| | | | | and impressions, but will also identify improvement |
| Post-Inspection | | | | and training opportunities. If the requested copy is |
| | | | | not received within another 30 days, a call to the |
| At the conclusion of the inspection, the investigator | | | | district office is warranted. A delay in receiving the |
| will request a closing meeting with management. If | | | | EIR could be due to something as simple as a backlog |
| conditions that the investigator believes to be CGMP | | | | in the office, or, more ominously, a concern with the |
| deviations have been observed, a form FDA 483 | | | | company's response to the FDA 483 and a potential |
| "Notice of Inspectional Observations" will be issued. If | | | | warning letter. In the latter case, it is important to |
| any of the deviations have been corrected and the | | | | keep the lines of communication open -- not as a |
| corrections shown to the investigator during the | | | | delaying tactic but as a means of gaining an |
| course of the inspection, the investigator should be | | | | opportunity to correct a problem before it escalates |
| requested to annotate the FDA 483. (Note: The | | | | any further. |
| investigator will not annotate the FDA 483 without | | | | |
| being requested to do so. Only in the case of medical | | | | Recommendations |
| device inspections is s/he required to comply with the | | | | |
| request. In the writer's experience, investigators are | | | | The FDA's food inspection system is overwhelmed, |
| usually willing to accommodate reasonable requests.) | | | | and the FDA's practice of depending on the states to |
| If there is disagreement with any of the | | | | fill the vacuum is a failure, as is the practice of food |
| observations, the basis for the disagreement should | | | | companies using private inspection services. If in |
| be noted for the record and the investigator | | | | doubt, one need only compare the sterling plant |
| requested to include the company’s position in | | | | inspection reports of the Peanut Corporation of |
| the "Establishment Inspection Report" (EIR). | | | | America's Georgia and Texas plants issued by the |
| | | | | states of Georgia and Texas and by the American |
| If the inspection results in a form FD 483 being | | | | Institute of Baking with the tragic results caused by |
| issued, it should be responded to in writing within 10 | | | | products from those plants ( Although the FDA |
| days to assure that the company's position is | | | | encourages and has issued guidelines for third party |
| available to the investigator's supervisor when the | | | | certification programs ( it is incumbent on each |
| EIR is reviewed. The response should describe in | | | | company to develop its own systems to protect its |
| detail the actions that will be taken to correct the | | | | customers and shareholders. The following are |
| CGMP deviations and the time frame in which the | | | | necessary steps: |
| corrections will be made. If a deviation is such that | | | | |
| the corrective action will be prolonged, the response | | | | |
| should provide a corrective action plan justifying the | | | | 1. Develop an internal audit system owned, staffed, |
| schedule and explain what added controls will be in | | | | and operated by your own trained employees from |
| place until the deviation is fully corrected. If the FD | | | | plant manager to operator. |
| 483 response is not timely or is unsatisfactory, then | | | | 2. If you are a food manufacturer, develop a supplier |
| the company is on a trajectory to a Warning Letter | | | | quality management system -- again, owned, staffed, |
| and/or other enforcement actions. | | | | and operated by your own trained employees. |
| | | | | 3. Whether you are a supplier or manufacturer, |
| The company should request an unexpurgated copy | | | | consider registering to the Food Safety Management |
| of the EIR from the FDA district office within 30 | | | | Systems standard ISO 22000:2005. ( If properly |
| days of the conclusion of the inspection (whether or | | | | implemented, this will raise the level of organizational |
| not a FDA 483 was issued). The EIR will not only | | | | discipline and provide independent and unbiased |
| provide insight into the investigator's observations | | | | assessments at specified intervals. |