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12:53 13/09/2023 FDA Inspection: Preparedness Checklist - SafetyCulture

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Information

Company / Facility

Conducted on 

Prepared by

Location 

Site Preparation for FDA Inspection

Administrative

Notify all parties of impending inspection

Sponsor

Done To Do Not Applicable

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IRB/EC

Done To Do Not Applicable

Principal Investigator

Done To Do Not Applicable

Sub-Investigator(s)

Done To Do Not Applicable

Study Coordinator(s)

Done To Do Not Applicable

Pharmacy

Done To Do Not Applicable

Laboratory(ies)

Done To Do Not Applicable

Medical Records

Done To Do Not Applicable

Administration

Done To Do Not Applicable

Legal Counsel

Done To Do Not Applicable

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Reception Area Staff

Done To Do Not Applicable

Review FDA Inspection Preparation SOP

FDA Inspection Preparation SOP

Done To Do Not Applicable

Identify work space for the Inspector

Work space

Done To Do Not Applicable

Telephone

Done To Do Not Applicable

Copier

Done To Do Not Applicable

Table

Done To Do Not Applicable

Review staff and clinic schedules

Review staff schedules (vacations, appointments, miscellaneous time off, etc.) to ensure
staff availability

Done To Do Not Applicable

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Reschedule non-essential visits/meetings if possible

Done To Do Not Applicable

Clinic Equipment

Ensure temperature logs for applicable clinic equipment are complete and current
(refrigerators, freezers, storage cabinets, etc.)

Done To Do Not Applicable

Ensure equipment maintenance and calibration records are available and current (e.g.
electronic scales, electronic blood pressure cuff, etc.) (if applicable)

Done To Do Not Applicable

Regulatory

Locate, compile, organize, and review documents for accuracy and completeness

List of Principal Investigator’s current active protocols

Done To Do Not Applicable

Delegation log (list of personnel and delegated study responsibilities; current and
signed)

Done To Do Not Applicable

Signature log (list of key site personnel and corresponding signatures; current and
signed) (may be combined with the delegation log)

Done To Do Not Applicable

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Master Subject Log (list of all subjects including name, contact information, enrollment
and completion dates)

Done To Do Not Applicable

Screening Log (names of all participants screened including enrollment date and reason
for screen failure if applicable; ensure log is current and legible)

Done To Do Not Applicable

Enrollment Log (if applicable)

Done To Do Not Applicable

Randomization Log (if applicable)

Done To Do Not Applicable

Protocol (all versions)

Done To Do Not Applicable

Protocol amendments and clarification memorandums

Done To Do Not Applicable

IRB/EC approved Informed Consent Forms (all versions including screening consent
forms)

Done To Do Not Applicable

Investigator’s Brochure(s) and/or Package Insert(s) (all versions)

Done To Do Not Applicable

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IRB/EC initial protocol approval letter

Done To Do Not Applicable

IRB/EC protocol amendment(s) approval letter(s)

Done To Do Not Applicable

IRB/EC continuing review approval letters

Done To Do Not Applicable

IRB/EC approval letter(s) for revised Informed Consent Forms

Done To Do Not Applicable

IRB/EC approval letter(s) for subject recruitment materials (advertisements, videos,


handouts to participants, etc.)

Done To Do Not Applicable

Evidence of EAE submission to the IRB/EC/sponsor

Done To Do Not Applicable

Evidence of identification and reporting of protocol violations/deviations to the


IRB/EC/sponsor per IRB/EC and protocol requirements

Done To Do Not Applicable

IND Safety Reports/Memos and evidence of submission to the IRB/EC

Done To Do Not Applicable

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DSMB summary report(s) and documentation of submission to the IRB/EC

Done To Do Not Applicable

Documentation of protocol registration submission, approval, activation, and


deregistration (if applicable)

Done To Do Not Applicable

All correspondence to and from the IRB/EC pertinent to the study

Done To Do Not Applicable

All sponsor correspondence

Done To Do Not Applicable

Any other correspondence pertinent to the study (e.g. protocol team)

Done To Do Not Applicable

Form FDA 1572 (all versions)

Done To Do Not Applicable

Financial Disclosure Forms (Principal Investigator and Sub-Investigators listed on the


Form FDA 1572

Done To Do Not Applicable

CVs (Principal Investigator, Sub-Investigators, and other key staff members; current and
signed)

Done To Do Not Applicable

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Licenses (Principal Investigator, Sub-Investigators, and other key staff members)

Done To Do Not Applicable

Good Clinical Practice/ Human Subjects Protection training documentation for


individuals listed on the Form FDA 1572 and any clinical research site personnel who
have more than minimal involvement with the conduct of the research

Done To Do Not Applicable

Documentation of staff protocol training

Done To Do Not Applicable

Documentation of additional staff training (if applicable)

Done To Do Not Applicable

Study recruitment and retention plan

Done To Do Not Applicable

Site Standard Operating Procedures

Done To Do Not Applicable

Signed and dated monitoring visit log

Done To Do Not Applicable

Annual CQMP Summary Review submitted to Sponsor.

Done To Do Not Applicable

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All monitoring pre-visit letters and monitoring reports

Done To Do Not Applicable

Clinical

Ensure the following has been completed for each participant

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)

Done To Do Not Applicable

Completed Case Report Forms (CRFs) on file for each participant

Done To Do Not Applicable

Original signed and dated Informed Consent Forms on file for each participant

Done To Do Not Applicable

Inclusion/exclusion criteria for each participant have been met and documented

Done To Do Not Applicable

All visits conducted within protocol windows

Done To Do Not Applicable

Correct volume of blood and correct tube type drawn at each visit

Done To Do Not Applicable

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Adverse Events (AEs), and Expedited Adverse Events (EAEs) have been identified and
documented appropriately

Done To Do Not Applicable

All EAEs have been reported to the IRB/EC

Done To Do Not Applicable

All AEs and EAEs have been reported to the sponsor per study requirements

Done To Do Not Applicable

Protocol endpoints have been identified and reported appropriately

Done To Do Not Applicable

Ensure study product use by all participants has been documented

Done To Do Not Applicable

Protocol-required tests/evaluations have been completed and documented


appropriately

Done To Do Not Applicable

Protocol violations/ deviations have been identified and documented appropriately

Done To Do Not Applicable

Concomitant/prohibited medications have been documented and reported


appropriately

Done To Do Not Applicable

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All laboratory reports and other diagnostic test reports are on file and display correct
participant identifiers

Done To Do Not Applicable

All laboratory results have been graded appropriately by the PI or designated medical
officer per the DAIDS AE Grading Table and protocol-requirements

Done To Do Not Applicable

Laboratory reports have been signed by the PI or designated medical officer

Done To Do Not Applicable

Premature discontinuations of participants are documented appropriately per study


requirements

Done To Do Not Applicable

Pharmacy

Locate, compile, organize, and review documents for accuracy and completeness

CV of pharmacist(s)

Done To Do Not Applicable

CVs of key pharmacy personnel

Done To Do Not Applicable

Licenses of pharmacy personnel

Done To Do Not Applicable

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Form FDA 1572

Done To Do Not Applicable

Prescriber signature list

Done To Do Not Applicable

Most recent version of the protocol for which the site has IRB/EC approval

Done To Do Not Applicable

Most recent version of the protocol-specific study procedures (i.e. SSP manual)

Done To Do Not Applicable

Records of study product dispensation to appropriate staff member (if applicable)

Done To Do Not Applicable

Most recent version of Investigator’s Brochure(s) or Package Insert(s)

Done To Do Not Applicable

CRPMC Drug Supply Statement (version for which site is protocol registered)

Done To Do Not Applicable

Investigational agent accountability logs

Done To Do Not Applicable

Participant prescriptions

Done To Do Not Applicable

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Documentation of study drug transfers, returns, and destruction (if applicable)

Done To Do Not Applicable

Ordering/shipping receipts

Done To Do Not Applicable

Participant-specific profiles (if applicable)

Done To Do Not Applicable

DAIDS-approved, signed Pharmacy Establishment Plan

Done To Do Not Applicable

Required pharmacy operations SOPs as listed in the PAB Pharmacy Guidelines (July
2008)

Done To Do Not Applicable

Laboratory

Locate, compile, organize, and review documents for accuracy and completeness

CV of Laboratory Director

Done To Do Not Applicable

CVs of key laboratory personnel

Done To Do Not Applicable

Licenses of laboratory personnel (if applicable)

Done To Do Not Applicable

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Laboratory certifications

Done To Do Not Applicable

Laboratory normal ranges

Done To Do Not Applicable

Laboratory Data Management System (LDMS) records

Done To Do Not Applicable

Copies of laboratory audits, action plans, and corrective action reports

Done To Do Not Applicable

Specimen logs (present and readily available for review)

Done To Do Not Applicable

Chain of Custody SOP (or similar process document)

Done To Do Not Applicable

Corresponding control data for assays where laboratory result AEs and EAEs were
identified

Done To Do Not Applicable

Temperature logs for applicable equipment (refrigerators, freezers, storage cabinets,


etc.)

Done To Do Not Applicable

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Calibration and maintenance records for all laboratory equipment (if applicable)

Done To Do Not Applicable

Corrective action reports for identified temperature excursions

Done To Do Not Applicable

Vertical audit of laboratory results and corresponding QC data for results of a randomly
selected sample

Done To Do Not Applicable

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Completion

General comments and observations

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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