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Drugs and Health Products

Good Manufacturing Practices - Audit Report Form (FRM-0211)

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Health Products and Food Branch Inspectorate

Information protected when completed.

Please refer to the Instructions on how to complete the form.

General Information

A. Submission Information
1a. Date(s) of audit:
1b. Purpose of audit:

  • New Establishment Licence Application
  • Amendment to Establishment Licence
  • Renewal of Establishment Licence
  • In Support of a Drug Submission  (please specify)

2a. Date of last inspection:
2b. Type of last inspection:

  • Corporate Audit
  • Consultant Audit
  • Regulatory Agency  (please specify)
  • Qualified Authority  (please specify)
  • Other  (please specify)

B. Building Information
3. Building Name  4. Address, Number/Street/Land Location/Plot  5. City/Town  6. Province/State 7. Postal Code/Zip Code  8. Country  9. Telephone Number  10. Fax Number  11. Website 

C. Personnel
12a. Opening meeting attendees  12b. Closing meeting attendees

D. Scope of Audit
13. Operation(s):
14. Product(s)/Dosage Form(s):

E. Auditor Information
15. Name(s):
16. Type:

  • Corporate
  • Consultant

17. Qualifications and experience:

F. Background Information:
18.

Detailed Quality Assurance Report

Premises [C.02.004]

The premises in which a lot or batch of a drug is fabricated or packaged/labelled shall be designed, constructed and maintained in a manner that

  1. permits the operations therein to be performed under clean, sanitary and orderly conditions;
    (Yes No);
  2. permits the effective cleaning of all surfaces therein;  (Yes No); and
  3. prevents the contamination of the drug and the addition of extraneous material to the drug.
    (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Equipment [C.02.005]

The equipment with which a lot or batch of a drug is fabricated, packaged/labelled or tested shall be designed, constructed, maintained, operated and arranged in a manner that:

  1. permits the effective cleaning of its surfaces  (Yes No);
  2. prevents the contamination of the drug and the addition of extraneous material to the drug  (Yes No); and
  3. permits it to function in accordance with its intended use  (Yes No).

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Personnel [C.02.006]

Every lot or batch of a drug shall be fabricated, packaged/labelled, tested and stored under the supervision of personnel who, having regard to the duties and responsibilities involved, have had such technical, academic and other training as the Director considers satisfactory in the interests of the health of the consumer or purchaser. (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Sanitation [C.02.007]

  1. Every person who fabricates or packages/labels a drug shall have a written sanitation program that shall be implemented under the supervision of qualified personnel. (Yes No)
  2. The sanitation program referred to in subsection (1) shall include:
    1. cleaning procedures for the premises where the drug is fabricated or packaged/labelled and for the equipment used in the fabrication or packaging/labelling;  (Yes No) and
    2. instructions on the sanitary fabrication and packaging/labelling of drugs and the handling of materials used in the fabrication and packaging/labelling of drugs. (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Sanitation [C.02.008]

  1. Every person who fabricates or packages/labels a drug shall have, in writing, minimum requirements for the health and the hygienic behaviour and clothing of personnel to ensure the clean and sanitary fabrication and packaging/labelling of the drug.  (Yes No)
  2. No person shall have access to any area where a drug is exposed during its fabrication or packaging/labelling if the person
    1. is affected with or is a carrier of a disease in a communicable form; (Yes No); or
    2. has an open lesion on any exposed surface of the body. (Yes No).

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Raw Material Testing [C.02.009]

  1. Each lot or batch of raw material shall be tested against the specifications for that raw material prior to its use in the fabrication of a drug.  (Yes No)
  2. No lot or batch of raw material shall be used in the fabrication of a drug unless that lot or batch of raw material complies with the specifications for that raw material.  (Yes No)
  3. Notwithstanding subsection (1), water may, prior to the completion of its tests under that subsection, be used in the fabrication of a drug.  (Yes No)
  4. Where any property of a raw material is subject to change on storage, no lot or batch of that raw material shall be used in the fabrication of a drug after its storage unless the raw material is retested after an appropriate interval and complies with its specifications for that property.  (Yes No)
  5. Where the specifications referred to in subsections (1), (2) and (4) are not prescribed, they shall
    1. be in writing;  (Yes No);
    2. be acceptable to the Director who shall take into account the specifications contained in any publication mentioned in Schedule B to the Act;  (Yes No) and
    3. be approved by the person in charge of the quality control department  (Yes No).

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Raw Material Testing [C.02.010]

  1. The testing referred to in section C.02.009 shall be performed on a sample taken
    1. after receipt of each lot or batch of raw material on the premises of the fabricator;  (Yes No) or
    2. subject to subsection (2), before receipt of each lot or batch of raw material on the premises of the fabricator, if  (Yes No)
      1. the fabricator
        1. has evidence satisfactory to the Director to demonstrate that raw materials sold to him by the vendor of that lot or batch of raw material are consistently manufactured in accordance with and consistently comply with the specifications for those raw materials; and
        2. undertakes periodic complete confirmatory testing with a frequency satisfactory to the Director, and
      2. the raw material has not been transported or stored under conditions that may affect its compliance with the specifications for that raw material.
  2. After a lot or batch of raw material is received on the premises of the fabricator, the lot or batch of raw material shall be tested for identity.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Manufacturing Control [C.02.011]

  1. Every fabricator, packager/labeller, distributor referred to in paragraph C.01A.003(b) and importer of a drug shall have written procedures prepared by qualified personnel in respect of the drug to ensure that the drug meets the specifications for that drug.(Yes No)
  2. Every person required to have written procedures referred to in subsection (1) shall ensure that each lot or batch of the drug is fabricated, packaged/labelled and tested in compliance with those procedures.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Manufacturing Control [C.02.012]

  1. Every fabricator, packager/labeller, distributor referred to in section C.01A.003, importer and wholesaler of a drug shall maintain
    1. a system of control that permits complete and rapid recall of any lot or batch of the drug that is on the Market;  (Yes No) and
    2. a program of self-inspection.  (Yes No)
  2. Every fabricator and packager/labeller and, subject to subsections (3) and (4), every distributor referred to in paragraph C.01A.003(b) and importer of a drug shall maintain a system designed to ensure that any lot or batch of the drug fabricated and packaged/labelled on premises other than their own is fabricated and packaged/labelled in accordance with the requirements of this Division.  (Yes No)
  3. The distributor referred to in paragraph C.01A.003(b) of a drug that is fabricated, packaged/labelled and tested in Canada by a person who holds an establishment licence that authorizes those activities is not required to comply with the requirements of subsection (2) in respect of that drug.  (Yes No)
  4. If a drug is fabricated or packaged/labelled in an MRA country at a recognized building, the distributor referred to in paragraph C.01A.003(b) or importer of the drug is not required to comply with the requirements of subsection (2) in respect of that activity for that drug if
    1. the address of the building is set out in that person’s establishment licence;  (Yes No); and
    2. that person retains a copy of the batch certificate for each lot or batch of the drug received by that Person.  (Yes No).

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Quality Control Department [C.02.013]

  1. Every fabricator, packager/labeller, distributor referred to in paragraph C.01A.003(b) and importer shall have on their premises in Canada a quality control department that is supervised by personnel described in section C.02.006.  (Yes No)
  2. The quality control department referred to in subsection (1) shall be a distinct organizational unit that functions and reports to management independently of any other functional unit, including the manufacturing, processing, packaging or sales unit.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Quality Control Department [C.02.014]

  1. No lot or batch of drug shall be made available for sale unless the sale of that lot or batch is approved by the person in charge of the quality control department.  (Yes No)
  2. A drug that is returned to the fabricator, packager/labeller, distributor referred to in paragraph C.01A.003(b) or importer thereof shall not be made available for further sale unless the sale of that drug is approved by the person in charge of the quality control department. (Yes No)
  3. No lot or batch of raw material or of packaging/labelling material shall be used in the fabrication or packaging/labelling of a drug unless the material is approved for that use by the person in charge of the quality control department.  (Yes No)
  4. No lot or batch of a drug shall be reprocessed without the approval of the person in charge of the quality control department.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Quality Control Department [C.02.015]

  1. All fabrication, packaging/labelling, testing, storage and transportation methods and procedures that may affect the quality of a drug shall be examined and approved by the person in charge of the quality control department before their implementation.  (Yes No)
  2. The person in charge of the control department shall cause to be investigated every complaint on quality that is received and cause corrective action to be taken where necessary.  (Yes No)
  3. The person in charge of the quality control department shall cause all tests or examinations required pursuant to this Division to be performed by a competent laboratory.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Packaging Material Testing [C.02.016]

  1. Each lot or batch of packaging material shall, prior to its use in the packaging of a drug, be examined or tested against the specifications for that packaging material.  (Yes No)
  2. No lot or batch of packaging material shall be used in the packaging of a drug unless the lot or batch of packaging material complies with the specifications for that packaging material. (Yes No)
  3. The specifications referred to in subsections (1) and (2) shall
    1. be in writing;  (Yes No);
    2. be acceptable to the Director who shall take into account the specifications contained in any publication mentioned in Schedule B to the Act;  (Yes No) and
    3. be approved by the person in charge of the quality control department. (Yes No).  

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Packaging Material Testing [C.02.017]

  1. The examination or testing referred to in section C.02.016 shall be performed on a sample taken
    1. after receipt of each lot or batch of packaging material on the premises of the person who packages a Drug;  (Yes No) or
    2. subject to subsection (2), before receipt of each lot or batch of packaging material on the premises of the person who packages a drug, if  (Yes No)
      1. that person
        1. has evidence satisfactory to the Director to demonstrate that packaging materials sold to him by the vendor of that lot or batch of packaging material are consistently manufactured in accordance with and consistently comply with the specifications for those packaging materials, and
        2. undertakes periodic complete confirmatory examination or testing with a frequency satisfactory to the Director,
      2. the packaging material has not been transported or stored under conditions that may affect its compliance with the specifications for that packaging material.
  2. After a lot or batch of packaging material is received on the premises of the person who packages a drug,
    1. the lot or batch of the packaging material shall be examined or tested for identity;  (Yes No) and
    2. the labels shall be examined or tested in order to ensure that they comply with the specifications for those labels  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Finished Product Testing [C.02.018]

  1. Each lot or batch of a drug shall, prior to its availability for sale, be tested against the specifications for that drug.  (Yes No)
  2. No lot or batch of a drug shall be available for sale unless it complies with the specifications for that drug.  (Yes No)
  3. The specifications referred to in subsections (1) and (2) shall
    1. be in writing; (Yes No);
    2. be approved by the person in charge of the quality control department;  (Yes No) and
    3. comply with the Act and these Regulations.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Finished Product Testing [C.02.019]

  1. Subject to subsections (3) and (4), in the case of a packager/labeller, distributor referred to in paragraph C.01A.003(b) or importer, the testing referred to in section C.02.018 shall be performed on a sample taken
    1. after receipt of each lot or batch of the drug on the premises in Canada of the packager/labeller, distributor referred to in paragraph C.01A.003(b) or importer of the drug;  (Yes No) or
    2. subject to subsection (2), before receipt of each lot or batch of the drug on the premises described in paragraph (a), if  (Yes No)
      1. the packager/labeller, distributor referred to in paragraph C.01A.003(b) or importer
        1. has evidence satisfactory to the Director to demonstrate that drugs sold to him by the vendor of that lot or batch of the drug are consistently manufactured in accordance with and consistently comply with the specifications for those drugs, and
        2. undertakes periodic complete confirmatory testing with a frequency satisfactory to the Director, and
      2. the drug has not been transported or stored under conditions that may affect its compliance with the specifications for that drug.
  2. Where the packager/labeller, distributor referred to in paragraph C.01A.003(b) or importer of a drug receives a lot or batch of the drug on their premises in Canada, and the useful life of the drug is more than 30 days, the lot or batch shall be tested for identity, and the packager/labeller shall confirm the identity after the lot or batch is packaged/labelled. (Yes No)
  3. The distributor referred to in paragraph C.01A.003(b) of a drug that is fabricated,  those activities is not required to comply with the requirements of subsections (1) and (2) in respect of that drug. (Yes No)
  4. If a drug is fabricated, packaged/labelled and tested in an MRA country at a recognized building, the distributor referred to in paragraph C.01A.003(b) or importer of that drug is not required to comply with the requirements of subsections (1) and (2) in respect of that drug if
    1. the address of the building is set out in that person’s establishment licence; (Yes No) and
    2. that person retains a copy of the batch certificate for each lot or batch of the drug received by that person (Yes No).

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Records [C.02.020]

  1. Every fabricator, packager/labeller, distributor referred to in paragraph C.01A.003(b) and importer shall maintain on their premises in Canada, for each drug sold,
    1. master production documents for the drug;  (Yes No)
    2. evidence that each lot or batch of the drug has been fabricated, packaged/labelled, tested and stored in accordance with the procedures described in the master production documents;  (Yes No);
    3. evidence that the conditions under which the drug was fabricated, packaged/labelled, tested and stored are in compliance with the requirements of this Division; (Yes No)
    4. evidence establishing the period of time during which the drug in the container which it is sold will meet the specifications for that drug; (Yes No) and
    5. adequate evidence of the testing referred to in section C.02.018. (Yes No)
  2. Every distributor referred to in paragraph C.01A.003(b) and importer shall make available to the Director, on request, the results of testing performed on raw materials and packaging/labelling material for each lot or batch of a drug sold.  (Yes No)
  3. Every fabricator shall maintain on his premises
    1. the written specifications for the raw material;  (Yes No) and
    2. adequate evidence of the testing of the raw materials referred to in section C.02.009.  (Yes No)
  4. Every person who packages a drug shall maintain on his premises (Yes No)
    1. the written specifications for the packaging material; and
    2. adequate evidence of the packaging material examination or testing referred to in section C.02.016.
  5. Every fabricator shall maintain on their premises in Canada
    1. detailed plans and specifications of each building in Canada at which they fabricate,   package/label or test;  (Yes No) and
    2. a description of the design and construction of those buildings.  (Yes No)
  6. Every fabricator, packager/labeller and tester shall maintain on their premises in Canada details of the personnel employed to supervise the fabrication, packaging/labelling and testing, including each person’s title, responsibilities, qualifications, experience and training.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Records [C.02.021]

  1. Subject to subsection (2), all records and evidence on the fabrication, packaging/labelling, testing and storage of a drug that are required to be maintained under this Division shall be retained for a period of at least one year after the expiration date on the label of the drug, unless otherwise specified in the person’s establishment licence.  (Yes No)
  2. All records and evidence on the testing of raw materials and packaging/labelling materials that are required to be maintained under this Division shall be retained for a period of at least five years after the materials were last used in the fabrication or packaging/labelling of a drug, unless otherwise specified in the person’s establishment licence.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Records [C.02.022]

Every distributor referred to in section C.01A.003, wholesaler and importer of a drug shall retain records of the sale of each lot or batch of the drug, which enable them to recall the lot or batch from the market, for a period of at least one year after the expiration date of that lot or batch, unless otherwise specified in their establishment licence.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Records [C.02.023]

  1. On receipt of a complaint respecting the quality of a drug, every distributor referred to in paragraph C.01A.003(b) and importer of the drug shall make a record of the complaint and of its investigation and retain the record for a period of at least one year after the expiration date of the lot or batch of that drug, unless otherwise specified in their establishment licence.  (Yes No)
  2. On receipt of any information respecting the quality or hazards of a drug, every distributor referred to in paragraph C.01A.003(b) and importer of the drug shall make a record of the information and retain it for a period of at least one year after the expiration date of the lot or batch of that drug, unless otherwise specified in their establishment licence.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Records [C.02.024]

  1. Every fabricator, packager/labeller, distributor referred to in section C.01A.003, importer and wholesaler shall
    1. maintain records of the results of the self-inspection program required by section C.02.012 and of any action taken in connection with that program;  (Yes No) and
    2. retain those records for a period of at least three years.(Yes No)
  2. Every person who fabricates or packages/labels a drug shall
    1. maintain records on the operation of the sanitation program required to be implemented under section C.02.007; (Yes No) and
    2. retain those records for a period of at least three years.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Samples [C.02.025]

  1. Every distributor referred to in paragraph C.01A.003(b) and importer of a drug shall retain in Canada a sample of each lot or batch of the packaged/labelled drug for a period of at least one year after the expiration date on the label of the drug, unless otherwise specified in the distributor’s or importer’s establishment licence.  (Yes No)
  2. The fabricator shall retain a sample of each lot or batch of raw materials used in the fabrication of a drug for a period of at least two years after the materials were last used in the fabrication of the drug, unless otherwise specified in the fabricator’s establishment licence.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Samples [C.02.026]

The samples referred to in section C.02.025 shall be in an amount that is sufficient to determine whether the drug or raw material complies with the specifications for that drug or raw material.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Stability [C.02.027]

Every distributor referred to in paragraph C.01A.003(b) and importer shall establish the period of time during which each drug in the package in which it is sold will comply with the specifications.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Stability [C.02.028]

Every distributor referred to in paragraph C.01A.003(b) and importer shall monitor, by means of a continuing program, the stability of the drug in the package in which it is sold.  (Yes No)

If yes, describe. If no, provide a rationale (e.g. Not applicable because…)

Deviations
Identify and describe any noted GMP deviation(s) and the rationale for the deviation, where applicable.
No.
Observations
Risk Classification

Corrective actions
Detail the corrective action(s) taken and/or to be taken.

Attachments
Attach supporting documentation such as SOPs, action plans with timelines for each corrective action identified above.
List of attachments:

Overall Rating
This audit has demonstrated that the building(s), practice(s), procedure(s) used for conducting activities at this facility comply with the Good Manufacturing Practices set out in Division 2 of the Food and Drug Regulations. (Yes No)
If yes, describe. (e.g., The establishment has responded adequately to the deficiencies noted during this audit.)
If no, provide a rationale. (e.g. Not applicable because…)

Attestation
I hereby certify that all information contained in, or referenced by, this report is true, accurate and complete. No information is false or misleading; no omissions have knowingly been made that may affect its accuracy and completeness.

Name(s) of Auditor (Please print)
Signature(s) of Auditor
Date yyyy-mm-dd

Attestation (if applicable)
I hereby confirm that the facility referenced in Section B of this report is committed to implementing the appropriate changes, in order to comply with Division 2 of the Food and Drug Regulations.

Name of Authorized Signing Official (Please print)
Signature of Authorized Signing Official  
Date yyyy-mm-dd