Attachment_2B_MQSA_COURSE_II_Observation_FORM-2014_.doc

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MQSA Inspection Program
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MQSA Course II Observation Form

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Attachment 2B

MQSA COURSE II

INSPECTION OBSERVATION REQUIREMENT

Name: __________________________________

Facility Name, ID, & Location
Certified Inspector Name Name
Date of Inspection

I ____________________ verify that the above MQSA student observed

Supervisor Name/Title these inspections with the above MQSA certified inspector.

Please complete this requirement prior to attending Course III and fax the completed form to Michelle Garza at (301) 847-8502 or email the form to Michelle.Garza@FDA.HHS.GOV. If you fax the forms, please let me know since the fax machine is shared.

Thank you, and if you have any question, please contact me.

Michelle A. Garza MQSA Training Coordinator

(301)796-6684

File details come from the government source that posted it. Updated .