SOP 101.03-att-5: Quarterly Local Operating Procedures Review

Division:
Executive
Effective Date:
October 15, 2007
Reference Code:
IC01-0002
Topic Area:
101 Policy-Legal Services
PowerDMS:
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Length:
199 words

Summary

This attachment provides the form and procedure for facilities, units, and sections to document their quarterly review of Local Operating Procedures (LOPs). Facilities must review at least 25% of all applicable LOPs on a quarterly basis and 100% annually to ensure they remain appropriate for their operations. The form allows managers to record which procedures were reviewed, their reference numbers, and effective dates, and must be retained for 12 months.

Key Topics

  • Local Operating Procedures
  • LOP review
  • quarterly review
  • facility procedures
  • procedure variance
  • operational compliance
  • documentation
  • facility management
  • SOP implementation
  • procedure approval

Full Text

Revised (10/15/07) IC01-0002
                                               Attachment 5
               QUARTERLY LOCAL OPERATING PROCEDURE REVIEW

NOTE: Supplemental Guidance LOPs only. Procedure Variance LOPs MUST be reapproved
annually.

All Local Operating Procedures (LOPs) applicable to the operation of a facility, unit, or
section must be reviewed annually to assure that they continue to be appropriate for
implementation of procedures governing operations at that facility, unit, or section. At
least twenty five percent (25%) of all those procedures shall be reviewed on a quarterly
basis.

The below listed procedures have been reviewed during the  quarter and
have been found to be appropriate to the mission of the facility, unit, or section
indicated and are approved for implementation or a proposed revision is attached for review
and approval.

Facility, Unit, or Section: Page   of Pages

 Date
Reviewed

LOP Reference
  Number

 Procedure
Effective Date

(Facility, Unit, or Section Manager's Signature) (Date)

If facility, unit, or section operations require a deviation from implementation of an SOP, or any part of it, in
order to accomplish its established mission and goals, a variance must first be requested and approved before a new
Local Operating Procedure, or supplement, may be implemented.

Record Retention: Retain for 12 months from date of manager's signature, then destroy.

Attachments (6)

  1. Local Operating Procedure Format (352 words)
  2. Local Operating Procedure (LOP) Numbering System (769 words)
  3. Supplemental Guidance Request Form (175 words)
  4. Procedure Variance Request Form (192 words)
  5. Quarterly Local Operating Procedures Review (199 words)
  6. Annual Local Operating Procedures Review (173 words)
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