Management Review Guide
ISO 13485 Clause 5.6 management review requirements, inputs, outputs, and action tracking.
Table of Contents
Review Requirements
ISO 13485:2016 Clause 5.6
| Requirement |
Specification |
| Frequency |
Planned intervals (typically quarterly or semi-annually) |
| Participants |
Top management involvement required |
| Documentation |
Records must be maintained |
| Inputs |
All required inputs must be reviewed |
| Outputs |
Decisions and actions documented |
Review Schedule
| Review Type |
Frequency |
Focus |
Participants |
| Full Management Review |
Semi-annual or Annual |
Complete QMS performance |
CEO, QMR, all department heads |
| Quarterly Quality Review |
Quarterly |
Key metrics and actions |
QMR, Quality team, affected managers |
| Monthly Quality Update |
Monthly |
Operational metrics |
QMR, Quality team leads |
Planning Checklist
Required Inputs
ISO 13485 Required Input Topics
| Input |
Source |
Data Period |
Responsible |
| Audit results |
Internal and external audits |
Since last review |
QA Manager |
| Customer feedback |
Complaints, surveys, returns |
Since last review |
Customer Quality |
| Process performance |
Process metrics, yields |
Since last review |
Process owners |
| Product conformity |
Inspection data, NCRs |
Since last review |
QC Manager |
| CAPA status |
Open/closed CAPAs |
Current status |
CAPA Officer |
| Previous review actions |
Action item tracker |
Since last review |
QMR |
| Changes to QMS |
Regulatory, standard changes |
Since last review |
RA Manager |
| Recommendations |
Improvement opportunities |
Ongoing collection |
All managers |
Input Data Collection Template
MANAGEMENT REVIEW INPUT SUMMARY
Review Period: [Start Date] to [End Date]
Prepared By: [Name]
Date Prepared: [Date]
1. AUDIT RESULTS
Internal Audits Completed: [Number]
External Audits Completed: [Number]
Major Findings: [Number] | Minor Findings: [Number]
Open Audit Actions: [Number]
Summary: [Brief narrative]
2. CUSTOMER FEEDBACK
Total Complaints: [Number]
Complaint Rate: [X per 1000 units]
Customer Satisfaction Score: [Score]
Top Complaint Categories:
- [Category 1]: [Count]
- [Category 2]: [Count]
Trend: [Improving/Stable/Declining]
3. PROCESS PERFORMANCE
| Process | Target | Actual | Status |
|---------|--------|--------|--------|
| [Process 1] | [Target] | [Actual] | [Met/Not Met] |
4. PRODUCT CONFORMITY
First Pass Yield: [%]
Nonconformance Rate: [%]
Reject/Scrap Cost: [$]
Top NC Categories:
- [Category 1]: [Count]
5. CAPA STATUS
Open CAPAs: [Number]
Overdue CAPAs: [Number]
Effectiveness Rate: [%]
Average Closure Time: [Days]
6. PREVIOUS ACTIONS
Total Actions from Last Review: [Number]
Completed: [Number] | In Progress: [Number] | Overdue: [Number]
7. QMS CHANGES
Regulatory Changes: [List]
Standard Updates: [List]
Internal Changes: [List]
8. RECOMMENDATIONS
[List improvement opportunities collected]
Data Analysis Guidelines
| Input |
Analysis Required |
Red Flags |
| Audit results |
Trend by area, repeat findings |
Major NC in same area twice |
| Complaints |
Pareto analysis, rate trending |
Increasing rate, safety issues |
| Process performance |
Control charts, capability |
Out of control, Cpk <1.33 |
| Product conformity |
Defect Pareto, yield trending |
Declining yield, new defect types |
| CAPA |
Aging analysis, effectiveness |
>10% overdue, <80% effective |
Review Agenda
Standard Agenda Template
MANAGEMENT REVIEW AGENDA
Date: [Date]
Time: [Start] - [End]
Location: [Room/Virtual Link]
Chair: [QMR Name]
1. OPENING (10 min)
- Call to order and attendance
- Approval of previous meeting minutes
- Review of previous action items
2. QMS PERFORMANCE (30 min)
- Audit results summary
- Process performance metrics
- Product conformity data
- Customer feedback analysis
3. COMPLIANCE STATUS (20 min)
- Regulatory compliance status
- Certification status
- Changes affecting QMS
4. CAPA AND IMPROVEMENT (20 min)
- CAPA status and trends
- Improvement initiatives status
- Recommendations for improvement
5. RESOURCE REVIEW (15 min)
- Resource adequacy assessment
- Training and competency status
- Infrastructure needs
6. STRATEGIC ITEMS (15 min)
- Quality objectives progress
- Quality policy adequacy
- Strategic quality initiatives
7. DECISIONS AND ACTIONS (15 min)
- Decisions required
- New action items
- Next review planning
8. CLOSING (5 min)
- Summary of decisions
- Action item review
- Adjournment
Time Allocation by Review Type
| Review Type |
Duration |
Focus Areas |
| Full Annual Review |
3-4 hours |
All inputs, strategic planning |
| Semi-annual Review |
2-3 hours |
All inputs, trend analysis |
| Quarterly Review |
1.5-2 hours |
Key metrics, action tracking |
Required Outputs
ISO 13485 Required Output Topics
| Output |
Description |
Documentation |
| Improvement decisions |
QMS and process improvements |
Action items with owners |
| Resource decisions |
Changes to resource allocation |
Resource plan updates |
| Quality objectives |
Changes to objectives or targets |
Updated objectives document |
| QMS changes |
Decisions on system modifications |
Change requests initiated |
Output Documentation Template
MANAGEMENT REVIEW OUTPUTS
Review Date: [Date]
Review Type: [Annual/Semi-annual/Quarterly]
DECISIONS MADE:
1. QMS IMPROVEMENT DECISIONS
| Decision | Rationale | Owner | Due Date |
|----------|-----------|-------|----------|
| [Decision 1] | [Why] | [Who] | [When] |
2. RESOURCE DECISIONS
| Decision | Resources Required | Budget Impact | Owner |
|----------|-------------------|----------------|-------|
| [Decision 1] | [What needed] | [$] | [Who] |
3. QUALITY OBJECTIVES
| Objective | Current | Target | Change | Rationale |
|-----------|---------|--------|--------|-----------|
| [Objective 1] | [Current target] | [New target] | [+/-] | [Why] |
4. QMS CHANGES APPROVED
| Change | Scope | Implementation Date | Owner |
|--------|-------|---------------------|-------|
| [Change 1] | [Affected areas] | [Date] | [Who] |
CONCLUSIONS:
- Overall QMS effectiveness: [Effective/Needs Improvement]
- Quality policy adequacy: [Adequate/Needs Update]
- Quality objectives progress: [On Track/Behind/Ahead]
NEXT REVIEW:
Date: [Date]
Special Focus Areas: [Areas requiring attention]
Action Tracking
Action Item Format
ACTION ITEM
ID: MR-[Year]-[Number]
Source: Management Review [Date]
Category: [ ] Improvement [ ] Resource [ ] Compliance [ ] Other
Description: [Specific action to be taken]
Owner: [Name, Title]
Due Date: [Date]
Priority: [ ] High [ ] Medium [ ] Low
Success Criteria: [How completion will be verified]
Resources Required: [People, budget, equipment]
Dependencies: [Other actions or conditions]
Status Updates:
| Date | Update | Updated By |
|------|--------|------------|
| [Date] | [Progress note] | [Name] |
Completion:
Completed Date: [Date]
Evidence: [Reference to evidence of completion]
Verified By: [Name, Date]
Action Status Categories
| Status |
Definition |
Color Code |
| Not Started |
Assigned but work not begun |
Gray |
| In Progress |
Work underway |
Blue |
| On Hold |
Blocked, awaiting dependency |
Yellow |
| Overdue |
Past due date, not complete |
Red |
| Complete |
Finished, pending verification |
Green |
| Verified |
Completion verified |
Dark Green |
| Cancelled |
No longer required |
Strikethrough |
Action Tracking Dashboard
MANAGEMENT REVIEW ACTION TRACKER
Review: [Date]
Last Updated: [Date]
SUMMARY:
Total Actions: [Number]
| Status | Count | % |
|--------|-------|---|
| Complete/Verified | [N] | [%] |
| In Progress | [N] | [%] |
| Not Started | [N] | [%] |
| Overdue | [N] | [%] |
| On Hold | [N] | [%] |
OVERDUE ACTIONS (Requires Escalation):
| ID | Description | Owner | Due Date | Days Overdue |
|----|-------------|-------|----------|--------------|
| [ID] | [Brief] | [Name] | [Date] | [Days] |
UPCOMING DUE (Next 30 Days):
| ID | Description | Owner | Due Date |
|----|-------------|-------|----------|
| [ID] | [Brief] | [Name] | [Date] |
Documentation Templates
Meeting Minutes Template
MANAGEMENT REVIEW MEETING MINUTES
Date: [Date]
Time: [Start] - [End]
Location: [Location]
Chair: [Name]
Recorder: [Name]
ATTENDEES:
| Name | Title | Present |
|------|-------|---------|
| [Name] | [Title] | ☑ Yes / ☐ No |
AGENDA ITEMS REVIEWED:
1. [Topic]
Discussion: [Summary of discussion]
Decision: [Decision made, if any]
Action: [Action assigned, if any]
2. [Topic]
...
DECISIONS SUMMARY:
1. [Decision 1]
2. [Decision 2]
ACTIONS ASSIGNED:
| ID | Action | Owner | Due Date |
|----|--------|-------|----------|
| MR-XX-01 | [Action] | [Name] | [Date] |
NEXT MEETING:
Date: [Date]
Preliminary Agenda Items: [Topics to cover]
APPROVAL:
Chair: _________________ Date: _______
QMR: _________________ Date: _______
Review Effectiveness Metrics
| Metric |
Target |
Calculation |
| Action completion rate |
>90% |
Completed on time / Total actions |
| Review attendance |
100% required |
Required attendees present / Required |
| Input completeness |
100% |
Inputs provided / Required inputs |
| Decision documentation |
100% |
Documented decisions / Decisions made |
| Time to complete review |
Per schedule |
Actual date - Planned date |
1---2name: management-review-guide3description: ISO 13485 Clause 5.6 management review requirements, inputs, outputs, and action tracking.4---5# Management Review Guide67ISO 13485 Clause 5.6 management review requirements, inputs, outputs, and action tracking.89---1011## Table of Contents1213- [Review Requirements](#review-requirements)14- [Required Inputs](#required-inputs)15- [Review Agenda](#review-agenda)16- [Required Outputs](#required-outputs)17- [Action Tracking](#action-tracking)18- [Documentation Templates](#documentation-templates)1920---2122## Review Requirements2324### ISO 13485:2016 Clause 5.62526| Requirement | Specification |27|-------------|---------------|28| Frequency | Planned intervals (typically quarterly or semi-annually) |29| Participants | Top management involvement required |30| Documentation | Records must be maintained |31| Inputs | All required inputs must be reviewed |32| Outputs | Decisions and actions documented |3334### Review Schedule3536| Review Type | Frequency | Focus | Participants |37|-------------|-----------|-------|--------------|38| Full Management Review | Semi-annual or Annual | Complete QMS performance | CEO, QMR, all department heads |39| Quarterly Quality Review | Quarterly | Key metrics and actions | QMR, Quality team, affected managers |40| Monthly Quality Update | Monthly | Operational metrics | QMR, Quality team leads |4142### Planning Checklist4344- [ ] Review date scheduled and communicated45- [ ] Previous review actions status updated46- [ ] All input data collected and analyzed47- [ ] Presentation/report prepared48- [ ] Attendee availability confirmed49- [ ] Meeting room and resources arranged50- [ ] Agenda distributed 1 week in advance5152---5354## Required Inputs5556### ISO 13485 Required Input Topics5758| Input | Source | Data Period | Responsible |59|-------|--------|-------------|-------------|60| Audit results | Internal and external audits | Since last review | QA Manager |61| Customer feedback | Complaints, surveys, returns | Since last review | Customer Quality |62| Process performance | Process metrics, yields | Since last review | Process owners |63| Product conformity | Inspection data, NCRs | Since last review | QC Manager |64| CAPA status | Open/closed CAPAs | Current status | CAPA Officer |65| Previous review actions | Action item tracker | Since last review | QMR |66| Changes to QMS | Regulatory, standard changes | Since last review | RA Manager |67| Recommendations | Improvement opportunities | Ongoing collection | All managers |6869### Input Data Collection Template7071```72MANAGEMENT REVIEW INPUT SUMMARY7374Review Period: [Start Date] to [End Date]75Prepared By: [Name]76Date Prepared: [Date]77781. AUDIT RESULTS79Internal Audits Completed: [Number]80External Audits Completed: [Number]81Major Findings: [Number] | Minor Findings: [Number]82Open Audit Actions: [Number]83Summary: [Brief narrative]84852. CUSTOMER FEEDBACK86Total Complaints: [Number]87Complaint Rate: [X per 1000 units]88Customer Satisfaction Score: [Score]89Top Complaint Categories:90- [Category 1]: [Count]91- [Category 2]: [Count]92Trend: [Improving/Stable/Declining]93943. PROCESS PERFORMANCE95| Process | Target | Actual | Status |96|---------|--------|--------|--------|97| [Process 1] | [Target] | [Actual] | [Met/Not Met] |98994. PRODUCT CONFORMITY100First Pass Yield: [%]101Nonconformance Rate: [%]102Reject/Scrap Cost: [$]103Top NC Categories:104- [Category 1]: [Count]1051065. CAPA STATUS107Open CAPAs: [Number]108Overdue CAPAs: [Number]109Effectiveness Rate: [%]110Average Closure Time: [Days]1111126. PREVIOUS ACTIONS113Total Actions from Last Review: [Number]114Completed: [Number] | In Progress: [Number] | Overdue: [Number]1151167. QMS CHANGES117Regulatory Changes: [List]118Standard Updates: [List]119Internal Changes: [List]1201218. RECOMMENDATIONS122[List improvement opportunities collected]123```124125### Data Analysis Guidelines126127| Input | Analysis Required | Red Flags |128|-------|------------------|-----------|129| Audit results | Trend by area, repeat findings | Major NC in same area twice |130| Complaints | Pareto analysis, rate trending | Increasing rate, safety issues |131| Process performance | Control charts, capability | Out of control, Cpk <1.33 |132| Product conformity | Defect Pareto, yield trending | Declining yield, new defect types |133| CAPA | Aging analysis, effectiveness | >10% overdue, <80% effective |134135---136137## Review Agenda138139### Standard Agenda Template140141```142MANAGEMENT REVIEW AGENDA143144Date: [Date]145Time: [Start] - [End]146Location: [Room/Virtual Link]147Chair: [QMR Name]1481491. OPENING (10 min)150 - Call to order and attendance151 - Approval of previous meeting minutes152 - Review of previous action items1531542. QMS PERFORMANCE (30 min)155 - Audit results summary156 - Process performance metrics157 - Product conformity data158 - Customer feedback analysis1591603. COMPLIANCE STATUS (20 min)161 - Regulatory compliance status162 - Certification status163 - Changes affecting QMS1641654. CAPA AND IMPROVEMENT (20 min)166 - CAPA status and trends167 - Improvement initiatives status168 - Recommendations for improvement1691705. RESOURCE REVIEW (15 min)171 - Resource adequacy assessment172 - Training and competency status173 - Infrastructure needs1741756. STRATEGIC ITEMS (15 min)176 - Quality objectives progress177 - Quality policy adequacy178 - Strategic quality initiatives1791807. DECISIONS AND ACTIONS (15 min)181 - Decisions required182 - New action items183 - Next review planning1841858. CLOSING (5 min)186 - Summary of decisions187 - Action item review188 - Adjournment189```190191### Time Allocation by Review Type192193| Review Type | Duration | Focus Areas |194|-------------|----------|-------------|195| Full Annual Review | 3-4 hours | All inputs, strategic planning |196| Semi-annual Review | 2-3 hours | All inputs, trend analysis |197| Quarterly Review | 1.5-2 hours | Key metrics, action tracking |198199---200201## Required Outputs202203### ISO 13485 Required Output Topics204205| Output | Description | Documentation |206|--------|-------------|---------------|207| Improvement decisions | QMS and process improvements | Action items with owners |208| Resource decisions | Changes to resource allocation | Resource plan updates |209| Quality objectives | Changes to objectives or targets | Updated objectives document |210| QMS changes | Decisions on system modifications | Change requests initiated |211212### Output Documentation Template213214```215MANAGEMENT REVIEW OUTPUTS216217Review Date: [Date]218Review Type: [Annual/Semi-annual/Quarterly]219220DECISIONS MADE:2212221. QMS IMPROVEMENT DECISIONS223| Decision | Rationale | Owner | Due Date |224|----------|-----------|-------|----------|225| [Decision 1] | [Why] | [Who] | [When] |2262272. RESOURCE DECISIONS228| Decision | Resources Required | Budget Impact | Owner |229|----------|-------------------|----------------|-------|230| [Decision 1] | [What needed] | [$] | [Who] |2312323. QUALITY OBJECTIVES233| Objective | Current | Target | Change | Rationale |234|-----------|---------|--------|--------|-----------|235| [Objective 1] | [Current target] | [New target] | [+/-] | [Why] |2362374. QMS CHANGES APPROVED238| Change | Scope | Implementation Date | Owner |239|--------|-------|---------------------|-------|240| [Change 1] | [Affected areas] | [Date] | [Who] |241242CONCLUSIONS:243- Overall QMS effectiveness: [Effective/Needs Improvement]244- Quality policy adequacy: [Adequate/Needs Update]245- Quality objectives progress: [On Track/Behind/Ahead]246247NEXT REVIEW:248Date: [Date]249Special Focus Areas: [Areas requiring attention]250```251252---253254## Action Tracking255256### Action Item Format257258```259ACTION ITEM260261ID: MR-[Year]-[Number]262Source: Management Review [Date]263Category: [ ] Improvement [ ] Resource [ ] Compliance [ ] Other264265Description: [Specific action to be taken]266Owner: [Name, Title]267Due Date: [Date]268Priority: [ ] High [ ] Medium [ ] Low269270Success Criteria: [How completion will be verified]271Resources Required: [People, budget, equipment]272Dependencies: [Other actions or conditions]273274Status Updates:275| Date | Update | Updated By |276|------|--------|------------|277| [Date] | [Progress note] | [Name] |278279Completion:280Completed Date: [Date]281Evidence: [Reference to evidence of completion]282Verified By: [Name, Date]283```284285### Action Status Categories286287| Status | Definition | Color Code |288|--------|------------|------------|289| Not Started | Assigned but work not begun | Gray |290| In Progress | Work underway | Blue |291| On Hold | Blocked, awaiting dependency | Yellow |292| Overdue | Past due date, not complete | Red |293| Complete | Finished, pending verification | Green |294| Verified | Completion verified | Dark Green |295| Cancelled | No longer required | Strikethrough |296297### Action Tracking Dashboard298299```300MANAGEMENT REVIEW ACTION TRACKER301302Review: [Date]303Last Updated: [Date]304305SUMMARY:306Total Actions: [Number]307| Status | Count | % |308|--------|-------|---|309| Complete/Verified | [N] | [%] |310| In Progress | [N] | [%] |311| Not Started | [N] | [%] |312| Overdue | [N] | [%] |313| On Hold | [N] | [%] |314315OVERDUE ACTIONS (Requires Escalation):316| ID | Description | Owner | Due Date | Days Overdue |317|----|-------------|-------|----------|--------------|318| [ID] | [Brief] | [Name] | [Date] | [Days] |319320UPCOMING DUE (Next 30 Days):321| ID | Description | Owner | Due Date |322|----|-------------|-------|----------|323| [ID] | [Brief] | [Name] | [Date] |324```325326---327328## Documentation Templates329330### Meeting Minutes Template331332```333MANAGEMENT REVIEW MEETING MINUTES334335Date: [Date]336Time: [Start] - [End]337Location: [Location]338Chair: [Name]339Recorder: [Name]340341ATTENDEES:342| Name | Title | Present |343|------|-------|---------|344| [Name] | [Title] | ☑ Yes / ☐ No |345346AGENDA ITEMS REVIEWED:3473481. [Topic]349 Discussion: [Summary of discussion]350 Decision: [Decision made, if any]351 Action: [Action assigned, if any]3523532. [Topic]354 ...355356DECISIONS SUMMARY:3571. [Decision 1]3582. [Decision 2]359360ACTIONS ASSIGNED:361| ID | Action | Owner | Due Date |362|----|--------|-------|----------|363| MR-XX-01 | [Action] | [Name] | [Date] |364365NEXT MEETING:366Date: [Date]367Preliminary Agenda Items: [Topics to cover]368369APPROVAL:370Chair: _________________ Date: _______371QMR: _________________ Date: _______372```373374### Review Effectiveness Metrics375376| Metric | Target | Calculation |377|--------|--------|-------------|378| Action completion rate | >90% | Completed on time / Total actions |379| Review attendance | 100% required | Required attendees present / Required |380| Input completeness | 100% | Inputs provided / Required inputs |381| Decision documentation | 100% | Documented decisions / Decisions made |382| Time to complete review | Per schedule | Actual date - Planned date |