Publication Numbers:
EPA: EPA-505-B-04-900C
DoD: DTIC ADA 427486
Intergovernmental Data Quality Task Force
Workbook for
Uniform Federal Policy for Quality Assurance
Project Plans
Evaluating, Assessing, and Documenting Environmental Data
Collection and Use Programs
Part 2A: UFP-QAPP Workbook
^
This Workbook supplements Part 1 of the UFP-
QAPP, the UFP-QAPP Manual. Proper
completion of these worksheets requires
knowledge of the QAPP elements explained in the
Manual.
Final
Version 1
March 2005
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TABLE OF CONTENTS
INTRODUCTION
QAPP Worksheet #1. Title and Approval Page 1
QAPP Worksheet #2. QAPP Identifying Information 2
QAPP Worksheet #3. Distribution List 7
QAPP Worksheet #4. Project Personnel Sign-Off Sheet 8
QAPP Worksheet #5. Project Organizational Chart 9
QAPP Worksheet #6. Communication Pathways 10
QAPP Worksheet #7. Personnel Responsibilities and Qualifications Table 11
QAPP Worksheet #8. Special Personnel Training Requirements Table 12
QAPP Worksheet #9. Project Scoping Session Participants Sheet 13
QAPP Worksheet #10. Problem Definition 14
QAPP Worksheet #11. Project Quality Objectives/Systematic Planning Process Statements . . 15
QAPP Worksheet #12. Measurement Performance Criteria Table 16
QAPP Worksheet #13. Secondary Data Criteria and Limitations Table 17
QAPP Worksheet #14. Summary of Project Tasks 18
QAPP Worksheet #15. Reference Limits and Evaluation Table 19
QAPP Worksheet #16. Project Schedule/Timeline Table 20
QAPP Worksheet #17. Sampling Design and Rationale 21
QAPP Worksheet #18. Sampling Locations and Methods/SOP Requirements Table 22
QAPP Worksheet #19. Analytical SOP Requirements Table 23
QAPP Worksheet #20. Field Quality Control Sample Summary Table 24
QAPP Worksheet #21. Project Sampling SOP Reference Table 25
QAPP Worksheet #22. Field Equipment Calibration, Maintenance, Testing, and Inspection
Table 26
QAPP Worksheet #23. Analytical SOP Reference Table 27
QAPP Worksheet #24. Analytical Instrument Calibration Table 28
QAPP Worksheet #25. Analytical Instrument and Equipment Maintenance, Testing, and
Inspection Table 29
QAPP Worksheet #26 Sample Handling System 30
QAPP Worksheet #27. Sample Custody Requirements 31
QAPP Worksheet #28. QC Samples Table 32
QAPP Worksheet #29. Project Documents and Records Table 33
QAPP Worksheet #30. Analytical Services Table 34
QAPP Worksheet #31. Planned Project Assessment Table 35
QAPP Worksheet #32. Assessment Findings and Response Actions 36
QAPP Worksheet #33. QA Management Reports Table 37
QAPP Worksheet #34. Sampling and Analysis Verification (Step I) Process Table 38
QAPP Worksheet #35. Sampling and Analysis Validation (Steps Ha and lib) Process Table . 39
QAPP Worksheet #36. Sampling and Analysis Validation (Steps Ha and lib) Summary Table 40
QAPP Worksheet #37. Data Usability Assessment 41
IDQTF, UFP-QAPP Workbook VI, March 2005
Final
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WORKBOOK FOR UNIFORM FEDERAL POLICY FOR QUALITY ASSURANCE
PROJECT PLANS
INTRODUCTION
This Workbook for Uniform Federal Policy for Quality Assurance Project Plans is Part 2 A of the
Uniform Federal Policy for Quality Assurance Project Plans (UFP-QAPP). It provides examples
of worksheets to assist with the preparation of QAPPs in accordance with Part 1 of the UFP-QAPP
(the UFP-QAPP Manual) and Section 6 (Part B) of Quality Systems for Environmental Data and
Technology Programs -Requirements with guidance for use, ANSI/ASQ E4 (February 2004). This
Workbook may be used by the lead organization and its contractors to assist with the preparation
of QAPPs for environmental data gathering activities.
Each worksheet addresses specific requirements of the UFP-QAPP. Both the UFP-QAPP Manual
and the Workbook are intended to be comprehensive and are not intended to be program-specific.
Since the content and level of detail in a specific QAPP will vary by program, by the work being
performed, and by the intended use of the data, specific worksheets may not be applicable to all
projects.
The ultimate success of an environmental program or project depends on the quality of the
environmental data collected and used in decision-making, and this may depend significantly on the
adequacy of the QAPP and its effective implementation. It is recommended that the individual
worksheets included in this Workbook be taken to the project scoping and planning sessions. The
use of the worksheets will aid in identifying the critical project information that will ensure that the
right type, quality, and quantity of data are collected to meet all of the project's quality objectives.
Though the format of each worksheet is not mandatory, the information required on the worksheets
must still be presented in the QAPP, as appropriate to the project. In addition, QAPP preparers are
encouraged to develop additional tables, as appropriate to the project. Sufficient written discussion
in text format should accompany all tables. Certain sections, by their nature, will require more
written discussion than others. In particular, Section 3.1.1 should provide an in-depth explanation
of the sampling design rationale, and Section 5.2 should describe the procedures and criteria that
will be used for data review.
IDQTF, UFP-QAPP Workbook V1, March 2005 Final
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Site Name/Project Name:
Site Location:
QAPP Worksheet #1
(UFP-QAPP Manual Section 2.1)
Title and Approval Page
Title:
Revision Number:
Revision Date:
Page of
Document Title
Lead Organization
Preparer's Name and Organizational Affiliation
Preparer's Address, Telephone Number, and E-mail Address
Preparation Date (Day/Month/Year)
Investigative Organization's Project Manager:
Signature
Printed Name/Organization/Date
Investigative Organization's Project QA Officer:
Signature
Printed Name/Organization/Date
Lead Organization's Project Manager:
Signature
Printed Name/Organization/Date
Approval Signatures:
Signature
Printed Name/Title/Date
Approval Authority
Other Approval Signatures:
Signature
Printed Name/Title/Date
Document Control Number:
-------
QAPP Worksheet #2
(UFP-QAPP Manual Section 2.2.4)
QAPP Identifying Information
Site Name/Project Name: Title:
Site Location: Revision Number:
Site Number/Code: Revision Date:
Operable Unit: Page of
Contractor Name:
Contractor Number:
Contract Title:
Work Assignment Number:
1. Identify guidance used to prepare QAPP:
2. Identify regulatory program:
3. Identify approval entity:
4. Indicate whether the QAPP is a generic or a project-specific QAPP. (circle one)
5. List dates of scoping sessions that were held:
6. List dates and titles of QAPP documents written for previous site work, if applicable:
Title Approval Date
7. List organizational partners (stakeholders) and connection with lead organization:
8. List data users:
9. If any required QAPP elements and required information are not applicable to the project, then
circle the omitted QAPP elements and required information on the attached table. Provide an
explanation for their exclusion below:
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QAPP Worksheet #2
QAPP Identifying Information
(continued)
Title:
Revision Number:
Revision Date:
Page of
Identify where each required QAPP element is located in the QAPP (provide section, worksheet,
table, or figure number) or other project planning documents (provide complete document title,
date, section number, page numbers, and location of the information in the document). Circle
QAPP elements and required information that are not applicable to the project. Provide an
explanation in the QAPP.
Required QAPP Element(s) and
Corresponding QAPP Section(s)
Required Information
Crosswalk to Related
Documents
Project Management and Objectives
2. 1 Title and Approval Page
2.2 Document Format and Table of Contents
2.2.1 Document Control Format
2.2.2 Document Control Numbering System
2.2.3 Table of Contents
2.2.4 QAPP Identifying Information
2.3 Distribution List and Project Personnel Sign-
Off Sheet
2.3.1 Distribution List
2.3.2 Project Personnel Sign-Off Sheet
2.4 Project Organization
2.4.1 Project Organizational Chart
2.4.2 Communication Pathways
2.4.3 Personnel Responsibilities and
Qualifications
2.4.4 Special Training Requirements and
Certification
2.5 Project Planning/Problem Definition
2.5.1 Project Planning (Scoping)
2.5.2 Problem Definition, Site History, and
Background
2.6 Project Quality Objectives and Measurement
Performance Criteria
2.6.1 Development of Project Quality
Objectives Using the Systematic
Planning Process
2.6.2 Measurement Performance Criteria
- Title and Approval Page
- Table of Contents
- QAPP Identifying
Information
- Distribution List
- Project Personnel Sign-Off
Sheet
- Project Organizational
Chart
- Communication Pathways
- Personnel Responsibilities
and Qualifications Table
- Special Personnel Training
Requirements Table
- Project Planning Session
Documentation (including
Data Needs tables)
- Project Scoping Session
Participants Sheet
- Problem Definition, Site
History, and Background
- Site Maps (historical and
present)
- Site-Specific PQOs
- Measurement Performance
Criteria Table
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QAPP Worksheet #2
QAPP Identifying Information
(continued)
Title:
Revision Number:
Revision Date:
Page of
Required QAPP Element(s) and
Corresponding QAPP Section(s)
Required Information
Crosswalk to Related
Documents
2.7 Secondary Data Evaluation
Sources of Secondary Data
and Information
Secondary Data Criteria
and Limitations Table
2.8 Project Overview and Schedule
2.8.1 Proj ect Overview
2.8.2 Project Schedule
- Summary of Project Tasks
- Reference Limits and
Evaluation Table
- Project Schedule/Timeline
Table
Measurement/Data Acquisition
3.1 Sampling Tasks
3.1.1 Sampling Process Design and Rationale
3.1.2 Sampling Procedures and Requirements
3.1.2.1 Sampling Collection Procedures
3.1.2.2 Sample Containers, Volume, and
Preservation
3.1.2.3 Equipment/Sample Containers
Cleaning and Decontamination
Procedures
3.1.2.4 Field Equipment Calibration,
Maintenance, Testing, and
Inspection Procedures
3.1.2.5 Supply Inspection and Acceptance
Procedures
3.1.2.6 Field Documentation Procedures
- Sampling Design and
Rationale
- Sample Location Map
- Sampling Locations and
Methods/ SOP
Requirements Table
- Analytical Methods/SOP
Requirements Table
- Field Quality Control
Sample Summary Table
- Sampling SOPs
- Project Sampling SOP
References Table
- Field Equipment
Calibration, Maintenance,
Testing, and Inspection
Table
3.2 Analytical Tasks
3.2.1 Analytical SOPs
3.2.2 Analytical Instrument Calibration
Procedures
3.2.3 Analytical Instrument and Equipment
Maintenance, Testing, and Inspection
Procedures
3.2.4 Analytical Supply Inspection and
Acceptance Procedures
- Analytical SOPs
- Analytical SOP References
Table
- Analytical Instrument
Calibration Table
- Analytical Instrument and
Equipment Maintenance,
Testing, and Inspection
Table
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QAPP Worksheet #2
QAPP Identifying Information
(continued)
Title:
Revision Number:
Revision Date:
Page of
Required QAPP Element(s) and
Corresponding QAPP Section(s)
3.3 Sample Collection Documentation,
Handling, Tracking, and Custody Procedures
3.3.1 Sample Collection Documentation
3.3.2 Sample Handling and Tracking System
3.3.3 Sample Custody
3.4 Quality Control Samples
3.4. 1 Sampling Quality Control Samples
3.4.2 Analytical Quality Control Samples
3.5 Data Management Tasks
3.5.1 Project Documentation and Records
3.5.2 Data Package Deliverables
3.5.3 Data Reporting Formats
3.5.4 Data Handling and Management
3.5.5 Data Tracking and Control
Required Information
- Sample Collection
Documentation Handling,
Tracking, and Custody
SOPs
- Sample Container
Identification
- Sample Handling Flow
Diagram
- Example Chain-of-Custody
Form and Seal
- QC Samples Table
- Screening/Confirmatory
Analysis Decision Tree
- Project Documents and
Records Table
- Analytical Services Table
- Data Management SOPs
Crosswalk to Related
Documents
Assessment/Oversight
4. 1 Assessments and Response Actions
4.1.1 Planned Assessments
4.1.2 Assessment Findings and Corrective
Action Responses
4.2 QA Management Reports
- Assessments and Response
Actions
- Planned Project
Assessments Table
- Audit Checklists
- Assessment Findings and
Corrective
Action Responses Table
- QA Management Reports
Table
4 . 3 Final Proj ect Report
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QAPP Worksheet #2
QAPP Identifying Information
(continued)
Title:
Revision Number:
Revision Date:
Page of
Required QAPP Element(s) and
Corresponding QAPP Section(s)
Required Information
Crosswalk to Related
Documents
Data Review
5.1 Overview
5.2 Data Review Steps
5.2.1 Step I : Verification
5.2.2 Step II: Validation
5.2.2. 1 Step Ha Validation Activities
5.2.2.2 Step lib Validation Activities
5.2.3 Step III: Usability Assessment
5.2.3.1 Data Limitations and Actions from
Usability Assessment
5.2.3.2 Activities
5 . 3 Streamlining Data Review
5.3. 1 Data Review Steps To Be Streamlined
5.3.2 Criteria for Streamlining Data Review
5.3.3 Amounts and Types of Data Appropriate
for Streamlining
- Verification (Step I)
Process Table
- Validation (Steps Ha and
lib) Process Table
- Validation (Steps Ha and
lib) Summary Table
- Usability Assessment
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QAPP Worksheet #3
(UFP-QAPP Manual Section 2.3.1)
List those entities to whom copies of the approved
QAPP, subsequent QAPP revisions, addenda, and amendments.
Title:
Revision Number:
Revision Date:
Page of
Distribution List
QAPP Recipients
Title
Organization
Telephone Number
Fax Number
E-mail Address
Document Control
Number
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QAPP Worksheet #4
(UFP-QAPP Manual Section 2.3.2)
Have copies of this form signed by key project personnel from each organization
to indicate that they have read the applicable sections of the QAPP and will
perform the tasks as described. Ask each organization to forward signed sheets to
the central project file.
Title:
Revision Number:
Revision Date:
Page of
Project Personnel Sign-Off Sheet
Organization:
Project Personnel
Title
Telephone Number
Signature
Date QAPP Read
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QAPP Worksheet #5
(UFP-QAPP Manual Section 2.4.1)
Identify reporting relationships between all organizations
involved in the project, including the lead organization and all contractor and subcontractor
organizations. Identify the organizations providing field sampling, on-site and off-site analysis,
and data review services, including the names and telephone numbers of all project managers,
project team members, and/or project contacts for each organization.
Title:
Revision Number:
Revision Date:
Page of
Project Organizational Chart
C 'on tractor Organization:
Role:
Project Manager
Approvul Authonty:
Lead Organization:
Lead Organization Project Manager:
C Contractor Organization:
Project \Ianager
1 ,end Orgatii/ation
OA Officer:
C 'on tractor Organization:
Role
Project Manager
Subcon tractors:
Organization:
Project Contact: -
Organization:
Project Contact: .
Orgarii/ation:
t < 'nntitct:
Su bcon t r actc > rs:
Organization: _
Role:
Project Contact
Organisation: .....
Role: ^^_^^
Project Contact:
Organization:
Role:
Project Contact:
Subcoti tractors
Organization; ..
Project Contact:
Organization:
Role: ^^_^^_
Project C 'ontact:
Organization:
Project Contact: -
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QAPP Worksheet #6
(UFP-QAPP Manual Section 2.4.2)
Describe the communication pathways and modes of communication that will
be used during the project, after the QAPP has been approved. Describe the procedures
for soliciting and/or obtaining approval between project personnel, between different
contractors, and between samplers and laboratory staff. Describe the procedure that
will be followed when any project activity originally documented in an approved QAPP
requires real-time modification to achieve project goals or a QAPP amendment is required.
Describe the procedures for stopping work and identify who is responsible.
Communication Pathways
Title:
Revision Number:
Revision Date:
Page of
Communication Drivers
Responsible Entity
Name
Phone Number
Procedure (Timing, Pathways, etc.)
10
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QAPP Worksheet #7
(UFP-QAPP Manual Section 2.4.3)
Identify project personnel associated with each organization, contractor,
and subcontractor participating in responsible roles. Include data users,
decision-makers, project managers, QA officers, project contacts for
organizations involved in the project, project health and safety officers,
geotechnical engineers and hydrogeologists, field operation personnel,
analytical services, and data reviewers. Identify project team members
with an asterisk (*). Attach resumes to this worksheet or note the location
of the resumes.
Title:
Revision Number:
Revision Date:
Page of
Personnel Responsibilities and Qualifications Table
Name
Title
Organizational Affiliation
Responsibilities
Education and Experience
Qualifications
11
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QAPP Worksheet #8
(UFP-QAPP Manual Section 2.4.4)
Provide the following information for those projects requiring personnel
with specialized training. Attach training records and/or certificates to
the QAPP or note their location.
Title:
Revision Number:
Revision Date:
Page of
Special Personnel Training Requirements Table
Project
Function
Specialized Training -
Title or Description of
Course
Training
Provider
Training
Date
Personnel/Groups
Receiving
Training
Personnel
Titles/
Organizational
Affiliation
Location of Training
Records/Certificates1
JIf training records and/or certificates are on file elsewhere, document their location in this column. If training records and/or certificates do
not exist or are not available, then this should be noted.
12
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QAPP Worksheet #9
(UFP-QAPP Manual Section 2.5.1)
Complete this worksheet for each project scoping session held.
Identify project team members who are responsible for planning
the project.
Project Scoping Session Participants Sheet
Title:
Revision Number:
Revision Date:
Page of
Project Name
Projected Date(s) of Sampling
Project Manager
Date of Session:
Scoping Session Purpose:
Name
Title
Site Name
Site Location
Affiliation
Phone #
E-mail Address
Project Role
Comments/Decisions:
Action Items:
Consensus Decisions:
13
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QAPP Worksheet #10 Title:
(UFP-QAPP Manual Section 2.5.2) Revision Number:
Clearly define the problem and the environmental questions that should Revision Date:
be answered for the current investigation and develop the project Page of
decision "If.., then..." statements in the QAPP, linking data results with
possible actions. The prompts below are meant to help the project team
define the problem. They are not comprehensive.
Problem Definition
The problem to be addressed by the project:
The environmental questions being asked:
Observations from any site reconnaissance reports:
A synopsis of secondary data or information from site reports:
The possible classes of contaminants and the affected matrices:
The rationale for inclusion of chemical and nonchemical analyses:
Information concerning various environmental indicators:
Project decision conditions ("If..., then..." statements):
14
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QAPP Worksheet #11 Title:
(UFP-QAPP Manual Section 2.6.1) Revision Number:
Use this worksheet to develop project quality objectives (PQOs) in terms of type, quantity, and Revision Date:
quality of data determined using a systematic planning process. Provide a detailed discussion Page of
of PQOs in the QAPP. List the PQOs in the form of qualitative and quantitative statements.
These statements should answer questions such as those listed below. These questions are
examples only, however; they are neither inclusive nor appropriate for all projects.
Project Quality Objectives/Systematic Planning Process Statements
Who will use the data?
What will the data be used for?
What type of data are needed? (target analytes, analytical groups, field screening, on-site analytical or off-site laboratory techniques,
sampling techniques)
How "good" do the data need to be in order to support the environmental decision?
How much data are needed? (number of samples for each analytical group, matrix, and concentration)
Where, when, and how should the data be collected/generated?
Who will collect and generate the data?
How will the data be reported?
How will the data be archived?
15
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QAPP Worksheet #12
(UFP-QAPP Manual Section 2.6.2)
Complete this worksheet for each matrix, analytical group, and concentration level.
Identify the data quality indicators (DQIs), measurement performance criteria (MFC),
and QC sample and/or activity used to assess the measurement performance for both the
sampling and analytical measurement systems. Use additional worksheets
if necessary. If MFC for a specific DQI vary within an analytical parameter, i.e., MFC
are analyte-specific, then provide analyte-specific MFC on an additional worksheet.
Measurement Performance Criteria Table
Title:
Revision Number:
Revision Date:
Page of
Matrix
Analytical Group1
Concentration Level
Sampling Procedure2
Analytical
Method/SOP3
Data Quality Indicators (DQIs)
Measurement Performance Criteria
QC Sample and/or Activity Used to
Assess Measurement Performance
QC Sample Assesses Error
for Sampling (S),
Analytical (A) or both
(S&A)
'If information varies within an analytical group, separate by individual analyte.
2Reference number from QAPP Worksheet #21 (see Section 3.1.2).
Reference number from QAPP Worksheet #23 (see Section 3.2).
16
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QAPP Worksheet #13
(UFP-QAPP Manual Section 2.7)
Identify all secondary data and information that will be used for
the project and their originating sources. Specify how the secondary data
will be used and the limitations on their use.
Title:
Revision Number:
Revision Date:
Page of
Secondary Data Criteria and Limitations Table
Secondary Data
Data Source
(Originating Organization,
Report Title, and Date)
Data Generator(s)
(Originating Org., Data
Types, Data
Generation/Collection Dates)
How Data Will Be Used
Limitations on Data Use
17
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QAPP Worksheet #14 Title:
(UFP-QAPP Manual Section 2.8.1) Revision Number:
Provide a brief overview of the listed project activities. Revision Date:
Page of
Summary of Project Tasks
Sampling Tasks:
Analysis Tasks:
Quality Control Tasks:
Secondary Data:
Data Management Tasks:
Documentation and Records:
Assessment/Audit Tasks:
Data Review Tasks:
18
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QAPP Worksheet #15
(UFP-QAPP Manual Section 2.8.1)
Complete this worksheet for each matrix, analytical group, and concentration
level. Identify the target analytes/contaminants of concern and project-required
action limits. Next, determine the quantitation limits (QLs) that must be met to
achieve the project quality objectives. Finally, list the published and achievable
detection and quantitation limits for each analyte.
Title:
Revision Number:
Revision Date:
Page of
Reference Limits and Evaluation Table
Matrix:
Analytical Group:
Concentration Level:
Analyte
CAS Number
Project Action
Limit
(applicable units)
Project
Quantitation Limit
(applicable units)
Analytical Method1
MDLs
Method QLs
Achievable Laboratory Limits2
MDLs
QLs
'Analytical MDLs and QLs are those documented invalidated methods.
2Achievable MDLs and QLs are limits that an individual laboratory can achieve when performing a specific analytical method.
19
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QAPP Worksheet #16
(UFP-QAPP Manual Section 2.8.2)
List all project activities as well as the QA assessments that will be
performed during the course of the project. Include the anticipated start and
completion dates.
Title:
Revision Number:
Revision Date:
Page of
Project Schedule/Timeline Table
Activities
Organization
Dates (MM/DD/YY)
Anticipated Date(s)
of Initiation
Anticipated Date of
Completion
Deliverable
Deliverable Due Date
20
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QAPP Worksheet #17 Title:
(UFP-QAPP Manual Section 3.1.1) Revision Number:
Describe the project sampling approach. Provide the rationale Revision Date:
for selecting sample locations and matrices for each Page of
analytical group and concentration level.
Sampling Design and Rationale
Describe and provide a rationale for choosing the sampling approach (e.g., grid system, biased statistical approach):
Describe the sampling design and rationale in terms of what matrices will be sampled, what analytical groups will be analyzed and at
what concentration levels, the sampling locations (including QC, critical, and background samples), the number of samples to be taken,
and the sampling frequency (including seasonal considerations) [May refer to map or Worksheet #18 for details]:
21
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QAPP Worksheet #18
(UFP-QAPP Manual Section 3.1.1)
List all site locations that will be sampled and include sample/ ID number,
if available. (Provide a range of sampling locations of ID numbers if a site
has a large number.) Specify matrix and, if applicable, depth at which samples
will be taken. Only a short reference for the sampling location
rationale is necessary for the table. The text of the QAPP should clearly
identify the detailed rationale associated with each reference. Complete all
required information, using additional worksheets if necessary.
Title:
Revision Number:
Revision Date:
Page of
Sampling Locations and Methods/SOP Requirements Table
Sampling
Location/ID
Number
Matrix
Depth
(units)
Analytical Group
Concentration
Level
Number of
Samples (identify
field duplicates)
Sampling SOP
Reference1
Rationale for
Sampling
Location
Specify the appropriate letter or number from the Project Sampling SOP References table (Worksheet #21).
22
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QAPP Worksheet #19
(UFP-QAPP Manual Section 3.1.1)
For each matrix, analytical group, and concentration level, list the analytical
and preparation method/SOP and associated sample volume, container
specifications, preservation requirements, and maximum holding time.
Title:
Revision Number:
Revision Date:
Page of
Analytical SOP Requirements Table
Matrix
Analytical Group
Concentration
Level
Analytical and
Preparation
Method/SOP
Reference1
Sample Volume
Containers
(number, size,
and type)
Preservation
Requirements
(chemical,
temperature,
light protected)
Maximum
Holding Time
(preparation/
analysis)
Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).
23
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QAPP Worksheet #20
(UFP-QAPP Manual Section 3.1.1)
Summarize by matrix, analytical group, and concentration level
the number of field QC samples that will be collected and sent to
the laboratory.
Title:
Revision Number:
Revision Date:
Page of
Field Quality Control Sample Summary Table
Matrix
Analytical
Group
Concentration
Level
Analytical
and
Preparation
SOP
Reference1
No. of
Sampling
Locations2
No. of Field
Duplicate
Pairs
Inorganic
No. of MS
No. of Field
Blanks
No. of
Equip.
Blanks
No. ofPT
Samples
Total No. of
Samples to
Lab
'Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).
2If samples will be collected at different depths at the same location, count each discrete sampling depth as a separate sampling location or station.
24
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QAPP Worksheet #21
(UFP-QAPP Manual Section 3.1.2)
List all SOPs associated with project sampling including, but not limited to,
sample collection, sample preservation, equipment cleaning and decontamination,
equipment testing, inspection and maintenance, supply inspection and acceptance, and
sample handling and custody. Include copies of the SOPs as attachments or reference all
in the QAPP. Sequentially number sampling SOP references in the Reference Number column.
The reference number can be used throughout the QAPP to refer to a specific SOP.
Project Sampling SOP References Table
Title:
Revision Number:
Revision Date:
Page of
Reference
Number
Title, Revision Date and/or Number
Originating Organization
Equipment Type
Modified for
Project Work?
(Y/N)
Comments
25
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QAPP Worksheet #22
(UFP-QAPP Manual Section 3.1.2.4)
Identify all field equipment and instruments (other than analytical instrumentation)
that require calibration, maintenance, testing, or inspection and provide the SOP
reference number for each type of equipment. In addition, document the frequency
of activity, acceptance criteria, and corrective action requirements on the worksheet.
Title:
Revision Number:
Revision Date:
Page of
Field Equipment Calibration, Maintenance, Testing, and Inspection Table
Field
Equipment
Calibration
Activity
Maintenance
Activity
Testing
Activity
Inspection
Activity
Frequency
Acceptance
Criteria
Corrective
Action
Responsible
Person
SOP
Reference1
Specify the appropriate reference letter or number from the Project Sampling SOP References table (Worksheet #21).
26
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QAPP Worksheet #23
(UFP-QAPP Manual Section 3.2.1)
List all SOPs that will be used to perform on-site or off-site analysis. Indicate
whether the procedure produces screening or definitive data. Sequentially number
analytical SOP references in the Reference Number column. Include copies of the
SOPs as attachments or reference in the QAPP. The reference number can be used
throughout the QAPP to refer to a specific SOP.
Analytical SOP References Table
Title:
Revision Number:
Revision Date:
Page of
Reference
Number
Title, Revision
Date, and/or
Number
Definitive or
Screening Data
Analytical Group
Instrument
Organization
Performing
Analysis
Modified for
Project Work?
(Y/N)
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QAPP Worksheet #24
(UFP-QAPP Manual Section 3.2.2)
Identify all analytical instrumentation that requires calibration and provide
the SOP reference number for each. In addition, document the frequency,
acceptance criteria, and corrective action requirements on the worksheet.
Analytical Instrument Calibration Table
Title:
Revision Number:
Revision Date:
Page of
Instrument
Calibration
Procedure
Frequency of
Calibration
Acceptance
Criteria
Corrective Action
(CA)
Person
Responsible for
CA
SOP Reference1
Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).
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QAPP Worksheet #25
(UFP-QAPP Manual Section 3.2.3)
Identify all analytical instrumentation that requires maintenance, testing, or inspection
and provide the SOP reference number for each. In addition, document the
frequency, acceptance criteria, and corrective action requirements on the worksheet.
Title:
Revision Number:
Revision Date:
Page of
Analytical Instrument and Equipment Maintenance, Testing, and Inspection Table
Instrument/
Equipment
Maintenance
Activity
Testing
Activity
Inspection
Activity
Frequency
Acceptance
Criteria
Corrective
Action
Responsible
Person
SOP
Reference1
Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).
29
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QAPP Worksheet #26 Title:
(UFP-QAPP Manual Appendix A) Revision Number:
Use this worksheet to identify components of the project-specific sample handling system. Revision Date:
Record personnel, and their organizational affiliations, who are primarily responsible for Page of
ensuring proper handling, custody, and storage of field samples from the time of collection,
to laboratory delivery, to final sample disposal. Indicate the number of days field samples
and their extracts/digestates will be archived prior to disposal.
Sample Handling System
SAMPLE COLLECTION, PACKAGING, AND SHIPMENT
Sample Collection (Personnel/Organization'):
Sample Packaging (Personnel/Organization'):
Coordination of Shipment (Personnel/Organization):
Type of Shipment/Carrier:
SAMPLE RECEIPT AND ANALYSIS
Sample Receipt (Personnel/Organization):
Sample Custody and Storage (Personnel/Organization'):
Sample Preparation (Personnel/Organization'):
Sample Determinative Analysis (Personnel/Organization'):
SAMPLE ARCHIVING
Field Sample Storage (No. of days from sample collection):
Sample Extract/Digestate Storage (No. of days from extraction/digestion):
Biological Sample Storage (No. of days from sample collection):
SAMPLE DISPOSAL
Personnel/Organization:
Number of Days from Analysis
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QAPP Worksheet #27 Title:
(UFP-QAPP Manual Section 3.3.3) Revision Number:
Describe the procedures that will be used to maintain sample custody and Revision Date:
integrity. Include examples of chain-of-custody forms, traffic reports, sample Page of
identification, custody seals, laboratory sample receipt forms, and laboratory
sample transfer forms. Attach or reference applicable SOPs.
Sample Custody Requirements
Field Sample Custody Procedures (sample collection, packaging, shipment, and delivery to laboratory):
Laboratory Sample Custody Procedures (receipt of samples, archiving, disposal):
Sample Identification Procedures:
Chain-of-custody Procedures:
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QAPP Worksheet #28
(UFP-QAPP Manual Section 3.4)
Complete a separate worksheet for each sampling technique, analytical method/SOP,
matrix, analytical group, and concentration level. If method/SOP QC acceptance
limits exceed the measurement performance criteria, the data obtained may be
unusable for making project decisions.
Title:
Revision Number:
Revision Date:
Page of
QC Samples Table
Matrix
Analytical Group
Concentration Level
Sampling SOP
Analytical Method/
SOP Reference
Sampler's Name
Field Sampling
Organization
Analytical
Organization
No. of Sample
Locations
QC Sample:
Frequency/Number
Method/SOP QC
Acceptance Limits
Corrective Action
Person(s)
Responsible for
Corrective Action
Data Quality
Indicator (DQj)
Measurement Performance
Criteria
32
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QAPP Worksheet #29
(UFP-QAPP Manual Section 3.5.1)
Identify the documents and records that will be generated for all aspects of the
project including, but not limited to, sample collection and field measurement,
on-site and off-site analysis, and data assessment.
Title:
Revision Number:
Revision Date:
Page of
Project Documents and Records Table
Sample Collection
Documents and Records
On-site Analysis
Documents and Records
Off-site Analysis
Documents and Records
Data Assessment
Documents and Records
Other
33
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QAPP Worksheet #30
(UFP-QAPP Manual Section 3.5.2.3)
Identify all laboratories or organizations that will provide analytical services
for the project, including on-site screening, on-site definitive, and off-site
laboratory analytical work. Group by matrix, analytical group, concentration,
and sample location or ID number. If applicable, identify the subcontractor
laboratories and backup laboratory or organization that will be used if the
primary laboratory or organization cannot be used.
Analytical Services Table
Title:
Revision Number:
Revision Date:
Page of
Matrix
Analytical
Group
Concentration
Level
Sample
Locations/ID
Numbers
Analytical SOP
Data Package
Turnaround
Time
Laboratory/Organization
(Name and Address,
Contact Person and
Telephone Number)
Backup
Labo r ato ry/Organiz ation
(Name and Address,
Contact Person and
Telephone Number)
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QAPP Worksheet #31
(UFP-QAPP Manual Section 4.1.1)
Identify the type, frequency, and responsible parties of
planned assessment activities that will be performed for the project.
Title:
Revision Number:
Revision Date:
Page of
Planned Project Assessments Table
Assessment
Type
Frequency
Internal or
External
Organization
Performing
Assessment
Person(s) Responsible
for
Performing Assessment
(Title and Organizational
Affiliation)
Person(s) Responsible
for Responding to
Assessment Findings
(Title and Organizational
Affiliation)
Person(s) Responsible
for Identifying
and Implementing
Corrective Actions (CA)
(Title and Organizational
Affiliation)
Person(s)
Responsible for
Monitoring
Effectiveness of
CA (Title and
Organizational
Affiliation)
35
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QAPP Worksheet #32
(UFP-QAPP Manual Section 4.1.2)
For each type of assessment describe procedures for handling
QAPP and project deviations encountered during the planned
project assessments.
Title:
Revision Number:
Revision Date:
Page of
Assessment Findings and Corrective Action Responses
Assessment
Type
Nature of
Deficiencies
Documentation
Individual(s)
Notified of Findings
(Name, Title,
Organization)
Timeframe of
Notification
Nature of
Corrective Action
Response
Documentation
Individual(s)
Receiving Corrective
Action Response
(Name, Title, Org.)
Timeframe for
Response
36
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QAPP Worksheet #33
(UFP QAPP Manual Section 4.2)
Identify the frequency and type of planned QA Management
Reports, the project delivery dates, the personnel responsible
for report preparation, and the report recipients.
Title:
Revision Number:
Revision Date:
Page of
QA Management Reports Table
Type of Report
Frequency (daily, weekly
monthly, quarterly,
annually, etc.)
Projected Delivery Date(s)
Person(s) Responsible for
Report Preparation (Title
and Organizational
Affiliation)
Report Recipient(s) (Title
and Organizational
Affiliation)
37
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QAPP Worksheet #34
(UFP-QAPP Manual Section 5.2.1)
Describe the processes that will be followed to verify project data.
Manual (Section 5.1). Describe how each item will be verified, when
the activity will occur, and what documentation is necessary, and identify
the person responsible. Internal or external is in relation to the data generator.
Verification (Step I) Process Table
Title:
Revision Number:
Revision Date:
Page of
Verification Input
Description
Internal/
External
Responsible for Verification
(Name, Organization)
38
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QAPP Worksheet #35
(UFP-QAPP Manual Section 5.2.2)
Describe the processes that will be followed to validate project data.
Validation inputs include items such as those listed in Table 9
of the UFP-QAPP Manual (Section 5.1). Describe how each item will be
validated, when the activity will occur, and what documentation is necessary and
identify the person responsible. Differentiate between steps Ha and lib of validation.
Validation (Steps Ha and lib) Process Table
Title:
Revision Number:
Revision Date:
Page of
Step Ila/IIb
Validation Input
Description
Responsible for Validation
(Name, Organization)
39
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QAPP Worksheet #36
(UFP-QAPP Manual Section 5.2.2)
Identify the matrices, analytical groups, and concentration levels that each
entity performing validation will be responsible for, as well as criteria
that will be used to validate those data.
Title:
Revision Number:
Revision Date:
Page of
Validation (Steps Ha and lib) Summary Table
Step Ila/IIb
Matrix
Analytical Group
Concentration
Level
Validation Criteria
Data Validator (title
and organizational
affiliation)
40
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QAPP Worksheet #37 Title:
(UFP-QAPP Manual Section 5.2.3) Revision Number:
Describe the procedures/methods/activities that will be used to Revision Date:
determine whether data are of the right type, quality, and quantity Page of
to support environmental decision-making for the project. Describe
how data quality issues will be addressed and how limitations on the
use of the data will be handled.
Usability Assessment
Summarize the usability assessment process and all procedures, including interim steps and any statistics, equations, and computer
algorithms that will be used:
Describe the evaluative procedures used to assess overall measurement error associated with the project:
Identify the personnel responsible for performing the usability assessment:
Describe the documentation that will be generated during usability assessment and how usability assessment results will be presented
so that they identify trends, relationships (correlations), and anomalies:
41
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