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AUTOCLAVE VALIDATION DOCUMENTS CHECKLIST

(Ref SOP: VAL-175)

Procedure
Before commencement of validation tasks copy documents listed in the following tables. The following
documents are required.
Document
Document Name Sign/Date
Number

Form-780 Autoclave Validation Protocol

VAL-215 Critical Documentation Verification During a Validation Study


Change Control, Deviation, Preventative and Corrective Maintenance Summary
Form-775 Sheet
Form-765 Documentation Verification and Cycle Review

Form-770 Validation Cycle Review (electronic)

Form-810 Equipment Calibration Verification


Form-815 &
Autoclave Cycle Parameter – Dry and Wet
Form-820

The following documents are to be copied as many times as necessary.


Document Number
Document Name Sign/Date
Number of Copies

Form-805 Vacuum Leak Test

Form-790 Steam Penetration/Air Removal (Bowie Dick) Test

VAL-180 Heat Penetration/Heat Distribution Study

Form-830 Biological Indicator Test Results Sheet


Autoclave Wet Cycle Acceptance Review Criteria (where
Form-755
applicable)
Autoclave Dry Cycle Acceptance Review Criteria (where
Form-835
applicable)

The following documents are to be copied if required.


Document Number
Document Name Sign/Date
Number of Copies

Form-745 Validation Protocol Deviation Reporting Form

Form 785 Issue date: Version: 1 Page: 1 of 1


AUTOCLAVE VALIDATION PROTOCOL
(Ref. SOP VAL-175)
1. Procedure

Conduct all tests indicated. Attach all documents to this protocol. Any deviations raised during validation
must be recorded using Form-745 (Protocol Deviations/Deficiencies Report).
Sign/Date
Before commencement of the operational verification, Documentation Verification and
Cycle Review Form-765) must be completed and attached.

1.1 Cycle and Load Selection


1.1.1 List the cycles and loads selected for validation, in Table 1.
Table 1. Cycle and Load Description
Cycle Number of
Number Runs Load Description

1.2 Review Panel


The signatories in Table 2 have reviewed the selected cycles and found them to be acceptable for
validation.

Table 2. Signatories

Department Title Name Signature Date


Validation Validation Supervisor

System Owner
Engineering and
Engineering
Maintenance Manager

Quality Operations Manager-Quality

1.3 Operational Verification for all Autoclaves.


Complete Sections 1.3 and 2 only. Strikethrough Section 1.4
Sign/Date
1.3.1 Conduct an equipment calibration verification using Form-810 (Equipment
Calibration Verification).

1.3.2 Conduct a Vacuum Leak Test using Form-805 (Vacuum Leak Test). Record all test instances
conducted in Table 3.

Form 780 Issue date: Version: 1 Page: 1 of 2


AUTOCLAVE VALIDATION PROTOCOL
(Ref. SOP VAL-175)
Table 3. Vacuum Leak Test Summary

Deviation Number
Date (if applicable) Sign/Date
a

Sign/Date
1.3.3 Perform an initial Steam Penetration/Air Removal (Bowie Dick) Test using Form-
790 (Steam Penetration/Air Removal (Bowie Dick) Test).

Sign/Date
1.3.4 Conduct a Heat Penetration and Heat Distribution Study for EACH cycle using
VAL-180 (Heat Penetration and Heat Distribution Study) as listed in Table 1.

2. Completion

Upon completion of this protocol all executed test sheets must be attached and a report must be written (Ref
VAL-175).

3. Signature Verification

Designated personnel assigned the responsibility of executing or reviewing execution of this document will
sign, initial and date the corresponding sections in Table 3.

Table 3. Signature Verification

Print Name Signature Initials Dept/Company Title Date

Form 780 Issue date: Version: 1 Page: 2 of 2


Standard Operating Procedure
Title: Cleaning Validation Master Plan – Non Sterile Solid
Department Validation/Technical Services Document no VAL-215
Prepared by: Date: Supersedes:
Checked by: Date: Date Issued:
Approved by: Date: Review Date:

Table of Contents

Part A – Rationale and General Principles .............................................................................................. 2

1 Introduction ................................................................................................................................... 2

2 Responsibilities ............................................................................................................................. 3

3 Rationale and General Principles ................................................................................................. 4


3.1 Rationale .........................................................................................................................4
3.2 General Principles ..........................................................................................................4
3.3 Cleaning SOP or Instructions .........................................................................................5
3.4 Risk Based Approach .....................................................................................................6
3.5 Selection of “Worst Case” - Product Bracketing Strategy ..............................................6
3.6 Assessment of New Products .........................................................................................7
3.7 Preparation and Approval of Protocols and Reports ......................................................7
3.8 Acceptance Criteria ........................................................................................................8
3.9 Priority, Schedules and Documentation .........................................................................9
3.10 Cleaning Strategies ........................................................................................................9
3.11 Clean Hold Time .............................................................................................................9
3.12 Dirty Hold Time .............................................................................................................10
3.13 Campaign Cleaning ......................................................................................................10
3.14 Re – Validation .............................................................................................................10
3.15 Manual Cleaning Procedures - Monitoring ...................................................................10
3.16 Cleaning Validation Program – Required Documents Table ........................................10

4 References .................................................................................................................................. 12

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Standard Operating Procedure
Title: Cleaning Validation Master Plan – Non Sterile Solid

2 Responsibilities

QC Laboratory

Development

Development
QC Manager
Engineering

Engineering

Production

Production

Assurance
Validation

Validation
Manager

Manager

Manager

Manager

Manager
Quality

Quality
Validation study design P P I I I I I I I I I I
Identifying and providing the appropriate level of resource in order
to execute the cleaning validation exercises P P (P) (P) (P) (P) (P)
Identification of process equipment trains and selection of worst
case products for validation P/A P I I I I I I I I I/A I
Calculation of cleaning limits for equipment / processes P/A P I I I A I
Training of Operators in Cleaning SOPs I I P P
Writing and execution of protocols P/A P I I A/I I I I I I A/I I
Review of QC results and final report writing P/A P A A
Rinse and Swab Sampling P P I A I I
Conduct analytical test method validation (P)/A/I (P) P/A/I P A/I
Testing of swab and rinse samples (P) I/(P) I I A/P P
Validation cleaning studies discrepancy resolution P/A P I I I I I I I I A/I A/I
Update of this CVMP when required P P I A/I I I A/I
Where A = Approver P = Primary Ownership (P) = Joint Ownership I = Input

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Standard Operating Procedure
Title: Cleaning Validation Master Plan – Non Sterile Solid
- Time, temperature, flow rates, pressures, volumes for cleaning or soak cycles (and technique for
manually cleaned systems)
- Time, temperature, flow rates, pressures, volumes for rinse cycles
- Sequence of cleaning, soak and rinse cycles or steps
- Additional Operating Instructions
- Routine data, samples to be collected during normal operation, including any end of cycle analytical
samples
- Assay methods for sample testing
- Maximum hold time after cleaning – Clean Hold Time

3.4 Risk Based Approach

3.5 Selection of “Worst Case” - Product Bracketing Strategy

3.5.1 A risk-based matrix approach will be used to determine the worst-case product for each cleaning
procedure. Cleaning validation will be performed for all equipment cleaning procedures associated
with that worst-case (highest risk) product. Acceptable validation of a cleaning procedure for the
worst-case product shall constitute validation for all other products that utilise the same cleaning
procedure. Cleaning validation will be performed on additional products, as necessary, to verify
performance of any cleaning procedures relating to equipment, which was not utilized during the
manufacture of the worst-case product.

3.5.2 The risk-based matrix takes into account the following factors (refer Diagram “Risk Matrix”):
 Solubility – solubility of the active ingredients in water, as noted in the Merck Index.
 Toxicity and Concentration – either based on available toxicology information or based on LD50
Oral (rat) - the amount of a substance required to kill half a given population and percentage of the
active ingredients in the formulation residue.

3.5.3 Carry- over calculations for the permissible residue quantities will be based upon available
toxicology information for the identified substance(s) of greatest toxicity, highest potency or
suitability as in indicating agent for common production equipment.

3.5.4 Swab analysis will generally be performed using the most difficult to remove active drug substance
or the most toxic substance, whichever is determined to be of greatest cross-contamination risk. The
most difficult to remove substance must be identified based on a combination of solubility in the
cleaning agent, and also on first hand experience. In instances where the most potent active used to
calculate the acceptance is potentially harmful as a contaminant in other products, swabbing for
residues of this active will be conducted as well as on the identified worst case (most difficult to
clean active) as an added precaution.

3.5.5 Where swabbing is performed on a worst case active, the acceptance criteria will still be based on
the most potent active, not the active being swabbed. This combination provides a high level of
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Standard Operating Procedure
Title: Cleaning Validation Master Plan – Non Sterile Solid
The microbiological acceptance criteria for Total Plate Count (TPC) is based on a maximum allowable count
of 1/cm2 as for swabs and expressed as maximum count per 100mL for each sampling point.

TPC  1 cfu / cm2


Pseudomonas spp: Not Detected/ 100ml
Coliforms: Not Detected/ 100ml
E.coli: Not Detected/ swab
Salmonella spp Not Detected/ swab

Swabs
TPC:  1 cfu / cm2
Yeast & Mould:  1 cfu / cm2
Pseudomonas spp.: Not Detected/ swab
Coliforms: Not Detected/ swab
E.coli: Not Detected/ swab
Salmonella spp Not Detected/ swab

The target limits shall be:

a) Less than, or equal to, 1 cfu per cm2 for product contact surfaces.

b) Absence of E. coli., mould, yeast

3.9 Priority, Schedules and Documentation


3.9.1.1 Schedules for equipment cleaning validation must be based on the following priority:
 Assessment of all new products before initial manufacture (refer Part 3 above)
 Product or product groups assessed as having a high clean ability risk
 Product or product groups assessed as having a medium clean ability risk (if required)
 Product or product groups assessed as having a low clean ability risk (if required)

3.9.1.2 Schedules must be prepared listing line/equipment (groups) train, product(s) or product group(s),
and SOP(s) or procedure(s).

3.9.1.3 The following minimum documentation should be available for review on the completion of validation:
 cleaning validation protocol, including location maps of swab sampling
 published cleaning procedure used in the validation
 validation report referenced to raw data
 reference to method validation and active product surface recovery studies

3.10 Cleaning Strategies


Hold times are the times a piece of equipment or system is allowed to remain idle, either after it has been
utilised for production processes (dirty-hold time) or after an equipment or system has been cleaned (clean
hold-time).
3.11 Clean Hold Time
Clean hold times are the maximum time a piece of equipment or systems are allowed to remain idle between
the end of the cleaning process and the beginning of usage. The primary concern is with an adverse change
in the cleanliness of the equipment over a period of time.

Clean hold times will be evaluated where the equipment or system is considered to be at risk of change of
the cleanliness state when left idle for extended periods of time. Equipments or systems have acceptable
hold times evaluated via microbiological or chemical testing as appropriate. Where equipment is sterilised
prior to use, a validated overkill sterilisation cycle for the equipment or system would be considered sufficient
justification to negate the necessity for microbiological evaluation of a hold time. The requirement to conduct

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Standard Operating Procedure
Title: Cleaning Validation Master Plan – Non Sterile Solid
Document / Definition
(Definitions may be found in Purpose
specific documents)
The CVMP provides the specific rationale concerning- selection of
allowable carry over limits, grouping of products and equipment,
rationale for selection of “marker” or exhibit products. It also defines
who is responsible.

The schedule itemises and prioritized the cleaning validation activities


Cleaning Validation Schedule
and any supporting activities which are required to achieve the cleaning
validation program. Schedules usually cover a 2 – 3 year period.
(Attached to CVMP)
A document which documents the process of evaluating the
effectiveness of a specific cleaning procedure. This protocol is specific
Cleaning Validation Protocol to a cleaning procedure, the marker product (representing a group) and
the equipment train.

The risk assessment reviews the risks associated with the cleaning
program i.e. what level of cleaning needs to be achieved, toxicity of
Risk Assessment (Protocol)
actives, worse case scenarios of cross contamination potential.

An assessment of all equipment used during the manufacture of a


Identification of Equipment Train particular product (or group of products) identifying worse case
(Protocol) scenarios and equipment trains.

Clean Limit – Rational for setting A limit for acceptable level of “clean”, which is defined in the cleaning
Limit validation protocol, and defined in terms of (a) maximum carryover
levels to the next product and (b) allowable residues per unit are of
equipment surface.

Methods used for cleaning analysis must be appropriately validated i.e.


Limit of Quantitation (LOQ) and Limit of Detection (LOD) must be
assessed for each analyte and possibly degradant. An assessment of
the precision, accuracy and linearity must also be performed at the LOD
Validated Analytical Methods
and LOQ. Pre-requisites to analytical method validation include
qualification and calibration of all equipment/lab instruments used in the
analysis.

In order to ensure consistent and reproducible recovery, a procedure


for the sampling (be it swabbing, rinse collection or placebo approach)
Procedure for Sampling
must be written and trained to.

When swabbing is used as a sampling technique, as well as training to


the procedure, it is a requirement to perform recovery studies which
evaluate the ability of the sampling procedure to recover a specific
Recovery Studies – Swabbing
analyte from specific surfaces.
Protocol
The recovery study is also used to quality the analysts or samplers
performing the swab per the protocol.

This may be achieved in the above document Recovery Study –


Swabbing protocol. Its purpose is to show the effectiveness of training
Qualification of Swabbers
of “swabbers” to take samples in a reliable and reproducible manner.

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CHANGE CONTROL, DEVIATION, CAPA SUMMARY SHEET
(Ref. SOP VAL-175)
PROCEDURE
Record all Change Controls, Deviations, Preventative and Corrective Maintenance documents that have been raised since the last validation activity and execute a cycle
parameter and load matrix review (see VAL-175 - Validation of Autoclaves, Autoclave Loads and Cycles).

Impact on
Document Validation
Description of Change/Deviation/Maintenance
Number (Yes/No)

Form 775 Issue date: Version: 1 Page: 1 of 1


Documentation Verification and Cycle Form
(Ref. SOP VAL-175)

1. Procedure
Conduct SOP, Change Control, Deviation, Preventative and Corrective Maintenance reviews as
described in VAL-175 (Validation of Autoclave, Autoclave Loads and Cycles).

1.1 Documentation Verification


Sign/Date
1.1.1 Conduct an SOP review as per VAL-215 Critical Documentation
Verification during a Validation Study.

1.1.2 Conduct a review of all change controls, deviations, preventative and corrective
maintenance logs using Form-775 (Change Control, Deviation, Preventative and Corrective
Maintenance Summary) Sheet.

Yes/No Sign/Date

1.1.3 Have any change controls been raised?

Yes/No Sign/Date
1.1.4 Have any deviations been raised?

Yes/No Sign/Date
1.1.5 Have any preventative maintenance been undertaken?

Yes/No Sign/Date
1.1.6 Have any corrective maintenance been undertaken?

If yes, conduct cycle and load review and describe in Form-770 (Validation Cycle Review).
Yes/No Sign/Date
Attach Review to this document

2. Completion

Attach this document to Autoclave Validation Protocol.

Form 765 Issue date: Version: 1 Page: 1 of 1


VALIDATION CYCLE REVIEW
(Ref. SOP VAL-175)
PROCEDURE
Conduct a review of the cycles and loads.

Matrix Review

Documented by Position Date

Form 770 Issue date: Version: 1 Page: 1 of 1


EQUIPMENT CALIBRATION VERIFICATION
(Ref. SOP VAL-175)

Project Number Autoclave Number

1. Procedure

Equipment calibration verification must be performed prior to the commencement of autoclave


validation.

1.1 Calibration Checks


1.1.1 Verify the autoclave is within calibration (VAL-220). Print out Equipment Sign/Date
Maintenance Status Report (Engineering Department) and attach to this
document.

Sign/Date
1.1.2 Complete a list of test equipment used (Table 1). Attach a copy of
calibration certificates to this document.

Table 1. Test Equipment


Calibrated Certificate
Equipment Name Serial Number
(Yes/No) Attached
Pressure Transducer

Eurothern Chessel 6000 Graphic Recorder

Hart Scientific HDCR Calibrator

Graphtec GL midi logger CL220/820

Sign/Date
1.1.3 Calibrate thermocouples (VAL-210). Copy Calibration Verification Record
(Form 825) and attach to this document.

Sign/Date
1.1.4 Sign and attach all printouts of the thermocouple calibrations to this
document.

2. Completion

Upon completion of this test attach document to the Autoclave Validation Protocol (Form 780).

Form 810 Issue date: Version: 1 Page: 1 of 1


AUTOCLAVE CYCLE PARAMETERS RECORDING SHEET - DRY
(Ref. SOP VAL-175)
DRY - CYCLE # Parameters
Verify that all cycle parameters are set as listed in the table below.
Actual Acceptance
Expected Parameter Set
Parameter Description Parameter Set Criteria Met
Point
Point (Yes/No)
Cycle Number (Enter number)
Cycle Name (Enter Name)
Value (kPa) ≤ 30
DRY-PreC: Evacuate 1
Delay (s) 60
Value (kPa) ≥ 150
DRY-PreC: Charge 1
Delay (s) 60
Value (kPa) ≤ 25
DRY-PreC: Evacuate 2
Delay (s) 60
Value (kPa) ≥ 150
DRY-PreC: Charge 2
Delay (s) 30
Value (kPa) ≤ 20
DRY-PreC: Evacuate 3
Delay (s) 60
Value (kPa) ≥ 150
DRY-PreC: Charge 3
Delay (s) 1
Heating Ramp-Up to Value (kPa) ≥ 219.3kPa (equiv. 123.0°C)
S.P (pressure) Delay (s) 1
Value (min) ≥ 15
DRY: Sterilisation
Delay (s) 1
Value (kPa) ≤ 120
Chamber Exhaust
Delay (s) 1
Value (min) ≥10
Vacuum Drying
Delay (s) 1
Value (kPa) ≥ 110
Chamber Equalisation
Delay (s) 60
Value (min) ≥ 15
Vacuum Drying
Delay (s) 1
Value (kPa) ≥ 110
Chamber Equalisation
Delay (s) 60
Value (min) ≥ 10
Vacuum Drying
Delay (s) 1
Value (kPa) ≥ 105
Chamber Equalisation
Delay (s) 1
Sterilisation Control Chamber Chamber Pressure @
Method Pressure @ 219.3kPa

Acceptable Verification
Action (Yes/No) Sign/Date Sign/Date
All cycle parameters are set correctly

Form 815 Issue date: Version: 1 Page: 1 of 1


AUTOCLAVE CYCLE PARAMETERS RECORDING SHEET - WET
(Ref. SOP VAL-175)
WET - CYCLE # Parameters
Verify that all cycle parameters are set as listed in the table below.
Expected Parameter Set
Parameter Description
Point

Cycle Number (Enter number)

Cycle Name (Enter Name)

Pressure Regulated @
Control Method
212.3kPa (122.0°C)

Sterilisation Control Method 1st deadband SP 0.7kPa

2nd deadband SP -0.7kPa

WET: Free Steaming 1 Delay (s) 180

WET: Free Steaming 2 Delay (s) 600

Value (°C) ≥ 122.1


Heating Ramp-Up to S.P. Using
Coldest Temperature Load Probe
Delay (s) 1

Value (°C) 122.0

Holding Time
WET: Sterilisation (Load Probe 2) ≥ 35
(min)

Delay (s) 1

Cooling 3 Value (sec) 2700

Value (kPa) 110


Chamber Equalisation
Delay (s) 2

Acceptable Verification
Action (Yes/No) Sign/Date Sign/Date
All cycle parameters were set correctly
and match the print out from the
Autoclave.

Form 820 Issue date: Version: 1 Page: 1 of 1


Vacuum Leak Test
(Ref. SOP VAL-175)

1. Procedure

A Vacuum Leak Test is performed to test the integrity of the autoclave. This form must be printed
for each consecutive test.

1.1 Vacuum Leak Test Performance

Sign/Date

1.1.1 Synchronise the time of the Graphic Recorder (Eurotherm Chessell 6000
Multichannel Graphic Recorder) to within 1 minute of the autoclave.

1.1.2 With the autoclave in standby state and the side door slightly open, install Sign/Date
the test equipment (thermocouple harness, independent pressure
measurement device) onto the autoclave validation port(s) located on the
side of the autoclave.

Cycle Number
1.1.3 Perform a Vacuum Leak Test and record cycle
number.

Yes/No
Was test conducted successfully without alarm?

If no, fill out Vacuum Leak Test Summary table in Deviation Number
Autoclave Validation Protocol (Form-780 Autoclave
Validation Protocol), record deviation number and
repeat test again (Note: upon retest print off this form

If yes, continue to point 1.1.4.

Sign/Date
1.1.4 Retrieve the autoclave printout(s) and chart recorder trace, sign all
printouts and attach to this document.

2. Completion

Upon completion of this test attach document to the Autoclave Validation Report.

Form: 805 Issue date: Version: 1 Page: 1 of 2


Vacuum Leak Test
(Ref. SOP VAL-175)

Table 1. Vacuum Leak Test Parameters


Acceptanc
e Criteria
Actions Expected Results Actual Results Sign/Date
Met
(Yes/No)
The Vacuum Leak Test Yes/N
Verify the autoclave
Cycle parameters from Verify
Vacuum Leak Test Cycle
the autoclave are parameters
parameters.
verified.
Test Date
Autoclave cycle starts
Start Vacuum Leak Test Cycle
and information is
Cycle. Number
documented in the
spaces provided
Time of Run
Initial Vacuum Test
Observe and record the Chamber Pressure is
initial Vacuum Test recorded at start of Initial
Chamber Pressure (1st Vacuum Hold Phase Pressure
recorded print of the and is: Value (kPa)
Vacuum Hold Phase). ≈15kPa

Once evacuated, the Start Time


chamber holds the The chamber holds the
established vacuum level established vacuum End Time
for 30 minutes without level for 30 minutes.
further action from the Total Time
vacuum pump (min)

Observe and record the


Final Vacuum Test
final Vacuum Test Final
Chamber Pressure is
Chamber Pressure (last Pressure
recorded at end of
recorded print of the Value (kPa)
Vacuum Hold phase.
Vacuum Hold Phase).

∆P = Final Vacuum
Calculate the ∆P for the
= (Pressure – Initial
Vacuum Hold Phase. ∆P =
Vacuum Pressure).
∆P is ≤3.5 kPa
The cycle Yes/N
completed o
The cycle is completed with no alarm
with NO alarm conditions.
conditions. The Printo
Retrieve the autoclave
autoclave
printout and chart
The autoclave printout recorded a
recorder chart, label and
displays a reading of reading of
attach as specified in the
“CYCLE COMPLETED”. ‘Cycle
test procedure.
Completed’.
The printout and chart The printout Chart
recorder chart are and chart
stamped and attached. recorder are
stamped and
attached.

Form: 805 Issue date: Version: 14 Page: 2 of 2


STEAM PENETRATION/AIR REMOVAL (BOWIE DICK) TEST
(Ref. SOP VAL-175)

Project Number Autoclave Number

1. Objective
This test is to be completed once in order to confirm the qualified state of the autoclave for air removal.

2. Procedure
Sign/Date
2.1 Ensure that a Vacuum Leak Test has been successfully completed.

Sign/Date
2.2 Place the Bowie Dick Pack in the chamber and perform Bowie Dick
Cycle.

Cycle Number

2.3 Record Cycle Number.

Batch Number Expiry Date


2.4 Record pack Batch Number
and Expiry Date.

Sign/Date
2.5 Retrieve the indicator card and complete Table 1.

Table 1. Results- Bowie Dick Pack


Acceptable
Acceptance Criteria Sign/Date
(Yes/No)
The indicator card shows a uniform colour change (See Figure 1
and 2) throughout the indicator (attach a picture of the test sheet to
this document).

The card was exposed to the specific temperatures and duration as


per the manufacturer’s instructions.

Figure 1. Test sheet BEFORE processing Figure 2. Test sheet showing PASS condition
(Blue colour) (Pink colour)

Form 790 Issue date: Version: 1 Page: 1 of 2


STEAM PENETRATION/AIR REMOVAL (BOWIE DICK) TEST
(Ref. SOP VAL-175)

Sign/Date
2.6 Complete End Cycle Checks (Table 2).

Table 2. End of Cycle Checks- Bowie Dick Pack


Acceptable
Acceptance Criteria (Yes/No) Sign/Date

No alarms observed during cycle.

The process record, chart recorder print out, indicator card and
picture has been attached to the protocol.

Sign/Date
2.8 Attach a picture of the test sheet result to this document.

3. Completion
Upon completion of this test attach all documentation to the Validation Protocol.

Form 790 Issue date: Version: 1 Page: 2 of 2


Standard Operating Procedure
Title: Heat Penetration/Heat Distribution Study
Department Validation/Technical Services Document no VAL-180
Prepared by: Date: Supersedes:
Checked by: Date: Date Issued:
Approved by: Date: Review Date:

Autoclave
Project Number Number

1. OBJECTIVE

Using a Heat Penetration Study, demonstrate that each of the proposed cycles will, with a high degree of
assurance, sterilise a defined load configuration for the worst-case load. Similarly, conduct a Heat
Distribution Study simultaneously to determine the cold spots and uniformity of heating in the loaded
autoclave chamber.

THIS DOCUMENT MUST BE REPRODUCED FOR EACH CYCLE

Cycle Number Number of Runs

Load Description

2. PROCEDURE

2.1 Pre-requisite to the Heat Penetration Study

2.1.1 Synchronise the time of the Graphic Recorder (Eurotherm Chessell 6000 Sign/Date
Multichannel Graphic Recorder) to within 1 minute of the autoclave.

2.1.2 Ensure pre-cycle checks have been successfully performed. Record in Table 1.

Table 1. Pre-Cycle Check


Acceptance Criteria
Acceptance Criteria Achieved Sign/Date
(Yes/No)

Vacuum Leak Test is successfully performed.

Steam Penetration/Air Removal Test is successfully


performed.

2.2 Run Execution

2.2.1 Record BI details in Table 2.

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Standard Operating Procedure
Title: Heat Penetration/Heat Distribution Study

Note: Eurotherm Chessell 6000 Multichannel Graphic Recorder can be


used to produce consistent and accurate results at all times in setting
up configurations, calibrating, recording, saving, and monitoring of the
real time data during validations of temperature and pressure
environments.

2.3 Post Cycle

2.3.1 Verify that the recorded cycle parameters are consistent with the Sign/Date
programmed cycle parameters. Attach the completed form(s) to this
document.

2.3.2 Retrieve each exposed BI from the load. Submit the exposed and control Sign/Date
BIs with Biological Indicator Test Results Sheet (Form-850) to Quality
Control for sterility testing.

2.3.3 Attach all autoclave printouts and graphs to this document. Sign/Date

2.3.4 Record whether the test has met the acceptance criteria using either Form- Sign/Date
835 Autoclave Cycle Acceptance Criteria. Attach the completed form to this
document.

2.3.5 Record post-calibration verification results in Table 4.

Table 4. Thermocouple Post-Calibration Verification Results


Acceptance
Criteria
Test Description Acceptance Criteria Sign/Date
Achieved
(Yes/No)

All T/C’s are within r0.80qC of


Check Point Verification (121qC)
reference

3. COMPLETION

Upon completion of test, attach this document to Form-780 Autoclave Validation Protocol.

4. REFERENCED DOCUMENTS

VAL-175 Validation of Autoclaves, Autoclave Cycles and Loads

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BIOLOGICAL INDICATOR TEST RESULTS SHEET
(Ref. SOP VAL-175, VAL-200)

Project Number Equipment ID

Procedure
Fill out table and transfer sheet to Quality Control with all samples.

Cycle Number: Run #: Initials/Date:


QC Serial Number:
oC
Commenced Incubation at Time: Initials/Date:

1. To activate the media, place the indicator in an upright position in a plastic crusher. Gently squeeze the
crusher to break the glass ampoule. Place the activated indicator in the incubator rack and incubate
immediately.
2. Examine the indicator for any colour change at 24h. Record the examining time and results in the table.

Acceptance Criteria - Geobacillus stearothermophilus


• Yellow colour indicates bacterial growth.
• No colour change indicates adequate sterilisation.
Biological Indicator
Position Op. Init. Date/Time Purple = - Yellow = + Initial/Date
24h

Control
Operator Initial/Date
Test Result: Pass Fail

Comment:

Tested By/Date

Verified By/Date

Form 830 Issue date: Version: 1 Page: 1 of 1


Autoclave Cycle Acceptance Review Form
(Ref. SOP VAL-175)
Run Number Cycle Number Project Number Autoclave Number

Acceptance Criteria
Achieved
Acceptance Criteria (Yes/No/Accepted under
deviation or N/A)
Recorded cycle parameters are consistent with programmed cycle parameters.

The Department of Agriculture (DoA) requirements are met for DoA regulated loads. (If load
core measured, all points ≥121°C for 15min, else all points ≥121°C for 30min and all
biological indicators do not show growth).
The sterilisation phase time is not less than 15 minutes for non DoA regulated loads and
temperature regulated cycles.
The measured chamber pressure is within ± 1°C of the mean chamber temperature at the
midpoint of the sterilisation phase.
Mean chamber Temperature = ________oC
Chamber Pressure = _________ kPa Saturation Temperature = _______ oC
Steam Penetration Studies (Load)
A minimum accumulated F0 of 22 minutes is obtained at all load measurement (penetration)
locations at the end of the cooling phase on the autoclave printout (with the exception of F0
regulated cycles which must have a minimum F0 of 15min).
Min F0 Obtained T/C Location

All exposed BIs must test negative for growth, except for the positive control.

Record the greatest load temperature and T/C location °C T/C #:_______

Wet Cycles Only: All liquid volumes are <90ºC ± 1ºC at the end of the cooling cycle.

Dry Cycles Only: The autoclave load is visibly dry. (“visibly dry” being defined as the load
items and all layers of sterile wrapping material are free of pooled liquid upon visual
inspection)
Heat Distribution Studies (Chamber)

The autoclave drain probe achieves a minimum temperature of ≥1oC below the
sterilisation set point temperature. Set Pt. Min. Temp.
The measured temperatures within the chamber are within (+2/-1)°C of the sterilisation
temperature set point.
Lower Upper
Set Point
Temperature Temperature
The measured temperatures of the thermocouples within the chamber are within ±1°C of
the mean chamber temperature at each time point.

Trial Acceptance (Circle) Met Criteria – Pass Did not meet Criteria - Fail

Comments

Conducted By: Reviewed By:


(Sign/Date) (Sign/Date)

Form 755 Issue date: Version: 1 Page: 1 of 2


Autoclave Cycle Acceptance Review Form
(Ref. SOP VAL-175)

Form 755 Issue date: Version: 1 Page: 2 of 2


AUTOCLAVE DRY CYCLE ACCEPTANCE REVIEW CRITERIA
(Ref. SOP VAL-175)

Run Number Cycle Number Project Number Autoclave Number

Acceptance
Criteria
Achieved
(Yes/No/
Accepted Under
Acceptance Criteria Deviation)
Recorded cycle parameters are consistent with programmed cycle parameters.
The Department of Agriculture (DoA) requirements are met for DoA regulated loads (If
load core measured, all points ≥121°C for 15min, else all points ≥121°C for 30min and
all biological indicators do not show growth).

The sterilisation phase time is not less than 15 minutes for non DoA regulated loads
and temperature regulated cycles.
The measured chamber pressure is within ± 1°C of the mean chamber temperature at
the midpoint of the sterilisation phase.
Mean Chamber Temperature = ________oC
Chamber Pressure = _________ kPa Saturation Temperature = _______ oC

Steam Penetration Studies (Load)

A minimum accumulated F0 of 22 minutes is obtained at all load measurement


(penetration) locations at the end of the cooling phase on the autoclave printout.

Min F0 Obtained T/C Location

All exposed BIs must test negative for growth, except for the positive control.

The autoclave load is visibly dry. (Note-visibly dry is defined as, upon visual inspection
of the load at the end of the cycle, the load items and all layers of wrapping material are
found to be free of pooled liquid).

Heat Distribution Studies (Chamber)

The measured temperature of the thermocouples within the chamber is within ±1°C of
the mean chamber temperature at each time point.

The measured temperatures within the chamber are within (+2/-1)°C of the
sterilisation set point. Set Point Temp.
Lower Temperature Upper Temperature
The autoclave drain probe achieves a minimum temperature of ≥1oC below the
sterilisation set point. Set Point Min. Temp.

Test Acceptance  Pass Fail


Comments

Tested by/Date Reviewed by/Date

Form 835 Issue date: Version: 1 Page: 1 of 1


Validation Protocol Deviation Report Form
(Ref. SOP VAL-175)

Project Number Protocol Deviation Report Number

Does this Deviation directly affect product status? Yes No  If yes, raise a quality deviation

Deviation ID
A. Identification of the Section of the Protocol Affected

B. Description of the Protocol Deviation

C. Discussion of the Deviation Occurrence

D. Reason (Root Cause) for the Deviation Occurrence and Impact on the Validation Study

E. Resolution of the Deviation

F. Attachments

Note: This form may be reproduced in both “hardcopy” and in an electronic format. The authorisation of this form is located
on a separate page to permit reproduction of this form electronically.

Deviation Report Prepared By: Sign Date


Reviewed and Approved By: Sign Date
Quality Assurance Approval: Sign Date

Form 745 Issue date: Version: 14 Page: 1 of 1

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