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Project co-financed by European Union Project co- financed by Asean European Committee for Standardization Implementing Agency Module 9 GMP Workshop Kuala Lumpur 14 - 16 Nov 2005 1 Prepared by: Lam Kok Seng - Singapore Approved by: ASEAN Cosmetics GMP Team Endorsed by: ASEAN Cosmetic Committee ASEAN GMP TRAINING MODULE INTERNAL AUDIT

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Page 1: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 1

Prepared by:Lam Kok Seng - Singapore

Approved by:ASEAN Cosmetics GMP Team

Endorsed by:ASEAN Cosmetic Committee

ASEAN GMP TRAINING MODULE

INTERNAL AUDIT

Page 2: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 2

CONTENT OF PRESENTATIONTABLE OF CONTENT

a. Introduction Objectives

Description of Internal Quality Audit Scope of IQA

Benefit of IQA The key principle of internal audit

The role of internal audit

Quality audit documentation b. Managing the internal audit program

Process flow for the management of an audit program Authority for internal audit program

Establishing the audit program Audit program implementation

Monitoring and reviewing the audit program

c. Audit activities Overview of audit activities Initiating the audit

Conducting document review

Preparing for on-site audit activities Conducting on-site audit activities

Preparing, approving, and distributing the internal audit report Completing and conducting audit follow-up

d. Conclusion e. References

Page 3: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 3

INTRODUCTION

Page 4: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 4

OBJECTIVES

To learn how to plan, perform and monitor IA

To define the activities and requirements of IA

To identify the roles and benefits of IA in a quality management system

Page 5: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 5

DEFINITION

“Internal Audit" is an independent examination of a quality system

It measures the effectiveness of an organisation's quality management system.

It is a documented and systematic tool

It should be done periodically by independent andqualified people

“Audit" itself is a checking system, NOT a quality assessment

As a communication tool of management policies. All personnel have to understand and do their jobs well

Page 6: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 6

ROLES OF IA

As a powerful tool to measure the effectiveness of quality management system

Evaluates manufacturer’s compliance with GMP in all aspects related production and quality control

Detects any shortcomings in the implementation of GMP

Recommend the necessary corrective and preventive actions

Page 7: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 7

SCOPE OF IA (1)

Ensures quality in obtaining and responding to the feedbacks from customers, consumers, employers, employees, government authority and other relevant institutions

Ensures quality in design, approval, monitoring and evaluation of products should comply GMP requirements

Ensures quality in GMP implementation and its strategies

Ensures quality in appointment, development and performance of staff and key personnel

Page 8: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 8

SCOPE OF IA (2)

Includes all written quality documents, instructions and records

Covering all elements of GMP including results of previous internal quality audit and any corrective and preventive actions (CAPA) taken

Page 9: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 9

BENEFITS OF IA

Tells you the health of a quality system

Identify the root of a problem and plan for corrective and preventive actions with timeline

Achieve better allocation of resources

Able to avoid potentially big problem

Learn what an auditors look for

Continuous improvement

Page 10: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 10

Strategies in conducting audit:

• Ask with the basic audit questions about the quality system in place

• Start with what, why, how, who, where, when

KEY PRINCIPLES OF IA

Approaches towards IA:

• Independent• Evidence-based approach

All activities related to IA should:

• be reviewed by an independent party• be a self-appraisal system• have a sampling plan and tracking system• be open, constructive and effective

Page 11: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 11

PRINCIPLE OF AN AUDITOR

Ethical

Professional

Fair

Page 12: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 12

GUIDANCE WHEN CONDUCTING AN AUDIT

• Auditing should be seen as a positive process not a fault finding

• Audits need to be documented

• Prior to the audit date, an auditor needs to review the quality system documentation, corrective and preventive actions, and past audit findings and develop a checklist

• During an audit, an auditor need to see evidences that the processes are being done in accordance to procedures and policies

Page 13: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 13

GUIDANCE FOR AUDITEE

When being audited:

• Volunteer information• Report deficiencies and difficulties if you know of any • Be honest, open and cooperative• Ensure that underlying causes are identified• Ask the auditor if you’re not sure

Page 14: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 14

MANAGING IA

Page 15: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 15

FLOW CHART OF IA

Improving the audit

programme

competence and

evaluation of

auditors

Authority for the audit

programme

Audit activitiesAct

Plan

Check

Implementing internal audit program

scheduling audits

evaluating auditors

selecting audit team

directing audit activiries

maintaining records

Establishing

the internal audit program

obectives

responsibilitties

resources

procedure and guidance

Monitoring & reviewing

the internal audit program

monitoring & reviewing

identifying needs for corrective

identifying needs for prevention actions

identifying opportunities for improvement

Do

Page 16: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 16

RESOURCES FOR IA

Considerations should be given to the following:

Resources Audit techniques Processes to achieve and maintain the competency of

auditors and to improve their performance Competency and availability of auditor Available time for auditing

Page 17: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 17

The planning of IA consists of :

IA PLANNING

• Establishing IA program

Objectives Responsibility Procedure and guidance

• Authority for administering the IA program

OBJECTIVES

Page 18: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 18

The implementation of IA programconsists of :

IA IMPLEMENTATION

Scheduling audit Implementation of audit program Audit record and report

Page 19: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 19

• Implementation of audit program should be monitored at appropriate intervals and reviewed to assess whether its objectives have been met and identified opportunities for improvement.

IA MONITORING

• Auditing findings should be reported to the management.

Page 20: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 20

AUDITING ACTIVITIES

Page 21: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 21

OVERVIEW OF AUDIT ACTIVITES

Planning and scheduling audit

Conducting document review

Conducting audit

Prepare audit report

Conducting follow-up

Preparing for on-site activities

Page 22: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 22

• Forming an audit team and assign roles and responsibility and agreed on the scope

• Conducting document review

• Preparing for the on-site audit activities

Review documents (SOPs, audit findings, corrective action/preventive action, etc.), check the integrity of the quality system and various controls are effective

Preparing audit plan

Assigning work to the audit team

Preparing work documents

(eg. audit checklists, sampling plans, forms for recording information; questionnaires)

AUDIT ACTIVITIES

Page 23: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 23

AUDIT DOCUMENTATION

• Audit report is an

official document to report the audit findings

• Audit plan

should be sent to auditee prior to audit activity

findings from the last audit should be also mentioned

• Audit note should include

an audit questionnaire all records and comments during the audit

Page 24: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 24

EXAMPLE OF AN AUDIT CHECKLIST

• General format for an audit checklist

Page 25: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 25

EXAMPLE OF AN AUDIT CHECKLISTCHECKING LIST FOR GMP ASSESSMENT

Date : Location : Warehouse Auditor : Auditee :

DESCRIPTION GMP.REF. PARAMETER AUDIT FINDING

Personnel 1.2.1 5.1.2 2.1.5

- Organization structure - Personnel hygiene - Training record

Storage area 10.1.1 3.1 3.6 3.9 & 3.10 3.12.2

- Design and layout of defined area - Flow of personnel and goods - Structure of the storage area, based on GMP

- HVAC system - Record of monitoring parameter

Sanitation 3.1 5.3

- Pest record program - The map of bait - The cleanliness of weighing

apparatus

Documentation 4.3 10.2.2.3 10.2.2.1

- Record of maintenance and calibration of weighing apparatus

- The effectiveness of label system - Inventory stock control

Page 26: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 26

INTERNA: AUDIT QUESTIONAIRES

Area audited : ______________________ Date: __________________

Question (QSR-GMP Reference) Response

1. Does the company have a work instruction to operate the machine?

2. How is the machine being cleaned and maintained?

3. Are personnel trained to use the machine?

4.How often is the equipment being calibratedand cleaned?

5. When is the last breakdown of the machine?Are there any product being affected?

IA MONITORING

Page 27: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 27

AUDITING ACTIVITIES (1)

• Conducting on-site audit activities

Interviews with different personnel

Carry out both horizontal and vertical audits. Focus on safety and quality of product.

Use “Trace-back” method

Conduct opening meeting

Good communication during the audit

Roles of escort and observer

Steps in conducting on site audit:

Page 28: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 28

• Generating audit findings

Either conformity or non-conformity

Sort out isolated or systemic deficiencies

Isolated deficiency:

Tends to happen randomly; no meaningful pattern; rarely happens

Systemic deficiency:

Could be connected to a particular process, product, material, person or organisation; shows pattern; happens more than once

AUDITING ACTIVITIES (2)

Page 29: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 29

ISOLATED VERSUS SYSTEMIC DEFICIENCY

NON CONFORMANCE DEFICIENCIES

ISOLATED SYSTEMIC

Latex gloves rip SOP contains an error

Wrong expiration date written on a reagent bottle

Batch record is poorly written so instruction can be confusing

Operator or lab technician spills a sample

Area management does not reinforce requirement to continually record information properly

Pressing machine of eye shadow burns out

Preventive maintenance program does not include liquid filling machine motor

Page 30: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 30

The audit finding can be classified into 2 groups:

1. Compliance :a. Satisfactory /Adequate

b. Outstanding

2. Non-compliance :a. Critical deficiency

b. Major deficiency

c. Minor deficiency

AUDIT MONITORING

Page 31: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 31

Objectives

Audit scope

Identification of audit team leader and members

Date and place where the on-site audit activities were conducted

Audit criteria and findings

Conclusions

AUDIT REPORT

Page 32: Interna  audit module

Project co-financed by

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European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 32

Various formats can be used depending on auditee (vendors, management or auditee)

Usually include name and location of auditee, date of audit, audit plan, audit observations, classification of non-compliances, recommendations or expectations

Should write against a standard Focus on deficient conditions and not people Include any positive observations Keep the audit report simple and clear

AUDIT REPORT

Page 33: Interna  audit module

Project co-financed by

European Union Project co- financed

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European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 33

No GMP.Ref Findings of IA Grading Location Auditee Auditor

1. 2.1.1 Production and QC departments are headed by the same person

Critical Human Resources

Abas Budi

2. 4.3 Monitoring of temperature in a warehouse

Major or Minor

Warehouse Tuti May Lin

3 11.1 Inadequate control over sub-contractor

Major or Minor

Production Herman Ida

AUDIT REPORT: AN EXAMPLE

Page 34: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 34

CLOSURE

Follow-up and closing of loop:

• Receive a satisfactory response from auditee and their commitment to correct for any deficiency

• Ensures CAPA identify the root cause and they are satisfactory, accomplished and documented

• Timeframe for CAPA is being followed

• Verify and track CAPA by scheduling a follow-up audit and/or requesting for an updated SOP

Page 35: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 35

CONCLUSIONS

Nobody likes to be audited………..

It is a means to have continuous improvement

Page 36: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 36

RELATED HYPERLINK DOCUMENTS

Trainer Manual of Internal Quality Audit

Page 37: Interna  audit module

Project co-financed by

European Union Project co- financed

by Asean

European Committee

for Standardization

Implementing Agency

Module 9

GMP Workshop Kuala Lumpur 14-16 Nov 2005 37

REFERENCES

1. ASEAN Guidelines for Cosmetic GMP.2. International standard ISO 9001:2002,3. Guidelines for quality and/or environmental

management system auditing, 1st Edition, 20024. www.cityu.edu.hk, Internal Quality Audit Scheme.5. www.fineprint.com, Internal Audit Procedure6. Stimson W.A., Internal Quality Auditing, Meeting

the challenge of ISO 9000:2000, Paton Press, 2001

7. WHO – EDM, Basic Principle of GMP: Self-Inspection.