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Controlled substance waste log template

A blank waste log with the arithmetic laid out: drawn up, given, and the difference wasted, in mL and mg. Set the rows, add a location if you keep more than one log, and print.

Controlled substance waste log

Date: ____________

DateDrug and mg/mLPatient / refDrawn up (mL)Given (mL)Wasted (mL)Wasted (mg)How wastedWasted byWitness
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

20 rows. Signature: ______________________   Witness signature: ______________________

Runs in your browser; nothing you type is sent anywhere. Arithmetic for your records: we do not give legal or compliance advice.

Columns on the sheet

Filling in the mg column

Wasted mg is wasted mL times the concentration. At 10 mg/mL, 0.3 mL is 3 mg; at 50 mg/mL it is 15 mg. The waste volume calculator does both steps.

Questions

Why record drawn and given, not just the waste?

Recording both lets anyone re-check the subtraction later, which is the fastest way to find a transcription slip.

Does this tell me whether my log is compliant?

No. We keep and total your records; we do not give legal or compliance advice. The calculator adds and subtracts the figures you type and shows where two of them differ.

Related calculators

Keeping this for every bottle, every day?

Vial Ledger keeps the running balance for each container, records waste with a witness, checks what went to patients against what left the shelf and prints the count sheet when you need it. $99/mo, self-serve, first month free for early signups. No payment now.