ISO 14971 Checklist

Use this ISO14971 Checklist for medical device risk management, ensure compliance with GMP, and enhance safety measures throughout the product lifecycle.

ISO 14971 Checklist



Risk Management Process

1. Has the organization ensured the availability of a risk management procedure as part of the design and development of its medical device?


Photo Comment

2. Does the risk management process extend into the post-production phase (including sterilization, packaging, and labeling where appropriate)?


Photo Comment

3. Are production and post-production information and data collected and reviewed in the risk management process?


Photo Comment

4. Does the organization’s quality management system integrate the risk management process?


Photo Comment
Management Responsibilities

1. Are top management involved in the overall guidance and effectiveness review of the risk management process?


Photo Comment

2. Are adequate resources provided for effective risk management activities?


Photo Comment

3. Are competent individuals trained in the risk management techniques with which they are involved?


Photo Comment

4. Has top management established a policy for determining acceptable risks and risk levels?


Photo Comment

5. Does top management participate in periodic reviews of risk management activities to rectify any weaknesses, implement improvements, and adapt to changes?


Photo Comment
Qualification Of Personnel

1. Are only competent people with the necessary knowledge and experience performing risk management tasks, including construction, production, intended use determination, and application of the medical device?


Photo Comment

2. Are representatives from various disciplines or functions involved in risk management activities to ensure balanced input?


Photo Comment

3. Are records maintained to provide objective evidence of competence and training?


Photo Comment

4. Are personnel records properly maintained with confidentiality and security, and without duplication?


Photo Comment
Risk Management Plan

1. Is a properly organized and maintained plan for continual risk management in place?


Photo Comment

2. Does the plan encourage objective and comprehensive evaluation of risks?


Photo Comment

3. Is there a procedure in place for the continued development of the plan?


Photo Comment

4. Does the plan contain a thorough description of the device, including a clear and thorough statement of intended use?


Photo Comment

5. Does the plan define a scope to establish the baseline on which risk management activities are built, including identification of the medical device and the phases of its lifecycle?


Photo Comment

6. Does the plan allocate responsibilities and authority to the respective individuals to ensure accountability?


Photo Comment

7. Are risk management activities carried out under the plan frequently reviewed by management as an essential responsibility?


Photo Comment

8. Are the criteria for risk acceptability defined before beginning risk analysis for effective risk management?


Photo Comment

9. Are the evaluation methods and criteria for the acceptability of the overall residual risk decided?


Photo Comment

10. Is verification activity planned, ensuring that essential resources are available when required?


Photo Comment

11. Does the plan align with the device’s design verification and validation activities?


Photo Comment

12. Do risk acceptability criteria in the plan derive from your policy of determining acceptable levels of device risk?


Photo Comment

13. Are the methods for collection and review of production and post-production information to act as input into the risk management process properly defined?


Photo Comment

14. Is a record of changes kept to facilitate audit and review of the risk management process for each particular device?


Photo Comment
Risk Management File

1. Is the location of all records and other documents applicable to risk management activity properly recorded and maintained, with ready retrieval from a file or file index?


Photo Comment

2. Is the traceability of records and other documents maintained to help in auditing activities and completion of risk management activities?


Photo Comment

3. Does the risk management file fully demonstrate that the risk management process is applied to each identified hazard?


Photo Comment

4. Are identified hazards, or any step in the risk management process such as unspecified or ineffective risk control measures, appropriately controlled?


Photo Comment
Risk Control Option Analysis

1. Is the design and manufacture of the medical device determined to be inherently safe, with protective measures such as alarms and barriers as appropriate?


Photo Comment

2. Are risk mechanisms from ISO/IEC Guide 63:2019 considered and followed?


Photo Comment

3. Is information for safety, such as written warnings or contraindications and/or training to users or intended users, provided?


Photo Comment

4. Are procedures in place to ensure no risk originates from contamination of components, residues of hazardous substances used in the manufacturing process, or mix-up of parts?


Photo Comment

5. Are protective measures, such as visual inspection steps in the manufacturing process, applied as appropriate?


Photo Comment

6. Is a benefit-risk analysis conducted to determine if the benefit of the medical device to the patient outweighs the residual risk?


Photo Comment

7. Is the hierarchy of risk control options explicitly considered?


Photo Comment
Implementation Of Risk Control Measures

1. Is the first verification conducted to ensure that the risk control measure is implemented in the final design of the medical device or in the manufacturing process?


Photo Comment

2. Is second verification conducted to ensure risk control measures as implemented are actually reducing the relevant risks?


Photo Comment

3. Is the effectiveness of the risk control measures validated, using a validation study to establish a convincing residual risk evaluation?


Photo Comment

4. Is the effectiveness of the risk control measures verified by various testing methods, such as usability testing (IEC 62366-1), testing according to the test standard, clinical investigation of medical devices (ISO 14155), or clinical performance studies for in vitro diagnostic medical devices (ISO 20916)?


Photo Comment

5. Are verification activities documented, considering that these activities might happen outside the design stage?


Photo Comment
Residual Risk Evaluation

1. Have the implemented risk control measures made the relevant risk acceptable?


Photo Comment

2. If the risk exceeds the acceptability criteria established in the risk management plan, are additional risk control measures investigated, planned, and implemented?


Photo Comment

3. Are additional risk control measures continually investigated until residual risk does not exceed acceptability criteria?


Photo Comment

4. Are risks appropriately re-evaluated after the implementation of risk controls?


Photo Comment
Benefit-Risk Analysis

1. Has device evaluation proven that the risk does not exceed the criteria for risk acceptability and that the benefit of the device outweighs the risk?


Photo Comment

2. Does benefit-risk analysis activity exclude economic or business considerations?


Photo Comment

3. Are properly delineated roles and responsibilities in place for conducting the benefit-risk analysis?


Photo Comment
Risks Arising From Risk Control Measures

1. When implementing new risk control measures, alone or in combination, is it actively considered whether or not they are introducing a new or a different hazard themselves?


Photo Comment

2. Are steps taken to ensure any risk control measure introduced to reduce one risk is not increasing another risk?


Photo Comment

3. Is the impact of risk control measures evaluated?


Photo Comment
Completeness Of Risk Control

1. Are all identified hazards and their consequences dealt with?


Photo Comment

2. Are steps taken to ensure that no hazardous situations are left out of risk analysis activities?


Photo Comment
Risk Analysis Process

1. Is the available information on risk analysis for a similar medical device on the market checked?


Photo Comment

2. Has the organization systematically assessed the previous work for applicability to your current risk analysis?


Photo Comment

3. Is there a basic minimum data set available for traceability, management reviews, and audits?


Photo Comment

4. Is the scope of your risk analysis clarified and verified for completeness?


Photo Comment
Intended Use/Reasonably Foreseeable Misuse

1. Does the documented intended use include elements like a medical condition, patient population, part of the body or type of tissue interacted with, user profile, use environment, and operating principle?


Photo Comment

2. Has the intended user(s) been considered, and whether a lay user or trained professional will use the device?


Photo Comment

3. Is the use of the medical device in situations that are not foreseen or intended by the manufacturer considered to a reasonable degree?


Photo Comment

4. Are future hazards due to potential uses of the medical device, and also reasonably foreseeable misuse, considered and documented?


Photo Comment
Identification Of Characteristics Related To Safety

1. Are all characteristics that are qualitative or quantitative and can be related to the operating principle of the device, its intended use, and/or reasonably foreseeable misuse that could affect the safety of the medical device documented?


Photo Comment

2. Are all characteristics related to the performance of the medical device and to the sterility/measuring function, materials used for parts coming into contact with the patient, usage of radiation for diagnostics or therapeutics, or others?


Photo Comment

3. Is it considered whether the limitations of these characteristics, if exceeded, could affect the safety of the device?


Photo Comment
Identification Of Hazards/Hazardous Situations

1. Are anticipated hazards in both normal and faulty conditions based upon the intended use, reasonably foreseeable misuse, and characteristics related to the safety of the device identified and documented?


Photo Comment

2. Are hazardous situations identified, with associated risks assessed?


Photo Comment

3. Is the reasonably foreseeable sequence of events that can transform a hazard into a hazardous situation documented?


Photo Comment

4. Are typical hazards listed, demonstrating the relationship with hazardous situations, foreseeable sequences of events, and associated possible harm?


Photo Comment

5. Is the method of hazard analysis determined, considering whether an expert group, outside sources, and product history are used?


Photo Comment
Risk Estimation

1. Are both components of risk, probability of occurrence, and severity of harm, separately analyzed?


Photo Comment

2. Is a systematic process in place, including qualitative scales, for categorizing the severity levels and the probability of occurrence of harm, with relevant information recorded within the risk management file and relevant personnel trained in the application of these qualitative scales?


Photo Comment

3. Are systematic faults, or the sequence of events leading to hazardous situations, continually monitored?


Photo Comment

4. Are the resulting hazardous situations separately listed, with a focus on reducing the risks due to these situations?


Photo Comment

5. Is quantitative data made available where possible for new device development or security risk?


Photo Comment

6. Are risks evaluated and estimated in a qualitative way – and quantitative, if the data is available?


Photo Comment

7. Is a mechanism in place for managing risks whose probability cannot be reasonably defined?


Photo Comment
Risk Evaluation

1. Is the acceptability of the risk of the medical device defined?


Photo Comment

2. Are estimated risks evaluated by using the criteria for risk acceptability defined in the risk management plan?


Photo Comment

3. Are risks actively investigated to determine which require controls?


Photo Comment

4. Are risks that need to be controlled identified for further action?


Photo Comment
Evaluation Of Overall Risk

1. Has the combined impact of all individual residual risks been considered?


Photo Comment

2. Has the overall residual risk as defined in the risk management plan been evaluated by balancing the overall residual risk against the benefits of the medical device?


Photo Comment

3. Is all relevant information made available to users about significant residual risks to facilitate the making of informed decisions on their use of the medical device?


Photo Comment

4. Is all pertinent information on residual risks included in the accompanying documentation, such as IFU/eIFU, product label, user manual, and guide?


Photo Comment

5. Are records of risk evaluation properly kept and maintained, including meeting records and analysis output documents?


Photo Comment

6. Are senior management involved in consistent risk evaluation and re-evaluation activity?


Photo Comment
Risk Management Review

1. Are the final results of the risk management process reviewed after executing the risk management plan?


Photo Comment

2. Are the results of the risk management review recorded in a risk management report?


Photo Comment

3. Is the execution of the risk management plan continually reviewed at planned intervals to confirm if the required objective has been achieved?


Photo Comment

4. Is the risk management report updated as required during the lifecycle of the medical device according to production and post-production activities?


Photo Comment

5. Does the risk management report summarize all risk management activities?


Photo Comment

6. Does the risk management report include traceability of hazards to residual risks? Is this traceability matrix complete and maintained?


Photo Comment

7. Does the traceability matrix receive review and sign-off by senior management?


Photo Comment

8. Does the organization determine when subsequent reviews of the execution of the risk management plan need to be performed and when the risk management report needs to be updated?


Photo Comment
Information Collection

1. Is production and post-production information continually collected and reviewed to evaluate its relevance to safety?


Photo Comment

2. Are procedures in place for linking information into the risk management review for manufacturing?


Photo Comment

3. Are procedures in place for linking information into the risk management review for CAPA (Corrective and Preventive Actions)?


Photo Comment

4. Are procedures in place for linking information into the risk management review for servicing?


Photo Comment

5. Are procedures in place for linking information into the risk management review for purchasing?


Photo Comment

6. Are procedures in place for linking information into the risk management review for any other pertinent operational areas that demand risk management review?


Photo Comment

7. Is best industry practice – ‘state of the art’ – considered, including new or revised standards for the collection and review of this information?


Photo Comment
Information Review

1. Is production and post-production information related to new hazards or hazardous situations, possible relevance to safety, or the effect on risk estimates and/or the balance between benefit and overall residual risk, continually reviewed?


Photo Comment
Actions

1. Is relevant safety information considered and applied as input for a) continual improvement and modification of the medical device and b) to improve adjoining risk management processes?


Photo Comment

2. Are the outputs of prior risk management review activity translated into corrective and preventive action?


Photo Comment

3. What criteria are used to determine if and when risk analysis activity should be revisited?


Photo Comment

4. Does this activity encompass devices already on the market, as well as those pre-market?


Photo Comment

Is this sample what you are looking for?
Sign up to use & customise this template, or create your own custom checklist:

Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

Easy inspection app for your digital checklists