DO-SQAC016_1.

Audit of <Work Product Name> review

Audit Objective To provide assurance that review and analysis are performed in line with software verification plan
System / Sub System Name DO-178B Level
Software Name Project Code
Project Name Audit Date
Item Name Item Revision Item(s) referred Item Name Item Revision

Sample chosen

Auditor(s) Name

Planned Audit Effort (PH) Actual Audit Effort (PH)

Audit Summary
Total Issues 0
Total Open Issues 0

Devation Approval Required Approval Status Approved By

Audit Status Verified By Verified Date

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Audit of <Work Product Name> review

DO-178B
# Checkpoints Conformance Evidence / Justification
Reference
General
A-8:1
1 Was the review item(s) under configuration control prior to the review? 7.2.1
11.14-b
A-8:1
2 Were the referred items under configuration control prior to the review?
7.2.1

3 Did the appropriate reviewer(s) participate in the review? NA

4 Was the appropriate checklist used for the review? NA

A-3, A-4, A-
5 Was appropriate independence achieved?
5, A-6, A-7
A-8:1
6 Is review record under appropriate level of configuration control?
7.2.1
7 Are the defects recorded for the failed checkpoints? 11.14-a

8 Were the action items recorded as applicable? 11.14-c

A-8:3
9 Have the problem reports been raised for applicable defects?
7.2.3

10 Is the cover page of the checklist (s) correct and complete ? NA

A-9:1
Is the review conducted in accordance to the review method defined in
11 8.1.a
SVP?
8.2 c

12 Is appropriate evidence/ justification provided for each checkpoint? 11.14-c

Audit of work product review

A-9:1
Has the workproduct review and analysis ensured that the objectives
8.1.a
13 of the review process have been met? (A sample will be taken and the
8.2 c
corresponding work product checklist will be used to confirm this)
8.2 d

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Action Findings
# Checkpoint reference Audit Item Issue Location Issue Description Action taken Status Remarks

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