Assessment Forms and Checklist

NABL 219
National Accreditation Board for Testing

and Calibration Laboratories (NABL)
Assessment Forms and Checklist

(Based on ISO/IEC 17025:2017)
Issue no. : 01 Amendment no. : 01

Issue date : 25-Jun-2018 Amendment date : 20-Dec-2018
AMENDMENT SHEET
SI. Page Clause Date of Amendment Reasons Signature Signature

No. No. Amendment QM CEO
1. 3 -- 20.12.2018 Inclusion of Internal -Sd- -Sd-
Assessment
Scheduled (NAF 1)
2.
3.
4.
5.
6.
7.
8.
9.
10.
National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 219 Assessment Forms and Checklist (based on ISO/IEC 17025: 2017)
Issue No: 01 Issue Date: 25-Jun-2018 Amend No: 01 Amend Date: 20-Dec-2018 Page No: 1/22
CONTENTS
SI. Title Page No.

Amendment Sheet
Contents
NAF 1- Assessment Schedule

1. 3
NAF 1A- Attendance Sheet (Opening/Closing Meeting)
2. 4
NAF 3- Calibration(s) witnessed by the Assessment Team
3. 5
NAF 3A- Details Of Testing / Re-Testing Witnessed During Assessment
4. 6
NAF 4- Assessor’s Summary on Non-Conformity
5. 7
NAF 6- Assessment Summary
6. 8
Form 71- Recommended Authorized Signatories
7. 9
Form 72- Recommended Scope of Accreditation (Testing)
8. 10
Form 73- Recommended Scope of Accreditation (Calibration)
9. 11
Form 74- Declaration Of Impartiality & Confidentiality
10. 12
Checklist - Clause 4 of ISO/IEC 17025:2017
11. 13
12. 14
13. 15
14. 17
15. 21

NAF - 1
ASSESSMENT SCHEDULE
Laboratory:
Authorized Representative of CAB : Date(s) of Visit:
Type of Visit: Assessment / 1st Surveillance / Re-Assessment / Supplementary Visit
Field: Testing / Calibration Discipline (s):
Facility (s): Permanent / Site / Mobile

Assessment Standard: ISO / IEC 17025: 2017
Specific Criteria of NABL (If applicable):
Opening/Closing Meeting Daily Debriefing Date / Time

Assessment Timings
Date/Time (at the end of each day)
Day 1:
Morning: AM to PM Opening Meeting:
Day 2:
Afternoon: PM to PM Closing Meeting:
Day 3:
Schedule of Locations/ Department/ Section/ Activity to be Assessed (date wise)

Name and Expertise Day 1 Day 2 Day 3
of the Assessor Morning Afternoon Morning Afternoon Morning Afternoon
Lead Assessor
Assessor 1
Assessor 2
Assessor 3
Assessor 4
Assessor 5
Assessor 6
Assessor 7
Observer
(only for observation)
Signature of Lead Assessor

NAF – 1A
ATTENDANCE SHEET (OPENING & CLOSING MEETING)
CAB Name:
Date of Opening Meeting : Date of Closing Meeting :

Time of Opening Meeting : Time of Closing Meeting :
SI. Assessors / CAB Capacity / Designation Signature

Personnel Present Opening meeting Closing meeting

NAF - 3
CALIBRATION(S) WITNESSED BY THE ASSESSSMENT TEAM

(To be filled in by each Technical Assessor)
CAB Name: Date(s) of Assessment:
Assessor: Discipline of Calibration:

Calibration(s) witnessed * Calibration Remarks
Method Used or
Standard
Referred
Signature and Name of Assessor
* No requirement to enclose any attachments / Annexure with this form; only representative CMC estimation to be
enclosed.

NAF – 3A
DETAILS OF TESTING / RE-TESTING WITNESSED DURING ASSESSMENT

(To be filled in by the Technical Assessor)
CAB Name:
Discipline: Date(s) of Assessment:

Test 1 Test 2 Test 3 Test 4
Product / Material of
Test
Test Witnessed
Test Method / Standard

against which tests are
performed
Re-testing of Retained Samples / Replicate Testing/ Fresh Sample/ CRMs
(No requirement to enclose any attachment/ Annexure with this form)
Sample ID
Earlier Reported
Results
Results of Test
Witnessed
Remark:
Deviations Observed, if
any
Conclusion on the
technical competence of
the CAB for the test
performed
Name & Signature of Assessor

NAF - 4
ASSESSOR’S SUMMARY ON NON-CONFORMITY
Name of CAB
Name of the Assessor
Date(s) of Assessment
SI. Non Conformity Statement Cl. No. Classification Acceptance

(ISO / IEC (Major / (Signature of
17025: Minor) CAB
2017 representative)
Signature & Name of Technical Assessor Signature & Name of Lead Assessor

NAF - 6
ASSESSMENT SUMMARY
SI. Item Details

1. CAB Name
2. Date of Assessment
3. Field
4. Discipline(s)
5. Facility Permanent/ Site/ Mobile
6. Type of Assessment Final Assessment/ Surveillance/ Re-assessment / Supplementary visit
7. Assessment Team
8. Date of earlier visit: Non-Conformities during earlier visit have/ have not been discharged. (Yes or
No)
9. Total no. of Non- Major Minor
conformities Clause 4
Clause 5
Clause 6
Clause 7
Clause 8
Total
10. Comment(s) of Assessment Team on compliance of CAB to:
NABL 133
NABL 142
NABL 143
NABL 163
11. Recommendation of   Accreditation may be granted / renewed / continued;
Assessment team as per  Accreditation may be granted / renewed / continued subject to acceptance
ISO/IEC 17025: 2017 of corrective actions for the Non-Conformity (ies) raised.
(Please √ as relevant)  Denial of Accreditation
 Grant for the inclusion of authorized signatory
 Grant of accreditation at the new premises with the existing / additional
scope;
 Accreditation may be granted for additional parameters
 Accreditation may be granted for additional parameters subject to
acceptance of corrective actions for the Non-Conformity (ies) raised.
12. Only if accreditation is recommended, date by which the Corrective Action to be submitted by the CAB for the above
Non-conformities (Max. 30 days):
13. The requirements of
NABL 133 have been
explained by the Lead
Assessor and understood
by the CAB
Enclosures NAF NAF NAF NAF NAF Checklist Form Form Form Form TA/DA PT/ILC Any
6 4 3/3A 1 1A 71 72 74 45 Forms records other
docs.
No. of
Pages
Acknowledgement by Authorised Representative of CAB Signature of Lead Assessor

& Date & Date

FORM 71
RECOMMENDED AUTHORISED SIGNATORIES
CAB Name: Date(s) of assessment:
Field: Testing / Calibration Discipline(s):

The following persons have been recommended as Authorized Signatories for authenticity of Test Reports/ Calibration
Certificates:
SI. Name & Designation of Qualification Relevant Relevant Authorized Specimen
Signatory with Experience Training for which Signature
Specialization (in years) for specific Area
authorized
area
Signature, Date & Name of Assessor(s) Signature, Date & Name of Lead Assessor

Form 72
RECOMMENDED SCOPE OF ACCREDITATION

(For Testing Laboratories)
CAB Name: Date(s) of assessment:
Discipline: Location:
SI. Product(s) / Material of Specific tests/ *Test Method / Range of Testing/ Uncertainty of
test parameters Standard against Limits of detection Measurement+
(including Group Name & performed which tests are () at Observed
Sub- Group name) performed Value
*When referring to publications like NCCLS, IP, BP, USP, ASTM, AOAC etc. kindly mention the clause / chapter / page
number, as appropriate.
+The value at which uncertainty of measurement estimated shall also be specified.
CAB performing site testing shall clearly identify the Specific tests on products(s) / material performed at permanent facility
and / or at site. Refer NABL 130 for details.
Signature, Date & Name Signature, Date & Name Signature, Date & Name
of CAB Representative of Assessor(s) of Lead Assessor

Form 73
RECOMMENDED SCOPE OF ACCREDITATION

(For Calibration Laboratories)
CAB Name:- Date(s) of Visit:
Discipline:-
SI. Parameter / Master Range(s) of Calibration and Measurement Capability ** Remarks /

Device Equipment Measurement Method
Under Used Claimed Observed Recommended used+
Calibration by CAB by by Assessor
(DUC)* Assessor
* Only for Electro-technical discipline; scope shall be recommended parameter vise (where applicable) and the ranges may
be mentioned frequency vise.
** NABL 143 shall be referred for the recommendation of CMC
+ Remarks shall also include whether the same scope is applicable for site calibration as well. NABL 130 shall be referred
while recommending the scope for site calibration.
Signature, Date & Name of CAB Signature, Date & Name of Signature, Date & Name of Lead
Representative Assessor(s) Assessor

Form 74
DECLARATION OF IMPARTIALITY & CONFIDENTIALITY

(to be filled in by each Assessor and enclosed with the Assessment report)
Name Assessor ID:

(To be filled in by NABL Sect.)
Designation
Organisation
Address
Capacity Lead Assessor / Technical Assessor / Technical Expert / Observer
CAB* Assessed
Date of
Assessment
Type of QM Adequacy / Pre-Assessment / Final assessment / Onsite Surveillance / Re-Assessment /
Assessment Supplementary visit
*CAB – Conformity Assessment Body (Testing / Medical / Calibration laboratory / Proficiency Testing Provider (PTP) /
Reference Material Producer (RMP))
I _______________________________________________________, hereby declare that I have not offered any

consultancy, guidance, supervision or other services to the CAB (e.g. internal audit), in any way.
I am / am not* an ex-employee of the CAB and am/ am not* related to any person of the management of the CAB.
I got an opportunity to go through various documents like Quality Manual, Procedural Manuals, Work instructions, Internal
reports etc. of the above CAB and other related information that might have been given by NABL. I undertake to maintain
strict confidentiality of the information acquired in course of discharge of my responsibility and shall not disclose to any
person other than that required by NABL.
*Strike out which is not applicable
Date:
Place : Signature

Checklist (Clause 4 of ISO/IEC 17025:2017)
Name of CAB
Date of Assessment
Activity Assessed
Auditee
Remarks / Comments of Assessor for compliance with citation of objective evidence verified.
(Documents / records to be annexed / enclosed only where a non-compliance is to be supplemented)
4. General requirements
4.1 Impartiality
4.2 Confidentiality

Name of CAB
Date of Assessment
Activity Assessed
Auditee
5 Structural requirements

Name of CAB
Date of Assessment
Activity Assessed
Auditee
6 Resource requirements
6.1 General
6.2 Personnel
6.3 Facilities and environmental conditions
6.4 Equipment

6.5 Metrological traceability
6.6 Externally provided products and services

Name of CAB
Date of Assessment
Activity Assessed
Auditee
7 Process requirements
7.1 Review of requests, tenders and contracts
7.2 Selection, verification and validation of methods

7.2.1 Selection and verification of methods
7.2.2 Validation of methods
7.3 Sampling

7.4 Handling of test or calibration items
7.5 Technical records
7.6 Evaluation of measurement uncertainty
7.7 Ensuring the validity of results
7.8 Reporting of results

7.8.1 General
7.8.2 Common requirements for reports (test, calibration or sampling)
7.8.3 Specific requirements for test reports
7.8.4 Specific requirements for calibration certificates
7.8.5 Reporting sampling – specific requirements
7.8.6 Reporting statements of conformity

7.8.7 Reporting opinions and interpretations
7.8.8 Amendments to reports
7.9 Complaints
7.10 Nonconforming work
7.11 Control of data and information management

Name of CAB
Date of Assessment
Activity Assessed
Auditee
8 Management system requirements
8.1 Options
8.1.1 General
8.1.2 Option A
8.1.3 Option B
8.2 Management system documentation (Option A)
8.3 Control of management system documents (Option A)

8.4 Control of records (Option A)
8.5 Actions to address risks and opportunities (Option A)
8.6 Improvement (Option A)
8.7 Corrective actions (Option A)
8.8 Internal audits (Option A)
8.9 Management reviews (Option A)

National Accreditation Board for Testing and Calibration Laboratories (NABL)
NABL House
Plot No. 45, Sector 44,
Gurugram - 122002, Haryana
Tel. no.: 91-124-4679700 (30 lines)
Fax: 91-124-4679799
Website: www.nabl-india.org

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NABL 219

National Accreditation Board for Testing

Assessment Forms and Checklist

Issue no. : 01 Amendment no. : 01

SI. Page Clause Date of Amendment Reasons Signature Signature

National Accreditation Board for Testing and Calibration Laboratories

SI. Title Page No.

NAF 1- Assessment Schedule

National Accreditation Board for Testing and Calibration Laboratories

Authorized Representative of CAB : Date(s) of Visit:

Type of Visit: Assessment / 1st Surveillance / Re-Assessment / Supplementary Visit

Field: Testing / Calibration Discipline (s):

Facility (s): Permanent / Site / Mobile

Opening/Closing Meeting Daily Debriefing Date / Time

Schedule of Locations/ Department/ Section/ Activity to be Assessed (date wise)

Signature of Lead Assessor

National Accreditation Board for Testing and Calibration Laboratories

Date of Opening Meeting : Date of Closing Meeting :

SI. Assessors / CAB Capacity / Designation Signature

National Accreditation Board for Testing and Calibration Laboratories

CALIBRATION(S) WITNESSED BY THE ASSESSSMENT TEAM

CAB Name: Date(s) of Assessment:

Assessor: Discipline of Calibration:

Signature and Name of Assessor

National Accreditation Board for Testing and Calibration Laboratories

DETAILS OF TESTING / RE-TESTING WITNESSED DURING ASSESSMENT

Discipline: Date(s) of Assessment:

Test Method / Standard

Name & Signature of Assessor

National Accreditation Board for Testing and Calibration Laboratories

Name of the Assessor

SI. Non Conformity Statement Cl. No. Classification Acceptance

National Accreditation Board for Testing and Calibration Laboratories

SI. Item Details

Acknowledgement by Authorised Representative of CAB Signature of Lead Assessor

National Accreditation Board for Testing and Calibration Laboratories

RECOMMENDED AUTHORISED SIGNATORIES

CAB Name: Date(s) of assessment:

Field: Testing / Calibration Discipline(s):

National Accreditation Board for Testing and Calibration Laboratories

RECOMMENDED SCOPE OF ACCREDITATION

CAB Name: Date(s) of assessment:

National Accreditation Board for Testing and Calibration Laboratories

RECOMMENDED SCOPE OF ACCREDITATION

CAB Name:- Date(s) of Visit:

SI. Parameter / Master Range(s) of Calibration and Measurement Capability ** Remarks /

while recommending the scope for site calibration.

National Accreditation Board for Testing and Calibration Laboratories

DECLARATION OF IMPARTIALITY & CONFIDENTIALITY

Name Assessor ID:

Capacity Lead Assessor / Technical Assessor / Technical Expert / Observer

I _______________________________________________________, hereby declare that I have not offered any

*Strike out which is not applicable

National Accreditation Board for Testing and Calibration Laboratories

National Accreditation Board for Testing and Calibration Laboratories

National Accreditation Board for Testing and Calibration Laboratories

6.3 Facilities and environmental conditions

National Accreditation Board for Testing and Calibration Laboratories

6.6 Externally provided products and services

National Accreditation Board for Testing and Calibration Laboratories

7.2 Selection, verification and validation of methods

7.2.2 Validation of methods

National Accreditation Board for Testing and Calibration Laboratories

7.5 Technical records