Template: Software Validation Form

\ – Software Validation Form

1. Software Information

Field Details
ID \<ID>
Name \<Name>
Version \<x.x.x>
Location \<url>
Processes \

2. Intended Use and Context

Provide a description of the software’s intended purpose and how it is used (e.g., automation, testing, control, or data modification). Include technical specifications and usage requirements the system must fulfill.

3. Quality Relevance

Evaluate the following criteria with “Yes” (Y) or “No” (N). If any criteria are marked “Yes,” the system is deemed quality-relevant and requires validation.

Criteria Y/N
Is the software involved in processes critical to steering the QMS?
Could device conformity be affected if the software fails to perform as specified?
Could software failure result in risks to patients, users, third parties, or the organization?
Does the software create or manage data/records relevant to the QMS or medical device regulatory compliance?
Is the software used to generate electronic signatures required for QMS or regulatory purposes?

4. Overall Assessment

4.1 Software Classification

  • GAMP Category 1: Infrastructure software (e.g., OS, databases, network management tools)
  • GAMP Category 3: Non-configurable software
  • GAMP Category 4: Configurable software
  • GAMP Category 5: Custom-developed software

4.2 Risk Analysis

Identified Risks:
* \

Risk Mitigation Measures:
* \

4.3 Criticality and Review Schedule

  • Low: Review upon significant changes
  • Moderate: Annual review
  • High: Review every six months

Refer to Section 10 for additional details on criticality classifications. Continuous validation during use may apply to widely used, non-critical software.

5. Validation Plan

5.1 Participants

Role Name Responsibilities

5.2 Test Environment

  • System accessed via \.
  • Reference: User manual provided.

5.3 Test Procedure

  • Execute the software on a representative set of sample data.

6. Validation Results

6.1 Acceptance Criteria

The software is approved for use if it meets all predefined validation criteria and performs as expected.

6.2 Validation of Usage Requirements

ID Expected Outcome Actual Outcome Pass?
U1 e.g., “A radiologist can log in using email and password.” “Login with valid credentials grants access to tools.” Yes

6.3 Validation of Technical Requirements

ID Expected Outcome Actual Outcome Pass?
T1 e.g., “Executes correctly in the required runtime.” “Application runs properly in Google Chrome.” Yes

6.4 Summary of Validation Results

Type Total Pass Fail
Usage Requirements 1 1 0
Technical Requirements 1 1 0

6.5 Final Conclusion

The software is recommended for approval as all acceptance criteria have been met.

7. Validation Evidence

Optionally include screenshots as evidence of validation success. While not mandatory, these can be useful for audits.

Requirement ID Screenshot
U1 \
T1 \

8. Approval and Release

Approval Date Approver Name
\<date> \<name>

9. Version History

Date Name Activity
\

10. Annex: Criticality Classification Details

GAMP Implications

  • GAMP 5: High criticality
  • GAMP 4: High or moderate criticality depending on risk analysis in Section 4.2
  • GAMP 1 & 3: Typically low or moderate criticality based on Section 4.2 risk analysis

Criticality Levels

  • High: Failure may cause harm requiring medical intervention or affect quality-critical records.
  • Moderate: Failure may cause harm not requiring intervention or affect audit-relevant information.
  • Low: Failure affects records relevant to audits without patient or device impact.

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