Field | Entry |
|-------|-------|
| Chain of custody complete? | ☐ Yes |
| All transfers documented? | ☐ Yes |
| Temperature maintained? | ☐ Yes ☐ No (deviation documented) |
| Final reviewer signature | |
| Date | |
---
*Form FRM-BIO-002 Rev 1.0 - Chain of Custody Form*