Title Page
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Site conducted
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Manufacturer
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Manufacturing Facility
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Equipment/System
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Protocol Author
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Conducted on
Process Validation Report Template
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Instructions:
1. Identify the impact of each equipment on the product
2. Determine its corresponding risk priority and add relevant photos by tapping the image icon
3. Specify qualification protocol such as environmental requirements, utilities supply, SOPs available, calibration equipment, acceptance criteria vs. performance test results, and areas of deviation.
4. Describe conclusions on the validity of the equipment/system and create actions by tapping the action icon
5. Sign of with digital signatures of the validation manager, head of quality assurance and production officer
Equipment Criticality & Risk Assessment
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Mixing Tanks
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Risk Priority
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Raw Material and Consumable Refrigerators and Freezers
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Risk Priority
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Toxic Gas Detectors
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Risk Priority
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Pipettes
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Risk Priority
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Product Transfer Pumps
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Risk Priority
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Unfiltered HVAC System
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Risk Priority
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Dust Extraction
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Risk Priority
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Trolleys
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Risk Priority
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Laminar Flow and Safety Cabinets
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Risk Priority
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Safety Barriers
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Risk Priority
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Scissors/Clamps
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Risk Priority
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Emergency Stops
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Risk Priority
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Retort Stands
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Risk Priority
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Product Storage Refrigerators and Freezers
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Risk Priority
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Personal Protection Equipment
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Risk Priority
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Filling Equipment
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Risk Priority
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Production Balances
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Risk Priority
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Autoclaves
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Risk Priority
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Centirfuges
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Risk Priority
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Fire Suppression Systems
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Risk Priority
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Process Water Generators
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Risk Priority
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Automated Cleaning Equipment
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Risk Priority
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Filtered HVAC Systems
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Risk Priority
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Manual Cleaning Equipment
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Risk Priority
Qualification Protocol
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Process(es) subject to process validation
- Dispensing
- Gowning
- Mixing
- Filling
- Tableting
- Encapsulation
- Freeze drying
- Container closure
- Quarantine
- Release
- Other
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Specify
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Environmental requirements
- Temperature
- Humidity
- Lighting
- Noise level
- Electrostatic discharge isolation
- Other
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Specify
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Utilities supply
- Electricity
- Clean steam boiler
- Compressed air
- Nitrogen
- Other
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Specify
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SOPs available
- Operation
- Configuration Control
- Disaster Recovery
- Preventive Maintenance
- Cleaning
- Other
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Specify
Calibration Equipment
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Apparatus/Instrument
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Calibration Method
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Calibration Date
Results
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Control Point/Alarm
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Output
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Calibration
Acceptance Criteria Vs. Performance Test Results
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Criteria
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Result
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Decision
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Area(s) of Deviation
- Model/Serial No.
- Specification
- Manual
- Drawing
- Wiring/Cabling
- Power/Fusing
- SOP (Operation)
- SOP (Maintenance)
- SOP (Calibration)
- Input/Output Control
- Environment
- Test Equipment of Instruments
- Utilities and Service
- Spare Parts List, Part Number and Supplier
- Other
- None
Deviations
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Requirement/Order
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Actual
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Justification for Acceptance
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Impact on Operation, Function, or Process
Completion
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Qualification Protocol Results
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Conclusions on the validity of the equipment/system
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Production Officer Name & Signature
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Validation Manager Name & Signature
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Head of Quality Assurance Name & Signature