Operations · template · CSVtoCSA editorial

Periodic Review Template

Version 2.0 · Updated 2026-09-21 · Operations

Determine whether current operational evidence continues to support the approved intended use and validated state.

Adapt this template to your intended use, applicable requirements, and approved procedures.

When to use it

At the approved review frequency and after significant accumulated change, incident trends, or supplier changes.

Information needed before starting

  • Review period and current approved system baseline
  • Change, incident, access and service records
  • Backup/recovery evidence and previous review actions

Field instructions

  • System, scope, and review period: Identify the system/configuration, included uses and start/end dates of the review. Explain any excluded function or evidence period.
  • Current intended use and configuration: Describe the specific task, users, outputs and decisions supported. Identify the assessed environment and limits of reliance.
  • Changes and releases: Identify the authoritative change, affected configuration and dependencies. Trace the impact to approved use, controls, evidence and the local change/approval process.
  • Incidents, deviations, and CAPA: Record the issue, affected functions/records, impact, containment, action owner and resolution or expiry. Link correction and retest evidence; retain unfavorable results.
  • Access and audit-trail review: Identify the account or role, permitted actions and business justification. Check authorization, inappropriate combinations, inactive accounts and evidence of removal or correction.
  • Backup, restore, and continuity: Identify the controlled transition or recovery plan, decision owner and evidence of restoration/retrieval. State how incomplete work is detected and reconciled.
  • Supplier and service performance: Summarise relevant service metrics, incidents, support, change notices and contract performance during the review period, including trends and actions.
  • Open actions and evidence gaps: List the unanswered questions or missing evidence, the action owner and due date. Explain what cannot be concluded until they are resolved.
  • Validated-state conclusion: Record the supported decision, restrictions, unresolved issues and rationale. Identify the accountable reviewer/approver and dated evidence under your procedure.
  • Next review or event trigger: Define changes or events that reopen this assessment, the responsible role and the required response or review date.

Confirm the current intended use, owner, version, and configuration.

Review changes, deviations, incidents, access, audit trails, backup/restore, supplier status, and performance.

Identify stale evidence or changed assumptions.

Record actions, residual risk, and the validated-state conclusion.

Completed fictional example

Fictional teaching example; this is not an executed or approved validation record.

FieldCompleted example
System, scope, and review periodFictional LIMS interface; October 2025 through September 2026
Current intended use and configurationApproved-result transfer to ERP; interface version 4.2
Changes and releasesTwo mapping additions with approved targeted regression
Incidents, deviations, and CAPAOne delayed message; no incorrect material disposition
Access and audit-trail reviewService accounts and support roles remain approved
Backup, restore, and continuityQueue recovery and record retrieval tested in May 2026
Supplier and service performanceNo material SLA or platform control change
Open actions and evidence gapsImprove aged-message alert ownership
Validated-state conclusionContinued use is supported with the open action tracked
Next review or event triggerSeptember 2027 or earlier schema, mapping, or reconciliation change

Blank template

System / record ID: ____________________

Prepared by / date: ____________________

Required review / approval under local procedure: ____________________

FieldYour entry
System, scope, and review period____________________
Current intended use and configuration____________________
Changes and releases____________________
Incidents, deviations, and CAPA____________________
Access and audit-trail review____________________
Backup, restore, and continuity____________________
Supplier and service performance____________________
Open actions and evidence gaps____________________
Validated-state conclusion____________________
Next review or event trigger____________________
Relevant regulations and guidance

These sources apply within their stated scope. The suggested worksheet fields, test designs and fictional decisions are practitioner recommendations, unless a source requirement is expressly identified. Completing a template does not establish compliance.

Computer Software Assurance for Production and Quality Management System Software ↗

Regulatory guidance / GMP guideline · United States · February 2026

Scope: Medical-device manufacturers assuring software used in production or their quality management system.

Relevance: For medical-device production or QMS software, supports selecting assurance activities from intended use, risk and available evidence. It is nonbinding guidance and does not determine other sectors’ obligations.

Status: Final / published · Checked 2026-09-21

Publication identity, scope and status checked against the linked official source. This is not an independent audit of every retained guide statement.

Read source details and applicability →

EudraLex Volume 4, Annex 11 — Computerised Systems ↗

Regulatory guidance / GMP guideline · European Union · January 2011 revision

Scope: Computerised systems supporting activities in the applicable EU pharmaceutical GMP context.

Relevance: For computerised systems used in EU GMP activities, informs lifecycle, supplier and record controls. Confirm applicability to the actual activity; the example does not establish it.

Status: Final / published · Checked 2026-09-21

The Commission index confirms the January 2011 operative revision. The linked PDF could not be retrieved in this check; retained detailed section mappings need review against an authorized copy.

Read source details and applicability →
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