Skill Tracer
Skills › Scientific Agent Skills › iso-standards-readiness › CAPA-procedure-template.md

CAPA-procedure-template.md

148 lines · skills/iso-standards-readiness/assets/templates/procedures/CAPA-procedure-template.md at 5f2bc03

Open on GitHub
1# CAPA Procedure Working Template
2
3> **STATUS: DRAFT EXAMPLE — NOT APPROVED — NOT EVIDENCE OF CONFORMITY**
4>
5> Adapt this structure to approved processes, applicable requirements, product risk,
6> and authorized roles. A completed template or passing script cannot establish
7> compliance, close a CAPA, or replace RA/QA, management, legal, regulatory, auditor,
8> or certification-body judgment.
9

CAPA Procedure Working Template

STATUS: DRAFT EXAMPLE — NOT APPROVED — NOT EVIDENCE OF CONFORMITY Adapt this structure to approved processes, applicable requirements, product risk, and authorized roles. A completed template or passing script cannot establish compliance, close a CAPA, or replace RA/QA, management, legal, regulatory, auditor, or certification-body judgment.
Raw lines 1 to 9
10## Controlled-document metadata
12| Field | Entry |
13|---|---|
14| Document ID/revision | `<ID>` / `<revision>` |
15| Owner | `<accountable role>` |
16| Status | `draft` / `in-review` / `approved` |
17| Effective date | `<YYYY-MM-DD after approval>` |
18| Evidence repository | `<controlled location>` |
19| Supersedes/change record | `<IDs>` |
21| Approval role | Named approver | Status | Date | Approval evidence |
22|---|---|---|---|---|
23| Process owner | `<name/role>` | `pending` | `<date>` | `<ID>` |
24| RA/QA | `<name/role>` | `pending` | `<date>` | `<ID>` |
25| Authorized management | `<name/role>` | `pending` | `<date>` | `<ID>` |

Controlled-document metadata

FieldEntry
Document ID/revision<ID> / <revision>
Owner<accountable role>
Statusdraft / in-review / approved
Effective date<YYYY-MM-DD after approval>
Evidence repository<controlled location>
Supersedes/change record<IDs>
Approval roleNamed approverStatusDateApproval evidence
Process owner<name/role>pending<date><ID>
RA/QA<name/role>pending<date><ID>
Authorized management<name/role>pending<date><ID>
Raw lines 10 to 26
27## 1. Purpose and scope
29- Controlled purpose: `<organization-specific statement>`
30- Products, sites, processes, and records covered: `<scope>`
31- Interfaces: complaints, audit, suppliers, nonconformity, risk, vigilance,
32 design/production change, validation, training, and management review.
33- Exclusions or interfaces outside this procedure: `<approved rationale/evidence>`

1. Purpose and scope

  • Controlled purpose: <organization-specific statement>
  • Products, sites, processes, and records covered: <scope>
  • Interfaces: complaints, audit, suppliers, nonconformity, risk, vigilance, design/production change, validation, training, and management review.
  • Exclusions or interfaces outside this procedure: <approved rationale/evidence>
Raw lines 27 to 34
35## 2. Roles and authority
37| Role | Responsibility and decision authority | Escalation | Competence evidence | Approval |
38|---|---|---|---|---|
39| CAPA system owner | `<entry>` | `<entry>` | `<ID>` | `<ID>` |
40| CAPA owner | `<entry>` | `<entry>` | `<ID>` | `<ID>` |
41| Independent effectiveness reviewer | `<entry>` | `<entry>` | `<ID>` | `<ID>` |
42| RA/QA reviewer | `<entry>` | `<entry>` | `<ID>` | `<ID>` |
43| Closure approver | `<entry>` | `<entry>` | `<ID>` | `<ID>` |

2. Roles and authority

RoleResponsibility and decision authorityEscalationCompetence evidenceApproval
CAPA system owner<entry><entry><ID><ID>
CAPA owner<entry><entry><ID><ID>
Independent effectiveness reviewer<entry><entry><ID><ID>
RA/QA reviewer<entry><entry><ID><ID>
Closure approver<entry><entry><ID><ID>
Raw lines 35 to 44
45## 3. CAPA intake and decision
47Define controlled inputs and the approved criteria for opening, escalating, linking,
48combining, or declining a CAPA. Do not use an arbitrary priority label as a substitute
49for product/process risk and reportability review.
51| Input | Owner | Decision method | Evidence | Status | Approval |
52|---|---|---|---|---|---|
53| Complaint/feedback | `<role>` | `<method>` | `<ID>` | `draft` | `<ID>` |
54| Audit/nonconformity | `<role>` | `<method>` | `<ID>` | `draft` | `<ID>` |
55| Supplier issue | `<role>` | `<method>` | `<ID>` | `draft` | `<ID>` |
56| Trend/risk/postmarket signal | `<role>` | `<method>` | `<ID>` | `draft` | `<ID>` |
58Each decision record must include:
60- unique CAPA ID and source-event links;
61- factual problem statement and known scope;
62- correction/containment and evidence;
63- product, patient/user, process, and regulatory/reportability impact review;
64- decision owner, status, rationale, evidence, and approval.

3. CAPA intake and decision

Define controlled inputs and the approved criteria for opening, escalating, linking, combining, or declining a CAPA. Do not use an arbitrary priority label as a substitute for product/process risk and reportability review.

InputOwnerDecision methodEvidenceStatusApproval
Complaint/feedback<role><method><ID>draft<ID>
Audit/nonconformity<role><method><ID>draft<ID>
Supplier issue<role><method><ID>draft<ID>
Trend/risk/postmarket signal<role><method><ID>draft<ID>

Each decision record must include:

  • unique CAPA ID and source-event links;
  • factual problem statement and known scope;
  • correction/containment and evidence;
  • product, patient/user, process, and regulatory/reportability impact review;
  • decision owner, status, rationale, evidence, and approval.
Raw lines 45 to 65
66## 4. Investigation and systemic extent
68The record must define the method before drawing a conclusion and preserve the
69evidence reviewed.
71| Field | Required entry |
72|---|---|
73| Investigation owner/status | `<role>` / `draft` |
74| Scope and plan | `<entry>` |
75| Data and evidence IDs | `<IDs>` |
76| Analysis method and rationale | `<entry>` |
77| Root cause or justified conclusion | `<entry>` |
78| Similar/systemic issue review | `<entry>` |
79| Risk-file/design/supplier/process impacts | `<entry>` |
80| Reviewer and approval evidence | `<role/ID>` |
82Do not force a preferred root-cause method. Select and approve a method appropriate
83to the evidence, complexity, and risk.

4. Investigation and systemic extent

The record must define the method before drawing a conclusion and preserve the evidence reviewed.

FieldRequired entry
Investigation owner/status<role> / draft
Scope and plan<entry>
Data and evidence IDs<IDs>
Analysis method and rationale<entry>
Root cause or justified conclusion<entry>
Similar/systemic issue review<entry>
Risk-file/design/supplier/process impacts<entry>
Reviewer and approval evidence<role/ID>

Do not force a preferred root-cause method. Select and approve a method appropriate to the evidence, complexity, and risk.

Raw lines 66 to 84
85## 5. Action planning and change control
87| Action ID | Description | Owner | Due date | Change/validation/training links | Implementation evidence | Status | Approval |
88|---|---|---|---|---|---|---|---|
89| `<ID>` | `<entry>` | `<role>` | `<date>` | `<IDs>` | `<IDs>` | `planned` | `<ID>` |
91Actions must address the supported cause or risk, include objective acceptance
92criteria, and route affected documents, software, validation, suppliers, products,
93training, risk files, and postmarket controls through approved change control.

5. Action planning and change control

Action IDDescriptionOwnerDue dateChange/validation/training linksImplementation evidenceStatusApproval
<ID><entry><role><date><IDs><IDs>planned<ID>

Actions must address the supported cause or risk, include objective acceptance criteria, and route affected documents, software, validation, suppliers, products, training, risk files, and postmarket controls through approved change control.

Raw lines 85 to 94
95## 6. Effectiveness plan and review
97Define the effectiveness plan before closure.
99| Field | Required entry |
100|---|---|
101| Effectiveness owner | `<role>` |
102| Independent reviewer | `<role>` |
103| Objective acceptance criteria | `<measurable criteria>` |
104| Baseline/comparator | `<entry>` |
105| Data source and evidence IDs | `<IDs>` |
106| Sample or observation window | `<risk-based rationale>` |
107| Review date | `<YYYY-MM-DD>` |
108| Result | `pending` / `effective` / `ineffective` |
109| Conclusion and evidence | `<entry/IDs>` |
110| Approval | `<approver/date/record ID>` |
112**Fail-closed gate:** `pending`, insufficient data, or `ineffective` cannot support
113closure. Re-open the investigation/action cycle or document authorized escalation.

6. Effectiveness plan and review

Define the effectiveness plan before closure.

FieldRequired entry
Effectiveness owner<role>
Independent reviewer<role>
Objective acceptance criteria<measurable criteria>
Baseline/comparator<entry>
Data source and evidence IDs<IDs>
Sample or observation window<risk-based rationale>
Review date<YYYY-MM-DD>
Resultpending / effective / ineffective
Conclusion and evidence<entry/IDs>
Approval<approver/date/record ID>

Fail-closed gate: pending, insufficient data, or ineffective cannot support closure. Re-open the investigation/action cycle or document authorized escalation.

Raw lines 95 to 114
115## 7. Closure, cancellation, and extension
117Closure requires:
119- all actions implemented with evidence;
120- approved effectiveness result of `effective`;
121- linked risk, design, production, supplier, postmarket, document, validation, and
122 training changes completed or explicitly dispositioned;
123- complete source/version references;
124- closure summary, date, owner, status, evidence, and authorized approval.
126Cancellation or due-date changes require a documented rationale, risk/reportability
127impact review, owner, status, evidence, and approval. Neither changes the need for
128immediate safety or regulatory action when applicable.

7. Closure, cancellation, and extension

Closure requires:

  • all actions implemented with evidence;
  • approved effectiveness result of effective;
  • linked risk, design, production, supplier, postmarket, document, validation, and training changes completed or explicitly dispositioned;
  • complete source/version references;
  • closure summary, date, owner, status, evidence, and authorized approval.

Cancellation or due-date changes require a documented rationale, risk/reportability impact review, owner, status, evidence, and approval. Neither changes the need for immediate safety or regulatory action when applicable.

Raw lines 115 to 129
130## 8. Records, metrics, and management visibility
132| Record/measure | Owner | Retention basis | Location | Review method | Evidence | Approval |
133|---|---|---|---|---|---|---|
134| CAPA record set | `<role>` | `<approved basis>` | `<location>` | `<method>` | `<ID>` | `<ID>` |
135| Aging/overdue status | `<role>` | `<basis>` | `<location>` | `<method>` | `<ID>` | `<ID>` |
136| Recurrence/effectiveness trend | `<role>` | `<basis>` | `<location>` | `<method>` | `<ID>` | `<ID>` |
137| Management-review input | `<role>` | `<basis>` | `<location>` | `<method>` | `<ID>` | `<ID>` |

8. Records, metrics, and management visibility

Record/measureOwnerRetention basisLocationReview methodEvidenceApproval
CAPA record set<role><approved basis><location><method><ID><ID>
Aging/overdue status<role><basis><location><method><ID><ID>
Recurrence/effectiveness trend<role><basis><location><method><ID><ID>
Management-review input<role><basis><location><method><ID><ID>
Raw lines 130 to 138
139## Release checklist
141- [ ] Placeholders are resolved.
142- [ ] Interfaces to risk, complaints/vigilance, suppliers, design, production,
143 validation, software, training, and change control are explicit.
144- [ ] No fixed timeline is used without an approved risk/process basis.
145- [ ] Effectiveness criteria are objective and approved before closure.
146- [ ] Records carry owner, status, evidence, source/version, and approval fields.
147- [ ] Authorized human approvers released the procedure.
148- [ ] The procedure makes no compliance or certification claim.

Release checklist

  • [ ] Placeholders are resolved.
  • [ ] Interfaces to risk, complaints/vigilance, suppliers, design, production, validation, software, training, and change control are explicit.
  • [ ] No fixed timeline is used without an approved risk/process basis.
  • [ ] Effectiveness criteria are objective and approved before closure.
  • [ ] Records carry owner, status, evidence, source/version, and approval fields.
  • [ ] Authorized human approvers released the procedure.
  • [ ] The procedure makes no compliance or certification claim.
Raw lines 139 to 148