System Access Approval Checklist

Access Request Details

Employee Name

Employee ID

Department / Role

Request Type

System Name

System Owner

Access Effective Date

Access End Date (if applicable)

Access Control Verification

Requirement	Yes	No	Comments
Access request is formally documented and authorized
Requested access aligns with job role and responsibilities
Least-privilege access principle applied
Segregation of duties evaluated and no conflicts identified
System is GMP / Part 11 relevant
Role-based training completed (or scheduled)

Quality & Management Approval

Approval Level	Name	Decision	Date	Signature
System Owner
IT Administrator
Quality Unit (QA)

Access Implementation Confirmation

Confirmation Item	Completed	Notes
Access provisioned exactly as approved
User notified of access activation
Access recorded in system access register / audit trail