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Document & Record Controls

Document and record controls are foundational to the QMSR quality system. They ensure that the correct version of documents is in use and that manufacturing history can be traced and verified.


Key documents and records in the QMSR

Device Master Record (DMR) — § 820.181

The DMR is the compilation of records containing the procedures and specifications for a finished device. It is the reference document set — it defines what the device should be and how it should be made.

The DMR must include or reference:

  • Device specifications (design drawings, formulations, component specifications)
  • Production process specifications and procedures
  • Quality assurance procedures and specifications
  • Packaging and labelling specifications
  • Installation, maintenance, and servicing procedures

The DMR must be documented, dated, and signed by a designated individual.

Device History Record (DHR) — § 820.184

The DHR is the compilation of records for each manufactured batch, lot, or unit. It demonstrates that the device was manufactured in accordance with the DMR.

The DHR must include:

  • Dates of manufacture
  • Quantity manufactured and released
  • Acceptance records (inspection and test results)
  • Primary identification label and labelling used
  • Equipment identifications used
  • Batch or lot numbers of components used

DHRs must be retained for the design and expected life of the device — at minimum 2 years from the release date.

Quality System Record (QSR) — § 820.186

General quality system activities and documentation must be maintained, including management reviews, training records, and audit results.


Document control requirements — § 820.40

All documents required by the QMSR must be controlled. Document control procedures must address:

RequirementDescription
Document approvalDocuments must be reviewed and approved before issue
Document availabilityCorrect versions must be available at point of use
Obsolete documentsMust be promptly removed from use and identified
Change controlChanges must be reviewed and approved by the same function that approved the original; changes communicated to affected personnel
RetentionRetention periods must be defined for all record types

Common FDA 483 findings in document control

  • Current revision documents not available at the point of use
  • SOPs referencing documents that have been revised without the SOP being updated
  • Obsolete documents still accessible to production personnel
  • Change records lacking adequate justification or approvals

Official resources