workshop on risk assesment by palash ch das
TRANSCRIPT
www.uscgmp.com by Palash Ch Das
Quality Risk Management
ByPalash Chandra Daswww.uscgmp.com (official blog)
www.uscgmp.com by Palash Ch Das
Quality Risk Management Brief Introduction Correlation between Quantitate and
qualitative approach Implementation and assessment Discussion with practical example
www.uscgmp.com by Palash Ch Das
What is Quality The degree to which a set of inherent
properties of a product, system or process fulfills requirements. (ICH Q9)
www.uscgmp.com by Palash Ch Das
Overview of a typical quality risk management process
www.uscgmp.com by Palash Ch Das
Risk Assessment
As an aid to clearly defining the risk(s) for risk assessment purposes, three fundamental questions are often helpful:1. What might go wrong?2. What is the likelihood (probability) it will go wrong?3. What are the consequences (severity)?
www.uscgmp.com by Palash Ch Das
Risk identification is a systematic use of information to identify hazards referring to the risk question or problem description.
Information can include historical data, theoretical analysis, informed opinions, and the concerns of stakeholders.
Risk identification addresses the “What might go wrong?” question, including identifying the possible consequences.
Risk identification
www.uscgmp.com by Palash Ch Das
Risk analysis Risk analysis is the estimation of the
risk associated with the identified hazards.
It is the qualitative or quantitative process of linking the likelihood of occurrence and severity of harms.
In some risk management tools, the ability to detect the harm (detectability) also factors in the estimation of risk.
www.uscgmp.com by Palash Ch Das
Risk evaluation
Risk evaluation compares the identified and analyzed risk against given risk criteria.
Risk evaluations consider the strength of evidence for all three of the fundamental questions.
www.uscgmp.com by Palash Ch Das
Risk controlRisk control includes decision making to reduce and/or accept risks. The purpose of risk control is to reduce the risk to an acceptable level. The amount of effort used for risk control should be proportional to the significance of the risk. Decision makers might use different processes, including benefit-cost analysis, for understanding the optimal level of risk control.Risk control might focus on the following questions: Is the risk above an acceptable level? What can be done to reduce or eliminate risks? What is the appropriate balance among benefits, risks and
resources? Are new risks introduced as a result of the identified risks
being controlled?
www.uscgmp.com by Palash Ch Das
Risk reduction Risk reduction focuses on processes for
mitigation or avoidance of quality risk when it exceeds a specified (acceptable) level (see Fig. 1).
Risk reduction might include actions taken to mitigate the severity and probability of harm.
Processes that improve the detectability of hazards and quality risks might also be used as part of a risk control strategy.
The implementation of risk reduction measures can introduce new risks into the system or increase the significance of other existing risks.
www.uscgmp.com by Palash Ch Das
Risk acceptance
Risk acceptance is a decision to accept risk. Risk acceptance can be a formal decision to accept the residual risk or it can be a passive decision in which residual risks are not specified.
For some types of harms, even the best quality risk management practices might not entirely eliminate risk.
In these circumstances, it might be agreed that an appropriate quality risk management strategy has been applied and that quality risk is reduced to a specified (acceptable) level.
This (specified) acceptable level will depend on many parameters and should be decided on a case-by-case basis.
www.uscgmp.com by Palash Ch Das
Risk communication
www.uscgmp.com by Palash Ch Das
Risk review
www.uscgmp.com by Palash Ch Das
Life cycle of Risk Program
www.uscgmp.com by Palash Ch Das
Sub-components
Design Control system Components Safety Measuring instrument Document Process
www.uscgmp.com by Palash Ch Das
Design
Capacity e.g. Blower, Motor, Condenser, Exhaust, refrigerator etc.
Insufficient Space e.g. shelf /chamber size/work bench
Cleanability e.g. CIP or Manual Loading /Unloading e.g. Door
movement/ auto loading and unloading/ manual handling
Proper illuminations
www.uscgmp.com by Palash Ch Das
Control System
Access level verification Process automation/semi automatic Human machine Interface Data backup Online Monitor/record Printed data
www.uscgmp.com by Palash Ch Das
Components MOC Verification e.g. 316L or 304 Surface roughness e.g. internal mirror surface finish ≤0.5
µm Ra and external surface finish < 1.2µm Ra, matte finish. Wed joints e.g. All welds shall be ground finished to ≤1.2
µm Ra and properly passivated and orbital welding should be done
joints with triclover joints e.g. Gaskets e.g. shall be high temperature & pressure resistant
and O-rings coming in direct / indirect contact surfaces shall be made up of food grade polymeric materials only.
Filter and filter housing e.g. Porosity and certificates Proper tagging of components e.g. for identification as
per P&ID Lubricant e.g. Food grade certificate shall be provided for
lubricant
www.uscgmp.com by Palash Ch Das
Safety Electricity e.g. Equipment should start with
human intervention only. After regain of power the equipment should start from the step it stopped.
Control system e.g. Machine should stop with alarm.
Notifications e.g. Various utilities supply should be interlocked and indicated by alarm.
Noise level e.g. Noise level shall be below 75 dB at a distance of 1 m from the equipment.
Moving part wiring e.g. All moving parts & wiring to be covered, Proper earthlings of the equipment
www.uscgmp.com by Palash Ch Das
Measuring Instrument
Appropriate range e.g. Operational range of measuring instruments > instrument working range, appropriate accuracy, Mounting of instruments must give the possibility for dismounting and replacement, easy access for calibration
Calibration e.g. traceable to national or international standards
www.uscgmp.com by Palash Ch Das
Documents
Component certificates Operation manual Maintenance manual SOP for cleaning and operation Training to relevant Preventive maintenance
www.uscgmp.com by Palash Ch Das
Process impact
Evaluate how Controls are impacting the output Operational verification Performance verification Procedural Implementation Review the validated state Preventive maintenance Breakdown handling
www.uscgmp.com by Palash Ch Das
Qualitative approach
www.uscgmp.com by Palash Ch Das
Qualitative risk ranking
www.uscgmp.com by Palash Ch Das
FMEA model
www.uscgmp.com by Palash Ch Das
Example: Compounding or Filtration vesselSyste
mSub
components
Risk Justification
Mitigation
Vessel Agitator Agitator not working properly
Mixing may not be uniformed
• To control the speed, agitator shall be provided with VFD with indicator• Alarm will generated if
motor is tripped • The RPM beyond the
set limit shall notify the operator with alarm and shut down the process.• Agitator performance
(RPM) and controller shall be verified during OQ and requalification• PM procedure shall be
implement
www.uscgmp.com by Palash Ch Das
Example: Filling M/CSyste
mSub
components
Risk Justification
Mitigation
Filling M/C
Nitrogenpurging
Oxidation after filling
Nitrogen Gas flowreduces or stops atpurging station
• Nitrogen flow shall be controlled by flow meter
• Alarm shall be indicated for low pressure by machine
Filling M/C
Load cell Filling rejects
Load cell malfunctioning
• Operation range shall be verified
• Routine calibration policy need to be establish
• PM procedure • SOP shall be
prepared and training shall be imparted
www.uscgmp.com by Palash Ch Das
Example: De-pyrogenation Tunnel Syste
mSub
components
Risk Justification
Mitigation
Tunnel
Conveyor Over Loading of conveyor
If Filling M/C is stopped vial will accumulate in to the conveyor
• Inter lock in between filling and tunnel shall be checked during OQ
Conveyor Speed variability
Improper heat distribution and penetration during routine operation
• VFD shall be provided with VFD with indicator
• Conveyor speed shall be verify
www.uscgmp.com by Palash Ch Das
Example: LAF BenchSyste
mSub
components
Risk Justification
Mitigation
LAF Bench
Blower VibrationIn work bench
Sample may fall onbench due tovibration
Anti vibration pads /other mechanismshall be provided toavoid vibration.
Blower Blower efficiency reduce
Continuousrunning ofthe blowershall causelot of powerloss and maydamage theblower.
• The ON/OFF switch shall be provided for controlling the blower operation.
• LED indicators for the motor operation shall be provided.
www.uscgmp.com by Palash Ch Das
Example: MCDP
System
Sub componen
ts
Risk Justification Mitigation
MCDP Temperature controller
Temperature of steam goes down
Controller not get activate whenever steam temperature falls below the set limit.
• Controller challenge test shall be performed during OQ/OQ.
Steam pressure valve
Delay in distillation
Due to insufficientsteam supply Multicolumn efficiency may bedecrease
• Steam pressure valve shall be provided and Controllers shall be challenge in OQ
Risk mapping For Process
www.uscgmp.com by Palash Ch Das
Initiate Process Map Review process steps 9 times(e.g. Personnel,
Process, Equipment failure, Facility/utility) Identify the process GAP’s or Risk ranking
(e.g. Training, Supplier quality, audit, review validation and process SOP)
Communicate the risk Buildup the process control Reduce the risk Revisit the risk for review
www.uscgmp.com by Palash Ch Das
Process flow Manufacturing
www.uscgmp.com by Palash Ch Das
Process Mapping
www.uscgmp.com by Palash Ch Das
Reference ICH Q9 PDA TR 44 PIC/S Quality Risk Management PS/INF 1/2010 Annex 2, WHO TR 981 EudraLex The rules governing medicinal products in the
European Union, Vol. 4. Good manufacturing practice (GMP) guidelines (http://ec.europa.eu/health/documents/eudralex/vol-4/index_en.htm).
www.uscgmp.com by Palash Ch Das
Thank You