This is a ready-to-use form. Replace every <<FILL: ...>> placeholder with your own values, and read every sampling value (code letter, sample size, accept and reject numbers) from ANSI/ASQ Z1.4 for your lot size, inspection level, and AQLs. A worked filled specimen follows the template. It is an educational aid to adapt and verify, not a source of sampling numbers.
Instructions
- Complete this form after 100 percent inspection is done and reconciliation has closed.
- Determine the sample from Z1.4: use the lot size and the General Inspection Level to find the sample-size code letter, then read the sample size and the accept/reject numbers for the AQL assigned to each defect class.
- Pull the sample at random from the accepted units and re-inspect under qualified conditions by a qualified re-inspector.
- Record defectives by class and disposition per the per-class accept numbers. If any class fails, do not release; open a deviation.
2. Per-class plan and result
3. Disposition
Acceptance criteria
- The sample size and accept/reject numbers were read from Z1.4 for the actual lot size, inspection level, and AQLs, not from memory.
- The sample was drawn at random from accepted units and re-inspected under qualified conditions.
- Every class met its accept number for a pass; any class over its accept number triggered a deviation, not a re-release.
- The form is complete, signed, dated, and available for disposition.
Retention
Retain with the lot record per the records retention schedule, for not less than <<FILL: retention period>>.
References
USP General Chapter <790>, Visible Particulates in Injections (acceptance sampling on the inspected lot).
ANSI/ASQ Z1.4, Sampling Procedures and Tables for Inspection by Attributes (all sampling values).
EU GMP Annex 1 (2022).
Confirm the current version and clause numbers of each reference before issue.
Revision history
Filled specimen
A completed re-inspection. The Z1.4 values are illustrative; read your own.
Overall result: Pass. All three classes were at or below their accept numbers. Had the critical class shown 2 defectives against Ac 1, the lot would have gone to a deviation with root-cause work into why the 100 percent inspection passed them, and either a full re-inspection or rejection, not release on the earlier inspection.
- Sampling numbers worked from memory instead of read from Z1.4.
- An AQL failure quietly closed by re-release without a deviation.
- Re-inspection run before reconciliation closed, so the population sampled is uncertain.
- No record of the severity state, so switching between normal, tightened, and reduced inspection is undocumented.
- Set your inspection level, per-class AQLs, and severity-switching rule, then read the code letters and accept/reject numbers from Z1.4.
- Match the defect classes to your defect library.
- Point the retention line at your records retention schedule.
- Confirm each reference against its current published version before issue.