Here is a sample Daily Quality Control (QC) Log Sheet template for laboratory use.
This can be
used in Excel or printed for manual entry. It applies to any department (chemistry, hematology,
etc.) and helps monitor both normal and abnormal QC levels.
🧾 DAILY QUALITY CONTROL LOG SHEET
📍 Laboratory Section: __________________________
📅 Date: __________________________
🧪 Analyzer/Instrument: __________________________
👨🔬 Performed by: __________________________
Control Level Expected Observed Remarks/Action
Time Test/Analyte Pass/Fail Initials
(Normal/Abnormal) Range Value Taken
4.2 – 6.3
08:00 Glucose Normal
mmol/L
10.5 –
08:00 Glucose Abnormal (High) 13.2
mmol/L
60 – 110
08:00 Creatinine Normal
µmol/L
30 – 55
08:00 Creatinine Abnormal (Low)
µmol/L
...
✅ Checklist
Controls run before patient testing
Results plotted on Levey-Jennings chart
Out-of-range results investigated
Corrective actions documented if applicable
Supervisor review completed
👩🔬 Technologist Signature: ______________________
👨💼 Supervisor Review & Sign-off: ______________________
📁 Want a Downloadable Version?
Would you like me to:
Generate an Excel file for this sheet?
Include auto-coloring for Pass/Fail fields?
Add a Levey-Jennings chart integration?
Let me know and I’ll create it for you!
