| Project | CoolTeck Cold-Room Monitoring Project | Reference | — |
| Customer | — | Site | — |
| Prepared by | SSTM / CoolTeck | Date | 20/09/2026 |
| Release-form number: | Revision: | Approval date: |
| Deployment architecture: □ CoolTeck wired □ CoolTeck wireless □ Mixed Platform version: ____________________ | ||
| Related protocol/report: ______________________________ Change-control reference: ______________________________ | ||
| Room | Approved design level | Logging devices / room | Acceptance range | Disposition | Conditions / reference |
|---|---|---|---|---|---|
| Freezer 2 | WHO Testing | 51 | Not entered | □ Accept □ Conditional □ Reject |
| # | Release check | Acceptance evidence | Status | Evidence / deviation reference |
|---|---|---|---|---|
| 1 | Approved design basis | Protocol, selected coverage level, room dimensions, REF O and placement drawings match the executed installation. | □ Pass □ Fail □ N/A | |
| 2 | Logging-device traceability | CoolTeck device IDs, serial numbers, calibration certificates and calibration due dates are complete. | □ Pass □ Fail □ N/A | |
| 3 | Sensor placement | As-built X/Y/Z coordinates are verified; no device is on a door leaf, opening, frame or moving hardware. | □ Pass □ Fail □ N/A | |
| 4 | Thermal-risk placement | Door-adjacent, evaporator, loading, rack and mapped hot/cold positions are justified and recorded. | □ Pass □ Fail □ N/A | |
| 5 | Gateway placement | Main and redundant gateway positions and device assignments match the approved drawings and capacity limits. | □ Pass □ Fail □ N/A | |
| 6 | Platform enrollment | Every logging device reports under the correct room and gateway in the CoolTeck platform. | □ Pass □ Fail □ N/A | |
| 7 | Communication challenge | Representative communication-loss/recovery, data completeness and timestamp continuity tests are accepted. | □ Pass □ Fail □ N/A | |
| 8 | Alarm verification | Limits, delays, escalation recipients, acknowledgement and test evidence match the approved alarm matrix. | □ Pass □ Fail □ N/A | |
| 9 | User access and training | Approved users, roles, operating instructions, escalation contacts and training records are complete. | □ Pass □ Fail □ N/A | |
| 10 | Records package | Raw data, analysis, mapping report, as-built drawings, calibration records, deviations/CAPA and backups are indexed. | □ Pass □ Fail □ N/A |
| ID | Open item / condition | Risk | Owner | Due date | Closure evidence |
|---|---|---|---|---|---|
| OI-01 | | □ High □ Medium □ Low | |||
| OI-02 | | □ High □ Medium □ Low | |||
| OI-03 | | □ High □ Medium □ Low | |||
| OI-04 | | □ High □ Medium □ Low | |||
| OI-05 | | □ High □ Medium □ Low |
□ Approved for operational use — all critical acceptance requirements are satisfied.
□ Approved with conditions — listed conditions are time-bound, risk-assessed and accepted by Customer QA.
□ Not approved — the system remains on hold pending corrective action and reassessment.
| Release statement | Based on the reviewed evidence, the CoolTeck platform and registered logging-device installation are released only for the approved intended use, rooms, ranges and alarm configuration recorded above. | ||
| Customer QA | Name / signature: __________________________ | Date | ____________ |
| Facility / Engineering | Name / signature: __________________________ | Date | ____________ |
| CoolTeck / SSTM Engineer | Name / signature: __________________________ | Date | ____________ |
| Final Approver | Name / signature: __________________________ | Date | ____________ |
| Attachment | Reference / revision | Included |
|---|---|---|
| Approved protocol and executed mapping/validation report | □ Yes □ No | |
| As-built room, sensor and gateway drawings | □ Yes □ No | |
| CoolTeck logging-device and gateway register | □ Yes □ No | |
| Calibration certificates | □ Yes □ No | |
| CoolTeck platform configuration and alarm matrix | □ Yes □ No | |
| Training and operating instructions | □ Yes □ No | |
| Deviation/CAPA and open-item log | □ Yes □ No |
This form is a project approval template and must be reconciled with the customer’s quality-management system, applicable regulations and authorized-signature requirements.