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Prepared by: Dr/Anthony Gamal
(CMQ/OE certified professional)


                                  For Contact: Antonygamal@yahoo.com
Capa The Challenge And Solution
Capa The Challenge And Solution
Corrective
                   &
               Preventive
                actions

Facility &
                            Design
Equipmen
                            control
t controls

               Quality
             Management
               System       Productio
                               n&
Material
                             Process
controls
                             controls

               Records &
               document
               s Change
                control
Corrective
                   &
               Preventive
                actions

Facility &
                            Design
Equipmen
                            control
t controls



             CAPA system
                            Productio
                               n&
Material
                             Process
controls
                             controls

               Records &
               document
               s Change
                control
Capa The Challenge And Solution
Symptoms: Losing balance , Hypertension , paralysis
and finally death.


Overloading system with inputs without
first organizing them will result in :

1-wasting time and effort in so many tasks without considerable
outcomes.
2-Losing directions inside the CAPA maze.

3-Tension between departments and Silo thinking.

4-Paralysis of all activities waiting for the system to restart.

5-CAPA system terminated prematurely and abandoned .
Where to start ?



When to start ?



How to start ?



How to organize effort?
Capa The Challenge And Solution
Capa The Challenge And Solution
1-First collect data about the inputs for the CAPA system.
2-Rate inputs using a risk based prioritization system.
3-Focus on the Vital few and monitor the useful many until being
addressed.
4-Set actions based upon relative weight.
5-Allocate resources based upon the risk based approach.
6-Investigate root cause .
7-Apply corrective actions.
8-Assess the effectiveness of corrective actions.
9-Assess the impact and in case of presence of high impacts set
preventive actions.
10-
10-Assess effectiveness of preventive actions.
11-
11-Track and trend.
12-
12-Set control points.
13-
13-Document all steps at the quality management system.
Input

                                              CAPA system
                             Evaluate
                          (Issue review)       Flow Chart
                   Yes                       NO



  Correct
(Take action)




                            Effectiveness              Corrective
                               checks                   action



                                             High
                                                      Preventive
                               Impact                   action

                           Low


                            Track/Trend


            Fail                                    Pass

                         Implement Changes                          Document
CAPA input               Deviation Origin
                                                                  Document Review Worksheet


assessment Worksheet
                                                      OOT                                             Product Non-conformity
                                                      OOS                                             External Audit finding
                                                      NCR                                             Internal Audit finding

  Define origin                                       Incident
                                                      Complaint    Others:………………………
                                                                                                      management review

                                         Report No.:
                                         …………………………………...……………………………………………………………


  Collect Data
                              Data collection

                                                        …………………………………………………………………………………………………
                                             What

                                                      ……………………………………………………………………………………………………
                                            Where     ……...……………………………………………………………………………………………
                                                       .……………………………………………………………………………………………
                                                      ……………………………………………………………………………………………………
                                             When     ……...……………………………………………………………………………………………
                                                       .……………………………………………………………………………………………
                                                      ……………………………………………………………………………………………………
                                             Who      ……...……………………………………………………………………………………………
                                                       .……………………………………………………………………………………………
                                                      ……………………………………………………………………………………………………
                                            Weight    ……...……………………………………………………………………………………………
                                                       .……………………………………………………………………………………………

  Define risk priority        Risk assessment Matrix ( Gateway )
                              1. Put circle around the figure that
                                                                                       Acceptable
                                                                                       Unacceptable
                                                                                                            Impact(Severity)Scale




                                                                                                                 Negligible
                              describe the corresponding Severity and




                                                                                                                                                       Critical
                                                                                                                                              Major
                                                                                                                                  Minor
                              Occurrence of the problem.
                                                                                       High risk
                              2. Define the reproducible number for the
                              two values.
                              Revised problem statement                                                      ١                ٣           ٥           ١٠
                              The encountered Deviation
                                                                                                       ٥     ٥                ١٥          ٢٥          ٥٠




                                                                          Occurrence
                              risk assessment rating is:                               Continually
                              ………………………………                                             Frequently      ٣     ٣                ٩           ١٥          ٣٠
                                                                                       Occasionally    ٢     ٢                ٦           ١٠          ٢٠

                                                                                                       ١     ١                ٣           ٥           ١٠
  Revised problem statement   The encountered deviation is described as
                                                                                       Rare

                              …………………………………………………………………………………………………………………………………
                              …………………………………………………………………………………………………………………………………
                              ……………………

  Action Recommendations      Recommendation
                                      Initiate CAPA request
                                      Add to NCR and start Investigation
                                      Track and trend
                                      archive for knowledge management
                                                                    Prepared By: ………………………………
                                                                    approved By: ………………………………
1. Select the figure that                 Acceptable              Impact(Severity)Scale
describe the corresponding
Severity and Occurrence of                Unacceptable
the problem.




                                                                 Negligible




                                                                                                             Critical
                                                                                   Minor


                                                                                                Major
                                          High risk
2. Define the reproducible
number for the two values.                                   1                3            5            10


                                                         5   5                15           25           50
                                          Continually
                             Occurrence




                                                         3   3                9            15           30
                                          Frequently

                                                         2   2                6            10           20
                                          Occasionally

                                                         1   1                3            5            10
                                          Rare
Response          Adv.                       Consequences

Trial & Error     1-Instantanious.           1-Reactive.
                  2-Can reduce damage.       2-May add to variability in
                  3-Might find solution on   problem.
                  first trial.               3-Very risky.
Expert            1-Expand participation.    1-depend upon educated
/experiential     2-More Proactive.          guesswork
                  3-Depend on                rather than facts.
                  experience                 2-Risk of “Group think”.
                                             3-When experienced personnel
                                             leaves so does tacit knowledge.
Comparative       1-Fact-based.              1-Requires facts.
(Investigative)   2-Objective.               2-May take time at first.
.                 3-Very proactive           3-People always resist.
                  4-work efficiently with
                  experience/Expertise
Actions
Levels
1-Arrange actions into categories.

2-Set action categories in order using their due dates.

3-Test actions for effectiveness.

4-follow up proper implementation.

5-Close CAPA.
CAPA inputs


   CAPA
 Filtration
  system




  Investigation




Root cause




       A
A



                       Define Action




                                            Functional departments
                    Define responsibility
Quality Assurance




                     Define Due dates


                       Apply Actions


                    Effectiveness check


                       Closing CAPA
Dr/Anthony Gamal

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Capa The Challenge And Solution

  • 1. Prepared by: Dr/Anthony Gamal (CMQ/OE certified professional) For Contact: Antonygamal@yahoo.com
  • 4. Corrective & Preventive actions Facility & Design Equipmen control t controls Quality Management System Productio n& Material Process controls controls Records & document s Change control
  • 5. Corrective & Preventive actions Facility & Design Equipmen control t controls CAPA system Productio n& Material Process controls controls Records & document s Change control
  • 7. Symptoms: Losing balance , Hypertension , paralysis and finally death. Overloading system with inputs without first organizing them will result in : 1-wasting time and effort in so many tasks without considerable outcomes. 2-Losing directions inside the CAPA maze. 3-Tension between departments and Silo thinking. 4-Paralysis of all activities waiting for the system to restart. 5-CAPA system terminated prematurely and abandoned .
  • 8. Where to start ? When to start ? How to start ? How to organize effort?
  • 11. 1-First collect data about the inputs for the CAPA system. 2-Rate inputs using a risk based prioritization system. 3-Focus on the Vital few and monitor the useful many until being addressed. 4-Set actions based upon relative weight. 5-Allocate resources based upon the risk based approach. 6-Investigate root cause . 7-Apply corrective actions. 8-Assess the effectiveness of corrective actions. 9-Assess the impact and in case of presence of high impacts set preventive actions. 10- 10-Assess effectiveness of preventive actions. 11- 11-Track and trend. 12- 12-Set control points. 13- 13-Document all steps at the quality management system.
  • 12. Input CAPA system Evaluate (Issue review) Flow Chart Yes NO Correct (Take action) Effectiveness Corrective checks action High Preventive Impact action Low Track/Trend Fail Pass Implement Changes Document
  • 13. CAPA input Deviation Origin Document Review Worksheet assessment Worksheet OOT Product Non-conformity OOS External Audit finding NCR Internal Audit finding Define origin Incident Complaint Others:……………………… management review Report No.: …………………………………...…………………………………………………………… Collect Data Data collection ………………………………………………………………………………………………… What …………………………………………………………………………………………………… Where ……...…………………………………………………………………………………………… .…………………………………………………………………………………………… …………………………………………………………………………………………………… When ……...…………………………………………………………………………………………… .…………………………………………………………………………………………… …………………………………………………………………………………………………… Who ……...…………………………………………………………………………………………… .…………………………………………………………………………………………… …………………………………………………………………………………………………… Weight ……...…………………………………………………………………………………………… .…………………………………………………………………………………………… Define risk priority Risk assessment Matrix ( Gateway ) 1. Put circle around the figure that Acceptable Unacceptable Impact(Severity)Scale Negligible describe the corresponding Severity and Critical Major Minor Occurrence of the problem. High risk 2. Define the reproducible number for the two values. Revised problem statement ١ ٣ ٥ ١٠ The encountered Deviation ٥ ٥ ١٥ ٢٥ ٥٠ Occurrence risk assessment rating is: Continually ……………………………… Frequently ٣ ٣ ٩ ١٥ ٣٠ Occasionally ٢ ٢ ٦ ١٠ ٢٠ ١ ١ ٣ ٥ ١٠ Revised problem statement The encountered deviation is described as Rare ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… …………………… Action Recommendations Recommendation Initiate CAPA request Add to NCR and start Investigation Track and trend archive for knowledge management Prepared By: ……………………………… approved By: ………………………………
  • 14. 1. Select the figure that Acceptable Impact(Severity)Scale describe the corresponding Severity and Occurrence of Unacceptable the problem. Negligible Critical Minor Major High risk 2. Define the reproducible number for the two values. 1 3 5 10 5 5 15 25 50 Continually Occurrence 3 3 9 15 30 Frequently 2 2 6 10 20 Occasionally 1 1 3 5 10 Rare
  • 15. Response Adv. Consequences Trial & Error 1-Instantanious. 1-Reactive. 2-Can reduce damage. 2-May add to variability in 3-Might find solution on problem. first trial. 3-Very risky. Expert 1-Expand participation. 1-depend upon educated /experiential 2-More Proactive. guesswork 3-Depend on rather than facts. experience 2-Risk of “Group think”. 3-When experienced personnel leaves so does tacit knowledge. Comparative 1-Fact-based. 1-Requires facts. (Investigative) 2-Objective. 2-May take time at first. . 3-Very proactive 3-People always resist. 4-work efficiently with experience/Expertise
  • 17. 1-Arrange actions into categories. 2-Set action categories in order using their due dates. 3-Test actions for effectiveness. 4-follow up proper implementation. 5-Close CAPA.
  • 18. CAPA inputs CAPA Filtration system Investigation Root cause A
  • 19. A Define Action Functional departments Define responsibility Quality Assurance Define Due dates Apply Actions Effectiveness check Closing CAPA