R 01-07 TRANSFER OF ACCREDITATION / GLP COMPLIANCE AND FRANCHISING Approved By: Revised By: Date of Approval: Date of Implementation: Acting Chief Executive Officer: Executive Committee Accreditation Managers Quality Manager: 2020-11-12 2020-11-12 SANAS Mpho Phaloane Yolanda Vinnicombe Page 1 of 6 R 01-07 CONTENTS 1. Purpose and Scope ................................................................................................................ 3 2. References and Definitions ..................................................................................................... 3 3. Regulations ............................................................................................................................. 3 4. Franchising of Accredited CABs.............................................................................................. 4 ADDENDUM 1: Amendment Record ............................................................................................. 6 SANAS Page 2 of 6 R 01-07 1. Purpose and Scope The purpose of this document is to define the requirements regarding changes affecting the South African National Accreditation System (SANAS) accreditation/compliance status of a Conformity Assessment Body (CAB) and to define the relationship between franchising and accreditation / GLP Compliance. This document is applicable to all divisions of SANAS and all accredited Conformity Assessment Bodies (CABs) / Compliant Facilities. 2. References and Definitions PM A 01 F 147 F 199 R 03 SANAS Policy Manual References, Acronyms and Definitions Terms and Conditions of Accreditation Terms and Conditions of GLP and GCP Compliance Nominated Representative and Signatories: Responsibilities, Qualifications and Approval Suspensions, Reductions, Withdrawals and Re-instatement of Accredited or GLP/GCP Compliant Organisations R 51 ISO/IEC 17011 Conformity assessment – Requirements for accreditation bodies accrediting conformity assessment bodies 3. Regulations 3.1 SANAS retains the sole responsibility for the granting, maintaining, extending, reducing, suspending, withdrawing of accreditation / compliance status, and shall not delegate this responsibility to a third party. The assessment may be subcontracted to a third party but the evaluation of the assessment and all subsequent decisions, i.e. granting of accreditation, etc., remains with SANAS. 3.2 Accreditation or Good Laboratory Practice (GLP)/Good Clinical Practice (GCP) compliance status, or part thereof, shall not be transferred from one entity to another, whether to a different legal entity, whether to a different branch, site or location of the same legal entity, or whether to an unincorporated joint venture. Any change in company registration number will be seen as a different legal entity. 3.3 SANAS shall decline all applications for changes to accreditation where the CAB sells, relinquishes or otherwise disposes of a material portion of its undertaking, or a majority shareholding of the legal entity or changes its asset structure, and where such changes would in the reasonable opinion of SANAS result in: i) ii) the CABs inability to perform or observe all of its obligations in terms of the Terms and Conditions (F147 or F199); and/or the CAB no longer complying with the Accreditation or GLP/GCP Compliance requirements. Changes of a CABs asset structure in the normal course of its business is exempted from this requirement. 3.4 In accordance with the Terms and Conditions of Accreditation (F147), the Terms and Conditions of GLP and GCP Compliance (F199), and R03 “Nominated Representative and Signatories: Responsibilities, Qualifications and Approval” a CAB shall inform SANAS in writing of any changes which may affect the CABs compliance with the Terms and Conditions and all relevant Accreditation or GLP/GCP Compliance requirements, or which affects or may potentially affect the CABs capability or scope of Accreditation, including but not limited to changes to: ©SANAS Page 3 of 6 R 01-07 i) ii) iii) Location; legal, commercial, ownership or organisational status; organisation, top management and key personnel, including but not limited to NRs, authorised signatories, quality assurance personnel, study directors, all in respect of SANAS; iv) The scope of Accreditation or GLP/GCP Compliance status; v) resources, including equipment, facilities, working environment or financial position; vi) capability to adequately service its scope of Accreditation or GLP/GCP Compliance, due to, for example, acts of nature, industrial action; vii) material portion of its undertaking; viii) asset structure; ix) any matters that can affect the ability to comply with the Accreditation / Compliance requirements; or x) major changes to policies or procedures that may affect the Accreditation / Compliance status. 3.5 Failure to notify SANAS of any such changes may result in the suspension of the accredited CAB or GLP/GCP Compliant facility. 3.6 SANAS may perform additional unscheduled accreditation assessments or compliance inspections if there are any changes as specified in clause 3.4 to confirm the extent of the changes and the effect it may have on the accreditation. SANAS reserves the right to decide on the extent of the assessment / inspection as a result of any such changes. 3.7 Where a change in legal, commercial, ownership or organisational status is requested, a formal application must be submitted by the CAB / Compliant facility through the SANAS online portal. The Accreditation Manager will review the application to ascertain the extent of further actions required and ensure the following: i) ii) iii) iv) 3.8 4. A document review of the Management System is conducted; At the discretion of the AM, an additional assessment comprising of at least a Team Leader is conducted. Technical assessors can be included in the assessment team as deemed necessary; Upon confirmation that the CAB has met all accreditation requirements a new accreditation number shall be granted, and a new accreditation cycle will apply; and SANAS will confirm the withdrawal of previous accreditation in writing once the new accreditation is granted. Where only a name change is requested, and without any changes to the company registration number, a formal application and a declaration submitted by the Nominated Representative confirming that there are no changes to the management system documentation will be sufficient. A new certificate bearing the new name shall then be issued. Franchising of Accredited CABs 4.1 General Franchising is the business practice whereby a franchisor allows a franchisee to use a certain trademark or trading name, and typically supplies support and training in exchange for a recurring royalty fee. The trademark is typically the name under which the business operates. The franchisee is a separate legal entity to that of the franchisor, although this is not necessarily apparent to the customer who assumes that the legal entity is the holder of the trademark or name under which the organisation operates. As the franchisee does not own the trademark or name under which they operate, the franchisee is not explicitly identified as the entity that is legally responsible. 4.2 CABs / GLP/GCP compliant facilities shall under no circumstances franchise their accreditation / compliance activities to other CABs or organizations. SANAS Page 4 of 6 R 01-07 4.3 Each CAB / GLP/GCP compliant facility shall be assessed / inspected as a separate entity and shall be held legally responsible with regard to their accreditation activities. This shall be clearly defined and documented. 4.4 The accreditation / compliance status of a CAB found to be franchising their accreditation / compliance activities to other CABs or organizations, will be withdrawn in accordance with SANAS R51 “Suspensions, Reductions, Withdrawals and Re-instatement of Accredited or GLP/GCP Compliant Organisations”. ©SANAS Page 5 of 6 R 01-07 ADDENDUM 1: AMENDMENT RECORD Proposed By: QM / AM Section Change 1 “regarding changes affecting the” replaced “concerning the transfer of” Added of a “Conformity Assessment Body (CAB)” Added reference to R51 Changed from “Accreditation or GLP/GCP compliance status shall not be transferred from one entity to another” 1st line: Added “changes to” 2nd line: “relinquishes” replaced “transfers” Added “or a majority shareholding of the legal entity” Added “additional unscheduled”……….” to confirm the extent of the changes and the effect it may have on the accreditation.” Added “legal, commercial or organisational status”….” through the SANAS online portal” ….. “ and ensure the following: Points i) to iv) added Clause added Clause added 2 3.2 3.3 3.6 QM / AM 3.7 3.8 4.4 SANAS Page 6 of 6