FDA INSPECTION READINESS FDA INSPECTION READINESS FDA Readiness • Before the inspection • Set up for Inspection (Inspection team / Room setup) • Opening Meeting Tour of the facility Do’s and Don’t s During the inspection Typical Questions During Inspection Daily wrap-up and Final close-out After the inspection / Next Steps FDA INSPECTION READINESS Before Inspection: Conduct Mock Inspection / Gap Analysis Create CAPA Plan for any Gaps Execute remediation Continuous walk through of the facility / cleanliness of the facility Be pro-active and Be Prepared / Know your job Do not shy away or hide from the process. Have SMEs trained to address inspectors questions FDA INSPECTION READINESS What will they look at? Computers Validation, if compliant with CFR Part 11 Procedures Appropriately approved and followed / periodical review Complaints Resolved and closed as per internal procedure Rejected batches Laboratory controls Removed from inventory and isolated as per procedure Process / reference standards / method validation / method transfer / raw data Labels, Components Storage & security / usage / consolidation In-process materials Testing / QA oversight Validation processes Equipment / E-system / Computer software / Methods / Cleaning Finished/released materials Testing / Release of the final product Logbooks, records and Appropriately assigned / Reviewed and approved documents Overall facility Buildings, equipment, materials, cleaning procedures, HVAC, etc. FDA INSPECTION READINESS Typical Onsite Inspection Team Quality Head (Host) Scribers (typically 2 – front and back room) Document Controller SMEs for each department Quality control Laboratory Production and packaging Facilities and Warehouse IT Document Runners FDA INSPECTION READINESS Inspection Front Room Document Controller Scriber 1 Quality Head (Host) Index cards with Request # Auditor 1 Presentation Name | CONFIDENTIAL Scriber 2 Requested Document Files Request # Documents Being Reviewed Document Runner Auditor 2 FDA INSPECTION READINESS Inspection Back Room Customer SMEs Document Runner to Front Room Requested Document Files SMEs Backroom Scriber 1 Presentation Name | CONFIDENTIAL Backroom Document Scriber 2 Request # FDA INSPECTION READINESS Opening Meeting – Short Presentation Introduction of the management, Quality staff and employee present in the room Organizational Chart (Indicate who is the management) Presentation about the facility/layout, plan tour, hour of operations FDA INSPECTION READINESS Managing the inspection… • Control documents provided to the inspector • Keep log of requests and their status… Mark “Confidential” and “Copy” to all copied documents provided • Review the requested record before sending into the room for the investigator. Check that the record is the one asked for. • Send only the record and not the entire file. • Check for any missing signatures or entries or missing pages FACILITY TOUR DURING INSPECTION Tour of the facility with Inspectors • Identify key QA and respective department SMEs to escort Inspectors • Escort the inspectors at all times • Tour – flow the material and production process • Incoming materials / warehouse (raw materials, packaging material) • Quarantine / Approve material area • Production (manufacturing to finish goods area) • QC Lab FACILITY TOUR DURING INSPECTION Tour of the facility with Tour of the facility with Inspectors (continues) • Restrict conversations in common areas and/or to the area only being toured • Be prepared to show to which process or relevent SOP for the work performed in the area. • Questions – • Address only if the available information is accurate • Ensure you understand the questions before answering. • Take note of the questions asked or document requested • Take note of any document reviewed by the inspectors • Take note of any employees interviewed during the walkthrough • Always be truthful, if information not available or not known, it’s okay to say “I don’t know, let me find out” HANDLING FDA INSPECTION - DO'S Do’s Be confident Be well dressed and neat. Be presentable Be decent and polite Be courteous and professional at all times Correct all errors/miscommunications as soon as possible HANDLING FDA INSPECTION - DO'S Do’s Require that all requests from the inspector go through your inspection team Provide documents in an accurate and timely manner Handle document requests with care, ensure that only requested document is provided Review requested document prior to presenting to the inspector ensure it’s completion Limit the inspector’s access to the records, facilities and materials that are subject to inspection HANDLING FDA INSPECTION - DO'S Do’s Check that no undue paper is appended to the record. Ask for clarification when necessary Avoid undue traffic in and out of the room. Remove records which have been reviewed from the room Show one record at one time Have all records organized and available Have all relevant documents/raw data readily accessible – preferably assembled in one central location. Be very familiar with content and location of all reports/data, SOPs etc. Avoid Long delays in responding to questions HANDLING FDA INSPECTION - DO'S Do’s Make thorough notes of comments/concerns/ deficiencies pointed out by the inspector. Clarify or attempt to resolve issues as it becomes known. Be cooperative with the investigator to the extent possible, but politely disagree when appropriate Be brief in what you say “no” to any questions Try to Develop a “Relationship”. You know the product and process better than FDA and that needs to be conveyed. However don’t pass slips / notes to each other. HANDLING FDA INSPECTION - DO'S When a question is asked… Take a deep breath Listen carefully to the Inspector’s questions Pause and formulate a proper response Answer only after the question is fully stated. Request clarification to questions not understood Answer only what was asked Provide a clear, concise, and honest answer Only answer questions within your job responsibilities otherwise direct the question to “Subject Matter Experts” HANDLING FDA INSPECTION - DO'S When a Speak slowly and clearly-one word at a time question is Keep unnecessary conversation to a minimum asked… Answer briefly to the question only Answer only if you are sure. Communicate clearly and effectively Focus on positives HANDLING FDA INSPECTION - DO'S DO’s Assume a friendly, cooperative attitude - but do not overdo it. Avoid creating an adversary relationship. Project an attitude of confidence and professionalism. If management is seen as "uncooperative," the investigator may well become suspicious and more zealous. Review pertinent plant policies e.g., policies pertaining to cameras, recorders, wearing apparel, and safety equipment during the opening interview Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION - DO'S DO’s Acknowledge and document areas that you know need development. If the inspector is ‘digging’ or asking the same basic question, provide more information as answers may not be complete. Talk about what is and not what might be or should be. If a problem has surfaced, point out where GMP and quality system controls have worked and how improvements have been made. Often, it is appropriate to include a plan for corrective action. Inspectors wants to see that management is taking these issues seriously. Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Do not try to “Snow” the inspector, wrong information is worse than no information. Don’t try to control the conversation Don’t try to lead the inspection Don’t try to change the agenda Avoid language using typically, normally, generally, and usually, as possible Guess, lie, deny the obvious, or make misleading statements Engage in unconstructive argument. (Avoid win/lose or legalistic confrontations.) Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Do not write and implement Standard Operating Procedure that are overly complex and above the required standards. You will be inspected to your SOPs as well as the regulatory requirements. Failing to meet your SOPs will result in inspection finding even if you are meeting the regulatory requirements. Don’t write rigid SOPs instead where possible use ‘guidance’ Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Don’t try any distraction techniques Speak unless spoken to or questions asked Attempt to answer “What if?” questions or hypothetical questions Become argumentative or, worse, hostile or make threatening remarks. Engage in arguments with peers in the presence of inspectors Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Don’ts Allow inspectors to go through your files on their own. Ask them what they want and provide it for them. Refuse appropriate requests from inspectors, but try to narrow the scope of the request when possible Do not try to hinder the progress of the Auditor by time consuming idle conversations, lengthy presentations or non-relevant alternate agendas Don’t waste inspector’s time Do not challenge the auditor’s understanding of the requirements and regulations. Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Ask questions to the auditor Show off your knowledge. Defend your answer by giving reference of guideline or book Get aggressive or be ‘clever’ Joke with the investigator Say that something is impossible or couldn’t happen. (This is a red flag that challenges the inspector to find a way it could happen.) Chat in places the auditor may be i.e. toilets, corridors etc. Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Correct other people in front of the Inspector Do not initial/sign any error in front of the inspectors Interrupt someone else’s answer Interrupt the Inspector’s comments and explanations Provide your opinions Answer for someone else Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Don’t have food in the lab Have clutter in your work area Quote what the SOP says, unless you’re 200% certain you know what you’re talking about Be intimidated or defensive Don’t leave documents out on your desk. Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts Leave inspectors alone while they are in your plant Tell inspectors that records are unavailable. You can say that you cannot locate the record Tell inspectors they are being unreasonable (even when they are) Ask questions such as, “Where does it say we have to do that?” Their response will likely be “Where does it say that you don’t?” Do not answer questions which lie outside the authority of the Inspector (sales data, personnel information relating to salaries, performance reviews, etc) Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS DON’Ts When reviewing Records Point out errors Correct errors during the review Comment or “apologize” for the quality of the data Comment on plans to improve recordkeeping practices, unless criticized by the Investigator Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS Choose your responses correctly “To be really honest with you ………..” OR “To tell you the truth ………” Unofficially… Off the record… Presentation Name | CONFIDENTIAL HANDLING FDA INSPECTION – DON’TS Be wary of the “Long silence technique” Auditor asks you a question You answer Auditor listens Auditor maintains a long silence (purposely) You become anxious to break the silence You add more to the answers (mostly unwanted!) Auditor got enough to grill you! Don’t be over anxious to break the silence, answer only to the point, not a word more Presentation Name | CONFIDENTIAL TYPICAL QUESTIONS DURING INSPECTION… Question to expect… Quality Policy – What it is and how is it applied in the facility quality system? Job responsibility – how do you know what to do on your job? Deviations, Investigations, OOS, Complaints – How many in a quarter or past two years and how do you manage them? Relevant SOPs. Supplier Quality or How vendors are qualified and audited? Management Review, Frequency? Agenda? Participants? Training – How are employees trained for their job responsibilities and process for requalifications? Laboratory – Instrument qualification, validation and/or calibration, test method validation Data Integrity Policy – how data is secured and ensure accuracy of it? Presentation Name | CONFIDENTIAL MANAGING THE INSPECTION – DAILY WRAP UP Daily Wrap up: Regroup and try to address the concerns / comments for the day Ask the inspector if there are any open issues for that day or any concerns not address during the day Confirm they are done with the topic Confirm next day start time Collect request of documents that they would like to review next day, so all can be available first thing next day Presentation Name | CONFIDENTIAL MANAGING THE INSPECTION – FINAL CLOSE OUT Final Close-out: Request a closing meeting – Even it no issues found Confirm the date / time with the inspector and invite management This is not the time to argue with the inspector Ask questions as needed for any calification of any issues found or clear understanding of any concerns presented Request for final report or list of observation/findings from the inspectors Find out response deadline and next steps… Presentation Name | CONFIDENTIAL AFTER INSPECTION / NEXT STEPS After Inspection Steps: Regroup with internal respective SMEs, and the management Clearly understand any findings or concerns raised by the inspectors at the close-out Initiate discussion on drafting constructive response with clear timeline and plan for any corrective actions needed Submit the response within allowed deadline. Do not wait for last minute submission. Goal is continuous improvement Presentation Name | CONFIDENTIAL Be prepared to MANAGE the inspection – Establish roles and responsibilities before the inspection – Have the necessary resources to accommodate the number of inspectors Presentation Name | CONFIDENTIAL 36 QUESTIONS ? | CONFIDENTIAL