Management Review Action Plan template
A form in the Management Review procedure (PR11), mapped to ISO 15189:2022 clause 8.9. Fill it in whenever the task occurs. Used by the quality-management team.
FormISO 15189 · 8.9As needed
Calculated automaticallyRed = outside limits
Your LaboratoryManagement Review Action Plan | YL-QM-FRM-11-F04 v1.0
Record: Management Review Action Plan — October 2026
Meeting Date2026-10-01
Next Review Date2026-10-01
| No. | Action Ref | Action Required | Details / Context | Responsible Person | Target Date | Resources Required | Date Completed | Outcome / Evidence | Status | Comments |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | None required | None required | T. Moyo | 2026-10-01 | 2026-10-01 | Within limits | Completed | Within limits | ||
| 2 | None required | None required | R. Naidoo | 2026-10-08 | 2026-10-08 | Completed | ||||
| 3 | None required | None required | S. Dlamini | 2026-10-15 | 2026-10-15 | Completed | ||||
| 4 | Investigated and repeated: within limits | Investigated and repeated: within limits | A. Mensah | 2026-10-22 | 2026-10-22 | Within limits | Not Started | Within limits | ||
| 5 | None required | None required | L. Banda | 2026-10-29 | 2026-10-29 | Completed | ||||
| 6 | None required | None required | K. Otieno | 2026-11-05 | 2026-11-05 | Completed | ||||
| 7 | None required | None required | T. Moyo | 2026-11-12 | 2026-11-12 | Within limits | Completed | Within limits | ||
| 8 | None required | None required | R. Naidoo | 2026-11-19 | 2026-11-19 | Completed |
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Completed by | |||
| Reviewed by |
Shaded cells are calculated automatically. Values in red are outside their limits. † marks a corrected value (see Corrections).
Controlled document. Printed copies are uncontrolled unless stamped.Page 1
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What it records
- Action Ref
- Action Required
- Details / Context
- Responsible Person
- Target Date
- Resources Required
- Date Completed
- Outcome / Evidence
- Status
- Comments
Sign-off
- Completed by
- Reviewed by
Related templates
- Management Review Input Form (PR11-F01)
- Management Review Agenda (PR11-F02)
- Management Review Minutes (PR11-F03)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.