QMS Audit Expert
ISO 13485 internal audit methodology for medical device quality management systems.
Table of Contents
- Audit Planning Workflow
- Audit Execution
- Nonconformity Management
- External Audit Preparation
- Reference Documentation
- Tools
Audit Planning Workflow
Plan risk-based internal audit program:
- List all QMS processes requiring audit
- Assign risk level to each process (High/Medium/Low)
- Review previous audit findings and trends
- Determine audit frequency by risk level
- Assign qualified auditors (verify independence)
- Create annual audit schedule
- Communicate schedule to process owners
- Validation: All ISO 13485 clauses covered within cycle
Risk-Based Audit Frequency
Audit Scope by Clause
Auditor Independence
Verify auditor independence before assignment:
- Auditor not responsible for area being audited
- No direct reporting relationship to auditee
- Not involved in recent activities under audit
- Documented qualification for audit scope
Audit Execution
Conduct systematic internal audit:
- Prepare audit plan (scope, criteria, schedule)
- Review relevant documentation before audit
- Conduct opening meeting with auditee
- Collect evidence (records, interviews, observation)
- Classify findings (Major/Minor/Observation)
- Conduct closing meeting with preliminary findings
- Prepare audit report within 5 business days
- Validation: All scope items covered, findings supported by evidence
Evidence Collection
Audit Questions by Clause
Document Control (4.2):
- Show me the document master list
- How do you control obsolete documents?
- Show me evidence of document change approval
Design Control (7.3):
- Show me the Design History File for [product]
- Who participates in design reviews?
- Show me design input to output traceability
CAPA (8.5):
- Show me the CAPA log with open items
- How do you determine root cause?
- Show me effectiveness verification records
See references/iso13485-audit-guide.md for complete question sets.
Finding Documentation
Document each finding with:
Example:
Nonconformity Management
Classify and manage audit findings:
- Evaluate finding against classification criteria
- Assign severity (Major/Minor/Observation)
- Document finding with objective evidence
- Communicate to process owner
- Initiate CAPA for Major/Minor findings
- Track to closure
- Verify effectiveness at follow-up
- Validation: Finding closed only after effective CAPA
Classification Criteria
Classification Decision
CAPA Integration
See references/nonconformity-classification.md for detailed guidance.
External Audit Preparation
Prepare for certification body or regulatory audit:
- Complete all scheduled internal audits
- Verify all findings closed with effective CAPA
- Review documentation for currency and accuracy
- Conduct management review with audit as input
- Prepare facility and personnel
- Conduct mock audit (full scope)
- Brief personnel on audit protocol
- Validation: Mock audit findings addressed before external audit
Pre-Audit Readiness Checklist
Documentation:
- Quality Manual current
- Procedures reflect actual practice
- Records complete and retrievable
- Previous audit findings closed
Personnel:
- Key personnel available during audit
- Subject matter experts identified
- Personnel briefed on audit protocol
- Escorts assigned
Facility:
- Work areas organized
- Documents at point of use current
- Equipment calibration status visible
- Nonconforming product segregated
Mock Audit Protocol
- Use external auditor or qualified internal auditor
- Cover full scope of upcoming external audit
- Simulate actual audit conditions (timing, formality)
- Document findings as for real audit
- Address all Major and Minor findings before external audit
- Brief management on readiness status
Reference Documentation
ISO 13485 Audit Guide
references/iso13485-audit-guide.md contains:
- Clause-by-clause audit methodology
- Sample audit questions for each clause
- Evidence collection requirements
- Common nonconformities by clause
- Finding severity classification
Nonconformity Classification
references/nonconformity-classification.md contains:
- Severity classification criteria and decision tree
- Impact vs. occurrence matrix
- CAPA integration requirements
- Finding documentation templates
- Closure requirements by severity
Tools
Audit Schedule Optimizer
Generates risk-based audit schedule considering:
- Process risk level
- Previous findings
- Days since last audit
- Criticality scores
Output includes:
- Prioritized audit schedule
- Quarterly distribution
- Overdue audit alerts
- Resource recommendations
Sample Process Input
Audit Program Metrics
Track audit program effectiveness:

