| Customer Name | PMA ID / Reference | ||
|---|---|---|---|
| Product(s) | Effective Date | ||
| Revision / Version | |||
| Verification Item | Status | Comments |
|---|---|---|
| GMP responsibilities of each party are clearly defined | ||
| Quality unit roles, authority, and independence are defined | ||
| Regulatory ownership and notification responsibilities are defined | ||
| Change control, deviation, and CAPA responsibilities are defined | ||
| Audit rights, record access, and retention requirements are defined | ||
| PMA aligns with approved specifications, SOW, and internal SOPs |
| Approval Decision | |
|---|---|
| Required Revisions / Notes |
| QA Reviewer Name | Signature | ||
|---|---|---|---|
| Date | |||