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Fundamentals of cGMP
Basic Training Guide to Young
Pharmaceutical Professionals
Prepared By: Muhammad Amir Javed
0092 344 2184236
INTRODUCTION
• This Presentation belongs to young pharmaceutical professionals who
just enter in the field of pharmaceutical industry, specially in the field
of Quality Assurance-Inspection Site and Production.
• cGMP exists in every section and every department of Pharmaceutical
Industry.
• Those pharmaceutical professionals who pursue their career in this
field should remember the basic principles of cGMP.
• To prevent “contamination and
cross-contamination”
• To prevent “mix-ups”
cGMP – Basic AIM
cGMP – OUTCOME
• Product;
a. QUALITY
b. SAFETY
c. EFFICACY
BASIC FUNDAMENTALS OF cGMP
• cGMP stands for “current Good Manufacturing Practices”
• Below are the fundamentals of cGMP;
1. Personnel
2. Material
3. Machine
4. Method
5. Premises
6. Documentation
7. Personnel Protective Equipments (PPEs)
1. PERSONNEL
1. PERSONNEL – What should remember???
• Type of Personnel,
1. Personnel as a part of “MANAGEMENT”
2. Personnel as a part of “EMPLOYEES”
1. PERSONNEL – What should remember???
• Type of Personnel,
1. Personnel as a part of “MANAGEMENT”
a. CEO
b. Directors
c. Managing Directors
1. PERSONNEL – What should remember???
• Type of Personnel,
2. Personnel as a part of “EMPLOYEES”
a. Departmental Heads
b. Managers
c. Assistant Managers
d. Section Incharges
e. Executives
f. Officers
g. Workers
h. Cleaners
i. Sweepers
1. PERSONNEL – What cGMP aspects???
• Job Descriptions (JD’s)
• Training records
• Orientation Plan
• Medical Examination
• Personnel Hygiene and Health
• Necessary Qualification
• Implement effective Pharmaceutical
Quality System
• Visitors and Untrained personnel first
give training before entering in
production areas
1. PERSONNEL – What cGMP aspects???
• KEY PERSONNEL
1. Head of Quality Control
2. Head of Production
3. Authorize Person
4. Head of Quality Assurance
1. PERSONNEL – What cGMP aspects???
• PERSONNEL HYGIENE
a. Detail Hygiene Programs
b. Medical Examination
c. No person affected to infectious
diseases and open lesions
d. Use of respective PPEs in all
departments
e. Avoid direct contact with exposed
products or any equipment part
where product contact
2. MATERIALS
2. MATERIALS – What cGMP aspects???
• Handling of correct materials
• Types of Materials;
1. Materials related to Production
2. Materials related to Quality Control
2. MATERIALS – What cGMP aspects???
1. TYPES OF MATERIALS RELATED TO
PRODUCTION
Raw Materials (Excipients and APIs) /
Starting Materials
Intermediate and Bulks
Packaging Materials
Finish Products
Rejected, Recovered and Returned
Materials
2. MATERIALS – What cGMP aspects???
1. TYPES OF MATERIALS RELATED TO PRODUCTION-General Considerations
Proper Storage Condition
Labeled as Quarantine, Sampled, Released or Rejected
Proper labeling and identification
No damage container
Checks on yields and reconciliation
Prevents risks of mix-ups and cross contamination upon handling
Protects from Physical, Chemical and Microbial contamination
Precautions will be taken if any material is sensitizing, highly active or light
sensitive
2. MATERIALS – What cGMP aspects???
1. TYPES OF MATERIALS RELATED TO QUALITY CONTROL
Organic Solvents (Acetone, Methanol, IPA, Acetonitrile etc)
Inorganic Chemicals
Reference Standards
Laboratory Reagents
Culture Media
3. MACHINES
3. MACHINES – What cGMP aspects???
TYPES OF MACHINES
1. Production Equipments
2. Quality Control Equipments
3. Inprocess Control Equipments
3. MACHINES – TYPES OF MACHINES???
1. Production Equipments
a. Sterile Area Equipments
b. Non Sterile Area Equipments
c. Packaging Equipments
3. MACHINES – TYPES OF MACHINES???
1. Production Equipments
General Examples:
i. Liquid Filling Machines
ii. Powder Filling Machines
iii. Blenders
iv. Fluid Bed Dryers
v. Autoclave
vi. Dryers
vii. Primary Materials Washing Machines
viii. Printing Machines
ix. Cartoner Machines
3. MACHINES – TYPES OF MACHINES???
2. Quality Control Equipments
General Examples:
i. High Performance Liquid Chromatography
ii. Spectrophotometer
iii. Gas Chromatography
iv. Atomic Absorption
v. Amino Acid Analyzer
vi. Dissolution Apparatus
vii. Karl Fisher
viii. TDS Meter
ix. Conductivity Meter
3. MACHINES – TYPES OF MACHINES???
3. Inprocess Control Equipments
General Examples:
i. Disintegration Tester
ii. Hardness Tester
iii. Moisture Analyzer
iv. Weighing Balance
v. Friability tester
vi. Leak Test Apparatus
vii. Auto Thickness and Diameters
apparatus
viii. Cylinders for volumetric analysis
3. MACHINES – What cGMP aspects???
1. Production Equipments-General Considerations
Prevents cross contamination
Stainless steel made (specially product exposure parts)
Corrosion Free
No damage parts
Properly Qualified (DQ, IQ, OQ, PQ)
Dedicated Equipments to be used
Corrective and Preventive maintenance schedule
3. MACHINES – What cGMP aspects???
1. Production Equipments-General Considerations
Easily and thoroughly clean
Non hazardous to products
Appropriate range and precision
Peripheral accessories associated with the Equipments should be labelled
properly
Properly documented
Training Record
Respective SOPs
3. MACHINES – What cGMP aspects???
2. Quality Control and In-Process
Control Equipments-General
Considerations
CFR Compliance
Corrosion Free
No damage parts
Properly Qualified (DQ, IQ, OQ, PQ)
Corrective and Preventive
maintenance schedule
Easily and thoroughly clean
3. MACHINES – What cGMP aspects???
2. Quality Control and In-Process Control
Equipments-General Considerations
Appropriate range and precision
Peripheral accessories associated with the
Equipments should be labelled properly
Properly documented
Training Record
Respective SOPs
4. METHODS
4. METHODS – What cGMP aspects???
3 types of methods related to product concern
1. Methods relating to Manufacturing
2. Methods relating to Analytical testing
3. Methods relating to Product packing
4. METHODS – What cGMP aspects???
1. Methods relating to Manufacturing
Following product category are
produced by various manufacturing
methods
a. Starting Materials (APIs and
Excipients)
b. Sterile Products (Injectables,
Biologicals etc)
c. Non Sterile Products (Tablet,
Capsule, Suspension, Liquid etc)
4. METHODS – What cGMP aspects???
1. Methods relating to Manufacturing
General consideration for different methods;
Blending
Granulation
Compression
Coating
Mixing
4. METHODS – What cGMP aspects???
2. Methods relating to Analytical Testing
Following Testing Methods are performed
on below mentioned materials to ensure
product strength, efficacy and purity
a. Raw Materials
b. Intermediate Bulks
c. Finish Products
d. Packaging Materials
4. METHODS – What cGMP aspects???
2. Methods relating to Analytical Testing
General consideration for different testing methods on Finish
Products;
Physical Testing
(Appearance, Length, Thickness, Hardness, Volume, pH etc)
Chemical Testing
(Assay, Dissolution, Content Uniformity, Impurity testing etc)
Microbiological Testing
(Microbial Limit Test, Sterility Test, Endotoxin Test, Bioassay etc)
4. METHODS – What cGMP aspects???
2. Methods relating to Analytical Testing
General consideration for different testing methods on Raw
Materials;
Physical Testing
(Appearance, Tap density, Bulk density, pH, ROI etc)
Chemical Testing
(Identification test, Assay, Iron, Lead, Impurity testing etc)
Microbiological Testing
(Microbial Limit Test, Sterility Test, Endotoxin Test, Bioassay
etc)
4. METHODS – What cGMP aspects???
2. Methods relating to Analytical Testing
General consideration for different testing
methods on Packaging Materials;
I. Primary Packaging
II. Secondary Packaging
III. Tertiary Packaging
Tests includes (Grammage, art work,
color, fonts, thickness, weight, Glass test
etc)
5. PREMISES
5. PREMISES– What cGMP aspects???
• Located, design, constructed, adapted and maintained to suit the
operations to be carried out.
• Layout and design must minimize to risk errors, permit effective
cleaning, maintenance
• Avoid cross contamination and mix-ups
• do not present any hazard to the quality of products
• Lighting, temperature, humidity and ventilation should be
appropriate
• maximum protection against the entry of insects or other animals
• prevent the entry of unauthorised people
5. PREMISES– What cGMP aspects???
• Types of Premises;
I. Production Areas
II. Storage Areas
III. Dispensing and Sampling Areas
IV. Quality Control Areas
V. Ancillary Area
5. PREMISES– What cGMP aspects???
i. Production Areas
• Generalized areas
• Dedicated areas
• Self contained areas
• Logical Order flows
• Logical placement of Equipments
• Adequacy of working space
5. PREMISES– What cGMP aspects???
i. Production Areas
• free from cracks and open joints, and should
not shed particulate matter
• should permit easy and effective cleaning and
disinfection
• Pipe work, light fittings, ventilation points and
other services should not create any recesses
• Drains should be of adequate size, and have
trapped gullies
• areas should be effectively ventilated air control
facilities (including temperature and, where
necessary, humidity and filtration)
5. PREMISES– What cGMP aspects???
ii. Storage Areas
• sufficient capacity to allow orderly storage of the various categories of materials
and products: starting and packaging materials, intermediate, bulk and finished
products, products in quarantine, released, rejected, returned or recalled.
• Maintain Temperature and where required humidity, should be monitored and
checked
• Materials should be cleaned where necessary before storage
• access restricted to authorized personnel
• Highly active materials or products should be stored in safe and secure areas
• Printed packaging materials: safe and secure storage of these materials
5. PREMISES– What cGMP aspects???
iii. Dispensing and Sampling Areas
• There should normally be a separate sampling and dispensing area for
starting materials
• prevent contamination or cross-contamination
5. PREMISES– What cGMP aspects???
iv. Quality Control Areas
• separated from production areas
• Sufficient space should be given to avoid mix-ups and cross-
contamination
• Separate rooms: protect sensitive instruments from vibration,
electrical interference, humidity, etc
• Special requirements: biological or radioactive samples
5. PREMISES– What cGMP aspects???
v. Ancillary Areas
• Rest and refreshment rooms
• Maintenance workshops
• Animal houses
• Toilets
• Should be separated
6. DOCUMENTATION
6. DOCUMENTATION– What cGMP aspects???
• Essential part of Quality Assurance system
• Compliance with GMP requirements
• Manufacturer’s Quality Management System
• Documentation: Paper Based, Electronic based or Photographic
Media
• Two main types of Documentation
1. Procedures / Instructions
2. Records / Reports
6. DOCUMENTATION– What cGMP aspects???
1. Procedure / Instructions
I. Site Master File
II. Specifications
III. Master Formula
IV. Processing instruction
V. Packaging Instruction
VI. Testing Instructions
VII. Procedures
VIII. Protocols
IX. Technical Agreements
6. DOCUMENTATION– What cGMP aspects???
Required GMP Documentation (By Type)
2. Records / Reports
I. Records
II. Certificate of Analysis
III. Reports
6. DOCUMENTATION– What cGMP aspects???
GOOD DOCUMENTATION PRACTICES
• Handwritten entries should be
made in clear, legible, indelible
way
• Records should be made or
completed at the time each action
and must be traceable
• document should be signed and
dated, where alteration happens
7. PERSONNEL PROTECTIVE
EQUIPMENTS (PPEs)
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
a. Sterile Area PPEs
b. Non Sterile Area PPEs
c. Ancillary Area PPEs
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
a. STERILE AREA PPES
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
a. STERILE AREA PPES
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
a. STERILE AREA PPES
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
b. NON STERILE AREA PPES
7. Personnel Protective Equipment (PPEs)–
What cGMP aspects???
c. Ancillary Areas PPEs
1. fundamentals of c gmp for young pharmaceutical professional presentation no. 1

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1. fundamentals of c gmp for young pharmaceutical professional presentation no. 1

  • 1.
  • 2. Fundamentals of cGMP Basic Training Guide to Young Pharmaceutical Professionals Prepared By: Muhammad Amir Javed 0092 344 2184236
  • 3. INTRODUCTION • This Presentation belongs to young pharmaceutical professionals who just enter in the field of pharmaceutical industry, specially in the field of Quality Assurance-Inspection Site and Production. • cGMP exists in every section and every department of Pharmaceutical Industry. • Those pharmaceutical professionals who pursue their career in this field should remember the basic principles of cGMP.
  • 4. • To prevent “contamination and cross-contamination” • To prevent “mix-ups” cGMP – Basic AIM
  • 5. cGMP – OUTCOME • Product; a. QUALITY b. SAFETY c. EFFICACY
  • 6. BASIC FUNDAMENTALS OF cGMP • cGMP stands for “current Good Manufacturing Practices” • Below are the fundamentals of cGMP; 1. Personnel 2. Material 3. Machine 4. Method 5. Premises 6. Documentation 7. Personnel Protective Equipments (PPEs)
  • 8. 1. PERSONNEL – What should remember??? • Type of Personnel, 1. Personnel as a part of “MANAGEMENT” 2. Personnel as a part of “EMPLOYEES”
  • 9. 1. PERSONNEL – What should remember??? • Type of Personnel, 1. Personnel as a part of “MANAGEMENT” a. CEO b. Directors c. Managing Directors
  • 10. 1. PERSONNEL – What should remember??? • Type of Personnel, 2. Personnel as a part of “EMPLOYEES” a. Departmental Heads b. Managers c. Assistant Managers d. Section Incharges e. Executives f. Officers g. Workers h. Cleaners i. Sweepers
  • 11. 1. PERSONNEL – What cGMP aspects??? • Job Descriptions (JD’s) • Training records • Orientation Plan • Medical Examination • Personnel Hygiene and Health • Necessary Qualification • Implement effective Pharmaceutical Quality System • Visitors and Untrained personnel first give training before entering in production areas
  • 12. 1. PERSONNEL – What cGMP aspects??? • KEY PERSONNEL 1. Head of Quality Control 2. Head of Production 3. Authorize Person 4. Head of Quality Assurance
  • 13. 1. PERSONNEL – What cGMP aspects??? • PERSONNEL HYGIENE a. Detail Hygiene Programs b. Medical Examination c. No person affected to infectious diseases and open lesions d. Use of respective PPEs in all departments e. Avoid direct contact with exposed products or any equipment part where product contact
  • 15. 2. MATERIALS – What cGMP aspects??? • Handling of correct materials • Types of Materials; 1. Materials related to Production 2. Materials related to Quality Control
  • 16. 2. MATERIALS – What cGMP aspects??? 1. TYPES OF MATERIALS RELATED TO PRODUCTION Raw Materials (Excipients and APIs) / Starting Materials Intermediate and Bulks Packaging Materials Finish Products Rejected, Recovered and Returned Materials
  • 17. 2. MATERIALS – What cGMP aspects??? 1. TYPES OF MATERIALS RELATED TO PRODUCTION-General Considerations Proper Storage Condition Labeled as Quarantine, Sampled, Released or Rejected Proper labeling and identification No damage container Checks on yields and reconciliation Prevents risks of mix-ups and cross contamination upon handling Protects from Physical, Chemical and Microbial contamination Precautions will be taken if any material is sensitizing, highly active or light sensitive
  • 18. 2. MATERIALS – What cGMP aspects??? 1. TYPES OF MATERIALS RELATED TO QUALITY CONTROL Organic Solvents (Acetone, Methanol, IPA, Acetonitrile etc) Inorganic Chemicals Reference Standards Laboratory Reagents Culture Media
  • 20. 3. MACHINES – What cGMP aspects??? TYPES OF MACHINES 1. Production Equipments 2. Quality Control Equipments 3. Inprocess Control Equipments
  • 21. 3. MACHINES – TYPES OF MACHINES??? 1. Production Equipments a. Sterile Area Equipments b. Non Sterile Area Equipments c. Packaging Equipments
  • 22. 3. MACHINES – TYPES OF MACHINES??? 1. Production Equipments General Examples: i. Liquid Filling Machines ii. Powder Filling Machines iii. Blenders iv. Fluid Bed Dryers v. Autoclave vi. Dryers vii. Primary Materials Washing Machines viii. Printing Machines ix. Cartoner Machines
  • 23. 3. MACHINES – TYPES OF MACHINES??? 2. Quality Control Equipments General Examples: i. High Performance Liquid Chromatography ii. Spectrophotometer iii. Gas Chromatography iv. Atomic Absorption v. Amino Acid Analyzer vi. Dissolution Apparatus vii. Karl Fisher viii. TDS Meter ix. Conductivity Meter
  • 24. 3. MACHINES – TYPES OF MACHINES??? 3. Inprocess Control Equipments General Examples: i. Disintegration Tester ii. Hardness Tester iii. Moisture Analyzer iv. Weighing Balance v. Friability tester vi. Leak Test Apparatus vii. Auto Thickness and Diameters apparatus viii. Cylinders for volumetric analysis
  • 25. 3. MACHINES – What cGMP aspects??? 1. Production Equipments-General Considerations Prevents cross contamination Stainless steel made (specially product exposure parts) Corrosion Free No damage parts Properly Qualified (DQ, IQ, OQ, PQ) Dedicated Equipments to be used Corrective and Preventive maintenance schedule
  • 26. 3. MACHINES – What cGMP aspects??? 1. Production Equipments-General Considerations Easily and thoroughly clean Non hazardous to products Appropriate range and precision Peripheral accessories associated with the Equipments should be labelled properly Properly documented Training Record Respective SOPs
  • 27. 3. MACHINES – What cGMP aspects??? 2. Quality Control and In-Process Control Equipments-General Considerations CFR Compliance Corrosion Free No damage parts Properly Qualified (DQ, IQ, OQ, PQ) Corrective and Preventive maintenance schedule Easily and thoroughly clean
  • 28. 3. MACHINES – What cGMP aspects??? 2. Quality Control and In-Process Control Equipments-General Considerations Appropriate range and precision Peripheral accessories associated with the Equipments should be labelled properly Properly documented Training Record Respective SOPs
  • 30. 4. METHODS – What cGMP aspects??? 3 types of methods related to product concern 1. Methods relating to Manufacturing 2. Methods relating to Analytical testing 3. Methods relating to Product packing
  • 31. 4. METHODS – What cGMP aspects??? 1. Methods relating to Manufacturing Following product category are produced by various manufacturing methods a. Starting Materials (APIs and Excipients) b. Sterile Products (Injectables, Biologicals etc) c. Non Sterile Products (Tablet, Capsule, Suspension, Liquid etc)
  • 32. 4. METHODS – What cGMP aspects??? 1. Methods relating to Manufacturing General consideration for different methods; Blending Granulation Compression Coating Mixing
  • 33. 4. METHODS – What cGMP aspects??? 2. Methods relating to Analytical Testing Following Testing Methods are performed on below mentioned materials to ensure product strength, efficacy and purity a. Raw Materials b. Intermediate Bulks c. Finish Products d. Packaging Materials
  • 34. 4. METHODS – What cGMP aspects??? 2. Methods relating to Analytical Testing General consideration for different testing methods on Finish Products; Physical Testing (Appearance, Length, Thickness, Hardness, Volume, pH etc) Chemical Testing (Assay, Dissolution, Content Uniformity, Impurity testing etc) Microbiological Testing (Microbial Limit Test, Sterility Test, Endotoxin Test, Bioassay etc)
  • 35. 4. METHODS – What cGMP aspects??? 2. Methods relating to Analytical Testing General consideration for different testing methods on Raw Materials; Physical Testing (Appearance, Tap density, Bulk density, pH, ROI etc) Chemical Testing (Identification test, Assay, Iron, Lead, Impurity testing etc) Microbiological Testing (Microbial Limit Test, Sterility Test, Endotoxin Test, Bioassay etc)
  • 36. 4. METHODS – What cGMP aspects??? 2. Methods relating to Analytical Testing General consideration for different testing methods on Packaging Materials; I. Primary Packaging II. Secondary Packaging III. Tertiary Packaging Tests includes (Grammage, art work, color, fonts, thickness, weight, Glass test etc)
  • 38. 5. PREMISES– What cGMP aspects??? • Located, design, constructed, adapted and maintained to suit the operations to be carried out. • Layout and design must minimize to risk errors, permit effective cleaning, maintenance • Avoid cross contamination and mix-ups • do not present any hazard to the quality of products • Lighting, temperature, humidity and ventilation should be appropriate • maximum protection against the entry of insects or other animals • prevent the entry of unauthorised people
  • 39. 5. PREMISES– What cGMP aspects??? • Types of Premises; I. Production Areas II. Storage Areas III. Dispensing and Sampling Areas IV. Quality Control Areas V. Ancillary Area
  • 40. 5. PREMISES– What cGMP aspects??? i. Production Areas • Generalized areas • Dedicated areas • Self contained areas • Logical Order flows • Logical placement of Equipments • Adequacy of working space
  • 41. 5. PREMISES– What cGMP aspects??? i. Production Areas • free from cracks and open joints, and should not shed particulate matter • should permit easy and effective cleaning and disinfection • Pipe work, light fittings, ventilation points and other services should not create any recesses • Drains should be of adequate size, and have trapped gullies • areas should be effectively ventilated air control facilities (including temperature and, where necessary, humidity and filtration)
  • 42. 5. PREMISES– What cGMP aspects??? ii. Storage Areas • sufficient capacity to allow orderly storage of the various categories of materials and products: starting and packaging materials, intermediate, bulk and finished products, products in quarantine, released, rejected, returned or recalled. • Maintain Temperature and where required humidity, should be monitored and checked • Materials should be cleaned where necessary before storage • access restricted to authorized personnel • Highly active materials or products should be stored in safe and secure areas • Printed packaging materials: safe and secure storage of these materials
  • 43.
  • 44.
  • 45. 5. PREMISES– What cGMP aspects??? iii. Dispensing and Sampling Areas • There should normally be a separate sampling and dispensing area for starting materials • prevent contamination or cross-contamination
  • 46.
  • 47. 5. PREMISES– What cGMP aspects??? iv. Quality Control Areas • separated from production areas • Sufficient space should be given to avoid mix-ups and cross- contamination • Separate rooms: protect sensitive instruments from vibration, electrical interference, humidity, etc • Special requirements: biological or radioactive samples
  • 48.
  • 49. 5. PREMISES– What cGMP aspects??? v. Ancillary Areas • Rest and refreshment rooms • Maintenance workshops • Animal houses • Toilets • Should be separated
  • 50.
  • 52. 6. DOCUMENTATION– What cGMP aspects??? • Essential part of Quality Assurance system • Compliance with GMP requirements • Manufacturer’s Quality Management System • Documentation: Paper Based, Electronic based or Photographic Media • Two main types of Documentation 1. Procedures / Instructions 2. Records / Reports
  • 53. 6. DOCUMENTATION– What cGMP aspects??? 1. Procedure / Instructions I. Site Master File II. Specifications III. Master Formula IV. Processing instruction V. Packaging Instruction VI. Testing Instructions VII. Procedures VIII. Protocols IX. Technical Agreements
  • 54. 6. DOCUMENTATION– What cGMP aspects??? Required GMP Documentation (By Type) 2. Records / Reports I. Records II. Certificate of Analysis III. Reports
  • 55. 6. DOCUMENTATION– What cGMP aspects??? GOOD DOCUMENTATION PRACTICES • Handwritten entries should be made in clear, legible, indelible way • Records should be made or completed at the time each action and must be traceable • document should be signed and dated, where alteration happens
  • 57. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? a. Sterile Area PPEs b. Non Sterile Area PPEs c. Ancillary Area PPEs
  • 58. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? a. STERILE AREA PPES
  • 59. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? a. STERILE AREA PPES
  • 60. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? a. STERILE AREA PPES
  • 61. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? b. NON STERILE AREA PPES
  • 62. 7. Personnel Protective Equipment (PPEs)– What cGMP aspects??? c. Ancillary Areas PPEs