Good Manufacturing Practices (GMP) For Medicinal Products: Jaya Bir Karmacharya

7
Good Manufacturing Practices (GMP)

for Medicinal Products
Jaya Bir Karmacharya
Omnica Laboratories Private Limited
Nepal
1. Introduction
The term GMP was introduced to regulate manufacturing and packaging operations in the
pharmaceutical company. Until the mid-1960s, operating procedures for the manufacture of
drugs consisted of formulae and the basic methods of making products. Written procedures
were often concise and often relied on the individual operators skill and experience. As
batches of medicines increased in number and size, the operating procedures were
inadequate to produce consistent and reliable products. Much attention had focused on the
purity of medicinal substances. Pharmacopoeias and codices specified formulae for mixtures
and other preparation, but gave little detailed information on the methods of preparation.
The factors affecting processing and packaging procedures were becoming more apparent
and the need for appropriate guidelines was evident (Lund, 1994).
The Medicines Inspectorate of the Department of Health and Social Security of England, in
consultation with other interested bodies compiled the guide to GMP also known as the
Orange Guide. The first edition of the guide was published in 1971, before any formal
inspections of drug manufacturers had been carried out under the Medicines Act. It was a
relatively light volume of 20 pages, and was reissued as a third impression in 1972, with the
addition of a 2-page appendix on sterile medicinal products. Because of the color of its
cover, it became known as the Orange Guide. The guide was therefore written at a time
when the nature, extent, and special problems of the manufacturer of drugs were not
completely known. A second, more substantial edition (52 pages, including five appendices)
was published in 1977. A third edition (110 pages, five appendices) was published in 1983
(Lund, 1994). Subsequently, the 2002 edition of Rules and Guidance for Pharmaceutical
Manufacturers and Distributors, commonly known as the 'Orange Guide', was published
with many changes and additions to the detailed European Community guidelines on
GMP. The Medicines and Healthcare products Regulatory Agency (MHRA) has published
new edition of the Orange Guide in 2007.
In United States, the first GMP regulations were issued in 1963 and described the GMP to be
followed in the manufacture, packaging, and storage of finished pharmaceutical products.
GMP regulations were developed by the US FDA and issued the United States CFR Chapter
21 in 1978. The regulations were similar in concept to the Orange Guide, but were
enforceable by law whereas the UK guide was advisory. US congress passed the Federal
Ani-tempering Act in 1983, making it a crime to tamper with packaged consumer products.
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Promising Pharmaceuticals
In the 1980s, US FDA began publishing series of guidance documents that have had a major
effect on our interpretation of current GMP (cGMP). A Guide to Inspection of
Computerized Systems in Drug Processing was published in 1983 and Guideline on
General Principles of Process Validation was published in 1987. In 1992 the congress
passed the General Drug Enforcement Act. In March 1997, the US FDA issued 21 CFR Part
11 which dealt with the use of electronic records and signatures. In 2000, US FDA
introduced a guidance document on the incorporation of risk management into device
development (Nally, 2007).
In August 2002, the US FDA announced a new initiative, Pharmaceutical cGMPs for the 21st
CenturyA Risk Based Approach. The September 2004 final report summarized the
significant changes in the development and implementation of a new operational
framework based on quality system and risk management approaches (Nally, 1998). Also in
September 2004, the publication of the Process Analytical Technology (PAT) initiative
guidance document supported innovation and efficiency in pharmaceutical manufacturing
with a risk management foundation (USFDA, 2004).
The first World Health Organization (WHO) draft on GMP was prepared at the request of
the twentieth World Health Assembly (resolution WHA 20.34) in 1967 by a group of
consultants. The revised text was discussed by the WHO Expert Committee on
Specifications for Pharmaceutical Preparations in 1968 and published as an annex to its
twenty-second report. The text was further reproduced in 1971 in the Supplement to the
second edition of The International Pharmacopoeia (WHOTRS823, 1992).
Text on GMP was accepted as an integral part of WHO certification scheme on the quality of
pharmaceutical products moving in international market by WHA in 1969. The WHA, in
resolution No.WHA28.65 accepted the revised version of both the GMPs and the
certification scheme in 1975. The revised text is published in Thirty-second Report of WHO
Expert Committee on Specifications for Pharmaceutical Preparations: WHO TRS 823 in 1992
(Sharma, 1995). In 2003, WHO TRS 908 had revised the content of GMP in its Annex 4: Good
Manufacturing Practices for pharmaceutical products: main principles (WHO TRS 908,
2003). Recently WHO TRS 961 has published the updated contents on GMP in Annex 3:
WHO good manufacturing practices: main principles for pharmaceutical products (WHO
TRS 961, 2011).
2. Importance of GMP
In the United States the Center for Drug Evaluation and Research (CDER) promotes and
protects public health by assuring that safe and effective drugs are available to Americans.
There exits different types of risk with medicines (Figure 1), one of which is a preventable
adverse event, which can be caused by different reasons. One of the reasons for this event
can be a product quality defect. This risk can be avoided by effective implementation of
GMP (US FDA CDER, 2001).
Friedrich Nietzsche once said, If you know the why for living, you can endure any how.
Everyone in our industry should know the story of how the GMP has come in practice. Most
requirements were put in place as responses to tragic circumstances and to prevent future
tragedies (Immel, 2005).
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Good Manufacturing Practices (GMP) for Medicinal Products
Known side effects

Unavoidable Avoidable
Medication
errors
Preventable adverse
events
Injury or
death
Product quality
defects
GMP
Remaining uncertainties
Un-expected side effects
Unstudied uses
Unstudied populations
Fig. 1. Sources of Risk from Drug Products (Source: USFDA CDER 2001)
Sulfanilamide, a drug used to treat Streptococcal infections, had been shown to have
dramatic curative effects and had been used safely for some time in tablet and powder form.
In June 1937, however, a salesman for the S.E. Massengill Co., in Bristol, Tenn., reported a
demand in the southern US states for the drug in liquid form. The company's chief chemist
and pharmacist, Harold Cole Watkins, experimented and found that Sulfanilamide would
dissolve in diethylene glycol. The company control laboratory tested the mixture for flavor,
appearance, and fragrance and found it satisfactory. Immediately, the company
compounded a quantity of Sulfanilamide elixir and sent shipments-all over the country
(USA). The new formulation had not been tested for toxicity. At the time the food and drugs
law did not require that safety studies be done on new drugs.
Because no pharmacological studies had been done on the new Sulfanilamide preparation,
Watkins failed to note one characteristic of the solution. Diethylene glycol, a chemical
normally used as antifreeze, is a deadly poison. The use of an oral Sulfanilamide elixir has
caused the death of 107 people, many of them children before the problem was discovered.
In response, US Congress passed the Federal Food, Drug and Cosmetic (FD&C) Act of 1938.
For the first time, companies were required to prove that their products were safe before
marketing them.
During 1960s Thalidomide was marketed in Europe as a sleeping pill and to treat morning
sickness. When regulatory agencies gave permission to sell the drug for those indications,
they knew nothing of its serious side effects. It turned out to be teratogenic: It caused serious
deformities in developing fetuses. Children whose mothers took Thalidomide in the first
trimester were born with severely deformed arms and legs. An estimated 10,000 cases of
infant deformities in Europe were linked to Thalidomide use. Thalidomide galvanized
public opinion. Two legislators, Kefauver and Harris, pushed more stringent legislation
through US Congress that required companies to test not only to ensure that products were
safe, but that they were efficacious for their intended uses (Immel, 2005).
Sharp, (1991) reported that at least 109 infants in Nigeria have died due to failure to follow
GMP. This was caused due to the supply of mislabeled ethylene glycol as propylene glycol.
This mislabeled material was then supplied to a pharmaceutical manufacturer. The
manufacturer failed to perform adequate incoming quality control identification and
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potency tests and final product evaluation did not pick up the problem. This has resulted
due to failure in following GMP norms in manufacturing drugs. The effective
implementation of GMP would prevent this mistake.
There was an incident of the outbreak of diethylene glycol poisoning that occurred in Haiti
from November 1995 to June 1996 due to contamination of glycerol with diethylene glycol
used in the preparation of paracetamol syrup. The incident led to some 89 deaths of children
from Kidney failure. This was notified by the WHO through its newsletter no.10th Oct. 1996.
The cause of fetal incident once again became the same deadly poisonous chemical
diethylene glycol which casued the death of 107 people way back in 1937. The outbreak in
Haiti emphasizes the need for pharmaceutical manufacturers world wide to be aware of
possible contamination of glycerol and other raw materials with diethylene glycol and to
use appropriate quality control measure to identify and prevent potential contamination.
This also has strengthened the enforcement of GMP guidelines to ensure safety and efficacy
of the pharmaceutical products.
Effective implementation of GMP would also provide the cost benefit to the manufacturers,
by avoiding the cost of failures such as cost of waste, of rework, of recall, of consumer
compensation, of company reputation, and of regulatory action suspending operations.
3. Good Manufacturing Practices (GMP) guidelines

GMP is a production and testing practice that helps to ensure a quality product. Many
countries have legislated that pharmaceutical and medical device companies must follow
GMP procedures, and have created their own GMP guidelines that correspond with their
legislation. Basic concepts of all of these guidelines remain more or less similar to the
ultimate goals of safeguarding the health of the patient as well as producing good quality
medicine, medical devices or active pharmaceutical products
GMP guidelines are not prescriptive instructions on how to manufacture products. They are
a series of general principles that must be observed during manufacturing. When a
company is setting up its quality program and manufacturing process, there may be many
ways it can fulfill GMP requirements. It is the company's responsibility to determine the
most effective and efficient quality process. The formalization of GMP commenced in the
1960s and they are now in effect in over 100 countries ranging from Afghanistan to
Zimbabwe. Although many countries have developed local requirements, many also rely on
the World Health Organization recommended GMP (WHO GMP) for pharmaceutical
products. Regional requirements have also appeared with application to several countries.
Examples of these include the following.
a.
b.
Pharmaceutical Inspection Convention (PIC)guide to GMP for pharmaceutical

productsAustralia, Austria, Belgium, Canada, Denmark, Finland, France, Hungary,
Ireland, Italy, Latvia, Liechtenstein, Malaysia, The Netherlands, Norway, Poland,
Portugal, Romania, Singapore, Slovak Republic, Spain, Sweden, Switzerland, and the
United Kingdom.
Association of South-East Asia Nations (ASEAN)GMP: general guidelinesBrunei
Darussalaam, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines,
Singapore, Thailand, and Vietnam.
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c.
105
European Economic Community (EEC)guide to GMP for medicinal products

Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy,
Luxembourg, the Netherlands, Portugal, Spain, Sweden, and the United Kingdom.
The above mentioned guidelines are similar in design and content and model more of a
quality management approach or principle when compared with product testing and
control more prevalent in the U.S. cGMP. Over the years, these regulations/guides have also
been supplemented by descriptive guidelines providing additional information on specific
topics. In general, GMP have been issued as guides to the achievement of consistent product
quality, with interpretation and individual variations being accepted. GMP are enforced in
the United States by the US FDA, under Section 501(B) of the 1938 Food, Drug, and
Cosmetic Act (21 USCS 351). The regulations use the phrase "current good manufacturing
practices" (cGMP) to describe these guidelines.
The World Health Organization (WHO) version of GMP is used by pharmaceutical
regulators and the pharmaceutical industry in over one hundred countries worldwide,
primarily in the developing world including country like Nepal. The European Union's
GMP (EU-GMP) enforces similar requirements to WHO GMP, as does the Food and Drug
Administration's version in the US. Similar GMPs are used in other countries, with
Australia, Canada, Japan, Singapore and others having highly developed/sophisticated
GMP requirements. In the United Kingdom, the Medicines Act (1968) covers most aspects of
GMP in what is commonly referred to as "The Orange Guide", which is officially known as
Rules and Guidance for Pharmaceutical Manufacturers and Distributors.
In general, GMP inspections are performed by national regulatory agencies. GMP
inspections are performed in the United Kingdom by the Medicines and Healthcare
Products Regulatory Agency (MHRA); in the Republic of Korea (South Korea) by the Korea
Food & Drug Administration (KFDA); in Australia by the Therapeutical Goods
Administration (TGA); in South Africa by the Medicines Control Council (MCC); in Brazil
by the Agncia Nacional de Vigilncia Sanitria (National Health Surveillance Agency
Brazil) (ANVISA). In India GMP inspections are carried out by state Food and Drug
Administration (FDA) and these FDA report to Central Drugs Standard Control
Organization: in Nepal, GMP inspections are carried out by the Department of Drug
Administration (DDA), and in Pakistan by the Ministry of Health. Nigeria has National
Agency for Food and Drug Administration and Control (NAFDAC). Each of the
inspectorates carry out routine GMP inspections to ensure that drug products are produced
safely and correctly; additionally, many countries perform pre-approval inspections (PAI)
for GMP compliance prior to the approval of a new drug for marketing (Wikipedia, 2012a).
4. Components of GMP
GMP requires that the manufacturing process is fully defined before being initiated and all
the necessary facilities are provided. In practice, personnel must be adequately trained,
suitable premises and equipment used, correct materials used, approved procedures
adopted, suitable storage and transport facilities available, and appropriate records made.
The essential components of GMP are summarized in Figure 2 (Lund, 1994).
The manufacturing premises of good design and regularly monitored is the most important
component. There should be quality control of finished product, raw materials and
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packaging materials. The equipment of good design is to be considered and all the
equipments are required to be maintained properly. There should be a correct choice of
cleaning equipment. The staffs should be trained well and should be wearing protective
clothing while on work. There should be written procedures for carrying out the operations.
Equipment of good design &
properly maintained
Quality control of
raw materials
Correct choice of cleaning

equipment; regularly monitored
Manufacturing premises of good design

and regularly monitored
Written procedure
and other documentation
Quality control
of packaging
Quality control of
finished product
Trained staff wearing

Protective clothing
Fig. 2. Components of Good Manufacturing Practice (Source: Lund, 1994)

WHO Expert Committee on Specifications for Pharmaceutical Preparations had published
the Forty-fifth Report of WHO TRS 961 in 2011. The committee reviewed the revision of the
GMP text in the light of comments received from interested parties and brought out the
basic guidelines on GMP in an Annex 3 under the title WHO good manufacturing practice:
main principles for pharmaceutical products.
Among other feedback which was discussed during the consultation on WHO guidelines for
medicines quality assurance, quality control laboratories and transfer of technology on 27
31 July 2009, the need was identified to incorporate a new section on Product quality
review under Chapter 1: Quality assurance. In addition, several updates were suggested
to further enhance the guidelines and include the concept of risk management, replacing
drugs by the term medicines and newly introduce the concept of a quality unit.
Quality unit is an organizational unit independent of production which fulfils both quality
assurance (QA) and quality control (QC) responsibilities. This can be in the form of separate
QA and QC units or a single individual or group, depending upon the size and structure of
the organization.
This has highlighted the different requirements of GMP as Quality management in the
medicines industry: philosophy and essential elements. The essential elements described in
detail includes; Quality assurance, Good manufacturing practices for pharmaceutical
products, Sanitation and hygiene, Qualification and validation, Complaints, Product recalls,
Contract production and analysis, Self-inspection, quality audits and suppliers audits and
approval, Personnel, Training, Personal hygiene, Premises, Equipment, Materials,
Documentation, Good practices in production and Good practices in quality control
(WHOTRS 961, 2011).
Volume 4 of "The rules governing medicinal products in the European Union" contains
guidance for the interpretation of the principles and guidelines of good manufacturing
practices for medicinal products for human and veterinary use. Its 1998 edition contains
nine chapters describing Quality management, Personnel, Premises and Equipment,
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Documentation, Production, Quality control, Contract manufacturing and analysis,

Complaints and Product recall and Self Inspection as basic requirements of GMP with 14
annexes. Currently the guide is presented in three parts and supplemented with a series of
annexes. Part I covers basic requirements for medicinal products, Part II covers basic
requirements for active substances used as starting materials and Part III contains GMP
related documents, which clarify the regulatory expectations (EudraLex, 2012).
Pharmaceutical inspection convention/Pharmaceutical Inspection Co-operation Scheme
(PIC/S) had published PE 009-2 Guide to GMP for medicinal products in 2004. In order to
further facilitate the removal of barriers to trade in medicinal products, to promote
uniformity in licensing decisions and to ensure the maintaining of high standards of quality
assurance in the development, manufacture and control of medicinal products throughout
Europe, it was agreed to harmonize the rules of GMP applied under Pharmaceutical
Inspection Convention (PIC) and the Pharmaceutical Inspection Co-operation Scheme
(PIC/S) to those of the EU Guide to Good Manufacturing Practice for Medicinal Products
and its Annexes. The guide contains nine chapters describing Quality management,
Personnel, Premises and Equipment, Documentation, Production, Quality control, Contract
manufacturing and analysis, Complaints and Product recall and Self Inspection with 18
annexes.
US FDA ensures the quality of drug products by carefully monitoring drug manufacturers'
compliance with its cGMP regulations. Section 21 of the CFR contains most regulations
pertaining to food and drugs. The regulations document the actions of drug sponsors that
are required under Federal law. 21 CFR Part 210. cGMP in manufacturing processing,
packing, or holding of drugs. 21 CFR Part 211. cGMP for finished pharmaceuticals. The CFR
21 part 211 dealing with cGMP for finished pharmaceuticals consists of Subparts A to K
describing different components as General Provisions, Organization and Personnel,
Building and Facilities, Equipment, Control of Components and Drug Product Containers
and Closures, Production and Process Controls, Packaging and Labeling Control, Holding
and Distribution, Laboratory Controls, Records and Reports and Returned and Salvaged
Drug Products (Revised as of April 1, 2011).
The ASEAN GMP general guidelines have covered following elements such as Personnel,
Premises, Sanitation, Equipment, Starting Materials, Production, Quality Control, Self
Inspection, Handling of product complaint, product recall and returned drug products and
Documentation, (ASEAN, 2000).
Indian schedule M for GMP and requirements of premises, plant and equipment for
pharmaceutical products consists of Part I mentioning GMP for Premises and Materials. The
Part I includes General requirements, Warehousing area, Production area, Ancillary area,
Quality control area, Personnel, Health, clothing and sanitation of workers, Manufacturing
operations and controls, Sanitation in the manufacturing premises, Raw materials,
Equipment, Documentation and Records, Labels and other printed materials, Quality
assurance, Self inspection and quality audit, Quality control system, Specification, Master
formula records, Packing records, Batch packaging records, Batch processing records,
Standard operating procedures (SOPs) and records, Reference samples, Reprocessing and
recoveries, Distribution records, Validation and process validation, Product recalls,
Complaints and adverse reactions and Site-master file. Part I-A to part I-E mentions about
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the specific requirements for manufacture of different products and Part I-F mentions about
the specific requirements of premises, plant and materials for manufacture of active
pharmaceutical ingredients (bulk drugs). Part II describes the Requirement of plant and
equipments for various dosage forms (Schedule M).
Worldwide, there are now around 30 different official national and super national
statements on GMP. These have been published variously as guides, codes and regulations
and of the 30 or so of them, two stand out as being the most influential and most frequently
referenced: The United States Current Good Manufacturing Practice (cGMP) Regulations
and the European Commissions Good Manufacturing Practices for Medicinal Products for
Human and Veterinary Use. Thirdly the WHO version of GMP is used by the
pharmaceutical regulators and the pharmaceutical industry in over 100 countries
worldwide, primarily in the developing world (Nally, 2007).
1. Quality Management
2. Quality Assurance
3. Good Manufacturing
Practice (GMP) for
Medicinal Products
4. Quality Control
5. Sanitation and Hygiene
6. Qualification and
Validation
7. Complaints and Product

Recall
8. Contract Production
and Analysis
10. Personnel, Training

and Personal Hygiene
Good
Manufacturing
Practices
(GMP)
Components
9. Self-Inspection, Quality
Audits and Suppliers
Audits and Approval
11. Premises
12. Equipment
14. Documentation
13. Materials
15. Holding and Distribution
Fig. 3. Consolidated Components of Good Manufacturing Practices

While reviewing all the above documents, it is realized that most of the components
identified for GMP aspects are similar in all the guidelines and publications. Based on the
above discussion, the following components of GMP would cover all the requirements made
by different authorities and also satisfy the WHO GMP guidelines for drug manufacturing:
Quality management, Quality assurance, Good manufacturing practices for medicinal
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products, Quality control, Sanitation and hygiene, Qualification and validation, Complaints
and product recalls, Contract production and analysis, Self-inspection, quality audits and
suppliers audits and approval, Personnel training and personal hygiene, Premises,
Equipment, Materials, Documentation and Holding and Distribution. These consolidated
components shown in Figure 3 are dealt one by one independently with reference to above
mentioned GMP statements.
4.1 Quality management
The holder of a Manufacturing Authorization must manufacture medicinal products so as to
ensure that they are fit for their intended use, comply with the requirements of the
Marketing Authorization and do not place patients at risk due to inadequate safety, quality
or efficacy. The attainment of this quality objective is the responsibility of senior
management and requires the participation and commitment by staff in many different
departments and at all levels within the company, by the companys suppliers and by the
distributors (EudraLex, 2012). In the pharmaceutical industry at large, quality management
is usually defined as the aspect of management function that determines and implements
the quality policy, i.e. the overall intention and direction of an organization regarding
quality, as formally expressed and authorized by top management (WHOTRS 961, 2011).
The basic elements of quality management are: an appropriate infrastructure or quality
system, encompassing the organizational structure, procedures, processes and resources;
and systematic actions necessary to ensure adequate confidence that a product (or service)
will satisfy given requirements for quality.
4.2 Quality Assurance (QA)
QA is a wide-ranging concept, which covers all matters, which individually or collectively
influence the quality of a product. It is the sum total of the organized arrangements made
with the objective of ensuring that pharmaceutical products are of the quality required for
their intended use. QA, therefore, incorporates GMP and other factors such as product
design and development.
The system of QA appropriate for the manufacture of pharmaceutical products should
ensure that: (a) pharmaceutical products are designed and developed in a way that takes
account of the requirements of GMP and other associated codes such as those of good
laboratory practice (GLP) and good clinical practice (GCP); (b) production and control
operations are clearly specified in a written form and GMP requirements are adopted; (c)
managerial responsibilities are clearly specified in job descriptions; (d) arrangements are
made for the manufacture, supply and use of the correct starting and packaging materials;
(e) all necessary controls on starting materials, intermediate products, and bulk products
and other in-process controls, calibrations, and validations are carried out; (f) the finished
product is correctly processed and checked, according to the defined procedures; (g)
pharmaceutical products are not sold or supplied before the authorized persons have
certified that each production batch has been produced and controlled in accordance with
the requirements of the marketing authorization and any other regulations relevant to the
production, control and release of pharmaceutical products; (h) satisfactory arrangements
exist to ensure, as far as possible, that the pharmaceutical products are stored by the
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manufacturer, distributed, and subsequently handled so that quality is maintained

throughout their shelf-life; (i) here is a procedure for self-inspection and/or quality audit
that regularly appraises the effectiveness and applicability of the QA system; (j) deviations
are reported, investigated and recorded; (k) there is a system for approving changes that
may have an impact on product quality; (l) regular evaluations of the quality of
pharmaceutical products should be conducted with the objective of verifying the
consistency of the process and ensuring its continuous improvement; and (m) there is a
system for quality risk management (QRM).
4.2.1 Product quality review
Regular periodic or rolling quality reviews of all licensed medicinal products, including
export-only products, should be conducted with the objective of verifying the consistency of
the existing process, the appropriateness of current specifications for both starting materials
and finished product to highlight any trends and to identify product and process
improvements. Such reviews should normally be conducted and documented annually,
taking into account previous reviews, and should include at least: (i) a review of starting
materials including packaging materials used for the product, especially those from new
sources; (ii) a review of critical in-process controls and finished product results; (iii) a review
of all batches that failed to meet established specification(s) and their investigation; (iv) a
review of all significant deviations or non-conformances, the related investigations, and the
effectiveness of resultant corrective and preventative actions taken; (v) a review of all
changes made to the processes or analytical methods; (vi) a review of dossier variations
submitted, granted or refused; (vii) a review of the results of the stability monitoring
programme and any adverse trends; (viii) a review of all quality-related returns, complaints
and recalls and the investigations performed at the time; (ix) a review of adequacy of any
other previous corrective actions on product process or equipment; (x) for new dossiers and
variations to the dossiers, a review of post-marketing commitments; (xi) the qualification
status of relevant equipment and utilities, e.g. heating, ventilation and air-conditioning
(HVAC), water, or compressed gases; and (xii) a review of technical agreements to ensure
that they are up to date (WHOTRS 961, 2011).
4.2.2 Quality Risk Management (QRM)
QRM is a systematic process for the assessment, control, communication and review of risks
to the quality of the medicinal product. It can be applied both proactively and
retrospectively. The quality risk management system should ensure that:
-
the evaluation of the risk to quality is based on scientific knowledge, experience with
the process and ultimately links to the protection of the patient; and
the level of effort, formality and documentation of the QRM process is commensurate
with the level of risk.
4.3 Good Manufacturing Practice (GMP) for medicinal products

GMP is that part of QA which ensures that products are consistently produced and
controlled to the quality standards appropriate to their intended use and as required by the
marketing authorizations or product specification. GMP is aimed primarily at diminishing
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the risks inherent in any pharmaceutical production. Such risks are essentially of two types:
cross-contamination (in particular of unexpected contaminants) and mix ups (confusion)
caused by, for example, false labels being put on containers.
The basic requirements of GMP are that: (a) all manufacturing processes are clearly defined,
systematically reviewed in the light of experience, and shown to be capable of consistently
manufacturing pharmaceutical products of the required quality that comply with their
specifications; (b) qualification and validation are performed; (c) all necessary resources are
provided; (d) instructions and procedures are written in clear and unambiguous language,
specifically applicable to the facilities provided; (e) operators are trained to carry out
procedures correctly; (f) records are made during manufacture to show that all the steps
required by the defined procedures and instructions have in fact been taken and that the
quantity and quality of the product are as expected; any significant deviations are fully
recorded and investigated; (g) records covering manufacture and distribution, which enable
the complete history of a batch to be traced, are retained in a comprehensible and accessible
form; (h) the proper storage and distribution of the products minimizes any risk to their
quality; (i) a system is available to recall any batch of product from sale or supply; and (j)
complaints about marketed products are examined, the causes of quality defects
investigated, and appropriate measures taken in respect of the defective products to prevent
recurrence (WHOTRS 961, 2011).
4.4 Quality Control (QC)
QC is that part of GMP which is concerned with sampling, specifications and testing, and
with the organization, documentation and release procedures which ensure that the
necessary and relevant tests are actually carried out and that materials are not released for
use, nor products released for sale or supply, until their quality has been judged to be
satisfactory. QC is not confined to laboratory operations, but may be involved in many
decisions concerning the quality of the product. QC as a whole will also have other duties,
such as to establish, validate and implement all QC procedures, to evaluate, maintain, and
store the reference standards for substances, to ensure the correct labeling of containers of
materials and products, to ensure that the stability of the active pharmaceutical ingredients
(APIs) and products is monitored, to participate in the investigation of complaints related to
the quality of the product, and to participate in environmental monitoring. All these
operations should be carried out in accordance with written procedures and, where
necessary, recorded (WHOTRS 961, 2011).
4.5 Sanitation and hygiene
A high level of sanitation and hygiene should be practiced in every aspect of the
manufacture of medicine products. The scope of sanitation and hygiene covers personnel,
premises, equipment and apparatus, production materials and containers, products for
cleaning and disinfection, and anything that could become a source of contamination to the
product. Potential sources of contamination should be eliminated through an integrated
comprehensive programme of sanitation and hygiene. Premises used in the manufacture,
processing, packing, or holding of a drug product shall be maintained in a clean and
sanitary condition, Any such building shall be free of infestation by rodents, birds, insects,
and other vermin (other than laboratory animals). There shall be written procedures
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assigning responsibility for sanitation and describing in sufficient detail the cleaning
schedules, methods, equipment, and materials to be used in cleaning the buildings and
facilities; such written procedures shall be followed. Records should be maintained.
Substance
Ethanol
Phenols
Effect Effect on
Suitable
Effect on
on
Vegetative Advantages
Concentration Bacteria
Spores Fungi
Quick acting;
evaporates
rapidly,
70%
Good
Fair
Fair
leaving
no
residues
Broad range of
effect;
0.53%
Excellent Good Excellent
may be combined
with surfactants
Formaldehyde
Isopropanol
7090%
Iodine and
iodophors
75150 ppm
Chlorine
compounds
(hypochlorite, 14%
chloramines,
etc.)
Quaternary
ammonium
15%
compounds
Disadvantages
Limited
range
effect;
flammable
of
Corrosive on some
surfaces
(including
skin)
Premises
not
accessible
Broad range of during treatment; can
effect;
be
used for gassing corrosive; short- and
long-term human
toxicity problems
Quick acting;
evaporates,
Not the most effective
leaving
no residues
Can be corrosive;
Quick acting;
effective in low
stains
concentration
some surfaces
Excellent Good
Good
Good
Good
Good
Good
Excellent
Good
Excellent
Broad
effect
Fair
Fair
Some
cleaning Limited
effect;
effect;
inactivated
odorless
by soap detergents
Excellent
Excellent
Good
range
of
Corrosive
Table 1. Disinfectants for Premises Types and Applications (Source: Sharp, 2005)
The areas, surfaces, and equipment in and on which products are made must be kept clean.
Dirt, and the microbes that it can harbor, must not get into or on products. Disinfectants can
be inactivated by dirt. Dirt (particularly oily or greasy films and protein like matter) can also
protect microorganisms against the action of disinfectants. So, before disinfection, it is
important to first clean surfaces. Where gross amounts of dirt are present, it may be
necessary to first remove most of it by scrubbing. Then surfaces may be cleaned by the
application of a cleaning agent, followed by rinsing.
A wide range of substances are used as disinfectants. They may be single substances, like
alcohols or phenols, and there are a number of commercially available mixtures. It is usually
best not to make do it yourself mixtures. It could be dangerous, and some disinfectants
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can neutralize each others activity. Disinfecting agents vary in the range of their activity
and in the concentrations at which they are effective. All have their own special advantages
and disadvantages. Some examples of disinfectants, with their range of effects, etc. are
shown in Table 1. Disinfectants should always be used in accordance with instructions and
at the right dilution (instructions as given either in the suppliers literature or in company
procedures). Since some microorganisms can grow readily in dilute disinfectants, dilutions
of disinfectants should not be stored unless they are sterilized. Otherwise, dilutions should
be made freshly each time they are needed. It is advisable to use different disinfectants over
a period of time, on an alternating, or rotating, basis to prevent the development of
disinfectant-resistant strains of microorganisms.
4.5.1 Personal hygiene
All personnel, prior to and during employment, as appropriate, should undergo health
examinations. Personnel conducting visual inspections should also undergo periodic eye
examinations. All personnel should be trained in the practices of personal hygiene. Any
person shown at any time to have an apparent illness or open lesions that may adversely
affect the quality of products should not be allowed to handle starting materials, packaging
materials, in-process materials or medicines products until the condition is no longer judged
to be a risk. Direct contact should be avoided between the operators hands and starting
materials, primary packaging materials and intermediate or bulk product. To ensure
protection of the product from contamination, personnel should wear clean body coverings
appropriate to the duties they perform, including appropriate hair covering. To reduce the
risk of infection through hand contact, the following should be instructed to all operators:
-
Do not touch the product/objects that may come in contact with the product, with
unprotected hands.
Keep the hands well groomed with short, clean nails. Hands must be free of any lesions,
wounds, cuts, boils, or any other sources of infection.
Wrist watches, rings, or other jewelry should not be worn on the job.
Hands should be washed before work and as often as the job requires (Figure 4).
Protective gloves should be worn when working with open products and when
handling objects that come in direct contact with the product.
Smoking, eating, drinking, chewing, and keeping plants, food, drink, smoking material and
personal medicines should not be permitted in production, laboratory and storage areas.
Personal hygiene procedures including the use of protective clothing should apply to all
persons entering production areas, whether they are temporary or full-time employees or
nonemployees, e.g. contractors employees, visitors, senior managers and inspectors.
4.6 Qualification and validation
Qualification is an action of proving that any premises, systems and items of equipment
work correctly and actually lead to the expected results. Validation is defined as the
establishing of documented evidence which provides a high degree of assurance that a
planned process will consistently perform according to the intended specified outcomes.
Validation studies should reinforce GMP and be conducted in accordance with defined
procedures. Results and conclusions should be recorded. When any new manufacturing
formula or method of preparation is adopted, steps should be taken to demonstrate its
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1. Palm to
palm
2. Right palm over

left dorsum and
left palm over
right dorsum
5. Rotational rubbing
of right thumb clasped
in left palm and vice
versa
3. Palm to
palm fingers
interlaced
6. Rotational rubbing,
backwards and forwards with
clasped fingers of right hand
in left palm and vice versa
4. Backs of fingers to
opposing palms with
fingers interlocked
7. Rotational rubbing
of left wrist in with
right palm and vice
versa
Pharma manufacturing personnel should be aware that hand washing is not as

effective if rings, wrist watches, nail polish or false nails (including gel/acrylic nails)
are worn and therefore there are NOT PERMITTED within the clean room area
Fig. 4. Seven Steps to Effective Hand Washing
suitability for routine processing. The defined process, using the materials and equipment
specified, should be shown to yield a product consistently of the required quality.
Significant amendments to the manufacturing process, including any change in equipment
or materials, which may affect product quality and/or the reproducibility of the process,
should be validated. Processes and procedures should undergo periodic critical revalidation
to ensure that they remain capable of achieving the intended results (PIC/S, 2004). Every
step of the process of manufacture of a medicinal product must be shown to perform as
intended. Once the system or process has been validated, it is expected that it remains in
control, provided no changes are made. In the event that modifications are made, or
problems occur, or equipment is replaced or relocated, revalidation is performed. The
validity of systems/equipment/tests/processes can be established by prospective,
concurrent or retrospective studies.
Qualification and validation should establish and provide documentary evidence that: (a)
the premises, supporting utilities, equipment and processes have been designed in
accordance with the requirements for GMP (design qualification or DQ); (b) the premises,
supporting utilities and equipment have been built and installed in compliance with their
design specifications (installation qualification or IQ); (c) the premises, supporting utilities
and equipment operate in accordance with their design specifications (operational
qualification or OQ); and (d) a specific process will consistently produce a product meeting
its predetermined specifications and quality attributes (process validation or PV, also called
performance qualification or PQ).
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4.6.1 Validation protocols and validation master plan

A protocol is a written set of instructions broader in scope than a Standard Operating
Procedure (SOP). A protocol describes the details of a comprehensive planned study to
investigate the consistent operation of new system/equipment, a new procedure, or the
acceptability of a new process before it is implemented. The Validation Master Plan (VMP)
is a high-level document which establishes an umbrella validation plan for the entire project,
and is used as guidance by the project team for resource and technical planning (also
referred to as master qualification plan). VMP describes which equipment, systems,
methods and processes will be validated and when they will be validated. The document
should provide the format required for each particular validation document (Installation
Qualification, Operational Qualification and Performance Qualification for equipment and
systems; Process Validation; Analytical Assay Validation), and indicate what information is
to be contained within each document.
4.6.2 Analytical procedures and methods validation
Method validation is the process used to confirm that the analytical procedure employed for
a specific test is suitable for its intended use. Results from method validation can be used to
judge the quality, reliability and consistency of analytical results; it is an integral part of any
good analytical practice. Analytical methods need to be validated or revalidated before
their introduction into routine use; whenever the conditions change for which the method
has been validated (e.g., an instrument with different characteristics or samples with a
different matrix); and whenever the method is changed and the change is outside the
original scope of the method (Huber, 2012).
The parameters for method validation have been defined in different working groups of
national and international committees and are described in the literature. Unfortunately,
some of the definitions vary between the different organizations. An attempt at
harmonization was made for pharmaceutical applications through the ICH, where
representatives from the industry and regulatory agencies from the United States, Europe
and Japan defined parameters, requirements and, to some extent, methodology for
analytical methods validation. The parameters, as defined by the ICH and by other
organizations and authors, are summarized in Table 2.
Selectivity and Specificity (1,2) and
Accuracy (1,2) and Recovery
Range (1,2)
Limit of quantitation (1,2)
Ruggedness (2)
Precision (1,2) and reproducibility (3)

Linearity (1,2)
Limit of detection (1,2)
Robustness (2,3)
(1) Included in ICH, (2) Included in USP, (3) Terminology included in ICH publication but not part of
required parameters
Table 2. Possible Analytical Parameters for Method Validation (Source: Huber, 2012)
4.7 Complaints and product recalls
QA and GMP are about preventing errors. However, in this imperfect universe there is no
such thing as an infallibly perfect system, and an essential feature of any QA system is a
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plan for dealing with complaints, or reports of faulty products, if they do occur. A
requirement to cover this occurs in all notable GMP guidelines. Complaints received from
consumers, professionals, and the trade serves as a primary means of obtaining feedback
about product quality after distribution. It is necessary, therefore, that each complaint or
inquiry be evaluated by knowledgeable and responsible personnel (Nally, 2007).
The records of production, packaging, and distribution of drug and the retained samples
provide the basis for assessing the validity and seriousness of the alleged deviations that
precipitated the complaint. The complaint file itself also plays an important role in
determining whether any other similar complaints have been received on the lot in question,
or on any other lots of the same product. The evaluation of complaints serves several
valuable purposes. First, there is the urgent need to confirm whether consumers are
potentially at risk and to initiate any appropriate action. A second value is the review of the
product and its production process to establish whether any modifications are required.
Third is the need to rapidly respond to the customer, thereby attempting to maintain
confidence in the product and company.
Manufacturers should have a written recall procedure, with nominated persons responsible
for implementing it as necessary, within, or outside of, normal working hours. Distribution
records should be maintained, which will facilitate effective recall, and the written
procedure should include emergency and off-hours contacts and telephone numbers (Sharp,
2005).
The complaints and defect report procedure is intended to be operated in conjunction with a
COMPLAINT/DEFECT REPORT record (Figure 5), a copy of which, as is indicated,
should form part of the SOP. Copies of this report form should be provided to all persons in
the organization who may possibly be the first recipients of a complaint. They should be
trained in its use and in the crucial importance of taking all such reports very seriously. As
the complaints and defect report SOP indicates, if the complaints (etc.) procedure leads to a
conclusion to recall (or freeze), then the recall (or freeze) procedure must be implemented. It
is vital that this SOP is kept up to date, particularly in regard to internal and external names,
addresses, and phone numbers, and that it is regularly shown (by dummy runs) to be
operable at any time. (The need to urgently recall does not arise only between 08.00 hours to
17.00 hours, Monday through Friday.)
As explained above the extent of recall, if required to do so depends on the distribution
channel and record system of the company. In case of developed countries with well
developed system of distribution records starting form the manufacturer up to the end user
level, the recall procedure would be possible up to the end user. In such countries, the
effective recall can protect patients, in cases of the product defects which may have severe
adverse effect on the patient from use of the product if it is not recalled. However, the
scenario of such recall procedure is very much alarming in case of developing countries
where the distribution records of products are not traceable up to the end user, which needs
to be recalled. Majority of the cases the distribution records are maintained up to the
wholesaler, and/or retailers level. In this scenario for serious cases, the recall procedure
simply fails to achieve its goal to protect the end user form the impact of the effect. This
needs to be strengthened by developing stringent regulatory requirements to have proper
distribution record available up to the patient level for effective recall at the time of need.
Otherwise the system of effective recall remains as SOP only.
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COMPLAINT/DEFECT REPORT
Page 1 of 1
1. Date Complaint/Report received .. Time ..
2. Received by .
3. Received from:
Name ..
Address:
Telephone number ..
Fax number ...
e-mail .
4. Name/address/phone numbers, etc. of other contacts/persons/organizations:
5. Product(s) involved:
6. Batch/lot numbers:
7. Name of complaint/report (attach any written correspondence)
8. Have samples been returned for examination? (Give details)
9. Are samples available for collection/examination? (Give details)
10. Results of investigations/Tests (attach other sheets as necessary)
11. Conclusions, and decision on action to be taken
Signed Date
12. Letter(s) sent to Date .
13. Also considered necessary to inform:
Done/Date:
14. Was decision taken to FREEZE (beyond own on-site stocks) or Recall?
IF YES, RECALL (or FREEZE) SOP MUST BE IMPLEMENTED IMMEDIATELY
Signed
Date .
Fig. 5. Complaint/Defect Report Record (Source: Sharp, 2005)

4.8 Contract production and analysis
The global industry is changing its shape through rationalization, mergers and acquisitions.
Companies are increasingly considering the use of other manufacturers to produce or
manufacture their products. Companies are also finding that they do not have the
technology or expertise to manufacture certain new special dosage forms. In some cases,
financial targets mean that companies are not using manufacturing as a core business
process. This means that the importance of contract manufacturing and testing of products
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is also increasing. The main principle underlying contract production and analysis is very
simple. The work has to be clearly defined, agreed and controlled to avoid
misunderstandings. The simplest way to avoid such misunderstandings is to have a written
contract, setting out the duties of all parties to the contract and the standards that must be
met. The standards of performance refer not only to product quality standards but also
many other non-GMP aspects, e.g. relating to financial matters. It must be clear to everyone
who is the authorized person, having the responsibility and the final authority to release a
batch for sale. The contract should also specify clearly what would happen to materials that
are rejected.
4.8.1 The contract giver (the client/company)
The contract giver is responsible for assessing the competence of proposed contract
accepters that they will be able to do the work. It must assess whether the companies that
offer to do the work really have the capability to do it. This evaluation must also include an
assessment as to whether they are able to operate in accordance with the GMP principles.
Once the conclusion has been reached that the contract accepter has not only the technical
competence but also the GMP competence and then the contract giver must provide a full
package of technical information to the contract accepter. This means that all the
information relevant to personnel, premises and equipment must be provided. If there are
hazards associated with cross-contamination of other products these must be highlighted.
Finally, the product made or tested under the contract must only be released by the
authorized person in compliance with the marketing authorization. In some cases the
authorized person may be a designated staff member of the contract accepter if this
responsibility is delegated in writing by the contract giver and if such delegation is
permitted by national regulations.
4.8.2 The contract accepter (contractor)
The contract accepter also has responsibilities. The company must be competent to do the
work. It means that it has the necessary facilities, premises and equipment, both in type and
in quantity, to undertake the work. It must have a manufacturing authorization to do this
type of work. This means that its staff has the necessary qualifications, training and
experience to be able to do the work. The contract accepter may not pass the work or any
part of it on to a (third) subcontractor party without the approval of the contract giver.
Finally, once a contract accepter has signed the contract, it must not then undertake new
work which might adversely affect the quality of the existing products. An illustration of
this would be to take on manufacture a penicillin product in the same facility, as other
products of the contract giver.
4.9 Self-inspection, quality audits and suppliers audits/approval
The purpose of self-inspection is to evaluate the manufacturers compliance with GMP in all
aspects of production and quality control. The self-inspection programme should be
designed to detect any shortcomings in the implementation of GMP and to recommend the
necessary corrective actions. Self-inspections should be performed routinely, and may be, in
addition, performed on special occasions, e.g. in the case of product recalls or repeated
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rejections, or when an inspection by the health authorities is announced. The team

responsible for self-inspection should consist of personnel who can evaluate the
implementation of GMP objectively. Management appoints a self-inspection team consisting
of experts in their respective fields and familiar with GMP.
The frequency at which self-inspections are conducted may depend on company
requirements but should preferably be at least once a year. A report should be made at the
completion of a self-inspection. The report should include: (a) self-inspection results; (b)
evaluation and conclusions; and (c) recommended corrective actions. All recommendations
for corrective action should be implemented. The procedure for self-inspection should be
documented, and there should be an effective follow-up programme. It may be useful to
supplement self-inspections with a quality audit. A quality audit consists of an examination
and assessment of all or part of a quality system with the specific purpose of improving it. A
quality audit is usually conducted by outside or independent specialists or a team
designated by the management for this purpose. Such audits may also be extended to
suppliers and contractors.
The person responsible for QC should have responsibility together with other relevant
departments for approving suppliers who can reliably supply starting and packaging
materials that meet established specifications. Before suppliers are approved and included
in the approved suppliers list or specifications, they should be evaluated. The evaluation
should take into account a suppliers history and the nature of the materials to be supplied.
If an audit is required, it should determine the suppliers ability to conform to GMP
standards (WHOTRS 961, 2011).
The practice of supplier audit is difficult to conduct specially when the suppliers are in
distance form the auditing company and/or the requirement of the auditing company are
not of significant in values where is supplier is not interested with the party to do the
business. This difficulty arises with the companies operating in developing countries with
small business volume. With small business volume, the companys requirements are such
that the process of conducting supplier audit shall be a costly affair in one end and the
supplier shows not interest in the other end. In such cases, an alternative ways need to find
out for supplier approval. In such case the suppliers are approved based on their history
and list of customers of the suppliers. Another approach may be to form a group of all small
companies together so that the quantities required in common are pulled together to create
interest on the supplier for the business. All the companies in together can have an audit for
approval of the supplier. In such cases of difficulty in supplier approval, all the initial
supplies made are subjected for 100% sampling and test before approval of the material
supplied.
4.10 Personnel, training and personal hygiene
The quality of a product ultimately depends on the quality of those producing it.
- Sir Dereck Dunlop (1971)
The establishment and maintenance of a satisfactory system of quality assurance and the
correct manufacture and control of pharmaceutical products and active ingredients rely
upon people. For this reason there must be sufficient qualified personnel to carry out all the
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tasks for which the manufacturer is responsible. Individual responsibilities should be clearly
defined and understood by the persons concerned and recorded as written job descriptions
(WHOTRS 961, 2011). Personnel should be aware of the principles of GMP that affect them
and receive initial and continuing training, including hygiene instructions, relevant to their
need (Sharp, 2005). In order to effectively monitor and control virtually all GMP
documents/activities in a facility, the quality professional should have a very high level of
knowledge, skills, and experience. Figure 6 represents a comprehensive list of the
knowledge and skills needed for high level quality professional in the 21st century (Nally,
2007).
It is the people (the men the human species, not the gender or the personnel) that are
the most important factor in the assurance of quality. This is true of all levels within an
organization, from company president and managing director to the most-junior employee.
It may well be possible (if not altogether desirable) for high-quality, well-trained, dedicated
personnel to compensate for a lack or deficiency in the other elements. Nothing, not even
the finest premises, equipment, materials, or procedures can compensate for the quality
hazard represented by low-standard, ill-trained, or poorly motivated staff. Self-responsible,
well-motivated staff will produce more goods, with a greater assurance of the quality of
those goods, than will poorly motivated staff. Conversely, in the special context of
medicines manufacture, poorly motivated staff can represent a hazard to themselves, to the
public, and to company profits (Sharp, 2005).
4.10.1 Training system
Because the quality of the product is directly affected by actions that personnel take in their
jobs, there must be assurance that they are properly trained. This assurance is built by
having a training system that is robust, compliant, and sustainable and is able to produce
individuals who are qualified (Nally, 2007). Elements that are needed in a strong training
system include the following: an accurate description of the job or role; specific training
requirements for each job or role; training plan to accomplish the training; training materials
that are applicable to each type of training; qualified trainers to perform the training;
evaluations to measure the effectiveness of the training; and a documentation and record
keeping system for storage and retrieval of training records and materials.
Job Description: A job description should define the job and role of the individual. It should
be fairly high level and include major job functions, not tasks the individual performs. The
function may be divided into duties and responsibilities, competencies that an individual
may have, and prerequisites needed (e.g., must be a college graduate, must have five years
of experience, etc.). The manager is expected to define appropriate qualifications for each
position to help ensure individuals are assigned appropriate responsibilities.
Training Requirement: When a job description has been created and approved by both
human resources and the functional area, training requirements can then be defined. The
knowledge and skills the individual needs to successfully perform the job should be
identified. The desired skills and knowledge are compared against the individuals skills
and knowledge when entering the position; gaps are identified. The training requirements
will be derived from the identified gaps. Training requirements must be updated on a
periodic basis. Training requirements should be established for all levels within the
organization.
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Manufacturing
Business Knowledge/Understanding
Formulation & Manufacturing Procedures
Policies/Standards/Regulations
Statistical Process Controls
Manufactured Products
Pharm/Bio Industry Knowledge (Rx, OTC) Process Capability
local
Equipment & Processing Parameters
Global
Environmental Monitoring
General Business (Mfg., Logistics, TS, Eng.)
HR, Finance, Marketing/Sales, IS
Leadership & Management Skills
Facilitation and Training
Positive Regard and Motivation
Performance Assessment/Feedback/Coaching
Team Building
Networking
Chemistry/Microbiology
Good Laboratory Practices
Latest Instrumentation & Automation
LIMS or Lab Management system
Methods Development
Methods Validation
Communication Skills
Oral
Written
Presentation
Influencing
Negotiation and Conflict Management
Language
Audit/Assessment (Auditor) Skills

Pharmaceutical/Biological Operations
Packaging Materials Operations
Bulk Pharmaceutical Chemical (BPC) Op.
ISO 9000
Process/System Approach
Process Skills
Time Management
Quality Planning
Proposal Preparation
Project Management & Planning
Process Management
Change Management
Problem Solving/Decision making
Management Tools
Risk Analysis & Management
Suppliers/Contractors/Third Parties
Quality Assurance of Suppliers
Quality Assurance of Third Parties
Partnership Management
Quality Design & Prevention

Basic Quality Tools
Process Capability and Statistical QC
Process/System Design
Design of Experiments (DOE)
Failure Mode Effect Analysis (FMEA)
Value Engineering/Analysis & Re-Engineering
Benchmarking
Quality Systems
Policies/Procedures
Annual Product Review (APR)
Complaints
Failure Investigations/Materials Decisions
Product Release
Change Control
Components,
Materials/Warehousing/Dist.
Calibration & Maintenance
Management Notification
Training
Recall
Technology Transfer
Validation
Facilities/Critical Plant Systems (IQ/OQ/PQ)
Production Equipment (IQ/OQ/PQ)
Manufacturing Process Validation
Retrospective Process Validation (data review)
Equipment Cleaning Validation
Computer System Validation
Customer Awareness/Understanding
Complaint Handling
Product Audits/Competitive Comparisons
Customer Visits/Interviews
Market/Customer Surveys
Next Operation as Customer (NOAC)
Six Sigma Approach
Fig. 6. Knowledge and Skill Requirements for Todays Quality Professional (Source: Nally,
2007)
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Training Plan: To ensure that the individual receives the right training at the right time,
an individual training plan should be created and executed for each individual. The
individuals curriculum should include procedural (knowledge) training, usually SOPs, and
competency-based skills training (on-the-job training or OJT). Both these types of training
should be standardized as much as possible with the same training material used for all
trainees. The individuals curriculum will include different levels of training. These can be
divided into three levels. The first level is an overview or general training conducted by the
site HR or corporate training group as part of a new hire or induction training. The second
level is held within the functional area. The third level, most specific to the employee, is oneon-one training (Figure 7). The training plan should include an approximate training time.
The site may have an annual or semi-annual training plan that defines what GMP training
should be given to functional areas at the site and when.
Level 1
Level 2
Level 3
Job
Description
Broad general knowledge,

Introduction to GMP
Application of specific
GMPs to the Functional
Application
of GMPs to a
Specific Job
Training
Requirements
Individual
Training
Plan
Evaluation
Appropriate
Training
Event
Qualified
Trainers
Documentation
Approved and
Accurate Training
Material
Knowledgeable
Training
Designers
Fig. 7. Training System (Source: Nally, 2007)

Training Materials: Training materials should be designed and developed for most training.
Whether the training is given once or many times, the information should be the same. The
training material should be clear and well organized. Training materials should contain
stated objectives. In addition to the content being trained, the reason behind the training
should be explained and stressed. If training GMPs, the impact of the particular training on
the production of the product should be explained.
Qualified Trainers: GMP training to be given by qualified personnel, the company should
have a procedure and process for qualifying trainers. Minimum requirements for trainers
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may include some formal education (e.g., Train-the-Trainer course) or experience in

presenting training, subject matter expertise in the subject they will be training,
understanding of GMPs in terms of how it impacts the specific training they are responsible
for, and the knowledge about how to train adults. Trainers should be selected for their
ability to help individuals learn. If they are on-the-job trainer, they should be able to
demonstrate the skills and also clearly explain how to perform the skill.
Evaluation, Documentation/Record Keeping: Job skills and GMP training should be
evaluated. For GMP training, evaluation tools such as questionnaires, case studies,
discussions, and other tools may be used. For job skills, a performance-based evaluation is
used. The usual method is to have an observer watch the individual in training and
complete a checklist. The individual should be able to demonstrate the correct practice
without the coaching or help from another individual. The performance checklist is usually
signed by the trainee and by a member of management. This document is retained.
Evaluations should be performed after the training. The training system and training
processes should be documented, possibly in an SOP, describing how the training system
works and the type of training included in the training system. Training records should be
retained in a documentation system. There should also be a method to ensure that training
curricula and training requirements are up-to-date in the event that an individual transfers
to another job within the company. Any changes made to curricula should be documented
and approved. Training documentation should be readily retrievable (Nally, 2007).
There should be two types of training records:
1.
2.
The personal file of each member of staff should contain a record of the training
received, indicated by module reference number (see Figure 8).
Departmental training records should be maintained, indicating in tabular form the
training received by each member of staff (see Figure 9).
ABC Company
Personal Training Record
Name: Date Joined Company.
Job Title:
1. ..
2. ..
3. ..
Training Record (module ref. and title)
Date
Fig. 8. Personal Training Record (Source: Sharp, 2005)

Name
GI/1
GI/2
GMP/1
GMP/2
GMP/3
GMP/4
Fig. 9. Company Training Record (Source: Sharp, 2005)
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GMP/5
STT/1
STT/2
124
The concept of personal hygiene is described in the subheading of Sanitation and hygiene.
4.11 Premises
Premises must be located, designed, constructed, adapted, and maintained to suit the
operations to be carried out. The layout and design of premises must aim to minimize the
risk of errors and permit effective cleaning and maintenance in order to avoid crosscontamination, build-up of dust or dirt, and, in general, any adverse effect on the quality of
products. Although the most important single factor in the assurance of the quality of
medicinal products is the quality of the people who manufacture them, the premises in
which they are manufactured will also have an important bearing on the quality of those
products (Sharp, 2005). Pertinent consideration should be made prior to the selection of
location for construction of pharmaceutical premises or alteration of existing facilities to
ensure that the surrounding neighborhood is free form unsanitary environmental condition.
The choices of materials of construction for manufacturing facilities are numerous. Some
examples are presented subsequently.
a. Walls. Walls in manufacturing areas, corridors, and packaging areas should be of plaster
finish on high-quality concrete blocks or gypsum board. The finish should be smooth,
usually with enamel or epoxy paint. They should be washable and able to resist repeated
applications of cleaning and disinfecting agents. Internally, there should be no recesses that
cannot be cleaned, and a minimum of projecting ledges, shelves, fixtures and fittings.
b. Floors. Floor covering should be selected for durability as well as for cleanability and
resistance to the chemicals with which it is likely to come into contact. Terrazzo provides a
hard-wearing finish; both tiles and poured-in-place finishes are available. The latter is
preferable for manufacturing areas; if tiles are used, care must be taken to ensure effective
sealing between the tiles, which, otherwise, could become a harboring area of dirt and
microorganisms. Welded vinyl sheeting provides an even, easy to clean surface. Epoxy
flooring provides a durable and readily cleanable surface. However, the subsurface finish is
extremely important. Where drains or drainage gullies are installed, they should be easily
cleanable and trapped to prevent reflux.
c. Ceilings. Suspended ceilings may be provided in office areas, laboratories, toilets, and
cafeterias. They usually consist of lay-in acoustical panels of non brittle, non friable, non
asbestos and non combustible material. Manufacturing areas require a smooth finish, often
of seamless plaster or gypsum board. All ceiling fixtures such as light fittings, air outlets and
returns should be designed to assure ease of cleaning and to minimize the potential for
accumulation of dust.
d. Services. In the building design, provisions must be made for drains, water, steam,
electricity, and other services to allow for ease of maintenance. Access should, ideally, be
possible without disruption of activity within the actual rooms provided with the services.
Doors and window-frames should all have a smooth, hard, impervious finish, and should
close tightly. Window and door frames should be fitted flush, at least on sides facing inward
to processing areas. Doors, except emergency exits, should not open directly from
production areas to the outside world. Any emergency exit doors should be kept shut and
sealed, and designed so as to be openable only when emergency demands. Despite the
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space-saving advantages, sliding doors should be avoided because of the difficulty of

maintaining the sliding gear in a clean condition.
The layout design of the facility must minimize the possibility of mix-ups or contamination.
Sufficient space must be provided to allow adequate separation of adjacent equipment and
operations. An example of this includes the spatial separation of packaging lines so that
packaging components, bulk product, and finished product cannot intermix between lines
and that dust or spillage from one line cannot result in the contamination of adjacent
equipment. For example, a common practice is to introduce a physical barrier between the
packaging lines. The layout of the manufacturing and support operations must account for
efficient material, personnel, and equipment flow patterns. Adequate access control is
required to restrict entrance to manufacturing areas. The most efficient and compliant flow
pattern is the one that provides for unidirectional flow.
Temperature and humidity need to be controlled primarily for the comfort of operators. The
gowning requirements to minimize the potential for microbial contamination from
operators are rather stringent and can easily cause personal discomfort, which could, in
turn, adversely impact on the aseptic processing. Conditions in the order of 68F /20C
(65F/18C -70F/21C) and 45% (40%-50%) relative humidity have been found to be
suitable. Independent of gowning requirements, relative humidity ranges must be carefully
selected. Continuous relative humidity levels below 15% can cause static electricity
discharge and health concerns and levels above 60% can be the source of microbial growth
and corrosion (Signore & Jacobs, 2005).
4.11.1 Layout concepts
(Goods
inwards)
Packing
materials
store
Bulk
manufact
ure
Packaging
Finished
product
store
Dispatch
Chemical
raw
materials
store
Bulk Product
Materials
receipt
Dispensary
A very basic block design showing a simple single-storey linear flow layout is given in
Figure 10. The internal building requirements vary according to the nature of the operations
carried out or type of product produced within the various departments, sections, or rooms
(Sharp, 2000). Within the facility there will be various flow-patterns. These flows will be
principally of materials and products, and of personnel. Materials will be received, held
pending test, released for use, held in store, dispensed for manufacture, and processed into
products that are then packaged, tested, and held in quarantine pending release, and then
stored pending distribution.
Fig. 10. Simple Single-Story Linear Flow Pattern for Pharmaceutical Manufacturing.
Sampling Quarantine and Release Stages not shown. Not a scale (Source: Sharp, 2000)
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13'
10'
8'
8'
36'
M
RM STORE
16'
32'
AA
AB
N GRANULATION
AC
6'
10'
10'
10'
A=Return goods store

B=Special items store
C=Rejected material store
D=Material air lock for
dispensing room
E=Dispensing room
F=Raw material (RM)/
Primary packaging material
quarantine
G=Gents change room 1
H=Gents change room 2
I=Air lock for manufacturing
area entry
J=Air lock for change room
entry
K=Ladies change room 1
L=Ladies change room 2
M=Raw material store
N=7 ft. wide corridor
O=Granulation room
P=Production office
Q=Intermediate quarantine 1
R=Compression room
AH
AG
AM
AD
10'
AN
AO
10'
AF
V
F
10'
10'
D
E
12'
10
10'
12'
AE
10'
10'
10'
S=Change room for RM store

T=Sampling room
U=Store lobby
V=Primary packaging material
store
W=Coating room
X=Intermediate quarantine 2
Y=Washing room
Z=Raw material receiving room
AA=Raw material quarantine
room
AB=Blister packaging room
AC=Strip packaging room
AD=In-process control room
AE=Electrical panel room
AF=Finished goods (FG) store
AG=Finished goods quarantine
AH=Over printing room
AI=Secondary packing hall
AJ=Gents change to secondary
packing hall
AK=Ladies change to secondary
packing hall
AI
SECONDARY
PACKING
HALL
AJ
8'
15'
AP
8'
AQ
10'
AR
14'
8'
AK AL
9'
8'
17'
AL=Material air lock to secondary

packing hall
AM=Secondary packing material
quarantine
AN=Change room to FG store
AO=Material air lock for FG
dispatch
AP=Material Air lock for secondary
packing materials
AQ=Change room to secondary
packing material store
AR=Secondary packing material
store
= Door
= Hatch for material transfer
Stores area (A-D, M, S-V, Z, AA,
AF-AH, AM-AR) = 3534 sq. ft.
Production area (E-L, N-R, W-Y,
AB-AE) = 2816 sq. ft.
Packing area (AI-AL) = 800 sq ft
Total area (A-AR)= 7150 sq. ft.
Fig. 11. Single-Story Linear Flow Pattern for a Tablet Manufacturing Unit (Detail Design)
QC Area is not shown. Not a Scale
A horizontal layout plan for manufacturing tablet dosage form with detail drawing is
shown in Figure 11. The layout is considered as the smallest possible design of 7150 sq. ft.
area covering all requirements of manufacturing and packaging including stores area for a
tablet manufacturing unit. The design does not cover QC and other supporting areas such
as canteen, engineering and/or administration rooms.
Most of the required pipe works are taken from inside the wall in concealed manner.
Exposed pipelines should not touch walls but be suspended from or be supported by
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brackets, sufficiently separated to allow through cleaning. The pipe works at exposed
surfaces are required to be clearly marked with direction flow of the utilities used. In
general all the exposed pipelined inside the processing area is made of SS 304 grade with
exception of SS 316L for those used in supply of purified water. Different colour codes are
used for identification of the utility pipe lines (Table 3).
Utility used
Pressurized steam
Compressed air
Vacuum
Nitrogen
Oxygen
LPG
Carbon dioxide
Distilled water (water for injection)
Deionized water
Well water/ water for fire fighting
Pipe colour code

Red
Orange
Yellow
Grey
Light Blue
Dark Green
Violet
White
Light Green
Black
Colour of letter for legend

Black
Black
Black
Black
Black
Black
Black
Black
Black
White
Table 3. Identification of Pipelines (Source: ASEAN, 2000)

A manufacturing facility, built and finished as designed, still requires various other inputs,
in addition to people, equipment, and materials, before the manufacture of products can
begin. These can be referred to collectively as plant services, systems, and utilities.
Heating, ventilation, and air-conditioning (HVAC), Lighting, Water for pharmaceutical use
(WPU), Electricity and Gases/Compressed air are considered as the major plant services,
systems and utilities requirements for a pharmaceutical unit.
4.11.2 Heating, Ventilation and Air-Conditioning (HVAC)
Natural ventilation (via doors and windows) is not acceptable in medicine manufacturing
area because of the risk of product contamination from the outside world (particulate
matter, dust, dirt, microorganisms, insects, etc.). Control of humidity is also important for a
number of products, particularly effervescent products. Windows from production areas to
the outside world should thus normally remain closed, and preferably not be openable.
External doors should be air locked, or only openable in an emergency. Therefore, some
form of forced; conditioned, usually filtered, air supply is required with proper heating,
ventilation and air-conditioning (HVAC) system (WHOTRS 937, 2006).
HVAC play an important role in ensuring the manufacture of quality medicinal products. A
well designed HVAC system will also provide comfortable conditions for operators. HVAC
system design influences architectural layouts with regard to items such as airlock positions,
doorways and lobbies. The architectural components have an effect on room pressure
differential cascades and cross-contamination control. The prevention of contamination and
cross-contamination is an essential design consideration of the HVAC system. In view of
these critical aspects, the design of the HVAC system should be considered at the concept
design stage of a pharmaceutical manufacturing plant.
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Tablets
Compr.
Tablets
Compr.
Encapsulation
15 Pa 3 Pa 15 Pa 3 Pa
15 Pa 3 Pa
Production corridor 30 Pa3 Pa
Air
lock
15 Pa
Design condition (15 Pa differential)

Tablets
Compr.
Tablets
Compr.
Encapsulation
Tablets
Compr.
Tablets
Compr.
Encapsulation
12 Pa
12 Pa
12 Pa
18 Pa
18 Pa
18 Pa
Production corridor
33 Pa
Air
lock
12 Pa
Maximum differential (21 Pa differential)
Production corridor
27 Pa
Air
lock
18 Pa
Minimum differential (9 Pa differential)
Fig. 12. Examples of Pressure Cascade (Source: WHOTRS 937, 2006)

While designing the HVAC system following parameters are required to be considered for
operation of oral solid dosage (OSD) formulations avoiding cross contamination. The
operating room should be of Class 100000 condition. The dispensing room used for
weighing raw materials and sampling room used for raw material sampling for testing
should be provided with reverse laminar air flow system with Class 100 condition. The most
widely accepted pressure differential for achieving containment between two adjacent zones
is 15 Pa, but pressure differentials of between 5 Pa and 20 Pa may be acceptable (WHO TRS
937, 2006). The door in the room should always open towards the high pressure area (Figure
12). The air changes per hour in the operating room that is the times the volume of air
supplied per hour in comparison to the volume of room should be at least 20 per hour. In
general room temperature and humidity maintained at 223C and 505% respectably have
been found to be suitable for personal comfort.
The HVAC system may be designed either with 100% fresh air system or with 85-90%
reticulated air system. In case of recirculation system the supply air stream is to be provided
with high-efficiency particulate air (HEPA) filters to remove contaminants, and thus prevent
cross-contamination. Recirculated air should not be used if there are no HEPA filters
installed in the system, unless the air handling system is serving a single product facility. In
case of 100% fresh air system the degree of filtration on the supply air and exhaust air
should be determined depend on the level of cleanliness required; exhaust air contaminants
and local environmental regulations. The required degree of air cleanliness in most OSD
manufacturing facilities can normally be achieved without use of HEPA filters. In locations
with different climatic conditions, difference between a systems operating on 100% fresh air
versus a system utilizing recirculated air with HEPA filtration should be considered in the
context of cost of installation as against operating cost.
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4.11.3 Lighting
Lighting levels should be adequate to permit operators to do their work properly,
accurately, and attentively. Lighting of production and packaging areas should be
sufficiently bright to enable good vision (Table 4). Although daylight is preferable from a
number of aspects, it needs to be noted that a number of pharmaceutical products and
materials are affected by UV light. The design and layout of a modern pharmaceutical
factory also usually make artificial lighting inevitable. It should be installed so as not to
create uncleanable dust traps, e.g., preferably flush-fitted to the ceiling, or with smooth
easily accessible and cleanable surfaces. To avoid photo degradation, a suitable light using
sodium vapor lamp is to be provided with dispensing/sampling booth for
weighing/sampling of highly light sensitive materials.
Illumination intensity
Specific Area
(in Lux)
20
- narrow corridor, aisle
50
- warehouse for big size containers, corridor for personal traffic
- corridor for traffic of personnel and forklift, break room, locker
100
rooms, rest rooms, utility rooms, staircase lobby
200
- workshop, warehouse
300
- laboratory
500
- offices with reading activities, production room, first aid room
750
- draft room
1000
- visual inspection
1 foot candle = 1 lumen/ feet2 = 10.764 lux
(ft.c)
lm/ ft2
Table 4. The Recommended Illumination in Premises (Source: ASEAN, 2000)

4.11.4 Water for Pharmaceutical Use (WPU)
Water is the most widely used substance in the production, processing and formulation of
pharmaceutical products. It has unique chemical properties due to its polarity and hydrogen
bonds. This means it is able to dissolve, absorb, adsorb or suspend many different
compounds. These include contaminants that may represent hazards in themselves or that
may be able to react with intended product substances, resulting in hazards to health
(WHOTRS 929, 2005).
Different grades of water quality are required depending on the route of administration of
the pharmaceutical products. Control of the quality of water throughout the production,
storage and distribution processes, including microbiological and chemical quality, is a
major concern. Unlike other product and process ingredients, water is usually drawn from a
system on demand, and is not subject to testing and batch or lot release before use.
Assurance of quality to meet the on-demand expectation is, therefore, essential.
Additionally, certain microbiological tests may require periods of incubation and, therefore,
the results are likely to lag behind the water use. Control of the microbiological quality of
WPU is a high priority. Some types of microorganism may proliferate in water treatment
components and in the storage and distribution systems. It is very important to minimize
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microbial contamination by routine sanitization and taking appropriate measures to prevent

microbial proliferation (WHOTRS 929, 2005).
Pharmaceutical water production, storage and distribution systems should be designed,
installed, commissioned, validated and maintained to ensure the reliable production of
water of an appropriate quality. Where chemical sanitization of the water systems is part of
the biocontamination control programme, a validated procedure should be followed to
ensure that the sanitizing agent has been effectively removed. Steam sanitization is
considered as one of the best alternative for WPU system. Water may be originally obtained
from a number of sources. Water from wells or bore-holes, given suitable treatment, has
been used to manufacture pharmaceuticals. In many countries, the most usual source is
normal mains, or town, water of potable (drinkable) quality. For pharmaceutical purposes, it
may be considered that there are four basic grades of water:
Drinking Water is unmodified except for limited treatment of the water derived from a
natural or stored source. Examples of natural sources include springs, wells, rivers, lakes
and the sea. The condition of the source water will dictate the treatment required to render it
safe for human consumption (drinking). It is common for drinking-water to be derived from
a public water supply that may be a combination of more than one of the natural sources
listed above. Typical processes employed at a user plant or by a water supply authority
include: filtration, softening, disinfection or sanitization (e.g. by sodium hypochlorite
(chlorine) injection), iron (ferrous) removal, precipitation, and reduction of specific
inorganic/organic materials.
Purified Water (PW) should be prepared from a potable water source as a minimum-quality
feed-water, should meet the pharmacopoeial specifications for chemical and microbiological
purity, and should be protected from recontamination and microbial proliferation. There are
no prescribed methods for the production of PW in the pharmacopoeias. Any appropriate
qualified purification technique or sequence of techniques may be used to prepare PW.
Typically ion exchange, ultra filtration and/or reverse osmosis processes are used.
Electodionization or Distillation can also be used. Ambient-temperature PW systems are
especially susceptible to microbiological contamination, particularly when equipment is
static during periods of no or low demand for water. It is essential to consider the following
mechanisms for the efficient control of contamination.
The headspace in the storage vessel is an area of risk where water droplets and air can
come into contact at temperatures that encourage the proliferation of microbiological
organisms. The water distribution loop should be configured to ensure that the
headspace of the storage vessel is effectively wetted by a flow of water. The use of spray
ball or distributor devices to wet the surfaces should be considered.
Nozzles within the storage vessels should be configured to avoid dead zones where
microbiological contamination might be harboured.
Vent filters are fitted to storage vessels to allow the internal level of liquid to fluctuate.
The filters should be bacteria-retentive, hydrophobic and ideally be configured to allow
in situ testing of integrity. Offline testing is also acceptable.
Where pressure-relief valves and bursting discs are provided on storage vessels to
protect them from over-pressurization, these devices should be of a sanitary design.
Maintenance of continuous turbulent flow circulation within water distribution systems
reduces the propensity for the formation of biofilms.
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For ambient temperature systems, pipework should be isolated from adjacent hot pipes.
Deadlegs in the pipework installation greater than 1.5 times the branch diameter should
be avoided.
Pressure gauges should be separated from the system by membranes.
Hygienic pattern diaphragm valves should be used.
Pipework should be laid to falls to allow drainage.
The growth of microorganisms can be inhibited by: ultraviolet radiation sources in pipe
work; maintaining the system heated (guidance temperature 7080 C); sanitizing the
system periodically using hot water (guidance temperature >70 C); sterilizing or
sanitizing the system periodically using superheated hot water or clean steam; and
routine chemical sanitization using ozone or other suitable chemical agents. When
chemical sanitization is used, it is essential to prove that the agent has been removed
prior to using the water. Ozone can be effectively removed by using ultraviolet
radiation.
4.11.5 Electricity
In general the electricity supply is made through concealed wiring with five wires (three
phase wires, one neutral wire and one ground wire) for three-phase connections and three
wires (one phase wire, one neutral wire and one ground wire) for single-phase connections
using suitable size wires. Conductors of a three-phase system are usually identified by a
color code, to allow for balanced loading and to assure the correct phase rotation for
induction motors. Colors used may adhere to International Standard IEC 60446, older
standards or to no standard at all and may vary even within a single installation. For
example, in the U.S. and Canada, different color codes are used for grounded (earthed) and
ungrounded systems (Wikipedia. (2012b). In case of India, Pakistan and Nepal, generally
red, yellow and blue color wires are used for three phases L1, L2 and L3 connections, black
for neutral and green for ground connections.
Continuity of electricity supply is essential for a number of systems or processes (air supply
and extraction, particularly for sterile manufacture; fermentation plants; incubators; stability
chambers) and thus backup systems should be available in the event of mains failure.
Ideally, there should be automatic changeover and reset from mains to emergency generator
supply. Certain equipment (computers, microprocessor control systems, some analytical
instruments) may need voltage stabilization in order to operate reliably (Sharp, 2005).
4.11.6 Gases/compressed air
Various gases may be used for a variety of purposes, for example, inert gases used as a
protective blanket or to displace air in an ampoule head-space, as propellants in aerosol
products, as sterilants (e.g., ethylene oxide), as a source of flame in glass ampoule sealing.
Any gas that may come into contact with a product (or product contact surfaces), or that is
used in the manufacture of a product, must be treated as if it were a raw material and must
therefore be subject to standard quality control procedures to ensure that it conforms to
predetermined quality standards. A number of gases are used in laboratory test procedures.
If these are not of the required or specified quality, then the reliability of the test results may
suffer. Gas pipelines, from cylinders or from bulk gas storage, should be clearly marked as
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to contents. It should not be possible to switch pipelines and connections and thus to supply
the wrong gas. Dedicated, pin-indexed valves and connections, as (one hopes) used in
hospital gas supply lines, should be employed where possible.
Gases (including compressed air) may need to be filtered when supplied to production areas
generally. Gases (including compressed air), when supplied to sterile products
manufacturing areas (and other controlled environments), will certainly need to be filtered
(as close to the point of use as possible) to ensure that they conform to the particulate and
microbial standards for the area (Sharp, 2005). In general the compressed air coming in
contact with OSD products is recommend to be oil and moisture free with particulate matter
filtered through initial coarse and terminal 1 filters.
4.12 Equipment
Manufacturing equipment should be capable of producing products, materials, and
intermediates that are intended and that conform to the required or specified quality
characteristics. Furthermore, the equipment must be designed and built so that it is possible
(and relatively easily possible) to clean it thoroughly. Surfaces that come into contact with
products should have smooth, polished finishes, with no recesses, crevices, difficult corners,
uneven joints, dead-legs, projections, or rough welds to harbor contamination or make
cleaning difficult. Equipment must also be capable of withstanding repeated, thorough
cleaning. Traces of previous product, at levels that might be acceptable in other industries,
are totally unacceptable in the manufacture of medicines.
As far as the properties of the materials of construction of the equipment are concerned,
there are two major concerns:
1.
2.
The possibility of contamination, or degradation, of the product by the material from

which the equipment is constructed
The action of the product, or material in-process, on the material from which the
equipment is constructed
Contamination of product can arise from shedding or leaching of contaminants from the
equipment into the product or from reaction between the product and the material of the
equipment. It is worth remembering that there are two aspects of the potential release of
product contaminants by equipment: they could be toxic to patients, even in very small
amounts, and they could cause product decomposition. As an example of the latter
penicillin can be inactivated by trace heavy metals.
Fixed equipment should be installed, piped in, and supplied with services in a manner that
creates a minimum of recesses, corners, or areas that are difficult for cleaning. The
equipment should be designed and located to suit the processes and products for which it is
to be used. It must be shown to be capable of carrying out the processes for which it is used
(that is, it should be properly commissioned, or qualified) and of being operated to the
necessary hygienic standards. It should be maintained so as to be fit to perform its functions,
and it should be easily and conveniently cleanable, both inside and out. Parts that come into
contact with materials being processed should be non reactive or absorptive with respect to
those materials. Equipment should be kept and stored in a clean condition and checked for
cleanliness before each use.
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Between batches (or campaigns) all manufacturing equipment must be thoroughly

cleaned and (as necessary) disinfected or sterilized. There should be written procedures for
doing this, which must be followed exactly. The cleaning program consists of two parts
the validation of the processes and detergents/sanitization agents and the day-to-day use of
the validated processes and qualified detergents and sanitizers. Many cleaning processes are
automated. These falls into two classes: clean in place (CIP) and clean out of place (COP).
The CIP systems have their equipment provided with hard-piped services with cleaning
solutions. The cleaning process is automated and usually is documented through a printout
of the automation system. The COP systems consist of bringing the equipment to a cleaning
station or placing the equipment in an automated washer.
Effectiveness of cleaning is a function of a number of factors, including time, temperature,
and rate of turbulent flow of the cleaning solution; the concentration of chemical cleaning
agents in the cleaning solution; and the surface finish (smoothness or roughness) of the
surfaces to be cleaned. All these factors interact. For example, all other things being equal, it
will take a longer time to completely clean a relatively rough internal surface as compared to
a high-polish, smooth one. Higher temperatures will need lower times and flow rates, and
so on. Cleaning solutions commonly employed contain caustic agents and detergents, and it
must be remembered that, before cleaning is complete, it is necessary to ensure removal of
the cleaning agents themselves. That is, there must be a rinsing stage, using (for aqueous
products) water of a quality appropriate to, and compatible with, the products to be
manufactured in the equipment.
4.13 Materials
A flow diagram illustrating the ordering, receipt, sampling, approval (or rejection), and
dispensing of starting materials is shown in Figure 13. The purchasing department orders
the material on the basis of a starting material specification provided to them by the QC.
Purchasing department sends the order to an approved supplier, which is a company that
has been approved, jointly by the QA, QC and production to supply the material in
question. To continue with the flow-diagram, at the time of placing the order, the
purchasing department sends a copy of the purchase order to the goods inwards (or
receiving) department, where it is (accessibly) retained, pending the receipt of the goods.
On receipt, the goods are carefully examined by a responsible member of the goods inwards
department for general condition, and to check for any signs of external damage, soiling, or
dampness. At the same time, the labeled identity of the delivered material is checked and
compared with the goods inwards copy of the purchase order, and with any suppliers
delivery, or advice note, to confirm that the material delivered is, as far as its labeling is
concerned, the material that was ordered. A check is also made at this time on all the
identity labels on the containers in a multi container delivery. Different suppliers batches
within one delivery are to be segregated, one from another, with a different internal lot
number for each entered on the QUARANTINE label, which is applied to each container. If
all the containers in the delivery appear to be correct and in good condition, the goods
inwards department then place on each container a QUARANTINE label (see Figure 14),
with the entries for Code Number, Name of Material, Lot Number, and Date
Received are completed.
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QC Spec.
Purchasing Dept.
Purchase Order
QC
Goods Inwards
Approved supplier
Check delivery:
- Labeled identity (cf. PO)
- Condition
- Quantity
Production
Record:
Suppliers name/code
Order no.
Suppliers batch ref. no.
Quantity
No. of containers
In-house batch no.
QC Sample
Quarantine
QC Test
Usable Stock
Dispense
or
Reject Store
Manufacture
Fig. 13. Components/Starting Materials Flow Chart (Source: Sharp, 2005)
Notes:
a.
b.
c.
It is useful to have the QUARANTINE label, and the RELEASED and REJECTED labels
printed in different colors, for example, for QUARANTINE, black print on a yellow
background, for RELEASED green print on a white background, and for REJECTED red
print on a white background.
In the examples shown, the intention is that, when the QC decision is made, the
RELEASED (or REJECTED) label should be applied just over the lower QUARANTINE
panel. This may seem an infringement of the golden rule about not applying new labels
over old ones, but here (if the, say, RELEASED label falls off, or is removed) the labeled
status of the material reverts to QUARANTINE, i.e., it is fail-safe. The benefit of the
labeling system illustrated is the elimination of any possible error in transcribing the
information originally entered on the QUARANTINE label.
It is important that at least the QUARANTINE label is in a house style, with company
name or logo, to avoid confusion with any other identity and status labels (e.g., those
applied by vendors) that may already be on the container.
Goods inwards then completes a materials receiving report (Figure 15) in four copies,
retaining one copy and sending the other three to QC. They then make the appropriate
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ABC Inc.
Code No. Material .....
Lot ..
Date Recd .. Date Sampled By

Retest Date .
QUARANTINE
Code No. Material .... Lot ..
RELEASED
Date ..
QC Sig. ..
Code No. Material .....
Lot ..
REJECTED
Date ..
QC Sig. ..
Fig. 14. Quarantine, Releases and Rejected Labels (Source: Sharp, 2005)
entries (except for entries in the last two columns) in a departmental running record a
Materials Delivery Record (Figure 16). This can be a printed sheet or card, or manually
drawn up in a record book (or a computer record).
Receipt of the copies of the materials receiving report alerts the QC that the material has
been delivered, and is required to be sampled. Following sampling (date sampled__ and
by__ on the QUARANTINE label completed by the sampler) and testing against the
agreed specification, the QC decision is entered on the copies of materials receiving report,
one copy being sent to the purchasing department (for information), one to materials
inventory control (so, if material is released, it may be allocated to manufacturing batches),
and one retained on QC file, with the full analytical report. An authorized member of the
QC then places a RELEASED (or REJECTED as appropriate) label, over the QUARANTINE
portion, with the necessary details entered. S/he also enters a date at retest date__ on the
original label, to indicate when the material is due for reexamination.
On receipt of the QC decision, goods inwards either moves the released goods into the
usable stock area of the stores, or the rejected material to a secure reject store. The two last
columns of the material delivery record are then completed (date approved by QC and
location).
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GOODS INWARDS MATERIALS RECEIVING REPORT

Material Code No.
INSTRUCTIONS:
1. Complete a separate Receiving Report for each delivery, and for each suppliers batch
number within a delivery
2. Retain one copy in Goods Inwards file, and send three copies to Quality Control.
3. Quality Control: On completion of testing, mark this report, where indicated.
RELEASED, REJECTED, HOLD as appropriate, and send a copy to:
Purchasing Department
Materials Inventory Control
Retain one copy on Quality Control files
Date goods received
Supplier
Suppliers batch no.
Quantity received
Number of containers
Purchase order no.
Assigned lot no.
..
.
..
..
..
..
..
General condition/cleanliness of delivery
Delivery examined by (signed) . Date ..

Remarks/Comments
QUALITY CONTROL DECISION
Fig. 15. Goods Inwards -Materials Receiving Report (Source: Sharp, 2000)
Date
Suppliers Suppliers
Code Lot
No. of
Supplier Delivery
Date of
Batch No. Name for Approved Location
Quantity
Material
No. No.
Containers
No.
Note
Delivery
(s)
Materials
by QC
Fig. 16. Materials Delivery Report (Source: Sharp, 2005)

4.13.1 Packaging materials
The purchase, receipt, sampling, release, and control of printed packaging materials and
primary packaging materials (that is packaging materials that come into direct contact with
the product, as compared with secondary packaging materials, which do not) need to be
accorded the same level of attention as given to starting materials. Documents, records, and
procedures analogous to those outlined above should be employed. All the regulatory
requirements are in agreement that components or (starting materials) and containers, etc.
should be stored and handled in a manner that will prevent contamination. Some
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specifically require storage off the floor and suitable spacing to permit cleaning and
inspection. Some guide adds that one of the objectives of storage in an orderly fashion is
to permit batch segregation and stock rotation [FEFO, first expiry, first out or FIFO
first in, first out]. Storage off the floor guards against damage from flooding and liquid
spillages. It also permits wet-cleaning of floors, without the risk of wetting the materials. A
well-laid-out, orderly store not only permits segregation of different types, lots, and batches
of material (hence, aiding against contamination and mix up) and rotation of stock, it also
enables more (labor-, management-, and cost-) efficient running of the store.
4.13.2 Sampling of materials for testing
It is also important that the containers in which the materials are received should be cleaned
before the goods are placed in quarantine. A record should be made of all goods received
(Materials Delivery Record). The GMP requirements agree that received materials (both
components or starting materials and packaging materials) should be held in a quarantined
state until they have been sampled, tested for compliance with specification, and formally
released for use (or rejected and removed from stock). Quarantine status can be established
and maintained by status labeling, by secure physical segregation (for example in separate
quarantine store, apart form the usable materials store) or by manual or electronic stock
control systems. A combination of all three provides the greatest security against
inadvertent use of material that has not been approved for use.
The process of sampling can itself pose risks of contamination. For this reason, containers
may need to be cleaned prior to samplinga vacuum system is very effective for a large
container. Small containers may be wiped down with an appropriate solvent or distilled
water. Containers should be opened for sampling in an acceptable environment that will not
expose the material to further risk of contamination. This sampling area may be a
designated room near or adjacent to the warehouse with the provision of reverse laminar
flow sampling booth maintaining class 100 condition to avoid cross contamination to or by
the material being sampled.
The release of components, containers, and closures for use cannot be for an indefinite time.
During storage, degradation may occur, moisture may be absorbed, or materials may simply
become contaminated during the storage process. Re-evaluation time scales should be
developed from historical data, where possible. Except for particularly sensitive materials, a
onetime period, often one year, has been established by many manufacturers. Either the
product release label or the system should clearly indicate when materials are to be reevaluated. This re-evaluation will not usually require full testing, but only examination of
those parameters known to be subject to change. For infrequently used materials, reevaluation coincides with just prior to the use of the material.
4.14 Documentation
Good documentation is an essential part of the QA system and, as such, should exist for all
aspects of GMP. Its aims are to define the specifications and procedures for all materials and
methods of manufacture and control; to ensure that all personnel concerned with
manufacture know what to do and when to do it; to ensure that authorized persons have all
the information necessary to decide whether or not to release a batch of a medicine for sale,
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to ensure the existence of documented evidence, traceability, and to provide records and an
audit trail that will permit investigation. It ensures the availability of the data needed for
validation, review and statistical analysis. The design and use of documents depend upon
the manufacturer (WHO TRS 961, 2011).
The various types of documents used should be fully defined in the manufacturer's quality
management system (QMS). Documentation may exist in a variety of forms, including
paper-based, electronic or photographic media. The main objective of the system of
documentation utilized must be to establish, control, monitor and record all activities which
directly or indirectly impact on all aspects of the quality of medicinal products. The QMS
should include sufficient instructional detail to facilitate a common understanding of the
requirements, in addition to providing for sufficient recording of the various processes and
evaluation of any observations, so that ongoing application of the requirements may be
demonstrated (EudraLex, 2012).
There are two primary types of documentation used to manage and record GMP
compliance: instructions (directions, requirements) and records/reports. Appropriate good
documentation practice should be applied with respect to the type of document. Suitable
controls should be implemented to ensure the accuracy, integrity, availability and legibility
of documents. Instruction documents should be free from errors and available in writing
(EudraLex, 2012).
If its not written down, then it didnt happen! The basic rules in any GMP regulations
specify that the pharmaceutical manufacturer must maintain proper documentation and
records. Documentation helps to build up a detailed picture of what a manufacturing
function has done in the past and what it is doing now and, thus, it provides a basis for
planning what it is going to do in the future. Regulatory inspectors, during their inspections
of manufacturing sites, often spend much time examining a companys documents and
records. Effective documentation enhances the visibility of the quality assurance system.
Issue and use of documents should be under formal control. They should be available to all
who need them, and not available to those who do not. They should be kept up-to-date, but
all revisions should be formal and authorized, not haphazard. The documentation system,
overall, should be subject to review. It is vital that systems exist for the removal from active
use of outdated or superseded documents. (Sharp, 2005)
In the manufacture of anything as important to human health and well-being as medicinal
products, every activity must be preplanned and formally defined in advance. Nothing can
be left to chance. There is no room for playing it by ear or by the seat of the pants.
Manufacture of consistent quality drug products demands consistent, predetermined,
defined activity.
The objectives are, in short:
1.
2.
3.
To state clearly, in advance and in writing, what is to be done

To do it in accordance with those instructions
To record what was done and the results of doing it
The reasons for all this documentation are:

1.
To ensure there is no doubt about what has to be done, by having formally approved
written instructions for each job, and then following them
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2.
3.
4.
5.
6.
139
To define standards for materials, equipment, premises, services, and products

To confirm, as work proceeds, that each step has been carried out, and carried out
correctly, using the correct materials and equipment
In the longer term, to keep, for later reference, records of what has been done, for
example, manufacturing and test records, installation, commissioning, servicing, and
maintenance records
To enable investigation of complaints, defect reports, and any other problems, and to
permit observation of any drifts away from defined quality standards
To help decide on, and take, any necessary corrective action (including action to
prevent reoccurrence) in the event of any complaint or defect report
Document owners are required to ensure that all aspects of documentation and records
management specified in form of SOPs. All associates have the responsibility of ensuring
that all GMP activities are performed according to the official SOPs; any deviations in
procedure are reported to their supervisor and are adequately documented.
There are various types of procedures that a GMP facility can follow. Given below is a list of
the most common types of documents, along with a brief description of each.
Site Master File: A document describing the GMP related activities of the manufacturer.
Quality Manual: A global company document that describes, in paragraph form, the
regulations and/or parts of the regulations that the company is required to follow.
Policies: Documents that describe in general terms, and not with step-by-step instructions,
how specific GMP aspects (such as security, documentation, health, and responsibilities)
will be implemented.
Standard Operating Procedures (SOPs): Step-by-step instructions for performing
operational tasks or activities.
Batch Records: These documents are typically used and completed by the manufacturing
department. Batch records provide step-by-step instructions for production-related tasks
and activities, besides including areas on the batch record itself for documenting such tasks.
Test Methods: These documents are typically used and completed by the quality control
(QC) department. Test methods provide step-by-step instructions for testing supplies,
materials, products, and other production-related tasks and activities, e.g., environmental
monitoring of the GMP facility.
Logbooks: Bound collection of forms used to document activities. Typically, logbooks are
used for documenting the operation, maintenance, and calibration of a piece of equipment.
Logbooks are also used to record critical activities, e.g., monitoring of clean rooms, solution
preparation, recording of deviation, change controls and its corrective action assignment.
4.14.1 Hierarchical document system
A companys controlled GMP document system should be established in a hierarchical
manner starting with the general regulations and working downward to more specific
documents such as batch records (Figure 17).
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Regulations (USFDA/EU GMP/WHO GMP)
S
P
E
C
I
F
I
C
I
T
Y
Quality
Manual
Level 1
Company Policies
Level 2
Standard Operating procedures
Level 3
Batch Records, Test Methods, Specifications,
Validation Documents
Level 4
Fig. 17. Document Hierarchical System (Source: Patel & Chotai, 2011)
The regulations that a company is responsible for following (e.g., USFDA/EU
GMP/ICH/WHO GMP/Schedule M, etc.) should be at the top of the document pyramid
and should govern the directives of the sublevels. The level immediately beneath the
regulations, level 1 document (e.g., the Quality Manual), should break the regulations into
parts specific to those that the company is required to follow. These documents should
establish overall principles and guidelines for how the company plans on developing,
documenting, and implementing a GMP-compliant quality system.
The next level, level 2, of documents in the hierarchical document pyramid should further
break down the parts of the regulations into specific subjects or topics. These documents
(e.g., Company Polices) should establish guidelines with which all subordinate level
procedures must comply to ensure consistency across departments. SOPs should be the next
level in the document hierarchy after company policy documents. These types of documents
should provide specific step-by-step instructions for performing the operational tasks or
activities that were talked about in the previous levels. Level 3 documents (i.e., SOPs)
should be department specific or function specific. The last level of documents in a
document hierarchical structure is level 4 documents. These documents are the most specific
in nature, (e.g., batch record, test methods, validation procedures). They apply to a specific
department, product, equipment, or process. Level 4 documents provide step-by-step
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instructions for production-related tasks and activities as well as provide a means for
documenting such tasks using, for example, data sheets, forms, or batch records.
The document hierarchy pyramid is one way of organizing a companys documents.
More/less levels may be added/subtracted to meet the companys specific needs. Another
way the required GMP documentation may be categorized as;
Instructions (directions, or requirements) type:
Specifications: Documents that list the requirements that a supply, material, or product
must meet before being released for use or sale. The QC department will compare their test
results to specifications to determine if they pass the test.
Manufacturing Formulae, Processing, Packaging and Testing Instructions: Provide detail
all the starting materials, equipment and computerized systems (if any) to be used and
specify all processing, packaging, sampling and testing instructions. In process controls and
process analytical technologies to be employed should be specified where relevant, together
with acceptance criteria.
Procedures: (Otherwise known as Standard Operating Procedures, or SOPs), give directions
for performing certain operations.
Protocols: Give instructions for performing and recording certain discreet operations.
Technical Agreements: Are agreed between contract givers and acceptors for outsourced
activities.
Record/Report type:
Records: Provide evidence of various actions taken to demonstrate compliance with
instructions, e.g. activities, events, investigations, and in the case of manufactured batches a
history of each batch of product, including its distribution. Records include the raw data
which is used to generate other records. For electronic records regulated users should define
which data are to be used as raw data. At least, all data on which quality decisions are based
should be defined as raw data
Certificates of Analysis: Provide a summary of testing results on samples of products or
materials1 together with the evaluation for compliance to a stated specification.
Reports: Document the conduct of particular exercises, projects or investigations, together
with results, conclusions and recommendations (EudraLex, 2012).
4.14.2 Manufacturing formula and processing instructions
Approved, written Manufacturing Formula and Processing Instructions should exist for
each product and batch size to be manufactured.
The Manufacturing Formula should include:
a.
b.
c.
The name of the product, with a product reference code relating to its specification;
A description of the pharmaceutical form, strength of the product and batch size;
A list of all starting materials to be used, with the amount of each, described; mention
should be made of any substance that may disappear in the course of processing;
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d.
A statement of the expected final yield with the acceptable limits, and of relevant
intermediate yields, where applicable
The Processing Instructions should include:

a.
b.
c.
d.
e.
f.
g.
A statement of the processing location and the principal equipment to be used;

The methods, or reference to the methods, to be used for preparing the critical
equipment (e.g. cleaning, assembling, calibrating, sterilizing);
Checks that the equipment and work station are clear of previous products, documents
or materials not required for the planned process, and that equipment is clean and
suitable for use;
Detailed stepwise processing instructions [e.g. checks on materials, pre-treatments,
sequence for adding materials, critical process parameters (time, temp etc)];
The instructions for any in-process controls with their limits;
Where necessary, the requirements for bulk storage of the products; including the
container, labeling and special storage conditions where applicable;
Any special precautions to be observed.
Approved Packaging Instructions for each product, pack size and type should exist. These
should include, or have a reference to, the following:
a.
b.
c.
d.
e.
f.
g.
h.
i.
Name of the product; including the batch number of bulk and finished product
Description of its pharmaceutical form, and strength where applicable;
The pack size expressed in terms of the number, weight or volume of the product in the
final container;
A complete list of all the packaging materials required, including quantities, sizes and
types, with the code or reference number relating to the specifications of each
packaging material;
Where appropriate, an example or reproduction of the relevant printed packaging
materials, and specimens indicating where to apply batch number references, and shelf
life of the product;
Checks that the equipment and work station are clear of previous products, documents
or materials not required for the planned packaging operations (line clearance), and
that equipment is clean and suitable for use.
Special precautions to be observed, including a careful examination of the area and
equipment in order to ascertain the line clearance before operations begin;
A description of the packaging operation, including any significant subsidiary
operations, and equipment to be used;
Details of in-process controls with instructions for sampling and acceptance limits.
4.14.3 Batch processing record

A Batch Processing Record should be kept for each batch processed. It should be based on
the relevant parts of the currently approved Manufacturing Formula and Processing
Instructions, and should contain the following information:
a.
b.
The name and batch number of the product;

Dates and times of commencement, of significant intermediate stages and of completion
of production;
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d.
e.
f.
g.
h.
i.
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Identification (initials) of the operator(s) who performed each significant step of the
process and, where appropriate, the name of any person who checked these operations;
The batch number and/or analytical control number as well as the quantities of each
starting material actually weighed (including the batch number and amount of any
recovered or reprocessed material added);
Any relevant processing operation or event and major equipment used;
A record of the in-process controls and the initials of the person(s) carrying them out,
and the results obtained;
The product yield obtained at different and pertinent stages of manufacture;
Notes on special problems including details, with signed authorisation for any
deviation from the Manufacturing Formula and Processing Instructions;
Approval by the person responsible for the processing operations.
4.14.4 Batch packaging record

A Batch Packaging Record should be kept for each batch or part batch processed. It should
be based on the relevant parts of the Packaging Instructions. The batch packaging record
should contain the following information:
a.
b.
c.
d.
e.
f.
g.
h.
i.
The name and batch number of the product,

The date(s) and times of the packaging operations;
Identification (initials) of the operator(s) who performed each significant step of the
process and, where appropriate, the name of any person who checked these operations;
Records of checks for identity and conformity with the packaging instructions,
including the results of in-process controls;
Details of the packaging operations carried out, including references to equipment and
the packaging lines used;
Whenever possible, samples of printed packaging materials used, including specimens
of the batch coding, expiry dating and any additional overprinting;
Notes on any special problems or unusual events including details, with signed
authorization for any deviation from the Packaging Instructions;
The quantities and reference number or identification of all printed packaging materials
and bulk product issued, used, destroyed or returned to stock and the quantities of
obtained product, in order to provide for an adequate reconciliation. Where there are
there are robust electronic controls in place during packaging there may be justification
for not including this information
Approval by the person responsible for the packaging operations
4.15 Holding and distribution

It cannot, indeed must not, be considered that concern for the quality of the products of the
pharmaceutical industry may cease at the point where the product is filled, sealed, labeled,
and approved or released by QC. True QA should extend right up to the point where the
product is delivered to the ultimate consumer the patient. Certainly, there will come a
point where the influence that the manufacturer is able to exert will significantly decline.
For example, the manufacturer can do little more than advise the dispensing pharmacist on
the correct handling and storage of his drug products. Thereafter, the influence of the
manufacturer becomes distinctly tenuous. Despite warnings and advice to patients given in
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enclosure leaflets, it does seem that many patients neither handle nor take their medicines
properly. That said, it is incumbent upon pharmaceutical manufacturers to ensure that
having manufactured, packaged and labeled their products, the quality (i.e., fitness) of
these product remains unimpaired for as far along the supply chain as they are able to exert
influence. Manufacturers who distribute via external wholesale dealers should thus ensure
that any such wholesale dealer is, indeed, in possession of an authorization to do so.
Whatever their size and type, stores or warehouses all have a few things in common they
receive and take in goods or materials, they hold them (hopefully, safely and securely) for a
while, and then they send them out again. Put very simply, even naively, its just a matter of
goods in, goods hold, goods out. It may all seem simple, but it is worth pausing to think of
how important it really is. Pharmaceutical products can do a lot of good if they are of the
right quality and are used properly. If they are incorrect, damaged, soiled, contaminated,
wrongly labeled, have the wrong instructions for use, or have deteriorated, they could fail to
have their desired good effects, and could be a danger to the health (or even the life) of the
ultimate consumer or patient.
The goods in phase provides an opportunity of checking that purchased materials or
bought-in products, or finished products delivered from an internal packaging line, are
correct and in good condition. The goods inwards (or receiving) office will normally have a
copy of the original purchase order, and the supplying company will usually send with the
goods some form of delivery (or advice) note. The order, the delivery note, and the labeling
on the goods should all be compared with each other to ensure that everything ties up. At
the same time, the delivered goods should be checked for quantity, cleanliness, condition,
and for any signs of damage or deterioration. If anything appears to be wrong, it should be
reported by the goods-inwards staff immediately, so a decision can be made about accepting
the delivery or sending the goods back. There also needs also to be a check on the batch
number(s) of the delivery, to see if they match up with the batch numbers on the suppliers
delivery (or advice) note. When a delivery of a particular product or material consists of
more than one suppliers batch number, the different suppliers batches should be kept
apart from each other, as far as recording, handling, and storing and any sampling and
testing that may be required are concerned.
It is usual to make a distinction between returns and recalled products. Returns are
products returned from the market to a manufacturers warehouse, which are not
specifically known to be seriously defective, but which have been sent back by a wholesale
or retail customer because of overstocking, superficial damage, or some such similar reason.
Recalled products are products that have been withdrawn from the market, at the request of
the manufacturer, or the authorities, because of a known or suspected defect.
4.15.1 Goods holding
The goods hold stage is where it is necessary to ensure that the goods remain in good
condition, and do not become harmed or damaged through incorrect or unsuitable storage
conditions or bad handling. That is, it is important to ensure that quality goods are not
reduced to rubbish. All goods must be stored in a clean, neat, orderly way, in conditions
that will not affect their quality or cause them to deteriorate in any way. It is not just an
issue of looking good. Untidy, scruffy stores are more difficult to run and control. They
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increase the possibility of mix-up and confusion mix-up of different types of goods, mixup of different batches (or lots), mix-up of goods of different status. It is very difficult to
have effective stock rotation unless goods are stored in an orderly fashion.
4.15.2 Goods out distribution of products
Goods out might well be the last chance of checking and ensuring that everything is in order
before the goods leave a manufacturers hands, to the next step in the distribution chain, on
their way to the consumer. It cannot be overstressed that people in stores and warehouses
play a vital part in the QA of pharmaceutical products. They must be properly trained and
fully aware of the significance of the job they are doing. Particular care is necessary in the
picking and assembly of orders for dispatch. It is vitally important to ensure that the items
picked are as specified in the customers order. But it goes further than that. This is perhaps
the last chance to check that everything is OK. It is not only important to ensure that the
right amounts of the right products, of the right strengths and sizes, are being picked for
dispatch. It is also important that a watchful eye is kept open to check that the products
being picked are in good condition, that they have been approved for distribution, and that
they have not passed their expiry date (or shelf life).
It is necessary to make, and keep, a record of each order that is dispatched, which shows:
-
Date of dispatch of goods

Customers name and address
Quantity, name, batch number, and expiry date of each product dispatched
Distribution records must be constructed and procedures established to facilitate recall of

defective product. A requisite of the system is approval and specific release of each lot of
drug by the QC function before distribution can occur. This control of finished goods for
shipment allows only those drugs into commerce that have been shown by testing to
conform to appropriate requirements. The manufacturer must maintain records of all
distribution transactions involving in process or finished goods. All records should be
indexed by either the manufacturing batch lot number of the packaging control number as a
means of accountability until the shipment passes from the direct control of the
manufacturer. This type of indexing permits an efficient determination of the receiver of a
lot to be recalled since only one shipment record need be examined. Depending on the
marketing procedures of the individual company, distribution records may list shipments to
consignees for packaging or labeling, or to an independent distributor, a wholesaler, a retail
pharmacist, a physician, or possibly the ultimate consumer. All distribution records should
be maintained for a minimum 3-year period after the distribution process for any control
number has been completed. If expiration dating is used for a product, distribution records
must be maintained at least for one year past the expiration date of the product.
5. Conclusion
GMP is a production and testing practice that helps to ensure in built quality product. Many
countries have legislated that pharmaceutical companies must follow GMP procedures, and
have created their own GMP guidelines that correspond with their legislation. Basic
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concepts of all of these guidelines remain more or less similar to the ultimate goals of
safeguarding the health of the patient as well as producing good quality medicines.
The holder of a manufacturing authorization must manufacture quality medicines so as to
ensure the products fit for the intended use, comply with the requirement of marketing
authorization and place patients in safe with adequacy, quality and efficacy of the product.
Quality objective can be achieved only through careful planning and implementation of QA
system and practical implementation of GMP. The effective implementation of GMP
requires extensive care and knowledge about the different components of GMP that should
be incorporated form the inception of the manufacturing building and product development
till the production. The compliance to QA/GMP does not happen by accident. The GMP
compliance can be achieved as the result of careful planning and installation of quality
system. The manufacturers remain responsible for product quality till the shelf life of the
product. The effective implementation of GMP requires top level commitment and support
from all level of employees of the organization and different external bodies such as
government regulatory agencies, material suppliers, distributor, wholesalers, retailers,
medical practitioners and the end users of the medicines.
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Lund, W. (1994). Good manufacturing practices. The Pharmaceutical Codex: Principle and
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Nally, J. D. (Ed.) (2007). Good Manufacturing Practices for Pharmaceuticals, Sixth Edition,
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Nally, J., & Kieffer, RG. (1998). GMP Compliance, Productivity and Quality. Ch. 13. Interpharm,
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Schedule M. GOOD MANUFACTURING PRACTICES AND REQUIREMENTS OF
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Sharp, J. (2000). Quality in the Manufacture of Medicines and other Healthcare Products,
Pharmaceutical Press, ISBN 0- 85369-431-1, London
Sharp, J. (2005). Good Pharmaceutical Manufacturing Practice Rationale and Compliance, CRC
Press, ISBN 0-8493-1994-3, Washington, D.C.
Signore, A. A., & Jacobs, T. (Eds.) (2005). Good Design Practices for GMP Pharmaceutical
Facilities, Taylor & Francis Group, ISBN 10: 0-8247-5463-8 & ISBN 13: 978-0-2475463-1, Boca Raton
US FDA. (2001). Improving Public Health Through Human Drugs, CDER 2001 Report to the
Nation, Food and Drug Administration, Center for Drug Evaluation and Research
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Current Good Manufacturing Practice Regulations, Food and Drug Administration,
Center for Drug Evaluation and Research (CDER), Center for Biologics Evaluation and
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thirty-second report. WHO Technical Report Series: 823, ISBN 92 4140823 6, ISSN 05123054, Geneva
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www.intechopen.com
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www.intechopen.com
Edited by Dr. Purusotam Basnet
ISBN 978-953-51-0631-9
Hard cover, 148 pages
Publisher InTech
Published online 23, May, 2012
Published in print edition May, 2012

From the dawn of civilization, humans have been dreaming of happy, healthy and long-life. Our life expectancy
is twice longer than 100 years ago. We know more about the diseases. Therefore we have developed new
drugs to fight against them. The demand for drugs was so high that we developed Pharma industries.
Although Pharma industries took responsibility of producing the needed drugs and gave us a quality of life,
misuse of drugs brought further complication. Therefore, discovery, production, distribution, and the phase of
administration of patients' quality assurance has to be controlled with a technological procedure and tight
regulations to make the system as effective as possible for the benefit of human health. Our book provides
selected but vital information on the sources, tools, technologies and regulations regarding the current status
of medicine development.
How to reference
In order to correctly reference this scholarly work, feel free to copy and paste the following:
Jaya Bir Karmacharya (2012). Good Manufacturing Practices (GMP) for Medicinal Products, Promising
Pharmaceuticals, Dr. Purusotam Basnet (Ed.), ISBN: 978-953-51-0631-9, InTech, Available from:
http://www.intechopen.com/books/promising-pharmaceuticals/good-manufacturing-practices-gmp-formedicinal-products
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Phone: +385 (51) 770 447
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No.65, Yan An Road (West), Shanghai, 200040, China
Phone: +86-21-62489820
Fax: +86-21-62489821

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7

Good Manufacturing Practices (GMP)

Good Manufacturing Practices (GMP) for Medicinal Products

Known side effects

3. Good Manufacturing Practices (GMP) guidelines

Pharmaceutical Inspection Convention (PIC)guide to GMP for pharmaceutical

Good Manufacturing Practices (GMP) for Medicinal Products

European Economic Community (EEC)guide to GMP for medicinal products

Correct choice of cleaning

Manufacturing premises of good design

Trained staff wearing

Fig. 2. Components of Good Manufacturing Practice (Source: Lund, 1994)

Good Manufacturing Practices (GMP) for Medicinal Products

Documentation, Production, Quality control, Contract manufacturing and analysis,

5. Sanitation and Hygiene

7. Complaints and Product

10. Personnel, Training

Fig. 3. Consolidated Components of Good Manufacturing Practices

Good Manufacturing Practices (GMP) for Medicinal Products

manufacturer, distributed, and subsequently handled so that quality is maintained

4.3 Good Manufacturing Practice (GMP) for medicinal products

Good Manufacturing Practices (GMP) for Medicinal Products

Good Manufacturing Practices (GMP) for Medicinal Products

2. Right palm over

Pharma manufacturing personnel should be aware that hand washing is not as

Good Manufacturing Practices (GMP) for Medicinal Products

4.6.1 Validation protocols and validation master plan

Precision (1,2) and reproducibility (3)

Good Manufacturing Practices (GMP) for Medicinal Products

Fig. 5. Complaint/Defect Report Record (Source: Sharp, 2005)

Good Manufacturing Practices (GMP) for Medicinal Products

rejections, or when an inspection by the health authorities is announced. The team

Good Manufacturing Practices (GMP) for Medicinal Products

Audit/Assessment (Auditor) Skills

Quality Design & Prevention

Broad general knowledge,

Fig. 7. Training System (Source: Nally, 2007)

Good Manufacturing Practices (GMP) for Medicinal Products

may include some formal education (e.g., Train-the-Trainer course) or experience in

Fig. 8. Personal Training Record (Source: Sharp, 2005)

Fig. 9. Company Training Record (Source: Sharp, 2005)

Good Manufacturing Practices (GMP) for Medicinal Products

space-saving advantages, sliding doors should be avoided because of the difficulty of

A=Return goods store

S=Change room for RM store

AL=Material air lock to secondary

Good Manufacturing Practices (GMP) for Medicinal Products

Pipe colour code

Colour of letter for legend

Table 3. Identification of Pipelines (Source: ASEAN, 2000)

Production corridor 30 Pa3 Pa

Design condition (15 Pa differential)

Maximum differential (21 Pa differential)

Minimum differential (9 Pa differential)

Fig. 12. Examples of Pressure Cascade (Source: WHOTRS 937, 2006)

Good Manufacturing Practices (GMP) for Medicinal Products

Table 4. The Recommended Illumination in Premises (Source: ASEAN, 2000)

microbial contamination by routine sanitization and taking appropriate measures to prevent