sanitation and hygiene - asean

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Prepared by: Approved by: ASEAN TMHS GMP Task Force Endorsed by: ASEAN TMHS Product Working Group ASEAN Guidelines on GMP for Traditional Medicines / Health Supplements (TM/HS) 30 November 2016 CHAPTER 4 – SANITATION AND HYGIENE Thailand

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Page 1: Sanitation and Hygiene - ASEAN

Prepared by:

Approved by:ASEAN TMHS GMP Task Force

Endorsed by:ASEAN TMHS Product Working Group

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplements (TM/HS)

30 November 2016

CHAPTER 4 – SANITATION AND HYGIENE

Thailand

Page 2: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

ACKNOWLEDGEMENTWe would like to thank the following review team for their

input to this training module.

2

Muhammad Lukmani Ibrahim Chair of ASEAN GMP

TF

Quitevis, Ludivina FamaCo-Chair of ASEAN

GMP TF

Mega Valentine ASEAN Secretariat

Hasmilawaty Mohammad Taib Brunei Darussalam

Jamilah Metusin Brunei Darussalam

Hean Kimseat Cambodia

Som Samnang Cambodia

Kristiana Haryati Indonesia

Widiastuti Adiputra Indonesia

Bounleuane Douangdeuane Lao PDR

Solivanh Sengchanh Lao PDR

Sivong Sengaloundeth Lao PDR

Mohd Nasrul Mohamad Noor Malaysia

Sharifah Mastura Ahmad Fuad Malaysia

Thiri Kyaw Soe Myanmar

Wah Wah Aung Myanmar

Mary Angeline V. Francisco Philippines

Ms. Rochel Averion Francisco Philippines

Ong Hai Ann, Terrance Singapore

Pinpong Intarapanich Thailand

Thida Thaveerit Thailand

Lam Quoc Hung Vietnam

Luu Duc Du Vietnam

Mak Sum Shing, Andrew AAHSA

Tamotsu Iwai AAHSA

Robles, Frances Evelyn AATMI

Page 3: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

OUTLINE

• Principle

• Personnel:

–Practice of Good Personal Hygiene

– Training of Good Personal Hygiene

• Premises

• Equipment and Utensils

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Page 4: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

PRINCIPLE

• A high level of sanitation and hygiene shall be practised inevery aspect of the manufacturing of TM/HS.

• The scope of sanitation and hygiene covers personnel,premises, equipment and utensils; in fact, anything thatcould become a source of contamination to the product.

• All employees shall be instructed and encouraged toreport to their immediate supervisor any conditions(plant, equipment or personnel) that they consider mayadversely affect the quality of products.

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Page 5: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Taking necessary precautions to protect components,TM/HS products and contact surfaces against the

contamination of:

• micro-organisms

• filth

• other extraneous materials

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PRINCIPLE

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MODULE CHAPTER 4 – Sanitation and Hygiene 6

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Hygienic control on manufacturing processes,including personnel, premises, equipment andhandling of materials [from starting materials tofinished products].

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SANITATION

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Conditions and practices that help to maintainhealth and prevent the spread of disease

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HYGIENE

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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MODULE CHAPTER 4 – Sanitation and Hygiene

PERSONNEL

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MODULE CHAPTER 4 – Sanitation and Hygiene 10

Page 11: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

All personnel, prior to employment shall undergo healthexaminations. During the course of their employment theyshall also routinely undergo health examinations which shallinclude relevant examinations appropriate to the tasks thatthey are required to perform.

E.g. General health examination for all personnel

Eye examination for all personnel

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PERSONNEL

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Procedure and record of personnel hygiene foremployees who perform manufacturing processesshould be available :

Annex 1 - SOP on Personal Hygiene

Annex 2 - Record Daily Inspection on Personal Hygiene

Annex 3 - General Health Examination

Annex 4 - Employee Illness Report Form

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PERSONNEL

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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All personnel shall practice good personal hygiene.They shall be trained in the practices of personalhygiene. High level of personal hygiene shall beobserved by all those concerned with manufacturingprocesses.

Training

• Appropriate practices in personal hygiene

• Related written procedure and instructions

PERSONNEL

Page 14: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Personal HygieneRefers to cleanliness of a person’s body against

• Disease causing microorganisms

• Filth/dirt

• Extraneous materials

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PERSONNEL

Page 15: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Some examples to maintain Personal HygieneBath/Shower

Wash off dead skin cells and disease-causing microorganisms

Brush teethClear up the food residue which are source of microorganisms

Wear clean working clothes (uniform), gloves and footwearClothes, gloves and footwear can carry bacteria into the premises

Keep fingernails clean, trimmed and without polish No artificial nails (Polish or artificial nails can fall off)

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PERSONNEL

Page 16: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Any person shown at any time to have an apparent illness oropen lesions that may adversely affect the quality of productsshall not be allowed to handle raw materials, packagingmaterials, in-process materials, and finished products until thecondition is improved.

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PERSONNEL

Page 17: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Hand Washing

Direct contact shall be avoided between the operator's handsand , raw materials, intermediate or , bulk product.

Proper washing of hands and wearing of gloves shall be used ifcontact with hands is unavoidable.

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PERSONNEL

Page 18: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Hand Washing

Ensure that the hands arewashed properly beforeentering the production areasand rewashed or have thegloves changed whencontaminated

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PERSONNEL

Page 19: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Hand Washing• After using the toilet

• After touching bare body parts (skin)

• After coughing, sneezing, using a handkerchief or tissue

• After consuming food , drinking, smoking

• Before entering/returning to manufacturing areas

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PERSONNEL

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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PERSONNEL

How to wash your hand

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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PERSONNEL

Use of GlovesGloves are used to protect materials andproducts from directly contacting barehands

Hands should be washed properlyand thoroughly before puttinggloves on

Minor cuts, scrapes, etc. should becovered with an approved bandageprior to putting on gloves

Page 22: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Protective garmentsAssure protection of the product from contamination as well asthe safety of the personnel, appropriate protective garmentsshall be worn. Soiled uniforms shall be stored in closedcontainers until properly laundered.

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PERSONNEL

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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PERSONNEL

Appropriate protective garment (uniform)

Ensure that clean uniform, footwear and hair covers are sufficiently provided to all production employees

Ensure that clean,dedicated uniform,footwear and haircovers are wornwhen entering themanufacturing area.

Page 24: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Appropriate protective garment (uniform)To prevent hair from falling into materials, products andequipment, hair net and effective hair restraints must be worn.

– Hair net should be of appropriate quality to contain hair and be replacedwhen damaged or worn out

– All hair must be tucked inside the net

– The net should be sufficiently large to cover both ears

– Wear beard net (where applicable)

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MODULE CHAPTER 4 – Sanitation and Hygiene

PERSONNEL

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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Bouffant Cap/ Hair Net

GlovesShoe CoverProduction Coverall

Appropriate protective garment (uniform)

PERSONNEL

Page 26: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Only authorised personnel shall beallowed to enter production areas.

Visitors or untrained personnel shall,preferably, not be taken into theproduction and quality control areas.

If this is unavoidable, they shall begiven information in advance,particularly about personal hygieneand the prescribed protectiveclothing. They shall be closelysupervised.

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PERSONNEL

Page 27: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Smoking, eating, drinking and chewing or keeping of plants, food,drink, smoking materials and personal medicines shall berestricted to specific areas and not permitted in production,laboratory, storage or other areas where they might adverselyinfluence product quality.

A separate dedicated area for eating shall be provided outside theproduction area.

Personnel medicines should be stored in the individual locker toavoid false and/or mixed up during production process

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PERSONNEL

Page 28: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

The wearing of makeup, wrist watches and jewelry shall beprohibited in the production area.

However for jewelry or objects that cannot be removed; it mustbe covered by material (e.g. gloves) that is maintained in anintact, clean and sanitary condition.

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PERSONNEL

Page 29: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Sanitation of Premises

Premises used for themanufacturing of products shall beof suitable design and constructionso as to facilitate good sanitation.

Ensure that the premise is neat andclean and is free of puddled water.

Floorings of the equipmentwashing rooms could be sloped toallow draining of water

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PREMISES

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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Hand washing and well ventilated toilet facilities and changingrooms shall be provided for personnel at suitable locations.

PREMISES

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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Suitable locker facilities shall be provided at appropriate locationsfor the storage of employees clothing and personal property.

PREMISES

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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The preparation, storage and consumption of food andbeverages shall be restricted to specific areas, such asmeal rooms and canteen.

Facilities in such rooms must meet sanitary standards.

Meal rooms and canteen rooms shall not have directaccess to controlled areas (e.g. production area andareas use to store materials used for production andfinished products).

PREMISES

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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Waste material shall not be allowed to accumulate.It shall be collected in suitable receptacles forremoval to collection points outside the buildingsand disposed of safely and in a sanitary manner atregular and frequent intervals.

Ensure that there are no harborages and breedingareas for pests at the site

Ensure that properly closed areas are used forstorage of waste materials

PREMISES

Page 34: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Rodenticide, insecticides, fumigating agents and sanitizingmaterials used must not contaminate equipment, raw materials,packaging materials, in-process materials or finished products.There shall be a pest control programme, documents such aslayout, trending and expectations.

Contract agreements shall be established,

where applicable.

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PREMISES

Annex 5 - Sample of Pest Control Inspection RecordAnnex 6 - Sample of Pest Control Monitoring RecordAnnex 7 - Sample SOP on Pest Control

Page 35: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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Equipment drying

Dirty equipment IN

Equipment

washing

Dry, clean

equipment

storage

Corridor

Step over

WFI Rinse

HPW

wash and

WFI Rinse

Potable water

HPW Wash

WFI RinsePotable

water

Potable

water Material

airlock

Dispensing

1st PAL

2nd

PAL

Change

room

Dispensed

material

storage

Dispensing tools wash

HPW, and WFI

Material

storage

Quarantine

TMHS Solid dosage

storage

Released Semi finished

TMHS Solid dosage

storage

TMHS

Semi finished

Product exit

FBD

Mill

Technical area

No filtered air

Granulation room

Potable water

HPW

wash

Film Coater

Coating solution

Potable water

HPW

Granulation Buffer roomCoating buffer

Compression buffer

Compression

PREMISES

1

2 3 4

5

= Bait stations First rotation

= Bait stations Second rotation

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2 3 4

= electric insect eradicators

Layout of pest and insect control in Processing Area

= Mechanical traps

Page 36: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

sampling room

weighing roomEmergency Door

Emergency Door

Starting materials

Emergency Door

Packaging materials

Warehouse

finished products

Quarantine

Receiving area

MODULE CHAPTER 4 –Sanitation and Hygiene

1

2

3

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= Bait stations First rotation

= Bait stationsSecond rotation

5

1

2 3

4

= electric insect eradicators = Mechanical traps

Layout of pest and insect control in Warehouse

PREMISES

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Page 37: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

There shall be written procedures assigning responsibility forsanitation and describing cleaning schedules, methods,equipment, materials to be used and facilities to be cleaned insufficient detail. Such written procedures shall be followed andthe result shall be documented.

Annex 8 - SOP on Cleaning of Equipment and Accessories

Annex 9 - Cleaning Schedule Form

Annex 10 - Cleaning Record Form

Annex 11 - Cleaning Inspection Record

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PREMISES

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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MODULE CHAPTER 4 – Sanitation and Hygiene

Pets are not allowed within the vicinity of themanufacturing plant.

PREMISES

Page 39: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Equipment and utensils shall be cleaned bothinside and outside after use according toestablished procedures. Cleaned equipmentshall be kept or stored in a clean conditionand identified with the status of cleaning, andchecked for cleanliness prior to each use.

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EQUIPMENT AND UTENSILS

Page 40: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Vacuum or wet cleaning methods are preferred. Compressed airand brushes shall be used with care or avoided if possible, asthey increase the risk of product contamination

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Compressed air

EQUIPMENT AND UTENSILS

Page 41: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Cleaning agents, washing and cleaning equipment shall notbe a source of contamination.

The choice of cleaning method and agents shall be carefullyconsidered and justified.

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EQUIPMENT AND UTENSILS

Page 42: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Adequate space, preferably separated from processing areas,shall be provided for cleaning and storing mobile equipment andutensils including the storage of cleaning materials.

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EQUIPMENT AND UTENSILS

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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EQUIPMENT AND UTENSILS

A separate room maybe needed for storingclean, idle equipmentwhich should be keptdry at all times.

Page 44: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Written procedures shall be established and followed forcleaning and sanitising of equipment, utensils andcontainers used in the manufacture of health supplements.

Please see Annex 9 on Cleaning Schedule

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EQUIPMENT AND UTENSILS

Page 45: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

These procedures shall be prepared to prevent equipmentcontamination by cleaning or sanitising agents and shall at leastinclude the following:

1. Responsibility for cleaning

2. Cleaning schedule

3. Cleaning methods

4. Equipment and materials used in cleaning operations

5. Methods of disassembling and reassembling equipment

6. Removal of previous batch identification

7. Protection of clean equipment and utensils from contamination prior to use

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EQUIPMENT AND UTENSILS

Page 46: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

Records of cleaning, includingthe appropriate sanitising andinspection conducted prior touse shall be maintained.

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EQUIPMENT AND UTENSILS

Page 47: Sanitation and Hygiene - ASEAN

ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

REFERENCES

1. ASEAN Guidelines on Good Manufacturing Practice for Traditional Medicines.

2. ASEAN Guidelines on Good Manufacturing Practice for Health Supplements.

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ASEAN Guidelines on GMP for Traditional Medicines / Health Supplement 2015Chapter 4 - Sanitation and Hygiene

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THANK YOU!

ONE VISION, ONE IDENTITY, ONE COMMUNITY