Product Issues Log · Starter Portal

Site Leads must use this Product Issues Log to submit any significant product issue that they encounter. Any issues with reporting results to participants and/or public health reporting through the IT platform must be submitted here the day they occur. Do not submit this log if there are no product issues or events to report.

Submission Information

Organization Name

Enter the full name of your organization. Do not use acronyms or abbreviations.

Site Lead Name

Site Lead Email

Site Lead Phone Number

Name of Staff that Identified Issue

Email of Staff that Identified Issue

Phone Number of Staff that Identified Issue

Product Issue Information

Enter the date that the product issue occurred.

Enter the lot number of the box from which the product issue arose.

Please provide a brief description of the issue or event.

Is the issue a suspected false positive?

Yes
No

Is the issue a suspected false negative?

Yes
No

Is the issue an invalid result?

Examples of invalid results include having any of the following: no control line, a blue control line only, a sample line only, or a blue control line with a sample line.

Yes
No

Please upload a picture of the product issue here.