Republic of the Philippines

MEDBUG PHARMACEUTICAL COMPANY

Kabacan, Cotabato

Training Attendance Sheet

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Training Title:
Training Date:
Trainer Name:
Location:
Duration:

S.No Employee Employee Designation Department Shift Date of Time Time Signature
ID Name Attendance In Out

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Employee Training Record

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Department:
Employee Name:
Employee ID:
Designation:
Date of Joining:
Supervisor/Manager:

Training Summary
Training Training Trainer Training Training Duration Completio Evaluation Remarks
Title Date(s) Type Location n Status

● Total Training Hours: ______________________

● Average Evaluation Score: __________________
● Last Training Completed: ___________________

Supervisor/Manager Comments:

Employee Acknowledgement:

I acknowledge that I have completed the training sessions listed above and understand the
skills and procedures required.
Employee Signature: _____________________ Date: ______________________

Manager/Supervisor Signature: ______________________

Supervisor/Manager Signature: _____________________ Date: ______________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Training Evaluation Form

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Training Title:
Date:
Trainer Name:
Department:
Location:
Employee Name:
Employee ID:

Evaluation Criteria
Please rate the following aspects of the training on a scale of 1 to 5:
1 = Strongly Disagree | 2 = Disagree | 3 = Neutral | 4 = Agree | 5 = Strongly Agree
Criteria Rating Comments (if any)
The training objectives were clearly defined.
The content was relevant to my job role.
The material was easy to understand.
The training duration was appropriate.
The trainer was knowledgeable and effective.
There were enough practical examples and exercises.
The training environment was comfortable.
The training has improved my knowledge and skills.
I will be able to apply the learning on the job.

Overall Training Rating:

On a scale of 1 to 10, how would you rate the overall training experience?
Rating: _______________________

Employee Signature: _______________________ Date: _______________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Training Feedback Form

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Training Title:
Training Date:
Trainer Name:
Department:
Location:
Employee Name:
Employee ID:

Feedback Questions:
1. How would you rate the overall quality of the training?

● Excellent [ ]
● Good [ ]
● Average [ ]
● Poor [ ]
● Very Poor [ ]

2. Was the content of the training relevant to your job role?

● Very Relevant [ ]
● Somewhat Relevant [ ]
● Not Relevant [ ]

3. How would you rate the trainer’s ability to deliver the content?

● Excellent [ ]
● Good [ ]
● Average [ ]
● Poor [ ]
● Very Poor [ ]

4. Were the training materials (handouts, slides, etc.) helpful and easy to
understand?

● Yes [ ]
● Somewhat [ ]
● No [ ]

5. Was the length of the training program appropriate?

● Too Long [ ]
● Just Right [ ]
● Too Short [ ]
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

6. Did the training meet your expectations?

● Exceeded Expectations [ ]
● Met Expectations [ ]
● Below Expectations [ ]

7. How confident are you in applying what you learned in the training to your job?

● Very Confident [ ]
● Somewhat Confident [ ]
● Not Confident [ ]

8. How do you rate the facilities and environment provided for the training?

● Excellent [ ]
● Good [ ]
● Average [ ]
● Poor [ ]

Open-Ended Feedback:
9. What did you find most beneficial in this training?
10. What areas do you think could be improved in future training sessions?
11. Do you have any additional comments or suggestions?

Additional Feedback or Suggestions:

Overall Rating:

On a scale of 1 to 10, how would you rate this training session?

Rating: ______________________

Employee Signature: ______________________ Date: ______________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Raw Material Receiving Form

DETAILS
Name of Raw Material:
Name of Pharmacy:
Received by:
Date:
Quantity Received:
Batch Number:
Expiration Date:
Supplier:
Invoice Number:
Purchase Order Number:
Signature:
Remarks:

RAW MATERIAL INVENTORY LOG

DATE RAW MATERIAL BATCH NUMBER QUANTITY

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Head of Production

Pre-production Checklist
Date: ________________________________

Production Manager: ________________________________

Production Area: ________________________________

- Equipment Cleanliness: Yes No

- Raw Material Quality: Yes No
- Production Area Readiness: Yes No
- Tools and Equipment Prepared: Yes No
- Pre-production Meeting Held: Yes No

Remarks:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Dispensing Log
Date: ___________________________

Batch Number: ___________________________

Dispensed By: ___________________________

Raw Material Quantity Required Quantity Verified By

Dispensed (Initials)

Remarks:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Mixing Log

Date: ___________________________
Batch Number: ___________________________

Mixed By: ___________________________

Parameter Value Set Value Achieved Verified By

(Initials)
Speed (RPM)

Duration (Min)

Temp. (°C)

Remarks:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Packaging and Labelling Report

Date: ___________________________

Batch Number: ___________________________

Packaged By: ___________________________

Process Details/Specifications Verified By (Initials)

Filling

Sealing

Labelling

Batch Number

Production Date

Expiry Date

Remarks:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Inspection Report
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Date: ___________________________

Batch Number: ___________________________

Inspected By: ___________________________

Parameter Pass/Fail Remarks

Bottle Integrity

Seal Integrity

Label Accuracy

Label Placement

Random Sampling

Summary of Inspection:

Actions Taken:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Storage Log
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Date: ___________________________

Batch Number: ___________________________

Stored By: ___________________________

Parameter Details/Specifications Verified By (Initials)

Storage Condition

Temp. (°C)

Humidity (%)

Inventory Levels: ________________________________________________________

Remarks:

Checked By: _____________________ Date: _______________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

BATCH MANUFACTURING RECORD (BMR)

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

A. Header Section
Product Name: Approved By:

Manufacturing Date: Quantity to be Produced:

Expiry Date: Reference Master Formula Record (MFR):

Manufactured By: MEDBUG PHARMACEUTICAL COMPANY

B. Raw Materials Section

Raw Grade Quantity Lot
Material Required No. Received Expiry Checked
Supplier
Name (kg or Date Date By
liters)

Raw Materials Verification:

Verified by:

C. Equipment and Area Check

1. Equipment Cleanliness Check:
Is the equipment clean and sterilized? Yes/No
Checked by:

2. Area Cleanliness:
Is the manufacturing area clean and sanitized? Yes/No
Checked by:

D. Manufacturing Process Section

1. Weighing of Ingredients:
Actual Quantity Weighed By: Verified By:
Raw Material
Weighed (kg/liters)

2. Mixing:
Start Time: HH:MM
End Time: HH:MM
Mixing Speed: rpm
Duration: minutes
Checked by:
Verified by:
3. Filtration:
Filtration Start Time: HH:MM
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

End Time: HH:MM

Checked by:
Verified by:

4. pH Measurement (if applicable):

pH Target: pH Range
Actual pH: Measured pH
Checked by:
Verified by:

E. Final Product Inspection

Parameter Specification Actual Result Checked By Verified By
Volume per
Bottle (ml)
pH Level (if
applicable)
Visual Inspection

F. Packaging Section
1. Bottle Filling:
Start Time: HH:MM
End Time: HH:MM
Number of Bottles Filled: No. of Bottles
Checked by:

2. Labeling and Sealing:

Labeling Done Sealing Done
Bottle No. Checked By Verified By
(Yes/No) (Yes/No)

G. Storage and Dispatch Section

1. Storage Location: Location of Finished Product Storage
2. Dispatch Date: MM/DD/YYYY
Final Checked By:

H. Notes and Deviations

Any Deviations, Notes, or Special Instructions:

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production
MATERIAL REQUISITION FORM

Form No.: MR-001 Requested By:

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Date: Requisition No.:

Department: Date Required:

Materials Required
Material Material Unit of Required
Item No. Quantity Purpose
Description Code Measure Date
1
2
3
4
5

Approval Section
Approved By Signature Date
Manufacturing Supervisor
Quality Assurance Manager
Finance Manager

For Inventory/Stores Use Only

Materials Issued By
Issued Quantity Date Issued
Available (Signature)

Special Instructions (if any):

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Remarks:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

GOOD RECEIPT NOTE (GRN)

Company Name:
MEDBUG PHARMACEUTICAL COMPANY

Address: GRN No:

Phone: Supplier Name:

Email: Supplier Address:

Date: Invoice No:

Item Details
Quantity Expiry
Item No. Description Unit Batch No. Remarks
Received Date
1
2
3
4
5

Total Quantity Received

Total Items Received:
Total Quantity:

Acknowledgement
● Received By:
● Quality Check Conducted By:
● Quality Check Date:
● Comments on Quality:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

BATCH RELEASE FORM

Manufactured by:
MEDBUG PHARMACEUTICAL COMPANY

Date of Release: Product Name:

Batch Number: Product Code:

1. Manufacturing Details
Manufacturing Date:
Quantity Produced:
Production Line:

2. Quality Control Check

Parameter Specification Actual Result Pass/ Remarks
Fail
Appearance
Odor
Flavor
pH Level
Brix (Sugar Content)
Microbial Testing (if applicable)
Heavy Metals Testing (if applicable)

3. Compliance Verification
Labeling: [Yes/No]
Packaging: [Yes/No]
Date of Expiry: [Insert Date]

4. Release Authorization
Name Position Signature Date
Quality Control
Officer
Production
Supervisor
Warehouse Manager

5. Distribution Details
● Distribution Date:
● Transport Mode:
● Destination:
● Quantity Released:

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

MEDICATION INVENTORY LOG

MEDICINE DESCRIPTION STRENGTH EXPIRES QUANTITY

NAME

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

CERTIFICATE OF ANALYSIS
Product: LAGUNDI (Vitex negundo) SYRUP
Packaging & Labeling Materials:
Date of Analysis:
Batch Number:
Supplier:
Material Description:
Quantity Analyzed:
Unit:
Test Method:

TEST
SPECIFICATION RESULT PASS/FAIL COMMENTS
PARAMETER

Overall Assessment:
Pass: All test parameters meet specifications.
Fail: One or more test parameters do not meet specifications.

Analyst: ___________________________
Date: ______________________________
Approved by: _______________________
Date: ______________________________
Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production
RAW MATERIAL RECEIPT FORM
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Product: LAGUNDI (Vitex negundo) SYRUP

Date:
Supplier:
Purchase Order Number:
Delivery Note Number:

DATE: LISTER:

Estimated
Classificatio Delivery
Code Number Address reached Sender Handler Remarks
n Time
time

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Inspection Results:
● Visual Inspection:
● Labeling:
● Expiration Date:
● Other:

Receipt Approval:
● Approved:
● Rejected:

Reason for Rejection (if applicable):

_____________________________________________________________________________________
_____________________________________________________________________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

DEVIATION REPORT
Format No. 1
Date:____________________ Control No.:________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Details of Purchased
Representative Filing Report Reporting Location Job No.
Product From

Job Name Job Location Owner Details

DEVIATION REMARKS
Quantity
Size
Shape/Specific
Color
Damage
Delivery
Mixed
Other

DEVIATION DETAILS

Responsible Person/Location Responsibility

Correction

Estimates Recommendations
Credit Amount
Repair/Concessions
Replace/Concession
Other

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Product: LAGUNDI (Vitex negundo) SYRUP

Date:
Supplier:
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Purchase Order Number:

Delivery Note Number:

DATE: LISTER:

Estimated
Delivery
Code Classification Number Address reached Sender Handler Remarks
Time
time

13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.

Inspection Results:
● Visual Inspection:
● Labeling:
● Expiration Date:
● Other:

Receipt Approval:
● Approved:
● Rejected:

Reason for Rejection (if applicable):

_____________________________________________________________________________________
_____________________________________________________________________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

STORAGE AREA INSPECTION RECORD

Date: Batch Number:
Inspector: Quantity:
Location: Time:
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Product: LAGUNDI (Vitex negundo) SYRUP

STORAGE CONDITIONS

Criteria PASS FAIL COMMENTS

Temperature: (20°C - 25°C)

Humidity: (40% - 60%)

Lighting: Adequate and free from direct sunlight

Ventilation: Adequate air circulation

Cleanliness: Free from dust, debris, and pests

Pests: No evidence of pests (e.g., rodents, insects)

Storage Containers: Clean, undamaged, and properly sealed

Labeling: Accurate and legible labels on all containers

Expiration Dates: All products within expiration date

FIFO (First In, First Out) System: Oldest stock is used first

Proper Stacking: Stable and safe stacking of containers

Fire Safety Equipment: Presence and accessibility of fire

extinguishers and other safety equipment
Emergency Procedures: Posted emergency procedures for
handling spills or accidents

Documentation: Complete and accurate storage records

Overall Assessment:
Pass: Storage area meets all requirements.
Fail: Storage area does not meet all requirements.

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production
RELEASE RECORD
Product: LAGUNDI (Vitex negundo) SYRUP
Batch Number: Project Leaders:
Date of Release: Model:
Quantity Released:
Release Authority:
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Storage Locations:
Storage Conditions: Inspection Results:
● Temperature: °C____ _____ ● Visual Inspection:
● Humidity: % ● Labeling: ____________________
● Other: ● Expiration:
● Other:

DOCUMENTATION COMMENTS
1) Master Record Index
2) Device Master Record (Overall Review)
3) Verified Device Specifications
4) Verifies Test and Inspection Procedures
5) Production Validation Documentations
6) Labels, Artwork
7) Packaging
8) Purchase Specifications
9) Vendor Evaluations
10) SOP & QA Manual Reference
MANUFACTURING
1) Equipment Qualification
2) Personnel Training
3) Process Validation
4) Pilot Production
5) Pilot Release
REGULATORY
1) FDA Premarket Approval
SERVICE
1) Servicing Plan
2) Personnel Trained

* The following abbreviations may be used the comment column to save time.
U = Unsatisfactory
NI = Needs Improvement
NA = Not Applicable
S = Satisfactory

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

MEDICINE STORAGE LOG

Product: Lagundi (Vitex Negundo) Syrup Supplier:
Date: Storage Area:

Location: Unit of Measure: (e.g., Pieces, Boxes)

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Material (e.g., Bottles, Caps, Labels, Cartons) Inspection Date:

Batch Number: Inspector:

Quantity Received: Inspection Results:

Storage Conditions:
● Temperature:_________________
● Humidity:___________________
● Lighting:____________________
● Ventilation:__________________
● Pests:_______________________
Inspection Results:

Condition of Materials: Observations: Action Taken

Quantity Used:
● Unit of Measure: (e.g., Pieces, Boxes)
● Date Used:
● Quantity Remaining:

Quantity Remaining:
● Unit of Measure: (e.g., Pieces, Boxes)
● Expiry Date:
● Comments:___________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Approved by:_____________________
Date:___________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

INVENTORY CHECK LIST

Date: Batch Number:
Inspector: Quantity:
Location: Time:
Product: LAGUNDI (Vitex negundo) SYRUP
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

STORAGE CONDITIONS

Criteria PASS FAIL COMMENTS

Temperature: (20°C - 25°C)

Humidity: (40% - 60%)

Lighting: Adequate and free from direct sunlight

Ventilation: Adequate air circulation

Cleanliness: Free from dust, debris, and pests

Pests: No evidence of pests (e.g., rodents, insects)

Storage Containers: Clean, undamaged, and properly sealed

Labeling: Accurate and legible labels on all containers

Expiration Dates: All products within expiration date

FIFO (First In, First Out) System: Oldest stock is used first

Proper Stacking: Stable and safe stacking of containers

Fire Safety Equipment: Presence and accessibility of fire

extinguishers and other safety equipment
Emergency Procedures: Posted emergency procedures for
handling spills or accidents

Documentation: Complete and accurate storage records

Overall Assessment:
Pass: Storage area meets all requirements.
Fail: Storage area does not meet all requirements.

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

DISTRIBUTION
ORDER FORM
Company Name: MEDBUG PHARMACEUTICAL COMPANY
Address:_________________________________________________________
Contact Number: _______________________________________
Email: _______________________________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Website: _______________________________________

Order Information
Order Number: ___________________
Order Date: ___________________
Requested Delivery Date: ___________________

Distributor Informatio
Distributor Name: ___________________
Distributor ID: ___________________
Contact Person: ___________________
Phone Number: ___________________
Email: ___________________
Delivery Address:

Product Details
Product Code Product Name Quantity Unit Price Total Price

Total Quantity: ___________________

Subtotal: ___________________
Tax (if applicable): ___________________
Discount (if applicable): ___________________
Grand Total: ___________________
Payment Information
Payment Method:
● Bank Transfer
● Credit Card
● Cash on Delivery

Bank Details (if applicable):

Bank Name: ___________________
Account Number: ___________________
IFSC Code: ___________________

Delivery Instructions
Terms & Conditions
1. All orders are subject to availability.
2. Payments must be made in full before delivery unless otherwise agreed.
3. Any damages or discrepancies must be reported within 24 hours of receiving the
goods.
4. [Additional Terms & Conditions]

Authorized Signature (Distributor): ___________________ Date: ___________________

Authorized Signature (Company): ___________________ Date: ___________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

PRODUCT DISPATCH CHECKLIST

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Address: _______________________________________
Contact Number: _______________________________________
Email: _______________________________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Dispatch Information
Dispatch Number: _______________
Order Number: __________________
Dispatch Date: ___________________
Carrier/Transport Company: ___________________
Vehicle Number: _________________
Driver's Name: ___________________
Contact Number: ________________

Product Details
Product Product Quantity Quantity Batch Remarks
Code Name Ordered Dispatched Number

Total Quantity Ordered: ___________________

Total Quantity Dispatched: ___________________

Item Status (Yes/No) Remarks

Products packed securely and labeled [ ] Yes [ ] No ___________
Product labels contain correct information [ ] Yes [ ] No
___________
(batch no., expiry, etc.)
Packaging materials meet quality standards [ ] Yes [ ] No ___________
Product cartons/pallets sealed properly [ ] Yes [ ] No ___________
Pallets or boxes labeled with destination [ ] Yes [ ] No ___________

Documentation Checklist
Document Status (Attached/Not Attached) Remarks
Invoice [ ] Attached [ ] Not Attached ___________
Packing List [ ] Attached [ ] Not Attached ___________
Delivery Note/Challan [ ] Attached [ ] Not Attached ___________
Quality Check Report [ ] Attached [ ] Not Attached ___________
Certificate of Analysis ( if [ ] Attached [ ] Not Attached ___________
applicable)

Dispatch Verification
Item Verified By Signature Date
Product Quantity
Product Quality
Packaging
Documentation
Transport Details
Transport Company: __________________________
Driver Name: __________________________
Vehicle Number: __________________________
Departure Time: __________________________

Final Authorization
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Dispatch Approved By (Name & Signature): __________________________

Date: __________________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

DELIVERY NOTE TEMPLATE

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Address: _______________________________________
Contact Number: _______________________________________
Email: _______________________________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Delivery Note Information

Delivery Note Number: ___________________
Order Number: _______________________________________ _
Delivery Date: _______________________
Customer/Distributor Name: ___________________
Customer Address: _______________________________________

Contact Person: ___________________

Phone Number: ___________________

Product Details

Product Product Quantity Quantity Batch Remarks

Code Name Ordered Delivered Number

Total Quantity Ordered: ___________________

Total Quantity Delivered: __________________

Delivery Status
Item Status (Yes/No) Remarks
Products Delivered in [ ] Yes [ ] No
Good Condition
All Items Accounted for [ ] Yes [ ] No
in Delivery
Product Packaging Intact [ ] Yes [ ] No
Any Discrepancies in [ ] Yes [ ] No
Delivery

Additional Notes/Comments

Customer Acknowledgement

I, the undersigned, confirm that I have received the products listed above in the quantities
specified and in good condition.

Customer Name: ___________________

Signature: ___________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Date: _____________________

Authorized by (Company)

Delivered By (Name & Signature): ___________________

Date: ___________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

TRANSPORTATION CONDITION MONITORING FORM

Company Name: MEDBUG PHARMACEUTICAL COMPANY
Address: _______________________________________
Contact Number: _______________________________________
Email: _______________________________________

Transport Information
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Transport Company: _______________________________________

Vehicle Number: ______________________________________
Driver Name: ______________________________________
Contact Number: ______________________________________
Dispatch Date: ______________________________________
Delivery Date: ______________________________________
Route (From - To): ______________________________________
Total Transit Time: ______________________________________

Product Details
Product Code Product Name Batch Number Quantity

Transportation Condition Monitoring

Condition Measurement Measurement Measurement Remarks
Parameter at Dispatch During Transit on Delivery
Temperature _______________ _______________ _______________ ______
(°C)
Humidity _______________ _______________ _______________ ______
(%)
Packaging [ ] Intact [ ] Intact [ ] Intact ______
Condition [ ] Damaged [ ] Damaged [ ] Damaged
Vehicle [ ] Clean [ ] Clean [ ] Clean ______
Cleanliness [ ] Dirty [ ] Dirty [ ] Dirty
Security [ ] Intact [ ] Intact [ ] Intact ______
Seals [ ] Broken [ ] Broken [ ] Broken

Additional Observations During Transit

Time Location Condition Observed Remarks

Driver’s Remarks:___________________________________________________________________________

Customer/Receiver's Inspection at Delivery

Item Status (Yes/No) Remarks
Products Received in Good Condition [ ] Yes [ ] No

Packaging Intact Upon Arrival [ ] Yes [ ] No

Product Quantity Matches Delivery Note [ ] Yes [ ] No
Temperature/Humidity Maintained During [ ] Yes [ ] No
Transit
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Final Remarks and Acknowledgment

I, the undersigned, confirm that the products were received under the conditions specified
in this form.

Receiver’s Name: __________________________

Receiver’s Signature: __________________________
Date: __________________________

Transporter's Signature

Driver’s Name: __________________________

Driver’s Signature: __________________________
Date: __________________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

RETURNED PRODUCT FORM

DATE: NOTICE: RETURN OF PRODUCTS

TO: FROM:

We are submitting this notice to our regection of the following order:

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

CONTRACT DATE: P.O.# INVOICE#

DELIVERY DATE: PACKING SLIP# BILL OF LADING#

We are hereby RETURNING the above goods on account of defects in goods stated as
follows:

REF# QTY DESCRIPTION DESCRIPTION PRICE CREDIT

OF ITEM OF DAMAGE DUE

TOTAL CREDIT DUE:

Credit for the products returned is hereby claimed and demanded. Such claim does not
limit our rights to further credits or damages in the event that additional credits or
damages are discovered to be due or additional retums are made. Settlement with or
release to you does not walve any rights against any other party. All rights are reserved
cumulatively and not exclusively. Nothing contained herein shall alter any other
documentation issued by us, unless specifically so stated.

This notice is made under the [CODE] (if applicable) and all other applicable laws.

RETURNING PARTY
by:

Printed Name and Authorized Signature

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

ROOT CAUSE ANALYSIS FORM

Date of Analysis: _____________________
Conducted by: ________________________
Department: __________________________
Incident/Problem Description: ___________________________________________________________

Problem Statement
o (briefly describe the incident or problem)
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

o (date and time)

o (location)

Data Collection
o (list any data, reports, or evidence gathered)
o Witnesses (list the factors that led directly to the incident)

Identification of Immediate Causes

● (list of the factors that led directly to the incident)

Identification of roof causes

● (identify underlying causes)

Action Plan
● (list actions to address root causes)
● (who will implement these actions)
● Deadline for implementation

Follow-up
● (describe whether actions were implemented and their effectiveness)

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

FINAL RECALL REPORT FORM

Company Name: MEDBUG PHARMACEUTICAL COMPANY

Product Name: Lagundi Syrup
Product Code/ID: __________________________
Recall Initiation Date: _____________________
Report Date: _________________________________

Recall Overview
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

● (brief description on why the recall was initiated)

● (specify the classification based on the severity of the issue – Class I, II, III)
● (when was the recall first announced)

Product Information
● (list specific details about the products involved in the recall, including batch/lot
numbers)
● (total number of units recalled)

Recall Execution
● (describe the methods used to notify customers and retrieve the product)
● (specify communication channels used)
● (percentage of customers who responded to the recall notification)

Outcome of Recall
● (number of units successfully returned)
● (total number of units disposed of after return)
● (units still in circulation or unaccounted for)

Final Remarks
● (lessons learned)
● (additional comments)

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Sample Collection Log

Date: ________________________________

Batch Number: _________________________________

Supplier: _______________________________________

Received By: ________________________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Sample ID: _____________________________

Time Collected: ________________________________

Storage Conditions: ______________________________________

Remarks:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Physical Inspection Report

Date: _______________________

Batch Number: _______________________

Inspected By: _______________________

Sample ID: _______________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Appearance: _______________________

Color: _______________________

Odor: _______________________

Signs of Contamination: _______________________

Remarks:

Summary of Physical Inspection:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Chemical Analysis Report

Date: ____________________________

Batch Number: ____________________________

Tested By: _____________________________

Sample ID: _____________________________

Test Conducted: _____________________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Results: _____________________________

Pass/Fail: _____________________________

Remarks:

Summary of Chemical Analysis:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Microbiological Test Report

Date: ____________________________

Batch Number: ____________________________

Tested By: _____________________________

Sample ID: _____________________________

Microbial Tests Conducted: _____________________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Results: _____________________________

Pass/Fail: _____________________________

Remarks:

Summary of Microbiological Test:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Comprehensive Analysis Report

Date: ________________________

Batch Number: _______________________

Reported By: ________________________

Test Conducted:
- Physical Inspection
- Sample ID: ____________
- Results: ____________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

- Pass/Fail: ____________
- Actions Taken: ____________
- Remarks: ____________

- Chemical Analysis
- Sample ID: ____________
- Results: ____________
- Pass/Fail: ____________
- Actions Taken: ____________
- Remarks: ____________

- Microbiological Test
- Sample ID: ____________
- Results: ____________
- Pass/Fail: ____________
- Actions Taken: ____________
- Remarks: ____________

Overall Conclusion:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Sample Collection Log

Date: ________________________________

Sample Number: _________________________________

Batch Number: ________________________________

Quantity Collected: _____________________________

Sampling Location: ________________________________

Sampling Personnel: ______________________________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Signature: _____________________________

Remarks:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Visual Inspection Report

Date: _______________________

Sample Number: _________________________

Label Appearance:
● Color

● Clarity

● Print quality (text, graphics)

● Adhesion
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

● Defects (if any)

Pass/Fail: ________________________

Inspector: _________________________

Signature: _____________________________

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Adhesion Test Report

Date: ____________________________

Batch Number: ____________________________

Tested By: _____________________________

Sample ID: _____________________________

Condition Applied: ____________________________

Duration: _______________________________

Adhesion Quality (Pass/Fail): ______________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Remarks:

Summary of Adhesion Test:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Chemical Resistance Test Report

Date: ____________________________

Batch Number: ____________________________

Tested By: ____________________________

Sample ID: ____________________________

Chemical Exposed: ____________________________

Duration: ____________________________

Changes Observed: ____________________________

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Pass/Fail: ____________________________

Remarks:

Summary of Chemical Resistance Test:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Comprehensive Analysis Report

Date: ________________________
Batch Number: _______________________
Reported By: ________________________

Test Conducted:
- Visual Inspection
- Sample ID: _________________________
- Results: _________________________
- Pass/Fail: ____________________________
- Actions Taken: _______________________
- Remarks: ________________________

- Adhesion Test
- Sample ID: _______________________
- Results: ________________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

- Pass/Fail: ________________________
- Actions Taken: ________________________
- Remarks: ________________________

- Chemical Resistance Test

- Sample ID: ________________________
- Results: _________________________
- Pass/Fail: ________________________
- Actions Taken: __________________
- Remarks: ______________________

Overall Conclusion:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

Material Strength Test Report

Date: ____________________________

Batch Number: ____________________________

Tested By: _____________________________

Sample ID: _____________________________

Tensile Strength: _____________________________

Compression Test: _____________________________

Tear Resistance: _____________________________

Pass/Fail: _____________________________
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Remarks:

Summary of Material Strength Test:

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

RECORD RETENTION FORM

Company Name: MEDBUG PHARMACEUTICAL COMPANY

Department: _____________________________________________________
Effective Date: ___________________________________________________

Record Details
● (type of records – batch records, quality control records, training records)
● (brief description of the record)
● (specify the retention period – e.g. 5 years)
● (indicate the location of the records to be stored)

Compliance Information
● (regulatory requirement – list any applicable regulations or guidelines that dictate
retention requirements)
● (name and title of the individual responsible for maintaining the records)
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Review and Disposal

● (describe how records will be disposed after the retention period)
● (expected date of disposal after the retention period)

Acknowledgement

Prepared by:

Richelle Joy M. Calapuan

Head of Quality Control

Reviewed by:

May Kayla G. Bayaya

Head of Production

BATCH PRODUCTION RECORD FORM

Product Title: Page:
Prepared by: Production Name: Sign: Batch No.
Head

Approved QC Head Name: Sign: Manufacturing

by: Date:

Expiration Date:

1. BATCH DETAILS
Product description

Batch quantity

Packaging
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Storage condition

2. RAW MATERIALS
COUNTRY OF
QUANTITY BATCH NO. EXPIRY
DESCRIPTION ORIGIN REMARK
REQUIRED OF THE RM DATE
(MANUFACTURER)

3. PROCESSING EQUIPMENTS
EQUIPMENTS USED VERIFIED/CALIBRATED REMARK

4. PRODUCTION PROCESS
1. DISPENSING AND RAW PERFORMED BY: VERIFIED BY:
MATERIAL
PREPARATION

2. GRINDING AND MIXING

3. FILLING, CAPPING, AND

LABELING

4. YIELD CALCULATION

POST PRODUCTION REVIEW AND PRODUCT RELEASE

The complete BPR has been reviewed for completeness and accuracy. All pages are complete and all
entries conform good product documentation practice.
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

The product conforms to finished goods specification.

Confirmed by: Name:__________________________________

Signature:_______________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

SYRUP PREPARATION FORM

Product Title: Page:
Prepared by: Production Name: Sign: Batch No.
Head

Approved QC Head Name: Sign: Manufacturing

by: Date:
Expiration Date:

Raw Material Weighing Sheet

RAW LOT NO. SUPPLIER QUANTITY QUANTITY WEIGHTED CHECKED
MATERIAL REQUIRED WEIGHTE BY BY
(g/ml) D
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Ingredient Used Sheet

INGREDIENTS LOT NO. SUPPLIER QUANTITY REMARKS
USED

pH Adjustment Log
SAMPLE NO. TIME INITIAL pH ADJUSTMENTS FINAL pH CHECKED
BY

Quality Control Test Report

TEST SPECIFICATION RESULT APPROVED BY REMARKS

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

FILTRATION AND PASTEURIZATION LOG FORM

Product Title: Page:
Prepared by: Production Name: Sign: Batch No.
Head

Approved QC Head Name: Sign: Manufacturing

by: Date:

Expiration Date:

1. FILTRATION AND PASTEURIZATION LOG

STEPS START END TIME TEMPERATURE PERFORMED CHECKED
TIME BY BY
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

2. QUALITY CONTROL TEST REPORT

TEST SPECIFICATION RESULT APPROVED BY REMARKS
pH Value

Viscosity

Microbial Test

Assay

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

FILLING LOG
MEDBUG PHARMACEUTICAL COMPANY

Product Name: ______________________ Scheduled Start Time: ____________________

Product Code: _______________________ Actual Start Time: _________________________
Batch Number: ______________________ Scheduled End: _____________________________
Filling Date: __________________________ Actual End Time: ___________________________

Personnel Involved

Role Name Signature

*Operator
*Quality control
*Supervisor

Equipment Used

Equipment Name Equipment ID Calibration Date

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Filling Process Details

● (filling method used)
● (filling volume/weight)
● (total number of units filled in this batch)
● (describe any issues or deviations from the SOP during the filling process)

Quality Control Checks

Check Description Results Initials

Signatures:
________________________ ________________________________
_________________________________
Filling Operator Quality Control Representative Supervisor

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

In-Process Quality Check Log

MEDBUG PHARMACEUTICAL COMPANY

Product Name: ______________________ Scheduled Start Time: ____________________

Product Code: _______________________ Actual Start Time: _________________________
Batch Number: ______________________ Scheduled End: _____________________________
Manufacturing Date: ________________ Actual End Time: ___________________________

Personnel Involved

Role Name Signature

*Operator
*Quality control
*Supervisor

Quality Check Performed

Check Description Frequency Method Used Results Initials

*Visual inspection
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

*Manual inspection
*Weight verification
*pH level check
*Container integrity
*Label accuracy
*Manual verification

Deviations and Corrective Actions

● (describe any deviations observed)
● (detail any corrective actions implemented)
● (date of action)
● (responsible person)

Final Review and Approval

● (final product status – approved or rejected)
● (remarks)

Signatures:
________________________________ ________________________________
Quality Control Representative Supervisor

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

QUALITY CONTROL TEST REPORT FORM

Product Title: Page:
Prepared by: Production Name: Sign: Batch No.
Head

Approved QC Head Name: Sign: Manufacturing

by: Date:

Expiration Date:

1. QUALITY CONTROL TEST REPORT

TEST SPECIFICATION RESULT APPROVED BY REMARKS
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

EQUIPMENT CALIBRATION LOG FORM

DEPARTMENT:
EQUIPMENT ID/NAME:
CALIBRATION FREQUENCY:
DATE OF CALIBRATION:
NEXT CALIBRATION DUE:
CALIBRATED BY:
REVIEWED BY:

CALIBRATION REPORT
CALIBRATION EQUIPMENT/ SERIAL REFERENCE READING READING REMARKS
DATE INSTRUMENT NO. STANDARD (BEFORE (AFTER
USED CALIBRATION) CALIBRATION)
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

BATCH PRODUCTION RECORD FORM

Product Title: Page:
Prepared by: Production Name: Sign: Batch No.
Head

Approved QC Head Name: Sign: Manufacturing

by: Date:

Expiration Date:

5. BATCH DETAILS
Product description

Batch quantity

Packaging
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Storage condition

6. RAW MATERIALS
COUNTRY OF
QUANTITY BATCH NO. EXPIRY
DESCRIPTION ORIGIN REMARK
REQUIRED OF THE RM DATE
(MANUFACTURER)

7. PROCESSING EQUIPMENTS
EQUIPMENTS USED VERIFIED/CALIBRATED REMARK

8. PRODUCTION PROCESS
5. DISPENSING AND RAW PERFORMED BY: VERIFIED BY:
MATERIAL
PREPARATION

6. GRINDING AND MIXING

7. FILLING, CAPPING, AND

LABELING

8. YIELD CALCULATION

POST PRODUCTION REVIEW AND PRODUCT RELEASE

The complete BPR has been reviewed for completeness and accuracy. All pages are complete and all
entries conform good product documentation practice.
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

The product conforms to finished goods specification.

Confirmed by: Name:__________________________________

Signature:_______________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Sensory Profile Form

General Processing and regulation Tactile(Touch)

Olfactory (Smell) Visual(Sight)

Oral/Gustatory Interoception
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

SENSORY EVALUATION FORM

Product: LAGUNDI (Vitex negundo) SYRUP
Packaging & Labeling Materials
Date of Evaluation:
Evaluator:
Batch Number:
Supplier:
Storage Location:

Attribute Description Rating (1-5) Comments

Visual inspection of
Appearance packaging and labeling
materials
Consistency and
Color appropriateness of
color
Feel of the materials
Texture (smoothness,
roughness, etc.)
Clarity and legibility of
Print Quality
printed information
Any unusual or off-
Odor
putting smells
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Condition of materials
Integrity (freefree from damage,
tears, etc.)
Quality of adhesive
Adhesion properties (labels
sticking properly)
Appropriateness of size
Size and Fit
and fit for the product
General impression of
Overall Satisfaction
the materials
Rating Scale:
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent

Overall Assessment:
Pass: All sensory attributes meet specifications.
Fail: One or more sensory attributes do not meet specifications.

Evaluator's Signature: ________________________

Date: ________________________
Comments:___________________________________________________________________________
_____________________________________________________________________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Daily Cleaning Log

Observations
Cleaned By
Date (With Time
(With Supervisor's
(YYYY-MM- Equipment ID Started and
Cleaning Signature
DD) Time
Agent used)
Completed
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Weekly Inspection Report

Week Ending: ___________________________________

Equipment: _____________________________________

Inspection Items:
o Physical condition (cracks, dents, etc.)

o Functionality (proper operation)

o Calibration (if applicable)

o Cleaning effectiveness

o Sanitization effectiveness

Inspection Results:
● Satisfactory
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

● Unsatisfactory (specify issues)

Corrective Actions (if applicable):

Inspector: _______________________
Signature: ______________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Monthly Validation Report

Month Ending: __________________________________

Equipment: ________________________________________

Validation Parameters:
● Cleaning effectiveness

● Sanitization effectiveness

● Equipment calibration (if applicable)

Validation Results:
● Meets specifications

● Does not meet specifications (specify deviations)

Corrective Actions (if applicable):

 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Validation Team:

______________________________
___________________________
____________________________________

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

Sanitization Log
Observations
Sanitized By
Date (With Time
(With Supervisor's
(YYYY-MM- Equipment ID Started and
Sanitizing Signature
DD) Time
Agent used)
Completed
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production

CLEANING SCHEDULE LOG

Cleaning Area Cleaning Responsible Date
Frequency Person Completed

CLEANING AGENTS AND MATERIALS

Cleaning Purpose Quantity Date
Agent/Material
 Republic of the Philippines
MEDBUG PHARMACEUTICAL COMPANY
Kabacan, Cotabato

Prepared by: Reviewed by:

Richelle Joy M. Calapuan May Kayla G. Bayaya

Head of Quality Control Head of Production