A sample built from fictional records: every company, unit and date below is made up. Your reports carry your own records. Back to Compounding Readiness
Sample company (fictional) · Compounding ReadinessDraft generated Oct 30, 2026
Compounding inspection binder
Certification
Record
Company
Sample company (fictional)
Trade
Compounding Readiness
Monitoring round
Certification
Hood or room
Name or tag
Type
Classification on the last certification report
Serial number
Certifier
Certification interval
Avery Lund
Hood or isolator
Classification on the last certification report 1
SE-4100
Certifier 1
2 months
Staff member
Name
Role
License or registration number
License expires
Avery Lund
Pharmacist
LI-4100
May 18, 2027
Jordan Pike
Pharmacy technician
LI-4137
Jun 27, 2027
Sam Okafor
Designated person
LI-4174
Aug 6, 2027
Riley Moreno
Other
LI-4211
Sep 15, 2027
Competency record
No competency record records on file.
Self-inspection
Year
Completed on
Responsible manager
2021
Oct 10, 2026
Responsible manager 1
Next due
Viable air sampling
Oct 30, 2026
Set by your contract
Surface sampling
Oct 30, 2026
Set by your contract
Certification
Nov 30, 2026
Set by your contract
Rules this record is kept under
Washington: since November 1, 2023, the Pharmacy Quality Assurance Commission requires licensees who compound to follow USP chapters <795> and <797>, as applicable. Other states set their own rules; check your board. Washington Pharmacy Quality Assurance Commission, Policy Statement P010 (Washington) (https://doh.wa.gov/sites/default/files/2023-11/WSR23-23-041EnforceUSPPolicyStmtPO10.pdf), checked 2026-10-29
For reference
Washington: the responsible manager completes the sterile compounding self-inspection addendum within the month of March, and within 30 days of becoming responsible manager, and keeps it on file with the pharmacy self-inspection worksheet. It is not sent to the Commission. Washington Pharmacy Quality Assurance Commission, 2026 USP 797 Sterile Compounding Addendum, DOH 690-296 (Washington) (https://doh.wa.gov/sites/default/files/2024-02/690-296-USP797SterileCompoundingAddendum.pdf), checked 2026-10-29