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FDA Inspection - Preparedness Checklist - SafetyCulture
FDA Inspection - Preparedness Checklist - SafetyCulture
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Information
Company / Facility
Conducted on
Prepared by
Location
Administrative
Sponsor
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IRB/EC
Principal Investigator
Sub-Investigator(s)
Study Coordinator(s)
Pharmacy
Laboratory(ies)
Medical Records
Administration
Legal Counsel
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Work space
Telephone
Copier
Table
Review staff schedules (vacations, appointments, miscellaneous time off, etc.) to ensure
staff availability
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Clinic Equipment
Ensure temperature logs for applicable clinic equipment are complete and current
(refrigerators, freezers, storage cabinets, etc.)
Ensure equipment maintenance and calibration records are available and current (e.g.
electronic scales, electronic blood pressure cuff, etc.) (if applicable)
Regulatory
Locate, compile, organize, and review documents for accuracy and completeness
Delegation log (list of personnel and delegated study responsibilities; current and
signed)
Signature log (list of key site personnel and corresponding signatures; current and
signed) (may be combined with the delegation log)
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Master Subject Log (list of all subjects including name, contact information, enrollment
and completion dates)
Screening Log (names of all participants screened including enrollment date and reason
for screen failure if applicable; ensure log is current and legible)
IRB/EC approved Informed Consent Forms (all versions including screening consent
forms)
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CVs (Principal Investigator, Sub-Investigators, and other key staff members; current and
signed)
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Clinical
Source documents and medical records are available for each participant (Review for
ALCOA) (Alternative: Source documents and corresponding Case Report Forms (CRFs) for
each participant are present, clearly identified, and systematically organized in binders
or folders for ease of retrieval during the inspection)
Original signed and dated Informed Consent Forms on file for each participant
Inclusion/exclusion criteria for each participant have been met and documented
Correct volume of blood and correct tube type drawn at each visit
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Adverse Events (AEs), and Expedited Adverse Events (EAEs) have been identified and
documented appropriately
All AEs and EAEs have been reported to the sponsor per study requirements
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All laboratory reports and other diagnostic test reports are on file and display correct
participant identifiers
All laboratory results have been graded appropriately by the PI or designated medical
officer per the DAIDS AE Grading Table and protocol-requirements
Pharmacy
Locate, compile, organize, and review documents for accuracy and completeness
CV of pharmacist(s)
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Most recent version of the protocol for which the site has IRB/EC approval
Most recent version of the protocol-specific study procedures (i.e. SSP manual)
CRPMC Drug Supply Statement (version for which site is protocol registered)
Participant prescriptions
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Ordering/shipping receipts
Required pharmacy operations SOPs as listed in the PAB Pharmacy Guidelines (July
2008)
Laboratory
Locate, compile, organize, and review documents for accuracy and completeness
CV of Laboratory Director
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Laboratory certifications
Corresponding control data for assays where laboratory result AEs and EAEs were
identified
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Calibration and maintenance records for all laboratory equipment (if applicable)
Vertical audit of laboratory results and corresponding QC data for results of a randomly
selected sample
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Completion
Sign off
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's
solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.
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