Department of Microbiology Policy & Procedure Manual / Policy # MI\ORIEN\03\##\v12 / Page 1 of 2
Section: Orientation/Training for Technologists/Technician Manual / Subject Title: <Section Name> Bench Training Checklist
Prepared by QA Committee / Original Date: January 1, 2003
Issued by: LABORATORY MANAGER / Revision Date:
Approved by: Laboratory Director / Annual Review Date: May 9, 2014

<SECTION NAME> BENCH

#. <Section Name> Bench

/ Area/Competency / Employee
Signature / Date / Trainer
Signature / Date
#.1
#.2
#.3
#.4
#.5
#.6
#.7
#.8
#.9
Microbiology Department
Policy & Procedure Manual / Policy # MI\ORIEN\03\##\v09 / Page 2 of 2
Orientation For Technologists Manual
#.10
#.11
#.12
#.13
#.14
#.15
#16
#17
#18
#19
#20
Microbiology Department
Policy & Procedure Manual / Policy # MI\ORIEN\03\##\v12 / Page 2 of 2
Orientation For Technologists Manual

Record of Edited Revisions

Manual Section Name: Orientation Training Checklist Template

Page Number / Item / Date of Revision / Signature of Approval
Annual Review / December 31, 2004 / Dr. T. Mazzulli
Annual Review / February 8, 2005 / Dr. T. Mazzulli
Annual Review / February 26, 2006 / Dr. T. Mazzulli
Annual Review / August 9, 2007 / Dr. T. Mazzulli
Annual Review / June 16, 2008 / Dr. T. Mazzulli
Annual Review / June 16, 2009 / Dr. T. Mazzulli
Annual Review / June 16, 2010 / Dr. T. Mazzulli
Annual Review / May 31, 2011 / Dr. T. Mazzulli
Annual Review / May 31, 2012 / Dr. T. Mazzulli
Annual Review / May 31, 2013 / Dr. T. Mazzulli
Annual Review / May 9, 2014 / Dr. T. Mazzulli

UNIVERSITY HEALTH NETWORK /MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY

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T:\Microbiology\New Manual\Live Manual\Quality Manual\Documents and Records\Orientation_Training Checklist Template QDRMI01002e.doc