audit Flashcards

1
Q

1) Objectives of warehouse audit

A
  • Assess that
    o All starting material – APIs, packaging materials and finished products have approved specifications, and materials are purchased from approved suppliers.
    o Procedures are in place for handling receipt, quarantine, sampling (including availability of Sampling Room), release of materials & for handling rejected materials & products.
    o Environment of warehouse (e.g. temperature & RH monitoring and pest control programs) preserves quality of materials & products stored.
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2
Q

2) Objective of weighing room audit

A
  • Assess that
    o Calibrated, accurate and reliable weighing balance are used.
    o Weighed materials are of correct identity, Quantity and Quality
    o Authorized personnel wear appropriate PPE and weighing room ENV controlled to prevent cross-contamination.
  • Areas covered under audit of weighing room
    o Calibration of weighing balance (M)
    o Labeing of starting material (M)
    o Personnel wear proper gowns & PPE (M)
    o SOP for weighing method (M)
    o Dust extraction system and housekeeping of weighing room (P)
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3
Q

3) Objectives of auditing production areas

A
  • Assess that:
    o Premises are designed to prevent cross-contamination
    o Equipment are effectively cleaned and regularly maintained
    o Personnel control programs are in place:
     Restriced access only to authorized personnel
     Authorized personnel wear appropriate gowns and PPE
    o Materials of correct identity, quantity and quality are used for production
    o Process controls are in place, eg,
     Critical processes are validated/Re-evalidated
     In-process quality controls are in place
     Comprehensive batch processing records are kept.
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4
Q

4) Objectives of auditing packaging room

A
  • Assess that
    o There is proper design, construction, maintenance, cleaning and ENV monitoring of packaging rooms to prevent cross-contamination and mix-ups.
    o There is regular maintenance, cleaning and status labelling of packaging equipment to prevent corss-contamination and mix-ups.
    o Packaging process is validated, line clearances are performed and batch packaging records are kept.
    o There is effective control of labels to prevent mix ups and appropriate temperature/RH control to maintain quality of packaed products.
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5
Q

5) Objectives of QC lab audit

A
  • Assess that:
    o Properly trained analysts are availabe and there is independent authority for head of QC.
    o QC test methods are approved by HSA and are robust, sensitive, accurate and reliable for testing as evident from records of analytical method validation and routine QC test results.
    o Procedures are in place for maintenance, calibration, status labeling and assuring integrity of QC test equipment, eg, HPLC, GC, dissolution tester.
    o Procedures are in place for receipt, storage, security, record-keeping of test samples, reagents and reference standards.
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6
Q

Other audited areas/activities

A
  • Ancillary premises
    o Engineering workshop
    o Rest room and wash room
    o Corridors
  • External premises/outsourced activities
    o Contract Testing laboratories
     ISO 17025 Certification by SPRING singapore is accepted by HAS.
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7
Q

6) Objectives of documentation Audit

A
  • Assess that
    o Regulatory commitments to HAS are complied by manufacturer.
     Eg composition of finished product and specifications of starting materials
     Test methods used
     Process validation/stability study reports: protocols and acceptance criteria.

o Conditions of PL (product license) and ML (manufacturing license) and legal requirements under medicines, poisons and health product acts are complied.

o All manufacturing data are authentic – No falsification of Data.

o All manufacturing/QC deviations, annual product reviews, self-inspection findings and complaints and recalls are investigated and close-out.

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8
Q

major steps involved in process validation

A
  • establish tablet quality specification
    1) blend homogeneity
    2) hardness
    3) thickness
    4) friability
    5) particle size
    6) dissolution profile
  • identify critical processes
    1) blending
    2) milling
    3) compression
  • Design sampling plan
    1) for blending: 10 samples taken from top, middle and bottom of blender
    2) for milling: 1 representative sample (~100g) drawn from mill
    3) for compression: ~6x20tablets collected at 4 equal intervals from tablet compression machines: 3 compression speeds covered (low, target and high speed)
  • design testing plan
    1) for blend uniformity: assay content of blended samples
    2) for compression: test hardness, friability, thickness, potency, dissolution profile of tablets samples.
  • Set acceptance criteria
    eg within 90-110% of labeled amount
  • perform statistical analysis (intra- and inter Batch)
    eg intra-batch analysis: process capability studies
    Inter-batch anaysis: variance analysis
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9
Q

HSA GMP Inspection System follows PIC/S Framework

3 Stages:

A
  1. Pre‐Audit Planning (1 to several days)
  2. Conduct of On‐Site Audit (2 to 4 days or 4 to 8 man‐days)
  3. Post‐Audit Follow Up Activities (Varies)
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10
Q

Pre‐Audit Planning (1 to several days)

A

Pre‐Audit Planning (1 to several days)

  • HSA Forms Audit Team (comprising Lead & Co‐Auditors)
  • Confirms Dates of Audit & Send out Pre‐Audit Letter
  • Reviews Site Master File (Up to date information nn manufacturing / QC activity etc)
  • Reviews Previous Inspection Report
  • Reviews Conditions of Manufacturer’s Licence
  • Checks Out Past Product Recalls, Complaints or Unresolved Problems
  • Obtains Approved Product Specifications from HSA Computer System/Files
  • Goes Through Pre‐Audit Check List
  • Prepares Audit Agenda & Strategy
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11
Q

Conduct of On‐Site Audit (2 to 4 days or 4 to 8 man‐days)

A
  1. Conduct of On‐Site Audit (2 to 4 days or 4 to 8 man‐days)
    - Opening Meeting
    - Facility Audits (Warehouse, Production & Packaging Areas, QC Labs)
    - Debrief/Caucus (Closed Door Discussion Amongst GMP Auditors)
    - Closing Meeting (verdict announced)
    - Attendance Sheet
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12
Q
  1. Post‐Audit Follow Up Activities (Varies)
A
  1. Post‐Audit Follow Up Activities (Varies)
    - Send Post‐Audit Letter & Write Audit Report
    - Establish Next Audit Dates & Issue ML & GMP Certificates
    - Assess CAPA & Close Out Audit

CAPA = corrective action, preventive action

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13
Q

a) Establishing Next Audit Dates : A Risk‐Based System

A
  • Manufacturers classified into 3 “risk” categories :
    o Sterile Products (High Risk)
    o Non‐Sterile Oral Products (Medium Risk)
    o Non‐Sterile External Products & APIs (Low Risk)
  • Risk Factors Considered :
    o Category of Manufacturer (Sterile, Oral, External)
    o GMP Compliance Profile(Acceptable, Unacceptable, Marginal)
    o Frequent Changes to Key Personnel & Premises
    o History of Product Recalls
    o History of Legal & Regulatory Contraventions
    o Multiple Products Manufacturer
    o Manufacturer of Steroids, Hormones, Penicillins, Cytotoxics, etc
  • Frequency of Audit <= 24 months, depending on overall risk status of manufacturer & types of products manufactured
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14
Q

Types of GMP Audit

A

Types of GMP Audit

  • Pre‐Approval Audit(New Facility/New Dosage Form)
  • Routine Audit(Existing Facility/Existing Dosage Forms)
  • Follow‐Up Audit(Subsequent Audit of a New or Existing Facility)
  • Investigational/“For Cause” Audit (arising from Complaints, Product Recalls)
  • Voluntary Audit (for Granting GMP Certificate)
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15
Q
  • Manufacturer Should Know 10 Commandments of SOPs
A

o SOPs shall :

o be in a consistent standard format
o be simple, clear & unambiguous
o be approved & signed by authorized persons
o comply with legislations & standards
o not be changed without authorization
o be current & be reviewed periodically
o be easily retrieved or traceable
o Be retained, archived, disposed in a defined manner
o Period of retention of SOPs/documents shall be specified

o For electronic or computerized documents :
 a system of login ID & password shall be in place
 only authorized persons can create or modify data
 all entries, changes and deletions shall be recorded
 critical data shall be counter-checked independently
 audit trails shall be available (for verification)
 back-up systems are in place

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16
Q

ASEAN MRA covers

and how many articles

A

 Includes Medicinal Products in Finished Dosage Forms
 Excludes APIs, Biologics, Clinical Trial Products, Herbal Medicines

19 articles

17
Q

o Article 8: Mutual Recognition Obligations ASEAN MRA

A

 AMS obliged to operate a PIC/S-equivalent GMP Inspection Framework
 AMS obliged to accept GMP Certificates/Reports issued by Listed Inspection Services (i.e. AMS that meets PIC/S requirements)

18
Q

Benefits of ASEAN MRA on GMP Inspection & LIS

A

Benefits of ASEAN MRA on GMP Inspection & LIS

(1) Avoiding duplication of GMP Audits within ASEAN
(2) Saving time, resources & costs for regulators & industry
(3) Facilitating Trade in Medicinal Products across ASEAN
(4) Quicker Access of Medicinal Products by ASEAN Patients
(5) Harmonizing ASEAN Inspection System to that of PIC/S
(6) Increased Attractiveness of ASEAN to investors from China, Japan, US, EU & other larger economies

19
Q

what is SOP VS Records/ report

A
  • -SOPs 
    o Are intended to be prescriptive (detailed)
    – they tell you what, where, who, when and how to operate specific tasks/processes. (4W 1H)
    o are the key documents in a Quality System
    o integrate with Quality Manual
  • Records/Reports 
    o Are descriptive - they tell you what has been done
    o are evidence that SOPs have been followed
    o integrate with SOPs
20
Q

Principles of WHO Good Regulatory Practice

A
  • Have a Sound Legal Basis
  • Are based on International/Harmonized International Standards
  • Are Clear and Transparent to both Regulators & Regulated
  • Have Adequate Consultations with Stakeholders
  • Are Performance-Based rather than Prescriptive
  • Accord Equal Treatment to Imported and Domestic Products
  • Are Subject to Periodic Review to keep in Tandem with Change

Regulators have to move towards Open & Transparent Systems,where Business & Community Interests are also supported

21
Q

QRM Framework includes :

A

QRM Framework includes :

  • Risk identification
  • Risk Assessment (analysis)
  • Risk Control (mitigation)
  • Risk Communication &
  • Risk Review