Daily Compounding Log

Daily Compounding Log

Complete each section for each day that compounding activities occur.
Technician Completing Form*

First NameLast Name
Date*

MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Temperature (in Fahrenheit) in the Compounding Area*
Humidity Level*
Was all garb appropriately donned prior to compounding activities?*

YesNo
Hands must be washed and gloves must be worn in the compounding area.
Was the Compounding Area inspected for airborne particles and/or other environmental factors that may interfere with compounding activities prior to beginning compounding?*

YesNo
Sink must be clean and empty by the end of every day.
Was a Pharmacist trained in the pharmacy Standard Operating Procedures (SOPs) involved in the overseeing of all compounding activities?*

YesNo
Was a Master Formulation Record (MFR) used for each compounded preparation?*

YesNo
Was a Compounding Record (CR) generated for each compounded preparation?*

YesNo
By signing below, I attest to the authenticity of the responses above.
Signature*

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