NOTICE:

Approved This document

and current. is an example
Effective starting only. It must beLast
06-Sep-2023. revised to reflect
reviewed your lab’s specific processes and/or specific protocol requirements.
on 06-Sep-2023.
RDP 403 (version 1.0). Levey Jennings Chart_Example. Page 1 of 1

Quality Control Data-Levey Jennings Chart

Month October Assay Performance for this period
Year 2023
Instrument / SN Olympus AU 400 / OL456 % CV 2.86
Analyte / Units Glucose / mg/dL Mean 3.50
QC Product BIO RAD SD 0.10
Level 1
Lot# 14121
Expiry February-24
Manufacturer Mean 84.0
Manufacturer Range 3.2 - 3.8

Glucose - 1

96.0
3SD
91.0 2SD
1SD
Values

86.0 Mean
1SD
81.0
2SD

76.0 3SD
QC Result
71.0
1234567891111111111222222222233
0123456789012345678901
Run