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Form No.

FZ-188

SWAB TEST OF MICBROBIAL ANALYSIS FOR CLEANING


VALIDATION

Revision No. 00

Effective Date: 07 J

Next Review on: 07

Report No.

Sampled Area
(cm)

Date

Production Section

General / Antibiotics

24 30 cm
Location

Previous Product

30 35 C
Area Class / Grade

Next Product

Equipment

LID No.

Sample
Locations

Incubation
Temp.

Equipment Status

No. of Colony Forming Unit (CFU)


TSA Plate
1

TSA Plate

Average CFU Count

TSA Plate
2

Note:
C = Degree Centigrade for Temperature.
LID No. = Equipment Identification Number.
cm = Square Centimeter Area should be sampled.
1

TSA = Tryptic Soy Agar.

CFU = Colony Forming Unit.

Swab Sampling Scheme:

Pattern 1

Remarks:
Equipment cleaning status

Performed by:

Pattern 2

PASSED

Checked by:

Pattern 3

FAILED

Reviewed by:

Microbiologist (Name/Sign./Date)

AM Microbiology (Name/Sign./Date)

MQC Microbiology (Name/Si

orm No. FZ-188

Revision No. 00

Effective Date: 07 July 2014

Next Review on: 07 July 2017

Incubation
Time

72 Hours

ss / Grade

by:

Cleaned / Dirty

Swab Limits
CFU / 25 cm

50 CFU / 25 cm

Pattern 4

obiology (Name/Sign./Date)

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