Functional Configuration Audit (FCA) Checklist

CI Nomenclature:

Date:

CI Identifier:

S No:

Requirements

Yes

No

NA

1. Facilities for Conducting FCA Available

2. Audit Team members have been identified and informed of auditee
3. Audit Team members are aware of their responsibilities
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Signature of FCA Team Members:

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Date:

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Check one:
Results reviewed satisfy the requirements and are accepted (See attached comments)
Results reviewed do not satisfy requirements (See attached comments and list of deficiencies)
Approved by PM: ____________________________

Date: __________________

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