Skip to main content

FDA Inspections - Overview

 

Clinical courses

FDA Inspections - Overview

FDA Inspection is a regulatory process conducted by the United States Food and Drug Administration (FDA) to evaluate the compliance of food and drug establishments with FDA regulations and standards. The purpose of FDA inspections is to ensure the safety and efficacy of food, drugs, medical devices, and cosmetics, as well as to monitor their quality control systems and manufacturing practices.

During an FDA inspection, the agency’s inspectors examine the establishment's facilities, equipment, and records to verify that they comply with FDA regulations. The inspectors also review the facility's procedures for ensuring the safety and quality of its products, including documentation, testing, and quality control processes.

If any violations or non-compliances are found, the FDA may issue warning letters, fines, or enforcement actions such as product recalls or facility shutdowns. The FDA also follows up on any actions taken by the establishment to resolve the issues and ensure ongoing compliance with FDA regulations.

FDA inspections are conducted regularly and may be unannounced, as well as in response to specific complaints or incidents. The frequency and scope of inspections are based on factors such as the type and complexity of the product, the history of the establishment, and the likelihood of contamination or safety issues.


TYPES OF FDA INSPECTIONS
Pre-Approval Inspection (PAI) - This type of inspection is conducted prior to the approval of a new drug or medical device by the FDA. The main objective of the PAI is to evaluate the manufacturing facilities, quality control systems, and laboratory practices of the company. The FDA inspector will examine the production process, storage, and handling of the product, as well as the laboratory data to ensure that the product is safe, effective and in compliance with the FDA regulations.

Routine Compliance Inspection - This type of inspection is conducted on a regular basis for approved drugs and medical devices to ensure that the company is following the regulatory requirements and maintaining good manufacturing practices (GMPs). The FDA inspector will review the company's records, production processes, and laboratory data to make sure that they are following the established standards and procedures.


For-Cause Inspection - This type of inspection is conducted when the FDA receives complaints or information indicating that a company is not following regulatory requirements or that the product may pose a risk to public health. The inspector will examine the facilities, processes, and records of the company to determine if there are any compliance issues that need to be addressed.

Follow-Up Inspection - This type of inspection is conducted after a company has made changes to address any compliance issues found during a previous inspection. The inspector will review the company's records and processes to ensure that the necessary changes have been made and that the company is following the regulatory requirements. The objective of the follow-up inspection is to verify that the company has taken the appropriate corrective actions and that it is in compliance with the FDA regulations.

FDA APPLICATION FORMS
1. New Drug Application (NDA): This is the primary form submitted by pharmaceutical companies to seek approval for a new drug product from the FDA. The NDA includes information on the drug's manufacturing process, safety, efficacy, and labeling information.
2. Biologic License Application (BLA): This form is submitted by biotechnology companies seeking approval for a new biological product such as vaccines, blood products, or biologic drugs. It includes information on the product's manufacturing process, clinical trial data, and information on the product's safety and efficacy.
3. Investigational New Drug Application (IND): This form is submitted by companies or researchers seeking approval to test a new drug product in humans. It includes information on the drug's safety, dosage, and administration, and a plan for clinical trials.
4. Investigational Device Exemption (IDE): This form is submitted by companies or researchers seeking approval to test a new medical device in humans. It includes information on the device's design, intended use, and clinical trial plan.
5. Premarket Notification (510(k)): This form is submitted by medical device companies seeking approval for a device that is "substantially equivalent" to a device already approved by the FDA. It includes information on the device's design, intended use, and comparison to the approved device.
6. Abbreviated New Drug Application (ANDA): This form is submitted by companies seeking approval for a generic drug product. It includes information on the product's manufacturing process, safety, and efficacy, and a comparison to the approved brand-name product.
7. Emergency Use Authorization (EUA): This form is submitted by companies seeking approval for a medical product during a public health emergency. It includes information on the product's safety and efficacy, and a plan for its use during the emergency.

As a company how to prepare for FDA inspections
•  Familiarize yourself with FDA regulations: Familiarizing yourself with FDA regulations is the first step in preparing for an FDA inspection. This includes the current Good Manufacturing Practices (cGMP) guidelines, which outline the standards that facilities must follow to produce safe and effective products.
•  Review your records : Review all your records, including quality control, production, and maintenance records, to make sure they are up-to-date and accurately reflect the processes and practices in your facility.
•  Develop a plan: Develop a plan for the inspection, including the roles and responsibilities of different team members and a timeline for the inspection. Make sure all team members are aware of the plan and understand their roles.
•  Review your facilities and equipment: Conduct a thorough review of your facilities and equipment to identify any areas that may need improvement. Make any necessary repairs or upgrades to meet FDA requirements.
•  Train your employees : Train your employees on the importance of FDA inspections and what to expect during an inspection. Provide training on how to respond to questions and requests from FDA inspectors.
•  Prepare a response plan : Prepare a response plan for any potential findings or violations. This includes a plan for correcting any deficiencies and implementing preventive measures to ensure they do not occur again in the future.
•  Practice good documentation practices : Make sure all of your documentation is accurate and complete. This includes SOPs, quality control records, and other critical documents.

How FDA conducts Inspections
The FDA inspection process is an ongoing process to ensure that the food and medical products being produced are safe and meet quality standards. The inspection process helps to protect the health and well-being of consumers.

The following is a general outline of the steps involved in an FDA inspection
1. Preparation: The FDA inspector prepares for the inspection by reviewing the facility's history, regulatory history, and the products being produced. The inspector also reviews the facility's written procedures and records.
2. On-Site Inspection: The inspector arrives at the facility and begins the inspection. The inspector may observe operations, collect samples, and review records. The inspector may also interview employees, including management, to gather information about the facility's operations.
3. Collection of Samples: The inspector may collect samples of the food or medical product for laboratory analysis. The samples are sent to a laboratory for analysis to determine if the product meets safety and quality standards.
4. Review of Records: The inspector may review records such as production, storage, and shipment records to verify that the facility is in compliance with regulatory requirements.
5. Closeout Meeting: After the inspection is complete, the inspector holds a closeout meeting with the facility management to discuss the results of the inspection. The inspector provides a report of the inspection findings and may provide recommendations for improvement.
6. Report Generation: The inspector generates a report summarizing the inspection findings and any recommendations for improvement. The report is reviewed by the FDA, and the facility is notified of any violations or non-compliance issues.

Details of FDA inspection forms
The FDA inspection forms are a series of forms used by the US Food and Drug Administration (FDA) to monitor and regulate the safety, quality, and effectiveness of medical devices, drugs, biologics, and food products. The following are some of the key details of the FDA inspection forms  :
1. Form 483: This form is issued to companies after an FDA inspection if the inspector identifies any significant violations of FDA regulations. The form lists the observations made by the inspector and serves as a notification of the issues that need to be addressed by the company.
2. Establishment Inspection Report (EIR): This form summarizes the results of an FDA inspection, including any observations and deviations from FDA regulations. It also includes a summary of any corrective actions taken by the company and the outcomes of any follow-up inspections.
3. Form FDA 2438: This form is used to document the results of a for-cause inspection, which is conducted when there is evidence of a potential problem or when an inspection is required to follow up on previous violations.
4. Form FDA 356h: This form is used to document the results of a pre-approval inspection, which is conducted before the approval of a new medical device, drug, or biologic product. The form includes information on the facility, personnel, and manufacturing processes, and any deviations from FDA regulations.
5. Form FDA 7458: This form is used to document the results of a routine food facility inspection, which is conducted to ensure that food products are safe, wholesome, and properly labeled. The form includes information on the facility, personnel, and food products, and any deviations from FDA regulations.