F-QM-IT-002-A-V0 — Computer and Power Downtime Pending-Work Log
Type: Form · Version: V0 · Status: DRAFT — UNAPPROVED · Served read-only from the bundled QMS copies. The Drive master is untouched.
Parent document: LAB-QM-IT-002 — Laboratory Information System Downtime and Disaster Recovery Plan (parent is encoded in the form number)
Rendered in-browser from the project's Word file F-QM-IT-002-A-V0-computer-and-power-downtime-pending-work-log.docx (policies-docx / forms-docx — the file Junry reviews). Formatting is faithful, not pixel-perfect; the DOCX is the official copy.
| Document # | F-QM-IT-002-A-V0 | Parent Document | LAB-QM-IT-002 — Computer and Power Downtime and Disaster Recovery Plan |
|---|
1. Outage Incident Summary
| Field | Detail |
|---|---|
| Outage Type | [ ] Planned Computer Maintenance [ ] Unplanned Computer/LIS Crash [ ] Commercial Power Interruption [ ] Severe Weather / Disaster |
| Date and Time Outage Started | YYYY-MM-DD at HH:MM |
| Date and Time System Restored | YYYY-MM-DD at HH:MM |
| Total Outage Duration | ______ Hours ______ Minutes |
| Log Activated By | __________________________________________________ |
2. Downtime Pending Work and Catch-Up Register
| Accession / Specimen No. | Date & Time Received | Patient Full Name | HRN / Patient ID | Requesting Ward / Clinic | Test(s) Ordered | Manual Result Available? | Manual Report Released? (Time / Recipient) | Entered into Lab-LIS? (Date / Time) | Data Entry Verified By (MT Initials) | Close-out Sign-off |
|---|---|---|---|---|---|---|---|---|---|---|
| [ ] Yes | HH:MM / ____________ | YYYY-MM-DD HH:MM | [ ] Done | |||||||
| [ ] Yes | HH:MM / ____________ | YYYY-MM-DD HH:MM | [ ] Done | |||||||
| [ ] Yes | HH:MM / ____________ | YYYY-MM-DD HH:MM | [ ] Done | |||||||
| [ ] Yes | HH:MM / ____________ | YYYY-MM-DD HH:MM | [ ] Done | |||||||
| [ ] Yes | HH:MM / ____________ | YYYY-MM-DD HH:MM | [ ] Done |
3. Post-Downtime Reconciliation & Verification
3.1 Medical Technologists
We confirm that all manual worksheets, calculations, and handwritten emergency reports generated during the downtime were back-entered into the electronic Lab-LIS.
| Technologist Name | PRC License Number | Date Reconciled | Signature |
|---|---|---|---|
3.2 Chief Medical Technologist / Laboratory Quality Manager
- Electronic Data Reconciliation Audit: [ ] 100% of paper entries cross-checked against Lab-LIS [ ] Zero omitted results
- Signature: ________________________________________ Date: ____________________
3.3 Pathologist / Head of Laboratory
- Signature: ________________________________________ Date: ____________________
