The document outlines the Quality Systems Investigation Technique (QSIT) used by the FDA to ensure compliance with quality management in organizations. It emphasizes the importance of management responsibilities, corrective and preventive actions, and documentation in maintaining an effective quality system. The QTIS guide serves as a framework for inspections, evaluating various components like design controls, production processes, and management reviews.

1. Quality Systems
Investigation Technique

2. WHAT DOES IT ALL MEAN?

3. Investigation of the
Quality System
Corrective &
Preventive
Actions Production &
Design Controls
Process Controls
Management
Material Equipment &
Controls Facility Controls
Records,
Documents, &
Change Controls

4. Learning Objectives
Understand the Quality Systems Investigation
Technique progresses
Understand how QSIT impacts Project
Management
Understand meeting QSIT expectations
Complete a Regulatory Training Requirement

5. Systems-based inspections normally
require specific coverage of the Quality
System, and at least one other system.
This may account in part for more Quality
System deficiencies cited in Warning
Letters issued after February 1, 2002

6. Project Management
QSIT Responsibilities

7. How Will Management be Inspected?
QSIT Guide FOOD AND DRUG
AD MINISTR ATIO N
 Purpose and GUIDE TO INSPECTIONS OF
QUALITY SYSTEMS
Importance
 Objectives
 Flow chart
 Narratives
August 1999
Source: www.fda.gov

8. QSIT Progression
1. Management Controls
2. Design Controls
3. Corrective and Preventive Actions
4. Production and Process Controls
5. Management Controls

9. What FDA Evaluates
Duties
Responsibilities
Authorities

10. Procedures … FDA Looks At
Quality Policy
Quality Plan
Management Review
Quality Audit
Quality System Procedures and
Instructions

11. Assessment
“Top Down” - Defined and Documented
1. Quality Policy
Management Review Procedures
Quality Audit Procedures
Quality Plan
QS Procedures and Instructions

12. Assessment
“Top Down” - Implemented
2. Quality Policy and Objectives
3. Organizational Structure
4. Management Representative
5. Management Reviews
6. Quality Audits

13. Assessment
“Top Down” (At Inspection Conclusion)
7. Quality System Established and
Maintained

14. Quality Policy - 820.3(u)
The overall intentions and direction
of an organization with respect to
quality
As established by management
with executive responsibility

15. Quality System - 820.3(v)
The organizational structure,
responsibilities, procedures,
processes, and resources for
implementing quality management

16. FDA’s Authority to Hold
Management Responsible
FD&C Act - Section 704(a)(1)
21 CFR 820.20
Case Law - Dotterweich & Park
FDA will determine authority and
responsibility to the highest level of the
firm as well as the corporation or
organization.
Source: www.fda.gov

17. Verbal Communications:
FDA “Looks At”
Management with Executive
Responsibility
 Commitment to quality
 Dialogue during daily “wrap-ups”
 Commitment to correction and
prevention

18. Verbal Communications:
FDA “Looks At”
Management Representative
 Interviewed prior to review of each
subsystem
 Provide overview of each subsystem
 Demonstrate knowledge and
understanding of each subsystem
 Dialogue during daily “wrap-ups”

19. Verbal Communications:
FDA “Looks At”
Employees
 Familiar with the Quality Policy
 Other dialogue

20. Written Records/ Documents
FDA Looks At
Organizational Structure
Appointment of Management
Representative

21. Written Records/ Documents
FDA Looks At
Documentation that audits were
conducted as scheduled.
Documentation that management
reviews were conducted as
scheduled.

22. FDA Access to Audit and
Management Review Reports
FDA’s policy relative to the review of
quality audit reports is stated in CPG
7151.02 (CPG Manual subchapter
130.300).
This policy restricts FDA access to a
firm’s audit reports.
more...

23. FDA Access to Audit and
Management Review Reports
Under the Quality System Regulation,
this restriction extends to reviews of
supplier audit reports and management
reviews.
more...

24. FDA Access to Audit and
Management Review Reports
However, the procedures that show
conformance with 21 CFR 820.50,
Purchasing Controls, and 21 CFR
820.20(3)(c), Management Reviews,
and 21 CFR 820.22, Quality Audit, are
subject to FDA inspection.

25. FDA Access to Audit and
Management Review Reports
FDA may look at those portions of
these audit reports and reviews
that contain corrective and
preventive actions if these are the
only places these action decisions
are documented.

26. At the Conclusion of the
Inspection ...
“Evaluate whether management with
executive responsibility ensures that
an adequate and effective quality
system has been established and
maintained.”

27. Identifying and Assigning
Regulatory Responsibilities
Job Title/Employee Quality System Subpart 820 Quality System Regulation Assignment(s)
__________________ B – QS Requirements _________________________________________________
__________________ C – Design Controls _________________________________________________
__________________ D – Document Controls _________________________________________________
__________________ E – Purchasing Controls _________________________________________________
__________________ F – ID and Traceability _________________________________________________
__________________ G – PandP Conrols _________________________________________________
__________________ H – Acceptance Activities _________________________________________________
__________________ I – Nonconforming Product _________________________________________________
__________________ J – CandP Action (CAPA) __________________________________________________
__________________ K – LandP Control __________________________________________________
__________________ L – H,S,D&Installation __________________________________________________
__________________ M – Records ___________________________________________________
__________________ N _ Servicing ___________________________________________________
__________________ 0 _ Statistical Techniques ___________________________________________________

28. Project Management
Regulatory Responsibilities
• What are the responsibilities?
• Where are the gaps?
• What are the risks?
• What are the consequences?
• What are the potential opportunities?
• What are the rewards?

29. Management
Production &
Design Controls
Process Controls
Corrective &
Preventive
Actions
Material Equipment &
Controls Facility Controls
Records,
Documents, &
Change Controls
Controls

30. QUESTIONS