Practitioner template

GxP Assessment Template

Record whether and how a computerized-system use supports a regulated process, required record, calculation, control, or decision.

Author
CSVtoCSA editorial
Published
12 September 2026
Last reviewed
2026-09-12
Version
1.0
Content type
Template
Primary references
Apply the sources and approved procedures relevant to the system
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Blank template

  1. System and owner
  2. Business process
  3. Intended use
  4. Regulated record or decision
  5. Potential GxP impact
  6. Applicability conclusion
  7. Information needed
  8. Approver and date

Completed fictional example

Fictional teaching example: This is not an executed or approved validation record.

System and owner
Training Management System; Training Process Owner
Business process
Qualification of manufacturing personnel
Intended use
Calculate whether an operator has completed effective training required for operation OP-21
Regulated record or decision
Training status used to permit controlled work
Potential GxP impact
An expired operator could be treated as qualified
Applicability conclusion
GxP-relevant use; include qualification logic, status interface, access, and record retention
Information needed
Confirm the authoritative curriculum version and interface failure response
Approver and date
Fictional example - to be completed through the organization's approved process