18 KiB
Document Control Procedure Template
Document Number: SOP-4.2.4-001 Title: Control of Documents Revision: 00 Effective Date: [DATE] Page: 1 of [X]
DOCUMENT CONTROL
Approval Signatures
| Role | Name | Signature | Date |
|---|---|---|---|
| Author | [NAME] | [DATE] | |
| Reviewer | [NAME] | [DATE] | |
| Approver (Quality Manager) | [NAME] | [DATE] |
Revision History
| Revision | Date | Description of Changes | Approved By |
|---|---|---|---|
| 00 | [DATE] | Initial release | [NAME] |
TABLE OF CONTENTS
1. PURPOSE
This procedure establishes requirements for the control of documents within the Quality Management System to ensure:
- Documents are approved before use
- Documents are reviewed, updated, and re-approved as necessary
- Changes and current revision status are identified
- Relevant versions of documents are available at points of use
- Documents remain legible and readily identifiable
- External documents are identified and controlled
- Obsolete documents are prevented from unintended use
- Obsolete documents are appropriately identified if retained
This procedure ensures compliance with ISO 13485:2016 Clause 4.2.4.
2. SCOPE
This procedure applies to all controlled documents within the Quality Management System, including but not limited to:
- Quality Manual
- Standard Operating Procedures (SOPs)
- Work Instructions (WIs)
- Forms and templates
- Medical Device Files
- Design and Development documents
- Risk management documents
- Validation and verification protocols and reports
- Specifications (product, process, test methods, materials)
- Drawings and schematics
- Labels and instructions for use
- External documents (standards, regulations, customer specifications)
This procedure does NOT apply to:
- Records (controlled per SOP-[NUMBER] Control of Records)
- Transient documents (emails, meeting notes not part of QMS)
- Marketing and sales materials (unless affecting product quality or regulatory compliance)
3. DEFINITIONS
| Term | Definition |
|---|---|
| Controlled Document | A document that is subject to review, approval, distribution control, and change management per this procedure |
| Master Document | The official controlled copy maintained by Document Control, from which all distributed copies originate |
| Document Owner | The person or department responsible for the content, accuracy, and maintenance of a document |
| Document Control Coordinator | Person responsible for managing the document control system |
| Revision | A change to a controlled document that has been approved and issued |
| Obsolete Document | A document that has been superseded by a newer revision or is no longer applicable |
| External Document | A document originating from outside the organization (standards, regulations, customer specifications, etc.) |
| SUPERSEDED | Watermark applied to obsolete documents retained for reference |
4. RESPONSIBILITIES
4.1 Document Control Coordinator
- Manages document control system
- Assigns document numbers
- Maintains master document repository
- Ensures proper document approval before release
- Distributes controlled documents
- Maintains distribution lists
- Retrieves and destroys/archives obsolete documents
- Maintains document control records
- Trains personnel on document control procedures
4.2 Document Owners
- Create and maintain documents within their area
- Ensure document accuracy and completeness
- Initiate document changes when needed
- Participate in document review and approval
- Identify when documents become obsolete
- Ensure personnel in their area use current documents
4.3 Quality Manager
- Approves all QMS documents (SOPs, Quality Manual)
- Reviews document changes for QMS impact
- Ensures document control system effectiveness
- Audits document control compliance
4.4 Department Managers
- Approve department-specific work instructions
- Ensure current documents available in their areas
- Ensure personnel trained on document changes
- Remove obsolete documents from use areas
4.5 All Personnel
- Use only current, approved documents
- Report document issues (errors, illegibility, missing documents)
- Do not use obsolete or unapproved documents
- Maintain documents in good condition
5. PROCEDURE
5.1 Document Types and Hierarchy
QMS documents are organized in a four-tier hierarchy:
Tier 1: Quality Manual (QM)
- Policy-level document
- Describes overall QMS
- References all Tier 2 procedures
- Approved by CEO and Quality Manager
Tier 2: Standard Operating Procedures (SOPs)
- Define WHAT must be done, WHO does it, WHEN
- Cross-functional processes
- Include all 31 required documented procedures per ISO 13485
- Approved by Quality Manager
Tier 3: Work Instructions (WIs)
- Define HOW to perform specific tasks
- Step-by-step instructions
- Department or process-specific
- Approved by Department Manager and Quality Manager
Tier 4: Forms and Templates
- Standardized formats for data collection
- Support SOPs and WIs
- Approved by Document Owner and Quality Manager
Other Controlled Documents:
- Medical Device Files (MDFs)
- Design History Files (DHFs)
- Validation documents
- Specifications
- Drawings
- Labels and instructions for use
5.2 Document Numbering System
All controlled documents are assigned unique identification numbers:
Quality Manual:
- Format: QM-[###]
- Example: QM-001
Standard Operating Procedures:
- Format: SOP-[ISO Clause]-[###]
- Example: SOP-4.2.4-001 (for Clause 4.2.4 Control of Documents)
- Example: SOP-8.5-001 (for CAPA procedure)
Work Instructions:
- Format: WI-[Department Code]-[###]
- Example: WI-MFG-001 (Manufacturing department work instruction)
- Department codes: MFG (Manufacturing), QC (Quality Control), ENG (Engineering), etc.
Forms:
- Format: FORM-[SOP/WI Number]-[Letter]
- Example: FORM-SOP-8.5-001-A (CAPA Request Form)
Medical Device Files:
- Format: MDF-[Product Code]-[###]
- Example: MDF-ABC-001
Other Documents:
- Format varies by document type
- Assigned by Document Control Coordinator
Revision Designation:
- Initial release: Revision 00
- First revision: Revision 01
- Subsequent revisions: 02, 03, 04, etc.
- Format: [Document Number] Rev [##]
5.3 Document Creation
5.3.1 Initiating Document Creation
- Document Owner identifies need for new document
- Document Owner notifies Document Control Coordinator
- Document Control Coordinator:
- Assigns document number
- Provides document template (if applicable)
- Logs document in master list as "In Development"
5.3.2 Document Format Requirements
All controlled documents must include:
Header (on each page):
- Document number
- Document title
- Revision number
- Effective date
- Page number (Page X of Y)
Document Control Section:
- Approval signature table
- Revision history table
Content Requirements:
- Clear, concise language
- Present tense, active voice
- Consistent terminology
- Numbered sections and subsections
- References to related documents
- Records generated (if applicable)
5.3.3 Document Drafting
- Document Owner drafts document content
- Document Owner marks document as "DRAFT" on each page
- Draft may be circulated for informal review and input
- When ready for formal review, Document Owner submits to Document Control Coordinator
5.4 Document Review and Approval
5.4.1 Review Process
-
Document Control Coordinator:
- Verifies document number correct
- Verifies format compliance
- Checks for required sections
- Routes for review
-
Reviews conducted by:
- Technical reviewer (subject matter expert)
- Quality reviewer (for QMS compliance)
- Other stakeholders as appropriate
-
Reviewers:
- Review for technical accuracy
- Review for clarity and completeness
- Review for compliance with requirements
- Provide comments to Document Owner
-
Document Owner:
- Addresses all comments
- Revises document as needed
- Resubmits for approval
5.4.2 Approval Process
Approval authority based on document type:
| Document Type | Approval Authority |
|---|---|
| Quality Manual | CEO and Quality Manager |
| Standard Operating Procedures | Quality Manager |
| Work Instructions | Department Manager and Quality Manager |
| Forms | Document Owner and Quality Manager |
| Specifications | Engineering Manager and Quality Manager |
| Medical Device Files | [Per regulatory requirements] |
Approval Steps:
- Document Control Coordinator routes document to approvers
- Approvers review and sign/date approval section
- All required approvals must be obtained before document becomes effective
- Document Control Coordinator:
- Removes "DRAFT" watermark
- Adds effective date (typically [X] days after approval)
- Assigns final format
- Adds to controlled document system
- Updates master document list
5.4.3 Training Requirements
Before document becomes effective:
- Affected personnel identified
- Training conducted as needed
- Training records maintained per SOP-[NUMBER]
5.5 Document Distribution and Access
5.5.1 Master Document
- Document Control Coordinator maintains master copy
- Master stored in: [ELECTRONIC SYSTEM or PHYSICAL LOCATION]
- Master clearly identified as "MASTER COPY"
- Master is reference for all distributed copies
5.5.2 Controlled Copies
Electronic Distribution (Primary Method):
- Documents stored in [DOCUMENT MANAGEMENT SYSTEM]
- Access controlled by user permissions
- Read-only access for most users
- Always displays current revision
- Obsolete revisions automatically removed from access
- Users may print for immediate use (uncontrolled copies)
Physical Distribution (When Necessary):
- Controlled copies issued for specific locations/uses
- Each copy stamped "CONTROLLED COPY - [Copy Number]"
- Distribution list maintained showing:
- Copy number
- Document number and revision
- Holder name and location
- Date issued
- Holders responsible for maintaining copy in good condition
- When document revised, Document Control retrieves old copy and issues new copy
5.5.3 Uncontrolled Copies
- Printed for temporary, immediate use
- Stamped or marked "UNCONTROLLED COPY"
- User responsible for verifying current revision before each use
- Should be destroyed after use or within [X] days
5.5.4 Availability at Point of Use
- Current documents available where work is performed
- Electronic access at workstations
- Controlled physical copies in areas without electronic access
- Documents protected from damage, loss, deterioration
5.6 Document Changes
5.6.1 Initiating Changes
Changes may be initiated by:
- Document Owner identifying need
- CAPA requiring procedure change
- Internal audit finding
- Management review action
- Regulatory or standard update
- Process improvement
5.6.2 Change Request Process
-
Requestor:
- Completes Document Change Request Form (Attachment A)
- Describes change needed and justification
- Submits to Document Owner
-
Document Owner:
- Reviews change request
- Determines if change appropriate
- Approves or denies request
- If approved, initiates document revision
5.6.3 Making Changes
-
Document Owner:
- Requests current master from Document Control
- Creates revised version with changes
- Increments revision number
- Updates revision history table
- Identifies changes in document (change bars, highlights, or summary)
- Marks as "DRAFT REVISION"
-
Changes reviewed and approved by:
- Same approval authority as original document
- UNLESS different approval authority designated by original approver
- Reviewers have access to previous revision for comparison
-
Approval:
- New revision approved per Section 5.4.2
- Previous revision becomes obsolete on effective date of new revision
5.6.4 Indication of Changes
Changes are indicated by:
- Revision history table (describes nature of changes)
- Change bars or highlights in document (optional but recommended)
- Change summary page for significant revisions (optional)
5.6.5 Urgent Changes
For urgent changes affecting safety or regulatory compliance:
- Expedited review and approval process
- May use interim method (e.g., hand-written changes with approval)
- Formal document revision completed as soon as practical
- Document per CAPA process if change due to nonconformity
5.7 Control of Obsolete Documents
5.7.1 When Document Becomes Obsolete
Document becomes obsolete when:
- New revision approved and becomes effective
- Document no longer applicable to operations
- Product discontinued
- Process changed
5.7.2 Removal from Use
-
Document Control Coordinator:
- On effective date of new revision, marks superseded revision as obsolete
- Removes from electronic document system OR limits access with "OBSOLETE" notation
- Retrieves physical controlled copies from distribution locations
- Updates distribution lists
-
Department Managers:
- Remove obsolete copies from work areas
- Return to Document Control or destroy
- Ensure personnel aware of new revision
5.7.3 Retention of Obsolete Documents
Obsolete documents may be retained for:
- Reference purposes
- Product investigations
- Regulatory or legal requirements
- Historical record
If retained:
- Clearly marked "OBSOLETE - FOR REFERENCE ONLY" or "SUPERSEDED"
- Stored separately from current documents
- Access restricted and controlled
- Retained per applicable retention requirements
Retention Locations:
- Electronic archive with "OBSOLETE" watermark
- Separate physical archive area
5.7.4 Prevention of Unintended Use
To prevent unintended use:
- Physical copies stamped "OBSOLETE" in red
- Electronic copies watermarked "OBSOLETE"
- Removed from active work areas
- Stored in separate archive
- Training on document control system and how to verify current revision
5.8 Control of External Documents
5.8.1 Types of External Documents
External documents include:
- ISO standards
- IEC standards
- FDA regulations and guidance documents
- EU regulations (MDR, IVDR)
- Other regulatory requirements
- Customer specifications
- Supplier certifications
- Calibration certificates
- Reference materials
5.8.2 Identification and Control
-
Document Owner or requestor:
- Identifies external document needed
- Provides copy to Document Control Coordinator
-
Document Control Coordinator:
- Assigns external document number: EXT-[Category]-[###]
- Logs in external document register including:
- Document title and number
- Source/publisher
- Date/version
- Location in organization
- Responsible person for monitoring updates
- Files in external document repository
5.8.3 Reviewing for Currency
- Document Owner responsible for monitoring updates to external documents
- Frequency: [Annually or as notified of updates]
- Check publisher website for updates
- Subscribe to update notifications when available
- When update identified:
- Obtain new version
- Provide to Document Control
- Review for impact on QMS documents
- Update QMS documents as needed (per CAPA if necessary)
- Obsolete previous version per Section 5.7
5.8.4 Customer-Supplied Documents
- Customer specifications and drawings controlled as external documents
- Review for clarity and completeness upon receipt
- Discrepancies communicated to customer for resolution
- Controlled per this procedure to ensure current version used
6. RECORDS
Records generated and maintained per this procedure:
| Record | Retention Period | Location | Responsible Party |
|---|---|---|---|
| Master Document List | Current + [X] years | [LOCATION/SYSTEM] | Document Control Coordinator |
| Document Approval Records | [X years or device lifetime] | Document Control System | Document Control Coordinator |
| Document Revision History | [X years or device lifetime] | Document Control System | Document Control Coordinator |
| Document Change Requests | [X years] | [LOCATION] | Document Control Coordinator |
| Distribution Lists | Current + [X] years | [LOCATION] | Document Control Coordinator |
| Obsolete Document Archive | [Per retention schedule] | [LOCATION] | Document Control Coordinator |
| External Document Register | Current + [X] years | [LOCATION] | Document Control Coordinator |
7. REFERENCES
- ISO 13485:2016, Clause 4.2.4 - Control of Documents
- Quality Manual, Section 4.2.4
- SOP-4.2.5 - Control of Records
- SOP-6.2 - Training and Competence
8. ATTACHMENTS
Attachment A: Document Change Request Form Attachment B: Document Templates (QM, SOP, WI, Form) Attachment C: Document Control Flowchart Attachment D: Master Document List Template Attachment E: Distribution List Template
END OF PROCEDURE
Document Number: SOP-4.2.4-001 Revision: 00 Page: [X] of [X]