mm s r4 US Environmental Protection Agency Office of Pesticide Programs Office of Pesticide Programs Microbiology Laboratory Environmental Science Center, Ft. Meade, MD Standard Operating Procedure for Media and Reagent Preparation: Assigning Prep and Sterilization Run Numbers SOP Number: QC-15-04 Date Revised: 11-06-08 ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 1 of 8 EPA/OPP MICROBIOLOGY LABORATORY ESC, Ft. Meade, MD Standard Operating Procedure For Media and Reagent Preparation: Assigning Prep and Sterilization Run Numbers SOP Number: QC-15-04 Date Revised: 11-06-08 Initiated By: Print Name: Technical Review: Print Name: Technical Staff QA Review: Print Name: QA Officer Approved By: Print Name: Branch Chief Date: / / Date: / / Date: / / Date: / / Effective Date: / / Controlled Copy No.: Withdrawn By: TABLE OF CONTENTS Date: / / ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 2 of 8 Contents Page Number I.0 SCOPE AM) APPLICATION 2 2.0 DEFINITIONS 3 3.0 HEALTH AND SAFETY 3 4.0 CAUTIONS 3 5.0 INTERFERENCES 3 6.0 PERSONNEL QUALIFICATIONS 3 7.0 SPECIAL APPARATUS AND MATERIALS 3 8.0 INSTRUMENT OR METHOD CALIBRATION 3 9.0 SAMPLE HANDLING AND STORAGE 3 10.0 PROCEDURE AM) ANALYSIS 4 II.0 DATA ANALYSIS/CALCULATIONS 5 12.0 DATA MANAGEMENT/RECORDS MANAGEMENT 5 13.0 QUALITY CONTROL 5 14.0 NONCONFORMANCE AND CORRECTIVE ACTION 5 15.0 REFERENCES 5 16.0 FORMS AND DATA SHEETS 5 1.0 SCOPE AND APPLICATION: ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 3 of 8 1.1 This standard operating procedure describes how to assign media/reagent preparation and sterilization batch control numbers. Tracking media and reagents from preparation to use must be thoroughly documented. 2.0 DEFINITIONS: None 3.0 HEALTH AND SAFETY: Not applicable 4.0 CAUTIONS: None 5.0 INTERFERENCES: 5.1 The suffix on all preparations is critical for the tracking of all preparations and its assignment must be made by following the SOP explicitly. 6.0 PERSONNEL QUALIFICATIONS: 6.1 Personnel must be knowledgeable of the procedures for assigning preparation and sterilization batch control numbers. Documentation of training and familiarization with this SOP can be found in the training file for each employee. 7.0 SPECIAL APPARATUS AND MATERIALS: 7.1 Autoclave #1 located in room B206, Amsco Eagle 3000 Scientific Series, Model E3031-S-1, Serial No. 0105898-25 7.2 Autoclave #2 located in room B204, Amsco Eagle 3000 Scientific Series, Model E3031-S-1, Serial No. 0108298-11 7.3 Autoclave #3 located in room B207, Amsco Century Series Scientific Gravity Sterilizer (16x16x26"), Model SG-116, Serial No. 0121198-15 7.4 Autoclave #4 located in room B202, Amsco Century Series Scientific Gravity Sterilizer (20x20x26"), Model SG-120, Serial No. 0103000-16 7.5 Autoclave # 5 located in room D122, Tuttnauer Prevacuum Steam Heated Autoclave with Vertical Sliding Door and Steam Generator (52x72x51"), Model 5596-EP-1V, Serial No. 2311036 8.0 INSTRUMENT OR METHOD CALIBRATION: Not applicable 9.0 SAMPLE HANDLING AND STORAGE: ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 4 of 8 9.1 Media and reagents are subject to proper storage as specified by the manufacturer. 10.0 PROCEDURE AND ANALYSIS: 10.1 When preparing media and reagents, completion of the Media/Reagent Preparation Sheet and Media/Reagent Preparation Log Form is required (see 16.0). 10.2 The Media/Reagent Preparation sheet identifies information relevant to the preparation of the media or reagent. The preparation sheet may also be used for non-media items that require a preparation number such as glass slide carriers, porcelain carriers, and steel carriers. 10.3 All boxes on the Media/Reagent Preparation sheet must be filled out with the appropriate information for that section. If a section is not applicable to the item being prepared, place N/A (Not Applicable) in that section. 10.4 Record the storage requirement for the media at the bottom of the page. If the material is to be used immediately and requires no storage, then place N/A in that section. 10.5 All media and reagents will be assigned a preparation control number. 10.5.1 The preparation control number consists of two parts: 1) the first seven digits represent the date the medium or reagent was prepared: P-MMDDYY where P=Prepared, MM=month, DD=day, and YY=the last two digits of the calendar year; and 2) the suffix, where the digits after the dash act as a counter for the number of preparations made on the same date. For example, the first preparation made on November 6, 2008 would have the control number PI 10608-01. The next item prepared on that same day would have a suffix of -02; the third preparation made on that same day would have a suffix of -03, etc. 10.5.2 For all media and reagents that are sterilized by autoclaving, a sterilization batch number is assigned. The procedure for assigning the sterilization batch number follows similar notation for assigning preparation control numbers. The sterilization batch number consists of two parts: 1) the first seven digits represent the date the batch was sterilized: S-MMDDYY where S=Sterilization, MM=month, DD=day, and YY=the last two digits of the calendar year; and 2) the suffix where the first digit after the dash indicates the autoclave used and the ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 5 of 8 next two digits act as a counter for the number of preparations made on the same date. For example, the first batch sterilized on November 6, 2008 in autoclave 1 (Room B206) would have the control number S-l 10608-101. The next batch sterilized on that same day and same autoclave would have a suffix of -102; the third batch sterilized would have a suffix of -103; etc. 11.0 DATA ANALYSIS/CALCULATIONS: None 12.0 DATA MANAGEMENT/RECORDS MANAGEMENT: 12.1 Data will be recorded promptly, legibly, and in indelible ink on the appropriate forms. Completed forms are archived in notebooks kept in secured file cabinets in the file room D217. Only authorized personnel have access to the secured files. Archived data is subject to OPP's official retention schedule contained in SOP ADM-03, Records and Archives. 13.0 QUALITY CONTROL: 13.1 For quality control purposes, the required information is documented on the appropriate form(s) (see 16.0). 14.0 NONCONFORMANCE AND CORRECTIVE ACTION: 14.1 If a preparation control number or sterilization batch number is missing and cannot be determined from the Media/Reagent Preparation Sheet (see 16.1), or the Daily Sterilization Record Information Log Form (see 16.2), the media or reagent will not be used in any testing procedure and will be discarded. 15.0 REFERENCES: None 16.0 FORMS AND DATA SHEETS: 16.1 Media/Reagent Preparation Sheet 16.2 Media/Reagent Preparation Log Form 16.3 Daily Sterilization Record Information Log Form ------- 16.1 SOP No. QC-15-04 Date Revised 11-06-08 Page 6 of 8 MEDIA/REAGENT PREPARATION SHEET OPP MICROBIOLOGY LABORATORY Media/Reagent Name: Amount Prepared: Prep #: Preparation Date/Initials: pH Meter #: Dispenser: (circle one) Water Bath #(s): BSC #(s): Sterilization #: Hamilton Oxford Hand NA Media/Chemical Ingredients: Control No: Amount Required: Amount Measured: Preparation/Modifications/Notes: Required pH: pH Before Autoclaving with Medium Cooled to Room Temperature: Final pH After Autoclaving with Medium Cooled to Room Temperature: pH: Temperature: pH: Temperature: Volume of Acid/Base added lo obtain final pH: Sterility/Viability Test Results Sterility Viability Pass Fail Pass Fail Storage of Reagent/Media: Media Requested bv: Media Prepared for: ATP R&D PIP ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 7 of 8 16.2 Media/Reagent Preparation Log Form OPP Microbiology Laboratory Media Information Date/Initials Preparation Number Type of Media/Reagent Amount ------- SOP No. QC-15-04 Date Revised 11-06-08 Page 8 of 8 16.3 Daily Sterilization Record Information Log Form OPP Microbiology Laboratory Cycle1 Unit Temp.2 Max. Thermometer3 Chemical Indicator Strips Items Processed Sterilization No.5 Init. Type Time Min. Max. Temp. Serial # Lot No. Exp. Date Result4 'Record the cycle as "G" = gravity, "L" = liquid under Type and the duration of the cycle in minutes under Time. 2Record the maximum and minimum temperature achieved during the sterilize phase of the cycle as indicated by the autoclave printout (Unit). 3Record the corrected value for the maximum registering thermometer (Max.) and the serial number of the thermometer. 4Record the results of the chemical indicator strips as "P" for pass or "F" for fail. 5The Sterilization No. indicates the date as well as the unit location and the run number. ------- |