Shipping Validation Report Submission Form Δ Eye Bank InformationEye Bank NamePrimary Contact NamePrimary Contact Job TitlePrimary Contact EmailPrimary Contact PhoneHas your QA Director approved this report to share with the EBAA Membership? Yes No Has your Executive Director approved this report to share with the EBAA Membership? Yes No Validation OverviewValidation TitleValidation Type (select all that apply) Shipping Cooler Validation Temperature Maintenance Seasonal – Summer Seasonal – Winter Packaging Configuration Courier/Transit Validation Date the validation was approved.Acceptance Criteria (brief summary)Critical Shipping SpecificationsCooler Manufacturer:Cooler Model:Refrigerant Type:Refrigerant Quantity Used:Refrigerant Placement Configuration (brief description):Pack-Out Configuration (brief description):Validated Transit Duration (hours)Seasonal Profile Tested: Summer Winter Both Controlled Simulation Only Shipping Carrier and Service Level (if included in validation)Required UploadsFull Validation ReportMax. file size: 256 MB. Validation ProtocolMax. file size: 256 MB. QA Director and Executive Director Signatures Approving the Validation (include date signed)Max. file size: 256 MB. Raw Temperature DataMax. file size: 256 MB. Temperature GraphsMax. file size: 256 MB. Pack-Out Diagram(s)Max. file size: 256 MB. Certification & AcknowledgementAll boxes below are required to be checked for a complete submission. We certify that this validation was conducted under our internal Quality Management System. The information submitted is complete and accurate. We understand EBAA will not re-perform scientific validation or certify results. We understand that adopting eye banks may rely only if specifications are identical.
