Format Writing Safety Audit Checklist

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Format Writing Safety Audit Checklist document sample

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							   RESEARCH SOPs
        AND
COMMON AUDIT FINDINGS


Raymond C. Anderson, PhD


Wednesday, October 11, 2006
        9:00 – 9:50 am
                               Research Support &
                                Regulatory Affairs
                              Quality Assurance Unit


                                                 1
WHAT IS AN SOP?



                  2
WHY WRITE SOPs?



                  3
4
         GOALS

•   Define an SOP
•   Reasons for writing SOPs
•   Different formats for SOPs
•   Tips for writing an SOP
•   List Common Audit Findings




                                 5
WHAT IS AN SOP?




                  6
       WHAT IS AN SOP?

SOPs: Detailed written instructions to
achieve uniformity of performance of a
specific function.


ICH E6 Good Clinical Practice: Consolidated Guidance




                                                       7
           WHY WRITE SOPs?
To provide people with all the information necessary
    to perform a job properly (i.e. a training tool)

   To ensure that the procedures are performed
            correctly and consistently

     To ensure compliance with university and
             government regulations



                                                  8
          WHY WRITE SOPs?
        To serve as a checklist for auditors

To serve as an explanation of steps in a process so
   they can be reviewed in accident investigations.

To serve as a historical record of the how, why and
    when of steps in an existing process occurred
          (for inspectors and attorneys)



                                                  9
         WHY WRITE SOPs?

               To Ensure Safety

Maximize operational and production requirements




                                              10
        WHY WRITE SOPs?

        To Ensure Consistent Training

To Ensure Correct and Consistent Performance

      To Ensure Regulatory Compliance

     Just Because It Makes Good Sense



                                               11
          WHY WRITE SOPs?

Because historically many have not exercised good
  sense and failed to provide adequate training and
   consistency in performance, product or process
 failures have resulted in harm to animals, research
                subjects and patients.




                                                 12
      WHY WRITE SOPs?

              As a Result

The FDA Has Placed Academia and Industry
          In An Environment of



      Regulatory Oversight!!!!


                                           13
          REGULATORY BASIS
            ICH Guidance For Industry
 E6 Good Clinical Practice: Consolidated Guidance
         Principles of ICH GCP § 5.13.1


 The sponsor should ensure that the investigational
    product(s) (including active comparator(s) and
placebo, if applicable) is characterized as appropriate
   to the stage of development of the product(s), is
   manufactured in accordance with any applicable
                         GMP…
                                                    14
          REGULATORY BASIS

“The Commissioner finds that, as stated in 211.1,
these CGMP regulations apply to the preparation of
any drug product for administration to humans or
animals, including those still in investigational
stages.” [Response to comment #49, Preamble
1978 CGMP rule]




                                               15
          REGULATORY BASIS
            Good Manufacturing Practice
                 21 CFR 211.100

There shall be written procedures for production and
process control designed to assure that the drug
products have the identity, strength, quality, and
purity they purport or are represented to possess.




                                                  16
        REGULATORY BASIS
           Good Laboratory Practice
              21 CFR 58.81(a)

  A testing facility shall have standard operating
   procedures in writing setting forth nonclinical
  laboratory study methods that management is
 satisfied are adequate to insure the quality and
integrity of the data generated in the course of a
                         study.


                                                     17
          REGULATORY BASIS
               Good Tissue Practice
                21 CFR 1271.180

    You must establish and maintain procedures
appropriate to meet core CGTP requirements for all
    steps that you perform in the manufacture of
   HCT/Ps. You must design these procedures to
 prevent circumstances that increase the risk of the
       introduction, transmission, or spread of
communicable diseases through the use of HCT/Ps.

                                                  18
         REGULATORY BASIS
           ICH Guidance For Industry
E6 Good Clinical Practice: Consolidated Guidance
         Principles of ICH GCP § 2.13


Systems with procedures that assure the quality of
 every aspect of the trial should be implemented.




                                                19
FOCUS OF FDA INSPECTIONS
       BIORESEARCH MONITORING

                   BIMO
   Compliance Program Guidance Manual
   Chapter 45 – Biological Drug Products

Inspection of Biological Drug Products (CBER)
                   7345.848




                                                20
  FOCUS OF FDA INSPECTIONS
Six Key Systems:       Three Critical Elements:
 Quality System        SOPs
 Process               Training
 Facilities and        Records
  Equipment
 Materials
 Packaging and
  Labeling
 Laboratory Control
                                              21
             THE GOAL

Strive to create a culture of compliance




                                       22
           WHY WRITE SOPs?

Most regulatory and accrediting agencies require that
 those who perform procedures have the education,
           experience and training to do so.




                                                  23
   WHY WRITE SOPs?

SOPs are the foundation of training!




                                       24
        FORMATS FOR SOPs

There are almost as many different formats as
      there are institutions, agencies and
          companies that write them.

                 Pick One
                Document It
                 Enforce It

        You Need an SOP on SOPs
                                           25
   AN IMPORTANT POINT

      An SOP is not a Policy

A policy tells you WHAT you will do,

An SOP tells you HOW you will do it!




                                       26
SOP FORMATS

THREE MAJOR TYPES

   Standard List

    Outlined List

     Playscript




                    27
      WRITING “GOOD” SOPs

                   Accurate

                  Up to Date

        Easy to Understand and Follow

Accomplishes the Purpose for Which It Is Written



                                               28
SUGGESTED FORMAT

       PURPOSE
        SCOPE
    RESPONSIBILITY
     REFERENCES
      DEFINITIONS
      PROCEDURE
     ATTACHMENTS
   REVISION HISTORY



                      29
30
31
32
33
34
              TIPS
      WHERE TO START


     Why Is An SOP Needed?

   Who Is The Target Audience?

Will The SOP Be Inter-Departmental?

     Who Will Write The SOP?


                                      35
          TIPS
   WHERE TO START



Just Get Something On Paper
    (Avoid Writer’s Block)

     Use A Flow Chart



                              36
                        TIPS
                        TITLE



This must describe in sufficient detail the focus of the
     SOP so that anyone can tell from the title the
  content of the SOP when searching a list of SOPs

        This More Important Than You Think!



                                                     37
                        TIPS
                  REFERENCES


List all references that serve as the basis for the SOP

Do not list regulations, text books, standards, or
articles, etc. without reference to sections or page
numbers!




                                                       38
              REFERENCES
4.0 REFERENCES
  4.1   RSRA SOP 100.01 Policy and Standard
        Operating Procedure, Creation, Revision,
        and Implementation Standards
  4.2   21 CFR 58.35(c)
  4.3   21 CFR 211.22(d)
  4.4   21 CFR 820.20(a)
  4.5   21 CFR 820.20(e)
  4.6   21 CFR 1271.160(b)(1)

               NOT 21 CFR 211
                                                   39
                  TIPS
              DEFINITIONS


  List all definitions that are essential to an
understanding of the SOP including all acronyms




                                             40
                DEFINITIONS
5.0 DEFINITIONS
  5.1 QAU – Quality Assurance Unit
  5.2 CFR – Code of Federal Regulation
  5.3 SOP – Standard Operating Procedure
  5.4 GMP – Good Manufacturing Practice
  5.5 GTP – Good Tissue Practice
  5.6 Controlled Document – A policy, standard
      operating procedure, or form.
  5.7 Document – For this SOP, any controlled
      document.
  5.8 Manager – For this SOP, the Quality
    Assurance Unit Manager.
  5.9 “O” drive – The RSRA computer network drive.   41
           TIPS
      PROCEDURE

    Use words such as:
            Shall
            Must
            Will

         Do not use
           Should
            May
(Implies the task is optional)   42
                    TIPS
               PROCEDURE

Begin each activity with an active verb such as:
                    Analyze
                     Begin
                    Check
                    Delete
                     Enter
                     Start
                     Store
                    Submit
                                                   43
                      TIPS
                 PROCEDURE

Do not begin a step with a conditional phrase led by
                    When, After, If

  Avoid Jargon and Abbreviations Unless Defined

                 Avoid Complexity




                                                  44
                       TIPS
                 ATTACHMENTS


  Any forms, logs or other documents that are
    essential to the execution of the SOP and
         mentioned in the SOP shall be
              attached to the SOP

(Unless there is another way to control these documents)



                                                       45
                    TIPS
           REVISION HISTORY


This will include a detailed list of what changed
                  in the revision.

       It is extremely important to know
             what changed and when

      (Inspections, Accidents, Attorneys)


                                                    46
              REVISION HISTORY

8.0 Revision History

Revision    Date               Description of Change
    0      03/31/06 This is a new procedure

    1      08/23/06   1.   Changed 6.2 to include micro tubes
                      2.   Corrected spelling of femoral in 6.5
                      3.   Replace lab technician with lab manager in
                           6.8
                      4.   Deleted reference to cell therapy

                                                                    47
COMMON AUDIT FINDINGS
 Standard Operating Procedures

  • Lack of SOPs Where Needed

  • Failure To Follow SOPs




                                 48
    COMMON AUDIT FINDINGS
                    Records

• Failure To Maintain Records That Are Accurate,
  Indelible, and Legible
• Records Fail To Identify The Person Performing
  The Work or The Date The Work Was Done




                                                   49
    COMMON AUDIT FINDINGS
                Quality System


• Failure To Establish and Maintain a Quality
  System For Appropriate Monitoring Systems




                                                50
   COMMON AUDIT FINDINGS
          Training and Education


• Failure To Document Training and Education




                                               51
QUESTIONS?




             52

						
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