Professional Documents
Culture Documents
Guide to Equipment
Qualification
By Joginder Mittal
An Easy to Understand Guide
Risk Based Equipment
Qualification
First Edition
All rights reserved. No part of the content or the design of this book maybe
reproduced or transmitted in any form or by any means without the express
written permission of Premier Validation.
The advice and guidelines in this book are based on the experience of the
authors, after more than a decade within the Life Science industry, and as
such is either a direct reflection of the “predicate rules” (the legislation
governing the industry) or are best practices used within the industry.
If you're reading this, I'm going to assume you're here to learn about
how to perform risk based Equipment Qualification activities and how they
are applied within any compliance based environment.
What & How to qualify? This is still a big & confusing question for the
industry professionals!!
This Book explains how to find out the level of Equipment Qualification
required, fulfilling the regulatory requirements along with eliminating the
duplication & cumbersome documentation efforts.
So, if you want to learn about the systematic way of risk based
Equipment Qualification approach, this is the book for you. Don't worry this
isn't the usual boring scientific book or white paper that you've seen a
thousand times, our books are an easy read and get straight to the point.
Enjoy!
Notes of Rights
All rights reserved. No part of this book may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, without the prior
written permission of the copyright holder, except in the case of brief quotations
embedded in critical articles or reviews.
Notes of Liability
The author and publisher have made every effort to ensure the accuracy of
the information herein. However, the information contained in this book is sold
without warranty, either express or implied. Neither the authors and Premier
Validation Ltd, nor its dealers or distributors will be held liable for any damages
to be caused either directly or indirectly by the instructions contained in this
book.
Qualification Phases 23
User Requirement Specification (URS) 24
Risk Assessment 25
What is FAT/SAT? 44
Equipment Design Qualification (DQ) 45
Equipment Installation qualification (IQ) 48
Equipment Operational Qualification (OQ) 51
Equipment Performance Qualification (PQ) 55
Requalification 59
Change Control 61
REFERENCES 65
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An Easy to Understand Guide | Risk Based Equipment Qualification
Why Should I Read
This Book?
It also describes how to mitigate the associated risk with each failure
mode by taking necessary steps at different qualification steps (DQ, IQ, OQ
and PQ).
Following the instructions in this book will ensure that you will develop
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An Easy to Understand Guide | Risk Based Equipment Qualification
and document your equipment qualification protocols/reports in a
consistent, understandable and traceable manner.
The rules and guidelines in this book are either a direct reflection of
the“predicate rules” (the legislation governing the industry) or are best
practices used within the industry.
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An Easy to Understand Guide | Risk Based Equipment Qualification
Learning Objectives
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An Easy to Understand Guide | Risk Based Equipment Qualification
Terms Explained
Validation
“Documented evidence that provides a high degree of assurance that a
specific process, equipment or system will consistently produce a product
meeting its predetermined specifications and quality attributes.”
Qualification
Action of proving and documenting that any premises, systems and
equipment are properly installed, and/or work correctly and lead to the
expected results.
Commissioning
A process that will ensure installed equipment or systems perform in
conformity with their intended design.
Equipment Qualification
Equipment Qualification is used as an umbrella term covering the steps
that ensure an instrument or equipment is appropriate for its intended use.
General saying
“We qualify a system and/or equipment and validate a process”
For Example
“You qualify an autoclave, whereas you validate a sterilization process”
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An Easy to Understand Guide | Risk Based Equipment Qualification
What are the Benefits of
Equipment Qualification?
Safety Aspects
· Patient – Assurance of quality;
· Operator – Temporary or permanent injury, death;
· Environment- Environmental hazards, damage to people outside
the facility.
Business Aspects
· Increased throughput;
· Reduction in rejections and reworks;
· Reduction in utility costs;
· Avoidance of capital expenditures;
· Fewer complaints about process related failures;
· Reduced testing in process and finished goods.
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An Easy to Understand Guide | Risk Based Equipment Qualification
Regulatory Compliance Aspects
The requirements for validation/qualification are now explicitly stated
in both the US and European regulations (US Code of Federal Regulations US
CFR Part 211,subpart L, 211.220 and 211.222 and within the EU 'Rules
Governing Medicinal Products in The European Community' VoI IV, Part
5.21, 5.22, 5.23, 5.24).
and:
and:
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An Easy to Understand Guide | Risk Based Equipment Qualification
Equipment Qualification Process
· Validation Master Plan
Qualification
Planning
· Risk Based Impact Assessment
· Direct Impact
Qualification
· Indirect Impact
Need
· No Impact
Assessment
· User Requirement Specification (URS)
· Risk Assessment (RA)
· Design qualification (DQ)
· Equipment Re-Qualification
· Change Control
GMP · Calibration
Procedures · Preventive Maintenance Program
and Program · Standard Operating Procedures (SOPs)
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An Easy to Understand Guide | Risk Based Equipment Qualification
Qualification Planning
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An Easy to Understand Guide | Risk Based Equipment Qualification
· The Responsibilities;
· Listing of Equipment's, Control and Systems;
· System Impact Assessment Philosophy/ Methodology
· Computer System Validation
· Cleaning Validation Aspects
· Process Validation Aspects
· The extent of the Qualification Work in a Qualification Matrix;
· The Layout and Structure of Qualification and Validation
Documents;
· The Change Control/ Deviation Concept;
· Requalification/ Revalidation Concept;
· Maintenance Planning and Implementation Concept;
· Calibration Concept;
· The Documentation System;
· Times Schedule for Validation/Qualification Activities - The Matrix.
· Training Requirements
How?
Relevant SOPs
By whom?
Responsibilities
What?
premises, systems
Why? and equipment
The processes
Validation products
Where?
Policy
The Plant
Location
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Master Validation Plan
VMP Helps
· Management
· Validation Team Members
· Project Leaders
· GMP Inspectors
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Risk Based Impact
Assessment - Qualification
Need Assessment
Or
Classification
The impact should be evaluated by using three different levels of critical
state as criterion of assessment.
Indirect
Impact
Direct
No Impact
Impact
Impact
Assessment
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An Easy to Understand Guide | Risk Based Equipment Qualification
These being defined by the terms:
Direct impact
Any system whose failure could affect product quality.
· Subject to qualification.
· Any equipment or system that is part of a validated manufacturing
process will normally be a direct impact system.
Example:
Process Equipment's/System
Laboratory Equipment's/System
HPLC Failure will have direct impact on the test results &
hence product quality
Immunoassay- Failure will have direct impact on the test results &
System hence product quality
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An Easy to Understand Guide | Risk Based Equipment Qualification
Utility Equipment's/System
Water For Failure will have direct impact on the test results &
Injection System hence product quality
Note:
All computerised systems/Applications influences the product quality
and computerised systems/Applications which will support analytical
procedures and the batch release shall be categorised according the
determined parameters based on the GAMP 5 approaches.
Indirect impact
A system not expected to have a direct impact on product quality, but
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typically will support a Direct Impact System.
Example:
Process Equipments/System
Refrigerator/ Failure will have indirect impact on product quality
Freezer for
Chemical
Storage
Laboratory Equipment's/Systems
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No impact
A system which does not have any impact, either directly or indirectly,
on product quality.
Example:
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procedure.
Identify Equipment
Does the
equipment have a YES
direct impact on
the product
quality?
Is the equipment
YES
linked to a Direct
Impact System?
No
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An Easy to Understand Guide | Risk Based Equipment Qualification
Impact Assessment Objectives
GMP Compliance Objective
Level Description
Low (L) The failure has no impact on the product quality;
Medium (M) The failure has an indirect impact on the product quality;
High (H) The failure has a direct impact on the product quality.
Business Objective
Level Description
High (H) The failure has ahigh impact on company business.
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Overall Impact
GMP
Example:
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Impact Based Qualification Activities
Impact Based
Qualification
Activites
No Basic Complete
Qualification Qualification Equipment
Activites Only Qualification
Direct Impact
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Indirect Impact
· Basic Specification
· Basic Designing and Commissioning protocol/report following Good
Engineering Practice
· Maintenance
· Change Control
· Not subject to qualification if the Direct Impact system can detect or prevent
failure to product.
Example:
Basic Qualification
Basic Specification
Control/Deviation
Re-qualification
Indirect Impact
Direct Impact
Maintenance
Calibration/
No Impact
Training
FAT/SAT
Change
URS
OQ
DQ
PQ
RA
IQ
Depyrogenation
Tunnel
CIP Vessel
Pallet Lifting
Truck
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Qualification Phases
User Requirement Specification (URS)
Risk Assessment
What is FAT/SAT?
Equipment Design Qualification (DQ)
Equipment Installation qualification (IQ)
Equipment Operational Qualification (OQ)
Equipment Performance Qualification (PQ)
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User Requirement
Specification (URS)
· Materials of Construction;
· Clean ability Requirements;
· Maintenance Requirements;
· Operator Interface Requirements;
· Performance Criteria;
· Critical Parameters;
· Essential Design Criteria;
· Requirements of Computerized/Automation System;
· Training and Documentation Requirements.
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Risk Assessment
Example:
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What is risk?
Combination of the probability of occurrence of harm and the severity
of that harm (ICH Q9: Quality Risk Management).
· It is widely accepted that the concept of risk has two components –
Chance & Consequences:
Key Considerations:
¡ The probability of occurrence of harm, (chance, possibility,
uncertainty, etc.)
¡ The consequences or severity of that harm, (injury, cost, supply
issues, etc.)
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An Easy to Understand Guide | Risk Based Equipment Qualification
Initiate
Risk Management Process
Risk Assessment
Risk Identification
Risk Analysis
Risk Evaluation
Risk Management tools
Risk Control
Risk Reduction unacceptable
Risk Acceptance
Output/Results of the
Review Events
Risk Management Process
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An Easy to Understand Guide | Risk Based Equipment Qualification
Risk Identification
Possible Risk to Critical Components, Process, and Functions
Risk Assessment
Risk Analysis
Probability of Occurrence (O) Severity (S) Probability of Detection (D)
Risk Evaluation
Low Medium High
Risk Acceptance
RISK MANAGEMENT
Periodic
Risk Control Review
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HACCP - Hazard Analysis and Critical Control
Points
HACCP (reference WHO Technical Report Series No 908, 2003 Annex 7)
is a structured approach that applies technical and scientific principles to
analyze, evaluate, prevent, and control the risk or the adverse
consequence(s) of hazard(s) due to the design, development, production,
and use of products.
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process understanding is sufficiently comprehensive to support
identification of critical control points.
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identify all root causes of an assumed failure or problem. This method
evaluates system (or sub-system) failures one at a time but can combine
multiple causes of failure by identifying causal chains. The results are
represented pictorially in the form of a tree of fault modes. At each level in
the tree, combinations of fault modes are described with logical operators
(AND, OR, etc.). FTA relies on process understanding of the experts to
identify causal factors.
The method can be used to establish the pathway to the root cause
of the failure. The use of FTA can be applied while investigating complaints
or deviations to fully understand their root cause and to ensure that
intended improvements will fully resolve the issue and not lead to other
issues (i.e. solve one problem yet cause a different problem).
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3) The identification of possible remedial measures.
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ICH Q9: Quality Risk Management
Failure Mode Effects Analysis (FMEA)
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What is expected during regulatory Inspections!!
¡ Inspectors will not require any specific Risk Assessment tool used.
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Risk Assessment - Failure Mode Effects Analysis
(FMEA) - Explained
Step 1: Risk Detection/Identification
Identification of different failure modes of Equipment's Critical
Components and Functions.
Severity (S)
Severity is the measurement of the possible consequences of failure.
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An Easy to Understand Guide | Risk Based Equipment Qualification
existence, presence, or fact of a failure.
The Risk Level is evaluated and graded as high (unlikely to be detected in
most circumstances), medium (may be detected at some time) or low (will
probably be detected).
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An Easy to Understand Guide | Risk Based Equipment Qualification
Qualitative Method
In Qualitative method Score of about 1 to 4 is considered as low, a score
of about 5 to 6 is considered as medium and a score of about 7 to 10 is
considered as high.
Probability Detectability
Medium
Medium
High
High
Low
Low
Severity = Impact on Patient Safety, Product Quality Detectability = Likelihood that the fault will be
and Data Integrity (or other harm) noted before harm occurs
Probability = Likelihood of the fault occurring Risk Priority = Risk Class x Detectability
Risk Class = Severity x Probability
Source: Figure M3.5, GAMP5: A Risk-Based Approach to Compliant GxP Computerized Systems, © Copyright ISPE 2008. All rights reserved. www.ISPE.org.
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Hybrid method:
It may not be adequate to rely solely on qualitative or quantitative
information and leveraging both types of rating systems may be useful.
Reasons:
¡ Probability relates not to the effects of the failure, but to the
probability of occurrence of the failure mode itself or to its cause,
and this can be difficult to determine accurately
¡ Some hazards occur because of systematic errors, as opposed to
random errors…. & systematic errors are difficult to quantify
§ e.g. errors of commission or omission which, under some set of
circumstances, result in a hazardous situation
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An Easy to Understand Guide | Risk Based Equipment Qualification
Word descriptors (e.g. high, medium, low) may be more valid than
numerical descriptors, and are preferable, because we will not then be
tempted to multiply categories.
Risk Control
¡ A process in which risks are reduced or maintained within specified
levels. It occurs after Risk Assessment.
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Additional Controls could include:
l Designing in Redundancy
l Risk Control work also determine Critical Control Points, (or Critical
Process Parameters), how they will be monitored, and what level of
Qualification & Validation are required.
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An Easy to Understand Guide | Risk Based Equipment Qualification
become the key input into the qualification and validation process. They are
the basis for defining tests in the IQ, OQ, and PQ phases.
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An Easy to Understand Guide | Risk Based Equipment Qualification
Example:
Autoclave Risk Assessment
No. Test Items Failure Mode Risk and Risk Risk Evaluation/ Risk Control/ Qualification Risk after
Function conceivable Analysis Steps
Acceptance Actions for control
/ Process/ malfunction/
Correction measures
Components/ Consequence
Risk Risk
O S D Overall DQ IQ OQ PQ
Risk Accepted? Accepted?
Yes
Temperature value does Containers are Calibration
not comply with processed in
specification: a) correct an inadequate
1 Sensors value - wrong indication manner L H L H No
Guarantee
b) wrong value - correct
alarm
indication.
function
Check of
alarm
function
Process
Validation
Risk Communication
ICH Q9 defines Risk communication as an interactive process of
exchange of information and opinion on risk among risk assessors, risk
managers, and others.
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An Easy to Understand Guide | Risk Based Equipment Qualification
management within a company, industry or regulatory authority, etc.
Risk Review
ICH Q9 states the output/results of the risk management process
should be reviewed to take into account new knowledge and experience.
The frequency of the review should be based upon the level of risk. Risk
review might include reconsideration of risk acceptance decisions.
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What is FAT/SAT?
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An Easy to Understand Guide | Risk Based Equipment Qualification
Equipment Design
Qualification (DQ)
Example:
Control/Deviation
Re-qualification
Indirect impact
direct impact
Maintenance
Calibration/
No impact
Training
Change
URS
FAT
OQ
DQ
PQ
RA
IQ
Depyrogenation X X
Tunnel
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An Easy to Understand Guide | Risk Based Equipment Qualification
· Complies with the requirements and principles of GMP/ GEP;
· Complies with the test points mentioned in the Risk Assessment
Protocol.
DQ Review Documents
· User Requirement Specification (URS)
· Functional Specification (FS)
· Equipment Impact Assessment
· Equipment Risk Assessment
· Factory Acceptance Testing (FAT).
· Tender Specifications, P&ID's and Drawings
· Vendor Quality procedures and documents
· Purchase Specification
1.0 PURPOSE
2.0 DESCRIPTION
3.0 REFERENCES
4.0 RESPONSIBILITIES
5.0 IDENTIFICATION OF PERSONNEL
6.0 DESIGN QUALIFICATION
7.0 DQ ACCEPTANCE CRITERIA
8.0 MODIFICATIONS/CHANGE CONTROL AND REVALIDATION
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9.0 DEVIATIONS AND CORRECTIVE ACTIONS
10.0 DQ ATTACHMENTS
1A. Design Basis – Project Documentation
1B. Design Basis – Codes & Guidelines
2. Quality-Critical Systems
3. Specification Verification – FDS & P&ID Verification
4A. Specification Verification of Packaged System – Process
4B. Specification Verification of Packaged System – Control
5. Specification Verification – Utilities
6. Authority Approval
7. Supplier Qualification & Bid Evaluation
8. History of Design Changes
9. Reference List
10. Design Qualification Summary
11. Approval of Design Qualification Report
12A. Deviations – List
12B. Deviations – Corrective Actions
13. Identification of Personnel
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Equipment Installation
qualification (IQ)
Example:
Control/Deviation
Re-qualification
Indirect impact
direct impact
Maintenance
Calibration/
No impact
Training
Change
URS
FAT
OQ
DQ
PQ
RA
IQ
Depyrogenation X X
Tunnel
IQ Review Documents
· User Requirement Specification (URS)
· Equipment Impact Assessment
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· Equipment Risk Assessment
· Factory Acceptance Testing (FAT).
· Tender Specifications, P&ID's and Drawings
· Vendor Quality procedures and documents
· Purchase Specification
1.0 PURPOSE
2.0 DESCRIPTION
3.0 REFERENCES
4.0 RESPONSIBILITIES
5.0 IDENTIFICATION OF PERSONNEL
6.0 INSTALLATION QUALIFICATION
7.0 IQ ACCEPTANCE CRITERIA
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8.0 MODIFICATION/CHANGE CONTROL AND REVALIDATION
9.0 DEVIATIONS AND CORRECTIVE ACTIONS
10.0 IQ ATTACHMENTS
1. Equipment Identification
2A. Connections Checkout – Piping
2B. Connections Checkout – Electrical
2C. Connections Checkout – Instrumentation
3. Materials of Construction in Product Contact
4. Spare Parts List
5A. Instrument Calibration: Quality-Critical Instruments
5B. Instrument Calibration: Reference Instruments
6. Documentation
7. Drawings
8A. Utility Check-Out: Electrical
8B. Utility Check-Out: Other Utilities
9. Calibration of Validation Test Instruments
10. Lubricant List
11. Preventive Maintenance Schedules Verification
12. Control System Software and 21 CFR Part 11Verification
13. Installation Qualification Summary
14. Approval of Installation Qualification Report
15A. Deviations – List
15B. Deviations – Corrective Actions
16. Identification of Personnel
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Equipment Operational
Qualification (OQ)
Example:
Control/Deviation
Re-qualification
Indirect impact
direct impact
Maintenance
Calibration/
No impact
Training
Change
URS
FAT
OQ
DQ
PQ
RA
IQ
Depyrogenation X X
Tunnel
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An Easy to Understand Guide | Risk Based Equipment Qualification
intended and to specification. The tests should encompass upper and lower
processing limits and circumstances, including those within normal
operating conditions, which pose the greatest chance of process or product
failure compared to ideal conditions. These conditions are widely known as
'worst case' or 'most appropriate challenge' conditions.
OQ and Commissioning
OQs demonstrate the functionality of the installed system and are often
carried out as part of commissioning. Engineering commissioning is
normally undertaken by a 'system' vendor and is geared to starting up the
'system.' OQ work is more concerned with the operating parameters of the
'system' and with the identification and independent measurement of
operating variables over their normal operating ranges.
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An Easy to Understand Guide | Risk Based Equipment Qualification
· IQ-reports must be approved
§ OQ-protocols must be approved
§ Equipment / system has to be officially released for OQ
§ Pre-conditions defined in VMP and OQ documents have to be
fulfilled (e.g. SOP's, training of personnel, etc.)
1.0 PURPOSE
2.0 DESCRIPTION
3.0 REFERENCES
4.0 RESPONSIBILITIES
5.0 IDENTIFICATION OF PERSONNEL
6.0 OPERATIONAL QUALIFICATION
7.0 OQ ACCEPTANCE CRITERIA
8.0 MODIFICATIONS/CHANGE CONTROL AND REVALIDATION
9.0 DEVIATIONS AND CORRECTIVE ACTIONS
10.0 OQ ATTACHMENTS
1. Calibration of Validation Test Instruments
2. Alarm and Interlock Test
3. Control Panel Test
4A. Verification of Differential Pressure between Fill Room and
Tunnel Cooling Zone
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4B. HEPA Filter Integrity Verification
4C. Cleanliness Class Verification
4D. Particulate on Glass Containers Verification
4E. Air Flow Direction Verification
4F. Air Velocity Verification
4G. Heat Distribution Study
4H. Glass Temperature Exiting Tunnel Verification
5. Safety Performance Verification Checklist
6A. Probe Placement Worksheet
6B. Thermocouple Calibration Worksheet
7. SOP's & Personnel Training
8. Operational Qualification Summary
9. Approval of Operational Qualification Report
10A. Deviations – List
10B. Deviations – Corrective Actions
11. Identification of Personnel
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Equipment Performance
Qualification (PQ)
Example:
Control/Deviation
Re-qualification
Indirect impact
direct impact
Maintenance
Calibration/
No impact
Training
Change
URS
FAT
OQ
DQ
PQ
RA
IQ
Depyrogenation X X
Tunnel
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An Easy to Understand Guide | Risk Based Equipment Qualification
process parameters are critical and could affect the quality of the product.
Normally any samples taken during PQ testing work will be taken by the
user's personnel, not by vendors or outside contractors responsible for
installing and commissioning of the system.
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Example: Depyrogenation Tunnel
Table Of Contents
1.0 PURPOSE
2.0 DESCRIPTION
3.0 REFERENCES
4.0 RESPONSIBILITIES
5.0 IDENTIFICATION OF PERSONNEL
6.0 PERFORMANCE QUALIFICATION
7.0 PQ ACCEPTANCE CRITERIA
8.0 MODIFICATIONS/CHANGE CONTROL AND REVALIDATION
9.0 DEVIATIONS AND CORRECTIVE ACTIONS
10.0 PQ ATTACHMENTS
1. Calibration of Validation Test Instruments
1. Calibration of Validation Test Instruments
2A. Determination of Slowest Heating Zone (SHZ) for
Maximum Loading Configuration – Probe Placement
Worksheet
2B. Determination of Slowest Heating Zone (SHZ) for
Maximum Loading Configuration – Thermocouple
Calibration Worksheet
2C. Determination of Slowest Heating Zone (SHZ) for
Maximum Loading Configuration – Heat Distribution /
Penetration Worksheet
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An Easy to Understand Guide | Risk Based Equipment Qualification
3A. Determination of Heat Distribution across the width of the
belt – Probe Placement Worksheet
3B. Determination of Heat Distribution across the width of the
belt – Thermocouple Calibration Worksheet
3C. Determination of Heat Distribution across the width of the
belt – Heat Distribution/Penetration Worksheet
4A. Performance Consistency & Biological Challenges for
Maximum Loading Configurations – Probe Placement
Worksheet
4B. Performance Consistency & Biological Challenges for
Maximum Loading Configurations – Thermocouple
Calibration Worksheet
4C. Performance Consistency & Biological Challenges for
Maximum Loading Configurations – Heat Distribution /
Penetration Worksheet
4D. Performance Consistency & Biological Challenges for
Maximum Loading Configurations – Biological Indicator
Test Results
5. Performance Qualification Summary
6. Approval of Performance Qualification Report
7A. Deviations - List
7B. Deviations – Corrective Actions
8. Identification of Personnel
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Requalification
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· by the use of a plant certification system;
· through annual product reviews;
· through internal audits.
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Change Control
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An Easy to Understand Guide | Risk Based Equipment Qualification
· A description of Likelihood based Change Classification– Planned or
Unplanned;
· Identification of the affected documents;
· Signature of the approving individual(s);
· The approval date;
· When the change becomes effective;
· Traceability.
It is not only good practice but also essential that a requested change
isonly implemented after the appropriate change control procedures and
approvals have been followed.
Change Process
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Glossary
DQ Design Qualification
di Direct Impact
FS Functional Specifications
ii Indirect Impact
IQ Installation Qualification
ni No Impact
OQ Operational Qualification
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PQ Performance Qualification
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References
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An Easy to Understand Guide | Risk Based Equipment Qualification
Commissioning and Qualification, International Society for
Pharmaceutical Engineering (ISPE), First Edition, March 2001.
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Michael R. Beauregard 1996, ISBN 0527763209.
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Quiz
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An Easy to Understand Guide | Risk Based Equipment Qualification
7. Which is the most widely used Risk Assessment tool in Pharmaceutical
Industry?
8. What are the major steps in Failure Mode Effects Analysis (FMEA)?
10. Identify the Impact Class and Qualification activities required for the
Filling Machine in your facility?
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Answers
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An Easy to Understand Guide | Risk Based Equipment Qualification
· Maintenance
· Change Control
10.
Control/Deviation
Re-qualification
Indirect impact
direct impact
Maintenance
Calibration/
No impact
Training
Change
URS
FAT
OQ
DQ
PQ
RA
IQ
Filling Machine X X
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An Easy to Understand Guide | Risk Based Equipment Qualification
SCORE
True False
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Your score
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An Easy to Understand Guide | Risk Based Equipment Qualification