Appendices
Appendix A - Accreditation and Certification Documents
- Appendix A1 - College of American Pathologists (CAP) Certificate
- Appendix A2 - CMS/Clinical Laboratory Improvement Amendments (CLIA) Certificate
- Appendix A3 - Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Appendix B - Clinical Research Information System (CRIS) Downtime Procedures
- Appendix C1 - CRIS Downtime Procedures
- Appendix C2 - CRIS Downtime Toolkit
Forms and Checklists
New Hire Orientation Training Packet
- Technical and General Supervisor Training Checklist
- New Employee Training Checklist (Administrative and Support Staff)
- New Employee Training Checklist (Clinical Technical)
- New Employee Training Checklist (Clinical Medical Staff & Fellows)
- New Employee Training Checklist (Research / Basic Sciences)
- Continuing Education Log
- Resident Initial Training
Safety and Environment of Care
- Fire Drill Make-Up Exam
- Emergency Management - Bomb Threat Checklist
- 2nd Floor Clinical Labs Fire Evacuation Routes
- 3rd Floor Clinical Labs Fire Evacuation Routes
- Chemical Hazard Sign
- Chemical Notice
- Freezer Alarm Signage
Maintenance Logs (Templates)
- Centrifuge Maintenance Log
- Temperature Control Log (Excel)
- Temperature Control Log (Word)
- Emergency Eyewash Check
Quality management and Quality Control Forms
- Quality Improvement Incident Report Form
- Section Quality Improvement Log
- Intensive Root Cause Analysis
- Biannual Quality of Water QC Form
- Document Control Form
Regulatory Accreditation
- Laboratory Personnel Evaluation Form (CAP) - Clinical Sections is completed online on the CAP website under :
Organization Profile Home > Roles/Personnel - Personnel Evaluation Roster - Laboratory Testing Personnel
- Personnel Qualification Verification Form
- College of American Pathologists Laboratory Accreditation Sign
Laboratory Information Systems (LIS) Forms
- CRIS Downtime Requisition for Tissue Exam/Cytology
- Surgical Pathology LIS Downtime Requisition Form
- Requisition for Molecular Diagnostic Tests
- Request for Fluorescence In Situ Hybridization (FISH) Analysis
- Tissue Resource Committee (TRC) Request - Manual Downtime Form