Sterilization of health-care products - Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices - Amendment 1: Revision of Annex E, Single batch release (ISO 11135:2014/Amd 1:2018)

20191119 - Negative assessment addressed through BT decision C168/2019 (SV)
2019-03-07-JO-  under HAS assessment at PUB stage. E&Y Report was due on 03 March 2019. Awaiting for assessement report from E&Y.
2018-10-17 - TAN : Lack of compliance

Sterilisation von Produkten für die Gesundheitsfürsorge - Ethylenoxid -Anforderungen an die Entwicklung, Validierung und Lenkung der Anwendung eines Sterilisationsverfahrens für Medizinprodukte - Änderung 1 (ISO 11135:2014/Amd 1:2018)

Stérilisation des produits de santé - Oxyde d'éthylène - Exigences de développement, de validation et de contrôle de routine d'un processus de stérilisation pour des dispositifs médicaux - Amendement 1: Révision de l'Annexe E, Libération d'un lot unique (ISO 11135:2014/Amd 1:2018)

- No scope available -

Sterilizacija izdelkov za zdravstveno nego - Etilenoksid - Zahteve za razvoj, validacijo in rutinsko kontrolo sterilizacijskih postopkov za medicinske pripomočke - Dopolnilo A1: Revizija dodatka E (ISO 11135:2014/Amd 1:2018)

General Information

Status
Published
Public Enquiry End Date
19-Oct-2017
Publication Date
12-Jan-2020
Technical Committee
VAZ - Healthcare
Current Stage
6060 - National Implementation/Publication (Adopted Project)
Start Date
11-Dec-2019
Due Date
15-Feb-2020
Completion Date
13-Jan-2020

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Amendment

SIST EN ISO 11135:2014/A1:2020

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Effective Date
28-Jan-2026
Effective Date
01-Oct-2017
Effective Date
24-Jul-2024
Effective Date
29-Jul-2020

Overview

SIST EN ISO 11135:2014/A1:2020 is an amendment to the core standard EN ISO 11135:2014, detailing the requirements for the development, validation, and routine control of ethylene oxide sterilization processes for medical devices. Specifically, Amendment 1 revises Annex E, providing updated procedures and requirements for single batch release-essential for situations such as research, development, clinical trials, and limited production runs where only a single sterilization batch is available.

The standard is crucial for manufacturers and quality assurance professionals in the medical device industry who must ensure that devices are effectively sterilized with ethylene oxide (EO), especially in cases where standard validation procedures cannot be applied to large production runs.

Key Topics

  • Single Batch Release: The amendment clarifies the application of single batch release specifically for new products, clinical trials, and cases with limited batch size. Using this approach for routine multiple batch release is only permissible as part of a full validation.
  • Product Family Assessment: Requirements have been set for determining whether a new product can be classified within an existing product family for sterilization, considering product composition, design, packaging, bioburden, and load density.
  • Sampling and Testing: Procedures for selecting representative samples from the manufacturing batch include bioburden assessment, use of biological indicators (BIs), process challenge devices (PCDs), product sterility testing, and other appropriate product tests.
  • Sensor Use: Temperature and relative humidity sensors must be used to establish the environmental conditions within the sterilization load, ensuring the efficacy and uniformity of the process.
  • Documentation: All assessments, rationale, test outcomes, and process parameters must be meticulously documented to comply with regulatory requirements and traceability standards.

Applications

This amendment to ISO 11135 provides practical value for:

  • Medical device manufacturers: Enables effective sterilization control and compliance during development and clinical testing, especially when limited quantities are available.
  • Quality assurance/validation teams: Provides clear steps for achieving compliance in non-standard sterilization scenarios, supporting the release of batches when full-scale validation is impractical.
  • Regulatory submission: Supports conformity with essential requirements under EU Medical Device legislation by stipulating how products subjected to EO sterilization meet safety and performance expectations, even in small or unique production runs.
  • Contract sterilization providers: Delivers standardized methods for documenting and justifying single batch releases, improving client confidence and audit readiness.

Related Standards

Compliance with SIST EN ISO 11135:2014/A1:2020 often involves consideration of related standards, including:

  • ISO 11135:2014: The primary standard for EO sterilization process development, validation, and control.
  • ISO 11138-1 and ISO 11138-2: Requirements for biological indicators used in EO sterilization validation.
  • ISO 11737-1 and ISO 11737-2: Microbiological testing for bioburden determination and sterility testing of medical devices.
  • ISO 10993-7: Guidance for ethylene oxide residuals in medical devices.
  • EN ISO 13485: Quality management systems for medical devices.
  • Relevant EU directives and regulations: Addresses essential safety and performance requirements under the Medical Devices Regulation (EU 2017/745), In Vitro Diagnostic Regulation (EU 2017/746), and related Directives 90/385/EEC, 93/42/EEC, and 98/79/EC.

Practical Value

By adhering to SIST EN ISO 11135:2014/A1:2020, organizations ensure:

  • Effective, compliant release of medical devices sterilized in small or unique batches.
  • Increased patient safety through rigorous and transparent sterilization validation.
  • Streamlined regulatory approval for innovative or limited-release medical devices.

Key SEO Keywords: ethylene oxide sterilization, single batch release, medical devices, ISO 11135, validation, routine control, sterilization process, health-care products, EU medical device regulation.

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SIST EN ISO 11135:2014/A1:2020

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Frequently Asked Questions

SIST EN ISO 11135:2014/A1:2020 is a amendment published by the Slovenian Institute for Standardization (SIST). Its full title is "Sterilization of health-care products - Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices - Amendment 1: Revision of Annex E, Single batch release (ISO 11135:2014/Amd 1:2018)". This standard covers: 20191119 - Negative assessment addressed through BT decision C168/2019 (SV) 2019-03-07-JO- under HAS assessment at PUB stage. E&Y Report was due on 03 March 2019. Awaiting for assessement report from E&Y. 2018-10-17 - TAN : Lack of compliance

20191119 - Negative assessment addressed through BT decision C168/2019 (SV) 2019-03-07-JO- under HAS assessment at PUB stage. E&Y Report was due on 03 March 2019. Awaiting for assessement report from E&Y. 2018-10-17 - TAN : Lack of compliance

SIST EN ISO 11135:2014/A1:2020 is classified under the following ICS (International Classification for Standards) categories: 11.080.01 - Sterilization and disinfection in general. The ICS classification helps identify the subject area and facilitates finding related standards.

SIST EN ISO 11135:2014/A1:2020 has the following relationships with other standards: It is inter standard links to SIST EN 556-2:2025, SIST EN ISO 11135:2014, oSIST prEN ISO 11135:2025, oSIST prEN ISO 11135:2024. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

SIST EN ISO 11135:2014/A1:2020 is associated with the following European legislation: EU Directives/Regulations: 2017/745, 2017/746, 90/385/EEC, 93/42/EEC, 98/79/EC; Standardization Mandates: M/023, M/575, M/575 Amd 2, M/BC/CEN/89/9. When a standard is cited in the Official Journal of the European Union, products manufactured in conformity with it benefit from a presumption of conformity with the essential requirements of the corresponding EU directive or regulation.

SIST EN ISO 11135:2014/A1:2020 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.

Standards Content (Sample)


SLOVENSKI STANDARD
01-februar-2020
Sterilizacija izdelkov za zdravstveno nego - Etilenoksid - Zahteve za razvoj,
validacijo in rutinsko kontrolo sterilizacijskih postopkov za medicinske
pripomočke - Dopolnilo A1: Revizija dodatka E (ISO 11135:2014/Amd 1:2018)
Sterilization of health-care products - Ethylene oxide - Requirements for the
development, validation and routine control of a sterilization process for medical devices
- Amendment 1: Revision of Annex E, Single batch release (ISO 11135:2014/Amd
1:2018)
Sterilisation von Produkten für die Gesundheitsfürsorge - Ethylenoxid -Anforderungen an
die Entwicklung, Validierung und Lenkung der Anwendung eines Sterilisationsverfahrens
für Medizinprodukte - Änderung 1 (ISO 11135:2014/Amd 1:2018)
Stérilisation des produits de santé - Oxyde d'éthylène - Exigences de développement, de
validation et de contrôle de routine d'un processus de stérilisation pour des dispositifs
médicaux - Amendement 1: Révision de l'Annexe E, Libération d'un lot unique (ISO
11135:2014/Amd 1:2018)
Ta slovenski standard je istoveten z: EN ISO 11135:2014/A1:2019
ICS:
11.080.01 Sterilizacija in dezinfekcija na Sterilization and disinfection
splošno in general
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 11135:2014/A1
EUROPEAN STANDARD
NORME EUROPÉENNE
November 2019
EUROPÄISCHE NORM
ICS 11.080.01
English Version
Sterilization of health-care products - Ethylene oxide -
Requirements for the development, validation and routine
control of a sterilization process for medical devices -
Amendment 1: Revision of Annex E, Single batch release
(ISO 11135:2014/Amd 1:2018)
Stérilisation des produits de santé - Oxyde d'éthylène - Sterilisation von Produkten für die
Exigences de développement, de validation et de Gesundheitsfürsorge - Ethylenoxid -Anforderungen an
contrôle de routine d'un processus de stérilisation die Entwicklung, Validierung und Lenkung der
pour des dispositifs médicaux - Amendement 1: Anwendung eines Sterilisationsverfahrens für
Révision de l'Annexe E, Libération d'un lot unique (ISO Medizinprodukte - Änderung 1 (ISO 11135:2014/Amd
11135:2014/Amd 1:2018) 1:2018)
This amendment A1 modifies the European Standard EN ISO 11135:2014; it was approved by CEN on 6 November 2019.

This European Standard was corrected and reissued by the CEN-CENELEC Management Centre on 11 December 2019.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for inclusion of
this amendment into the relevant national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This amendment exists in three official versions (English, French, German). A version in any other language made by translation
under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the
same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATIO N

EUROPÄISCHES KOMITEE FÜR NORMUN G

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2019 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 11135:2014/A1:2019 E
worldwide for CEN national Members.

Contents Page
European foreword . 3
Annex ZA (informative) Relationship between this European Standard and the Essential
Requirements of EU Directive 90/385/EEC on active implantable medical devices
[OJ L 189] aimed to be covered . 5
Annex ZB (informative) Relationship between this European Standard and the Essential
Requirements of EU Directive 93/42/EEC on medical devices [OJ L 169] aimed to be
covered. 7
Annex ZC (informative) Relationship between this European Standard and the Essential
Requirements of EU Directive 98/79/EC on in vitro diagnostic medical devices [OJ L
331] aimed to be covered . 9
Annex ZD (informative)  Relationship between this European standard and the General
Safety and Performance Requirements of Regulation (EU) 2017/745 aimed to be
covered. 11
Annex ZE (informative)  Relationship between this European standard and the General
Safety and Performance Requirements of Regulation (EU) 2017/746 aimed to be
covered. 14
European foreword
This document (EN ISO 11135:2014/A1:2019) has been prepared by Technical Committee ISO/TC 198
"Sterilization of health care products" in collaboration with Technical Committee CEN/TC 204
“Sterilization of medical devices” the secretariat of which is held by BSI.
This Amendment to the European Standard EN ISO 11135:2014 shall be given the status of a national
standard, either by publication of an identical text or by endorsement, at the latest by May 2020, and
conflicting national standards shall be withdrawn at the latest by May 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document modifies EN ISO 11135:2014 with a revised European Foreword and European Annexes
ZA, ZB and ZC, and additional European Annexes ZD and ZE.
This document has been prepared under a mandate given to CEN by the European Commission and the
European Free Trade Association, and supports essential requirements of EU Directive(s).
For relationship with EU Directive(s) and Regulation(s), see informative Annex ZA, ZB, ZC, ZD and ZE,
which are an integral part of this document.
The following referenced documents are indispensable for the application of this document. For
undated references, the edition of the referenced document (including any amendments) listed below
applies. For dated references, only the edition cited applies. However, for any use of this standard
within the meaning of Annex ZA, ZB, ZC, ZD or ZE, the user should always check that any referenced
document has not been superseded and that its relevant contents can still be considered the generally
acknowledged state-of-art.
When an IEC or ISO standard is referred to in the ISO standard text, this should be understood as a
normative reference to the corresponding EN standard, if available, and otherwise to the dated version
of the ISO or IEC standard as listed below.
NOTE The way in which these referenced documents are cited in normative requirements determines the
extent (in whole or in part) to which they apply.
Table — Correlation between normative references and dated EN and ISO standards
Normative references Equivalent dated standard
as listed in Clause 2 of the EN ISO
ISO standard
ISO 10012 EN ISO 10012:2003 ISO 10012:2003
ISO 10993-7 EN ISO 10993-7:2008 ISO 10993-7:2008
ISO 11138-1:2006 EN ISO 11138-1:2006 ISO 11138-1:2006
ISO 11138-2:2009, EN ISO 11138-2:2009 ISO 11138-2:2009
ISO 11140-1 EN ISO 11140-1:2014 ISO 11140-1:2014
ISO 11737-1 EN ISO 11737-1:2018 ISO 11737-1:2018
ISO 11737-2 EN ISO 11737-2:2009 ISO 11737-2:2009
ISO 13485:2003/Cor 1:2009 EN ISO 13485:2016 ISO 13485:2016

NOTE Some standards normatively referred to by EN ISO 11135:2014/A1:2019 are undated. These referred
standards also include normative references to other dated and undated standards. For undated normative
references, it should always be assumed that the latest edition applies.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO 11135:2014/Amd 1:2018 has been approved by CEN as EN ISO 11135:2014/A1:2019
without any modification.
Annex ZA
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 90/385/EEC on active implantable medical
devices [OJ L 189] aimed to be covered
This European standard has been prepared under a Commission’s standardisation request
M/BC/CEN/89/9 to provide one voluntary means of conforming to essential requirements of Council
Directive 90/385/EEC of 20 June 1990 on the approximation of the laws of the Member States relating
to active implantable medical devices [OJ L 189].
Once this standard is cited in the Official Journal of the European Union under that Directive,
compliance with the normative clauses of this standard given in Table ZA.1 confers, within the limits of
the scope of this standard, a presumption of conformity with the corresponding Essential Requirements
of that Directive and associated EFTA regulations.
NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk
management process needs to be in compliance with 90/385/EEC, as amended by 2007/47/EC. This means that
risks have to be reduced ‘as far as possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’,
according to the wording of the corresponding essential requirement.
NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential
requirements 1, 4, 5, 8, 9 and 10of the Directive.
NOTE 3 This Annex ZA is based on normative references according to the table of references in the European
foreword, replacing the references in the core text.
NOTE 4 When an Essential Requirement does not appear in Table ZA.1, it means that it is not addressed by this
European Standard.
Table ZA.1 — Correspondence between this European Standard and Annex I of Directive
90/385/EEC [OJ L 189]
Essential Requirements (ERs) of Clauses of this EN Qualifying remarks/Notes
Directive 90/385/EEC
7 4,5,6,7,8,9,10,11,12 This standard provides
requirements for the development,

validation and routine control of a
sterilization process for medical
devices using ethylene oxide,
including requirements that the
sterilized medical device is safe
and performs as intended after
sterilization. This Essential
Requirement is addressed only
with regard to devices for which
sterilization by ethylene oxide is
appropriate.
This relevant Essential Requirement
is only partly addressed in this
European Standard. Design and
packaging for maintenance of
sterility during transportation and
storage are not covered. Aspects of
manufacture other than those
related to sterilization by ethylene
oxide are not covered.
WARNING 1 — Presumption of conformity stays valid only as long as a reference to this European
Standard is maintained in the list published in the Official Journal of the European Union. Users of this
standard should consult frequently the latest list published in the Official Journal of the European
Union.
WARNING 2 — Other Union legislation may be applicable to the products falling within the scope of
this standard.
Annex ZB
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 93/42/EEC on medical devices [OJ L 169]
aimed to be covered
This European Standard has been prepared under a Commission's standardization request
M/BC/CEN/89/9 to provide one voluntary means of conforming to essential requirements of Council
Directive 93/42/EEC of 14 June 1993 concerning medical devices [OJ L 169].
Once this standard is cited in the Official Journal of the European Union under that Directive,
compliance with the normative clauses of this standard given in Table ZB.1 confers, within the limits of
the scope of this standard, a presumption of conformity with the corresponding Essential Requirements
of that Directive and associated EFTA regulations.
NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk
management process needs to be in compliance with 93/42/EEC, as amended by 2007/47/EC. This means that
risks have to be reduced ‘as far as possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’,
according to the wording of the corresponding essential requirement.
NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential
requirements 1, 2, 5, 6, 7, 8, 9, 11 and 12 of the Directive.
NOTE 3 This Annex ZB is based on normative references according to the table of references in the European
foreword, replacing the references in the core text.
NOTE 4 When an Essential Requirement does not appear in Table ZB.1, it means that it is not addressed by this
European Standard.
Table ZB.1 — Correspondence between this European Standard and Annex I of Directive
93/42/EEC [OJ L 169]
Essential Requirements (ERs) of Clauses of this EN Qualifying remarks/Notes
Directive 93/42/EEC
8.3 4,5,6,7,8,9,10,11,12 This standard provides
requirements for the development,
validation and routine control of a
sterilization process for medical
devices using ethylene oxide,
including requirements that the
sterilized medical device is safe
and performs as intended after
sterilization. This Essential
Requirement is addressed only
with regard to devices for which
sterilization by ethylene oxide is
appropriate.
This relevant Essential Requirement
is only partly addressed in this
European Standard. Design and
packaging for maintenance of
sterility during transportation and
storage are not covered. Aspects of
manufacture other than those
related to sterilization by ethylene
oxide are not covered.
8.4 4,5,6,7,8,9,10,11,12 This relevant Essential Requirement
is only partly addressed in this
European Standard. This Essential
Requirement is addressed only with
regard to devices for which
sterilization by ethylene oxide is
appropriate. Aspects of manufacture
other than those related to
sterilization by ethylene oxide are
not covered.
WARNING 1 — Presumption of conformity stays valid only as long as a reference to this European
Standard is maintained in the list published in the Official Journal of the European Union. Users of this
standard should consult frequently the latest list published in the Official Journal of the European
Union.
WARNING 2 — Other Union legislation may be applicable to the products falling within the scope of
this standard.
Annex ZC
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 98/79/EC on in vitro diagnostic medical
devices [OJ L 331] aimed to be covered
This European standard has been prepared under a Commission’s standardisation request, M/252,
concerning the development of European standards relating to in vitro diagnostic medical devices, to
provide one voluntary means of conforming to essential requirements of Directive 98/79/EC of the
European Parliament and of the Council of 27 October 1998 on in vitro diagnostic medical devices [OJ L
331].
Once this standard is cited in the Official Journal of the European Union under that Directive,
compliance with the normative clauses of this standard given in Table ZC.1 confers, within the limits of
the scope of this standard, a presumption of conformity with the corresponding Essential Requirements
of that Directive and associated EFTA regulations.
NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk
management process needs to be in compliance with 98/79/EC. This means that risks have to be reduced ‘as far
as possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’, according to the wording of
the corresponding essential requirement.
NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential
requirements Part A: 1, 2 and 5; Part B: 1.2, 2, 3, 5, 6, and 7of the Directive.
NOTE 3 This Annex ZC is based on normative references according to the table of references in the European
foreword, replacing the references in the core text.
NOTE 4 When an Essential Requirement does not appear in Table ZC.1, it means that it is not addressed by this
European Standard.
Table ZC.1 — Correspondence between this European Standard and Annex I of Directive
98/79/EC [OJ L 331]
Essential Requirements (ERs) of Clauses of this EN Qualifying remarks/Notes
Directive 98/79/EC
B.2.3 4,5,6,7,8,9,10,11,12 This standard provides
requirements for the development,
validation and routine control of a
sterilization process for medical
devices using ethylene oxide,
including requirements that the
sterilized medical device is safe
and performs as intended after
sterilization. This Essential
Requirement is addressed only
with regard to devices for which
sterilization by ethylene oxide is
appropriate.
This relevant Essential Requirement
is only partly addressed in this
European Standard. Design and
packaging for maintenance of
sterility during transportation and
storage are not covered. Aspects of
manufacture other than those
related to sterilization by ethylene
oxide are not covered.
B.2.4 4,5,6,7,8,9,10,11,12 This relevant Essential
requirement is addressed only
with regard to:
sterilization, not covering other
special microbiological state
devices for which sterilization
by ethylene oxide is
appropriate
WARNING 1 — Presumption of conformity stays valid only as long as a reference to this European
Standard is maintained in the list published in the Official Journal of the European Union. Users of this
standard should consult frequently the latest list published in the Official Journal of the European
Union.
WARNING 2 — Other Union legislation may be applicable to the products falling within the scope of
this standard.
Annex ZD
(informative)
Relationship between this European standard and the General Safety and
Performance Requirements of Regulation (EU) 2017/745 aimed to be
covered
This European standard has been prepared under a Commission’s standardisation request to provide
one voluntary means of conforming to the General Safety and Performance Requirements of Regulation
(EU) 2017/745 of 5 April 2017 concerning medical devices [OJ L 117].
Once this standard is cited in the Official Journal of the European Union under that Regulation,
compliance with the normative clauses of this standard given in Table ZD.1 confers, within the limits of
the scope of this standard, a presumption of conformity with the corresponding General Safety and
Performance Requirements of that Regulation, and associated EFTA regulations.
NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk
management process needs to be in compliance with Regulation (EU) 2017/745. This means that risks have to be
‘reduced as far as possible’, ‘reduced to the lowest possible level’, ‘reduced as far as possible and appropriate’,
‘removed or reduced as far a
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