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  • 1.  FDA inspections: internal audit and management review

    This message was posted by a user wishing to remain anonymous
    Posted 11 days ago
    This message was posted by a user wishing to remain anonymous

    It is correct that during the inspection the FDA investigator is not allowed to read the internal audit report and the text of management review (all related to 21CFR 820)?

    I heard that they are still allowed to verify that these activities and records were done and exists, but not allowed to read the content of these documents. What is true?



  • 2.  RE: FDA inspections: internal audit and management review

    Posted 11 days ago

    Good morning,

    FDA is allowed to review your internal audit log demonstrating that the internal audits were performed (area audited, date, auditor, date report submitted to management), but they may NOT review the actual internal audit reports. The rationale for this is that concern about what FDA might read could result in less than fully honest and accurate internal audit reports, thus defeating the entire purpose of internal audits. 

    I hope this is helpful,



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    Arvilla Trag RAC
    Principal Consultant
    CMC Compliance Services
    Iron River MI
    United StatesCMC Compliance Services LLC
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  • 3.  RE: FDA inspections: internal audit and management review

    Posted 11 days ago

    As "a matter of policy", FDA has voluntarily elected not to review internal audit or management review reports.  But FDA may still request evidence that these were done.  While FDA might reach such conclusion based on looking at other quality data, it ultimately can request a more formal certification of not just completion of the audits and management reviews, but that also that any required corrective action has been undertaken.

    When my firm does internal audits or management reviews for our clients, we always automatically give a Certificate of Completion with our reports. That Certificate is then automatically given to the FDA inspectors thereby making that aspect of their inspection succinct and brief.

    However, don't be fooled: FDA has reminded us that it may seek production of these reports in litigation under applicable procedural rules or by inspection warrant where access to the records is authorized by statute.



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    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright by ComplianceAcuity, Inc. All rights reserved.
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  • 4.  RE: FDA inspections: internal audit and management review

    Posted 11 days ago

    And note that this changes under the QMSR:

    (Comment 55) FDA received numerous comments regarding the lack of an exception for management review, quality audits, and supplier audit reports, which formerly existed in the QS regulation, at § 820.180(c). Most such comments requested that FDA maintain the exceptions set forth in § 820.180(c), some suggested that FDA adopt specific language to do so, and the remainder requested that FDA clarify whether such records are exempted from inspector access. One commenter in particular noted that the current quality system inspection technique (QSIT) guide also states that management review, internal audit, and supplier audit records are exempted from inspection. Several comments expressed concern that the exception was necessary to ensure manufacturers' audit and management review reports continue to be complete and/or useful.

    (Response) FDA disagrees that it should maintain the exceptions set forth at § 820.180(c). One of the primary purposes for this rulemaking effort is to move as closely as possible toward global harmonization and alignment. From a global perspective, the exceptions the comment references are not available to manufacturers being inspected by other regulators or being audited by other entities ( e.g., MDSAP auditing organizations), and thus, such manufacturers will not be additionally burdened by making these records available. Similarly, FDA does not consider it to be a large burden to the manufacturers who may have taken advantage of the exceptions to make these records available, as such records are maintained in the regular course of business and should be readily available. Additionally, FDA notes that its investigators have already had access to data used to inform management reviews, such as nonconformances and complaints, and any corrective actions resulting from internal and supplier audits.

    FDA emphasizes that robust management review, as well as internal and supplier audit programs, are fundamental to the culture of quality discussed previously in this rulemaking and which FDA expects firms to embrace. Further, FDA intends to modify its inspectional processes consistent with this rulemaking, and does not consider this rulemaking to be the appropriate vehicle to describe any future implementation activities, including inspectional processes.



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    Anne LeBlanc
    United States
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  • 5.  RE: FDA inspections: internal audit and management review

    Posted 10 days ago

    This goes back many years into the 1990s where there was a concern companies would not properly report findings or issues in Management Review or internal audit programme for fear of exposing themselves.  This really has changed over the years and as FDA has commented, most auditing organisations can review these documents today, so there is not really an undue burden.  In fact, I had no problem showing internal audits or management reviews during FDA inspections because we were using them as a tool in the quality system as they should be and not leery of exposing something.  I will not go into my views of so many years later since these were introduced, these processes like management review and internal audits are still being doing woefully insufficient or with the wrong intent.



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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Principal Strategy Consultant
    NAMSA
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  • 6.  RE: FDA inspections: internal audit and management review

    Posted 10 days ago

    To add to Anne's excellent comment, it is ESSENTIAL that as you prepare for the new QMSR you obtain the 33 page Federal Register posting on Feb 2, 2024 and read the entire document. You might want to have a copy of ISO 13485 handy while you do it. I would strongly suggest you highlight important information in the 82 Comments FDA posted in this document. It helps you understand FDA's thinking as they developed the new regulation. Their thinking will help you as you revise/develop your quality system to meet the QSMR. it is really important that you understand that you will not meet the requirements of the QSMR simply by following ISO 13485, as their are some distinct twists FDA has implemented in the QSMR. You will also see in the comments that FDA will have a strong emphasis on risk management, and they have been emphasizing that in recent presentations. Expect to hear that again this week at MedCon as they again will speak on the QMSR. 



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    Edwin Bills
    Edwin Bills Consultant
    ASQ Fellow CQE, CQA, CQM/OE, RAPS RAC
    elb@edwinbillsconsultant.com
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  • 7.  RE: FDA inspections: internal audit and management review

    Posted 9 days ago

    Yes, Anne comment is very important that this is changing by establishing the QMSR.



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    Armin Beck
    CEO
    SunTrixConsulting LLC
    El Dorado Hills, CA
    1-925-212-7683
    armin.beck@suntrixmedical.com
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  • 8.  RE: FDA inspections: internal audit and management review

    Posted 9 days ago

    Hi,

    You got good responses.

    I would only add that you want to make it easy for an inspector or auditor to confirm that you are compliant with the requirements. I like the idea of an internal audit certificate.  While that is not specifically necessary, a summary document that is signed by the participants or attendees is a good idea for internal audits or management review meetings.

    Regards, 



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    Mark Schenk
    Principal Consultant
    Sinking Spring PA
    United States
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