BIO-QMS Platform User Documentation
Version: 1.0.0 Last Updated: February 17, 2026 Classification: Customer Documentation Regulatory Compliance: FDA 21 CFR Part 11, HIPAA, SOC 2 Type II
Table of Contents
1. Getting Started Guide
1.1 System Access and Authentication
The BIO-QMS platform is a regulated SaaS application requiring secure authentication compliant with FDA 21 CFR Part 11.10(g) for user identification and authentication.
Initial Login
Step 1: Access the Platform
Navigate to your organization's BIO-QMS URL (typically https://your-org.bio-qms.coditect.ai). You'll see the login screen with your organization's branding.
Step 2: Enter Credentials
- Username: Your organizational email address
- Password: Temporary password provided by your system administrator
Important: Passwords must meet complexity requirements:
- Minimum 12 characters
- At least one uppercase letter
- At least one lowercase letter
- At least one number
- At least one special character (!@#$%^&*)
- Cannot reuse last 5 passwords
- Expires every 90 days
Step 3: Two-Factor Authentication (2FA)
Upon first login, you'll be prompted to set up 2FA:
-
Choose your preferred method:
- Authenticator App (recommended): Use Google Authenticator, Authy, or Microsoft Authenticator
- SMS Code: Receive codes via text message
- Hardware Token: Use a FIDO2-compatible security key
-
Follow the setup wizard to complete 2FA enrollment
-
Save your backup recovery codes in a secure location
Step 4: Change Your Password
You'll be required to change the temporary password on first login:
- Enter your temporary password
- Create a new password meeting complexity requirements
- Confirm the new password
- Click "Update Password"
Step 5: Accept Terms of Use
Review and accept your organization's Quality System terms of use. This acceptance is logged in the audit trail.
Multi-Factor Authentication (MFA)
Every login requires MFA verification. After entering your password:
- Open your authenticator app
- Enter the 6-digit time-based code
- Click "Verify"
Tip: If you lose access to your MFA device, contact your system administrator with one of your backup recovery codes.
Password Reset
If you forget your password:
- Click "Forgot Password?" on the login screen
- Enter your email address
- Check your email for a password reset link (expires in 1 hour)
- Click the link and create a new password
- Complete MFA verification
Security Note: Failed login attempts are tracked. After 5 consecutive failures, your account will be locked for 30 minutes. Contact your administrator if you need immediate access.
1.2 Platform Navigation
Main Navigation Bar
The BIO-QMS platform uses a role-based navigation structure. Your menu options depend on your assigned role and permissions.
Dashboard (Home icon)
- System health metrics
- Your assigned tasks
- Recent activity
- Pending approvals
Documents (Folder icon)
- Document library
- My Documents
- Pending Reviews
- Templates
CAPA (Clipboard with checkmark icon)
- Active CAPAs
- My CAPA Actions
- CAPA Dashboard
- CAPA Reports
Deviations (Exclamation triangle icon)
- Open Deviations
- My Investigations
- Deviation Log
- Deviation Reports
Work Orders (Wrench icon)
- Active Work Orders
- Work Order Calendar
- Resource Management
- Validation Protocols
Training (Graduation cap icon)
- Required Training
- Training History
- Curriculum Management
- Competency Records
Reports (Chart icon)
- Standard Reports
- Custom Reports
- Compliance Dashboard
- Audit Trail Viewer
Administration (Gear icon) — Admin role only
- User Management
- System Configuration
- Audit Settings
- Backup & Recovery
Quick Actions Bar
The Quick Actions bar provides one-click access to common tasks:
- + New Document: Create a new controlled document
- + New CAPA: Initiate a CAPA record
- + Report Deviation: Record a deviation
- Search: Global search across all modules
- Notifications: View system notifications (bell icon with badge)
- Help: Access contextual help (question mark icon)
- Profile: Access user settings (user avatar icon)
Breadcrumb Navigation
Every page displays breadcrumb navigation at the top:
Home > Documents > SOPs > Manufacturing > SOP-MFG-001
Click any breadcrumb segment to navigate to that level.
Context Menus
Right-click on any record to access context-specific actions:
- Documents: View, Edit, Review, Approve, Download, Retire
- CAPA: View Details, Update Status, Add Action, Export
- Deviations: Investigate, Classify, Link to CAPA, Close
1.3 User Profile and Settings
Access your profile by clicking your avatar in the top-right corner.
Profile Information
Personal Details
- Full Name
- Employee ID
- Email Address (primary contact)
- Phone Number
- Department
- Job Title
- Manager
Professional Qualifications
- Certifications
- Training Records
- GxP Experience Level
- Audit History
User Preferences
Display Settings
- Language: English (US), English (UK), German, French, Spanish
- Time Zone: Automatically detected or manually set
- Date Format: MM/DD/YYYY, DD/MM/YYYY, YYYY-MM-DD
- Theme: Light mode, Dark mode, High contrast
Notification Preferences
Configure how you receive notifications:
| Notification Type | In-App | SMS | |
|---|---|---|---|
| Document Approval Required | ✓ | ✓ | Optional |
| CAPA Action Assigned | ✓ | ✓ | Optional |
| Deviation Investigation Assigned | ✓ | ✓ | Optional |
| Training Deadline Approaching | ✓ | ✓ | - |
| System Maintenance | ✓ | ✓ | - |
Email Digest Settings
- Immediate: Receive emails as events occur
- Daily Digest: One email per day at 8:00 AM
- Weekly Digest: One email on Monday mornings
Electronic Signature Configuration
Setting Up Your E-Signature
Your electronic signature is used to approve documents, close CAPAs, and verify critical actions. Per FDA 21 CFR Part 11.50:
- Navigate to Profile > E-Signature Settings
- Click "Configure E-Signature"
- Enter your unique e-signature password (different from login password)
- Confirm e-signature password
- Review and accept e-signature policy
- Click "Activate E-Signature"
E-Signature Requirements:
- Minimum 16 characters
- Cannot be the same as login password
- Must contain uppercase, lowercase, number, and special character
- Never share your e-signature password
- System will prompt for re-entry every 30 minutes during active use
Meaning of Your E-Signature:
When you apply your electronic signature, you are certifying:
- You have reviewed the content
- The information is accurate and complete
- You take responsibility for the action
- The signature is legally binding
1.4 Creating Your First Document
This walkthrough demonstrates creating a Standard Operating Procedure (SOP) from scratch.
Step-by-Step: Creating an SOP
Step 1: Navigate to Documents
- Click "Documents" in the main navigation
- Select "My Documents" or navigate to your department's folder
- Click "+ New Document" button
Step 2: Select Document Type
Choose from available templates:
- Standard Operating Procedure (SOP)
- Work Instruction (WI)
- Test Protocol
- Validation Protocol (IQ/OQ/PQ)
- Training Material
- Blank Controlled Document
Select "Standard Operating Procedure (SOP)"
Step 3: Fill Document Metadata
Complete the required fields:
| Field | Description | Example |
|---|---|---|
| Document Title | Descriptive name | "Aseptic Gowning Procedure" |
| Document Number | Auto-generated or manual | SOP-MFG-042 |
| Department | Owner department | Manufacturing |
| Category | Classification | Process/Safety/Quality |
| Regulatory Impact | Compliance scope | FDA, HIPAA, ISO 13485 |
| Effective Date | When it takes effect | 30 days post-approval |
| Review Cycle | Re-approval frequency | Annual (1 year) |
| Tags | Searchable keywords | aseptic, gowning, cleanroom |
Step 4: Define Authors and Reviewers
Author Section:
- Primary Author: You (auto-populated)
- Co-Authors: Add collaborators who can edit
- Subject Matter Experts: Add consultants
Review Workflow:
- Click "Configure Review Workflow"
- Add reviewers in order:
- Technical Reviewer: Manufacturing Supervisor
- Quality Review: QA Manager
- Final Approver: QA Director
- Set review SLA: 5 business days per reviewer
- Enable parallel review (optional): Multiple reviewers can review simultaneously
Step 5: Write Document Content
The document editor provides:
Rich Text Formatting:
- Headers (H1, H2, H3)
- Bold, Italic, Underline
- Bulleted and numbered lists
- Tables
- Hyperlinks
- Images and diagrams
Controlled Elements:
- Insert document cross-references (links to other SOPs)
- Add regulatory citations (automatically formatted)
- Insert forms and checklists
- Embed training materials
Version Control:
- Auto-save every 2 minutes
- Manual save: Ctrl+S (Cmd+S on Mac)
- View revision history: Click "History" button
Example SOP Content Structure:
# 1. PURPOSE
Define the procedure for aseptic gowning prior to entry into classified cleanroom areas.
# 2. SCOPE
Applies to all personnel entering ISO Class 5, 6, or 7 cleanroom environments.
# 3. RESPONSIBILITIES
- Personnel: Follow gowning procedure
- QA: Audit compliance quarterly
- Training: Provide initial and annual refresher training
# 4. PROCEDURE
## 4.1 Pre-Gowning Hygiene
1. Remove all jewelry, watches, and accessories
2. Wash hands thoroughly for minimum 30 seconds
3. Dry hands with lint-free towel
## 4.2 Gowning Sequence
[Detailed steps...]
# 5. REFERENCES
- SOP-QA-015: Cleanroom Qualification and Monitoring
- FDA Guidance: Sterile Drug Products Produced by Aseptic Processing
# 6. CHANGE HISTORY
| Version | Date | Author | Change Description |
|---------|------|--------|-------------------|
| 1.0 | 2026-02-17 | J. Smith | Initial release |
Step 6: Attach Supporting Documents
Click "Attachments" tab to add:
- Training videos
- Flow diagrams
- Forms and templates
- External references (PDFs)
Maximum attachment size: 50 MB per file. Allowed formats: PDF, DOCX, XLSX, PNG, JPG, MP4.
Step 7: Save as Draft
Click "Save Draft" to preserve your work. The document status is "Draft" and is:
- Not visible to general users
- Editable by authors and co-authors
- Not part of the controlled document system yet
Step 8: Submit for Review
When ready:
- Click "Submit for Review"
- Add submission comments (optional)
- Confirm submission
The document status changes to "In Review" and:
- Is locked from further editing by authors
- Appears in reviewers' "Pending Reviews" queue
- Generates email notifications to all reviewers
- Starts the review SLA clock
Step 9: Track Review Progress
Monitor review status:
- Click "Documents" > "My Submissions"
- View document card showing review progress:
- ✓ Technical Reviewer: Approved (2 days)
- ⏳ Quality Review: Pending (3 days remaining)
- ⏸ Final Approver: Not started
Step 10: Address Review Comments
If reviewers request changes:
- Document status returns to "Draft - Revisions Required"
- Review comments appear in the "Comments" tab
- Make requested changes
- Respond to each comment: "Addressed" or "Will not change (rationale)"
- Re-submit when complete
Step 11: Final Approval and Effectiveness
When all reviewers approve:
- Document status: "Approved - Pending Effective Date"
- QA Director applies electronic signature
- System calculates effective date (e.g., 30 days post-approval)
- Training notifications are sent to affected personnel
- On effective date, status changes to "Active"
Step 12: Communicate Document Release
The system automatically:
- Sends "New Document Available" emails to target audience
- Creates training assignments for personnel
- Adds document to searchable library
- Publishes to controlled copy distribution lists
1.5 Understanding Roles and Permissions
BIO-QMS uses role-based access control (RBAC) compliant with SOC 2 and FDA requirements for access control (21 CFR 11.10(d)).
Standard User Roles
1. Document Author
Permissions:
- Create new documents
- Edit own draft documents
- Submit documents for review
- View published documents
- Respond to review comments
Typical Users: QA Specialists, Lab Technicians, Manufacturing Engineers
2. Document Reviewer
Permissions:
- All Document Author permissions, plus:
- Review documents assigned to them
- Add review comments
- Approve or reject documents
- Request revisions
Typical Users: Technical Leads, QA Managers
3. Quality Assurance Manager
Permissions:
- All Document Reviewer permissions, plus:
- Final approval authority for SOPs and protocols
- Create and manage CAPA records
- Approve root cause analyses
- Close CAPA records with e-signature
- View all audit trails
- Generate compliance reports
Typical Users: QA Managers, Compliance Officers
4. System Owner
Permissions:
- All QA Manager permissions, plus:
- Approve work orders affecting validated systems
- Authorize deviation resolutions
- Override approval workflows (logged)
- Delegate authority temporarily
Typical Users: VP Quality, VP Operations, Department Heads
5. Administrator
Permissions:
- All System Owner permissions, plus:
- User account management (create, modify, deactivate)
- System configuration
- Backup and restore operations
- Audit log access (read-only)
- Security settings
- Integration management
Typical Users: IT Administrators, System Administrators
Important: Administrators cannot modify audit trail records. Audit trail is append-only and immutable per 21 CFR 11.10(e).
6. Auditor (Read-Only)
Permissions:
- View all documents, CAPAs, deviations, work orders
- Access complete audit trails
- Generate compliance reports
- Export data for regulatory submissions
- No edit or approval permissions
Typical Users: Internal Auditors, External Auditors, Regulatory Inspectors
Permission Matrix
| Action | Author | Reviewer | QA Mgr | System Owner | Admin | Auditor |
|---|---|---|---|---|---|---|
| Create Document | ✓ | ✓ | ✓ | ✓ | ✓ | - |
| Review Document | - | ✓ | ✓ | ✓ | ✓ | - |
| Approve Document | - | Partial | ✓ | ✓ | ✓ | - |
| Retire Document | - | - | ✓ | ✓ | ✓ | - |
| Create CAPA | ✓ | ✓ | ✓ | ✓ | ✓ | - |
| Approve Root Cause | - | - | ✓ | ✓ | ✓ | - |
| Close CAPA | - | - | ✓ | ✓ | ✓ | - |
| Record Deviation | ✓ | ✓ | ✓ | ✓ | ✓ | - |
| Investigate Deviation | - | ✓ | ✓ | ✓ | ✓ | - |
| View Audit Trail | Own | Assigned | All | All | All | All |
| Export Data | Own | Assigned | All | All | All | All |
| Manage Users | - | - | - | - | ✓ | - |
| Configure System | - | - | - | - | ✓ | - |
Temporary Access Elevation
In emergencies, System Owners can grant temporary elevated permissions:
- Navigate to User Management
- Select target user
- Click "Grant Temporary Access"
- Choose elevated role
- Set expiration (max 48 hours)
- Provide justification
- Apply e-signature
All temporary access grants are logged and auditable.
2. Document Management User Guide
2.1 Document Lifecycle Overview
BIO-QMS implements a compliant document control system per FDA 21 CFR Part 11 and ISO 13485:2016 Section 4.2.4 (Control of documents).
Document States
Documents progress through a defined lifecycle:
DRAFT → IN_REVIEW → APPROVED → ACTIVE → SUPERSEDED → OBSOLETE
│ │ │ │ │ │
│ │ │ │ │ └─► Archived
│ │ │ │ └─► New version activated
│ │ │ └─► Effective date reached
│ │ └─► All approvals obtained
│ └─► Submitted for review
└─► Initial creation
State Descriptions:
| State | Description | Editable | Visible to Users |
|---|---|---|---|
| DRAFT | Work in progress | Authors only | Authors only |
| IN_REVIEW | Undergoing review workflow | No | Reviewers + Authors |
| APPROVED | Approved but not yet effective | No | All users (watermarked) |
| ACTIVE | Currently in effect | No | All users |
| SUPERSEDED | Replaced by newer version | No | All users (read-only) |
| OBSOLETE | Retired, no longer valid | No | Restricted access |
Regulatory Requirements Met
FDA 21 CFR Part 11.10(c): Protection of records to enable accurate and ready retrieval
- All document versions retained indefinitely
- Audit trail captures all changes, including who, what, when
FDA 21 CFR Part 11.10(e): Audit trail for record creation, modification, deletion
- Every document action logged with timestamp, user ID, and reason
- Audit trail immutable (append-only database table)
FDA 21 CFR Part 11.50: Signature manifestations
- Electronic signatures display: Signed by [Name] on [Date] at [Time]
- Signature meaning displayed: "I approve this document for controlled use"
ISO 13485:2016 4.2.4: Document control requirements
- Documents reviewed and approved before use
- Current revision status identified
- Obsolete documents prevented from unintended use
- Retained documents legible and identifiable
2.2 Creating and Editing Documents
Document Templates
BIO-QMS provides pre-configured templates compliant with regulatory standards:
1. Standard Operating Procedure (SOP)
Template Structure:
- Purpose
- Scope
- Responsibilities
- Definitions
- Procedure (numbered steps)
- References
- Change History
Use Case: Process instructions requiring strict compliance (e.g., "Batch Release Procedure")
2. Work Instruction (WI)
Template Structure:
- Objective
- Applicable Equipment
- Materials Required
- Step-by-Step Instructions (with photos/diagrams)
- Expected Results
- Troubleshooting
Use Case: Task-level instructions for operators (e.g., "Loading Autoclave")
3. Validation Protocol (IQ/OQ/PQ)
Template Structure:
- Introduction and Scope
- System Description
- Acceptance Criteria
- Test Procedures
- Data Recording Sheets
- Approval Signatures
- Deviation Log
Use Case: Formal validation of equipment, systems, or processes
4. Test Protocol
Template Structure:
- Test Objectives
- Test Environment
- Test Cases (with expected results)
- Pass/Fail Criteria
- Traceability Matrix
- Test Execution Log
Use Case: Software validation, method validation, analytical testing
5. Training Material
Template Structure:
- Learning Objectives
- Content Modules
- Exercises and Quizzes
- Evaluation Criteria
- Training Record Form
Use Case: GxP training curriculum, SOP training
Advanced Editing Features
1. Collaborative Editing
Multiple authors can work simultaneously:
- Real-time presence indicators show who's editing
- Section-level locking prevents conflicts
- Merge conflicts resolved automatically
- Comments and suggestions visible to all co-authors
2. Document Linking
Create traceable links between documents:
Reference SOP: [[SOP-QA-015]]
System automatically:
- Validates link target exists
- Displays version number
- Creates bidirectional traceability
- Notifies if referenced document changes
3. Regulatory Citations
Insert citations that auto-format:
[FDA CFR 820.90(a)]
Expands to: FDA 21 CFR Part 820.90(a) — Nonconforming product
4. Controlled Terminology
Use organization-specific terminology library:
- Type abbreviation (e.g., "API")
- System suggests full term: "Active Pharmaceutical Ingredient"
- Maintains consistency across documents
5. Spell Check and Grammar
Real-time checking with:
- Medical/pharmaceutical dictionary
- Regulatory terminology
- Organization-specific terms
- Grammar and style suggestions
6. Accessibility Compliance
Document editor enforces WCAG 2.1 AA standards:
- Heading hierarchy validation
- Alt text required for images
- Color contrast checking
- Screen reader compatibility
2.3 Review and Approval Workflow
Configuring Review Workflows
Sequential Review:
Reviewers approve in order:
Author → Tech Reviewer → QA Reviewer → QA Manager → Approved
If any reviewer rejects, document returns to author.
Parallel Review:
Multiple reviewers approve simultaneously:
┌→ Tech Reviewer 1 ─┐
Author → ─────┼→ Tech Reviewer 2 ─┼→ QA Manager → Approved
└→ SME Reviewer ────┘
Document proceeds when all parallel reviewers approve.
Hybrid Workflow:
Combine sequential and parallel:
Author → ─┬→ Tech Review 1 ─┬→ QA Review → QA Director → Approved
└→ Tech Review 2 ─┘
Review Process
For Reviewers:
Step 1: Receive Review Assignment
Notification received via email and in-app:
Subject: Document Review Required — SOP-MFG-042
You have been assigned to review:
Title: Aseptic Gowning Procedure
Type: Standard Operating Procedure
Author: Jane Smith
Due Date: February 22, 2026 (5 days)
[Review Now] [View Details]
Step 2: Access Document for Review
- Click notification or navigate to "Documents" > "Pending Reviews"
- Click document to open in review mode
- Document displays in read-only view with review tools
Step 3: Review Document Content
Use review tools:
Commenting:
- Highlight text
- Right-click > "Add Comment"
- Enter comment text
- Set severity: Info, Suggestion, Must Fix
- Click "Save Comment"
Track Changes:
- Enable "Suggest Changes" mode
- Edit document (changes shown in red strikethrough / green underline)
- System tracks your suggestions
Review Checklist:
Document-specific checklists ensure thorough review:
☐ Purpose and scope clearly defined
☐ All steps are actionable and unambiguous
☐ Safety warnings included where applicable
☐ Referenced documents are current and correct
☐ Regulatory requirements addressed
☐ Training requirements identified
☐ Change history updated
☐ Spelling and grammar checked
Step 4: Make Review Decision
Choose one of four actions:
1. Approve
- Click "Approve" button
- Add approval comments (optional)
- Enter e-signature password
- Click "Confirm Approval"
Your electronic signature is applied:
Approved by: John Doe, QA Manager
Date: 2026-02-18 14:32:15 UTC
Meaning: I certify this document is accurate, complete, and ready for use
2. Approve with Comments
- Click "Approve with Comments"
- Comments are non-blocking (informational only)
- Document proceeds to next reviewer
3. Request Revisions
- Click "Request Revisions"
- Select comments marked "Must Fix"
- Add summary of required changes
- Enter e-signature password
- Document returns to author
4. Reject
- Click "Reject" (use sparingly)
- Provide detailed rejection rationale
- Enter e-signature password
- Document returns to draft state
Step 5: Track Review Completion
System notifies you when document is fully approved:
Subject: Document Approved — SOP-MFG-042
The document you reviewed has been fully approved:
Title: Aseptic Gowning Procedure
Effective Date: March 20, 2026
Thank you for your review.
Approval Escalation
If reviewer does not respond within SLA:
Day 1-3: No action Day 4: Reminder email sent Day 5 (due date): Overdue notification to reviewer and reviewer's manager Day 7: Escalation to QA Director with option to:
- Extend deadline
- Reassign to different reviewer
- Override with justification
All escalations are logged in audit trail.
2.4 Version Control and Revision Management
Version Numbering
BIO-QMS uses major.minor version numbering:
Major Version (X.0):
- Significant content changes
- Regulatory impact changes
- Process changes requiring retraining
- Requires full review and approval workflow
Minor Version (X.Y):
- Editorial corrections (typos, formatting)
- Clarifications that don't change meaning
- Updated cross-references
- Expedited review process (QA Manager only)
Examples:
- v1.0 → v2.0: Changed acceptance criteria for batch release (major)
- v2.0 → v2.1: Fixed typo in equipment name (minor)
- v2.1 → v3.0: Added new inspection step (major)
Creating a New Version
Step 1: Identify Need for Revision
Triggers for revision:
- Regulatory requirement change
- Process improvement identified
- CAPA-driven corrective action
- Scheduled periodic review (annual)
- Audit finding
Step 2: Initiate Revision
- Navigate to document (must be in ACTIVE state)
- Click "Actions" > "Create New Version"
- Select version type:
- Major Revision: Full review workflow
- Minor Revision: Expedited workflow
- Provide revision reason:
Reason for Change: CAPA-2026-0042 identified risk of contamination during gowning step 4.2.3. Adding airlock verification requirement. - Click "Create Revision"
Step 3: Edit New Version
- System creates draft v2.0 (current active version remains v1.0)
- Edit new version in Draft state
- Track changes mode automatically enabled
- Previous version displayed side-by-side for comparison
Step 4: Document Changes
Update Change History table (auto-populated template):
| Version | Date | Author | Change Description |
|---|---|---|---|
| 1.0 | 2025-06-15 | J. Smith | Initial release |
| 2.0 | 2026-02-18 | J. Smith | Added airlock verification at step 4.2.3 per CAPA-2026-0042. Updated training requirements. |
Step 5: Submit for Review
- Submit new version through review workflow
- Reviewers see side-by-side comparison with previous version
- Changes highlighted automatically
Step 6: Version Activation
When v2.0 is approved:
- v1.0 status changes from ACTIVE to SUPERSEDED
- v2.0 status changes to ACTIVE
- Training assignments generated for affected personnel
- Controlled copies updated automatically
Version History and Comparison
View Version History:
- Open any document
- Click "Versions" tab
- See complete version history:
Version | Status | Effective Date | Author | Actions
--------|-------------|----------------|-----------|----------------
3.0 | ACTIVE | 2026-02-18 | J. Smith | [View] [Download]
2.0 | SUPERSEDED | 2025-09-10 | J. Smith | [View] [Compare]
1.0 | SUPERSEDED | 2025-06-15 | J. Smith | [View] [Compare]
Compare Versions:
- Click "Compare" next to any version
- Select second version to compare
- View side-by-side comparison with changes highlighted:
- Red: Deletions
- Green: Additions
- Yellow: Modifications
Download Previous Versions:
All versions remain downloadable indefinitely per FDA record retention requirements.
2.5 Controlled Copies and Distribution
Controlled copies ensure users always access the current, approved version.
Controlled vs. Uncontrolled Copies
| Controlled Copy | Uncontrolled Copy |
|---|---|
| Always shows current version | Fixed snapshot in time |
| Auto-updates when new version released | Does not update |
| Watermarked "CONTROLLED COPY" | Watermarked "UNCONTROLLED COPY" |
| Traceable (who accessed, when) | Not traceable |
| Use: Training, daily operations | Use: External submissions, reference only |
Creating a Distribution List
Step 1: Define Document Audience
When creating/editing document, configure "Distribution" settings:
-
Target Audience: Select from:
- Specific users (search by name)
- Roles (e.g., "QA Specialists", "Manufacturing Technicians")
- Departments (e.g., "Quality Assurance", "Manufacturing")
- Sites (for multi-site organizations)
-
Access Level:
- Automatic: Document added to user's library automatically
- Request-Based: Users must request access
- Restricted: Requires approval from document owner
Step 2: Configure Notifications
Choose notification triggers:
- ✓ New document published
- ✓ Document revised (new version)
- ✓ Document superseded
- ✓ Document retired
- ✓ Periodic reminder (e.g., quarterly: "This document is in effect")
Step 3: Publish Distribution
- Click "Save Distribution Settings"
- System immediately sends "Document Available" notifications
- Controlled copies appear in users' "My Documents" library
Accessing Controlled Copies
Users access controlled copies via:
1. Document Library:
- Navigate to "Documents" > "My Documents"
- Documents are categorized by type and department
- Current version always displayed
2. Direct Link:
- Document permalink:
https://your-org.bio-qms.coditect.ai/docs/SOP-MFG-042 - Always resolves to current active version
- Bookmark-safe
3. Mobile App:
- iOS and Android apps sync controlled copies for offline access
- Background sync ensures latest version available
- Watermark indicates if offline copy is out-of-date
Tracking Document Usage
Document owners can view access analytics:
Usage Metrics:
- Total views
- Unique viewers
- Average time spent viewing
- Download count
- Print count
Compliance Metrics:
- % of target audience who have viewed document
- % of target audience with current training
- Acknowledgment of understanding (if required)
Audit Trail:
- Who accessed document (user ID + timestamp)
- IP address and device type
- Actions taken (view, download, print)
2.6 Document Retirement and Archival
When to Retire a Document
Retire documents when:
- Process is discontinued
- Superseded by new document structure (not just a new version)
- No longer applicable due to regulatory changes
- Equipment/system decommissioned
Do NOT retire when issuing a new version. Use version control instead.
Retirement Process
Step 1: Initiate Retirement
- Navigate to document (must be ACTIVE or SUPERSEDED)
- Click "Actions" > "Retire Document"
- Provide retirement reason:
Retirement Reason: Equipment Model XYZ-100 decommissioned per Work Order WO-2026-0234. This cleaning SOP no longer applicable. - Select retirement effective date (minimum 30 days notice)
Step 2: Retirement Approval
Retirement requires QA Manager approval:
- QA Manager reviews retirement request
- Verifies no active dependencies (other documents referencing this one)
- System checks for:
- Active training records referencing document
- Open CAPAs linked to document
- Work orders using document
- Approve or reject retirement
Step 3: Retirement Notification
On retirement effective date:
- Document status changes to OBSOLETE
- "Document Retired" notifications sent to previous distribution list
- Document removed from active library
- Watermark changes to "OBSOLETE — DO NOT USE"
Step 4: Archival
Obsolete documents are:
- Moved to "Archived Documents" section (restricted access)
- Remain fully searchable with "Include Archived" filter
- Retained per record retention policy (typically 10+ years)
- Audit trail preserved indefinitely
Accessing Archived Documents
For Regulatory Inspections:
Auditors need to view historical documents:
- Navigate to "Documents" > "Archived Documents"
- Filter by date range, department, or document type
- Select document to view (read-only)
- Generate audit trail report for document
- Export document with full metadata
For Historical Reference:
Users with appropriate permissions can:
- View archived documents (read-only)
- Download PDF snapshots (watermarked OBSOLETE)
- Access complete version history
- View related audit records
2.7 Best Practices
Writing Effective Procedures
1. Use Active Voice and Imperative Mood
❌ Poor: "The sample should be weighed." ✅ Good: "Weigh the sample."
2. Be Specific with Quantities and Tolerances
❌ Poor: "Add approximately 50 mL of buffer." ✅ Good: "Add 50 ± 5 mL of buffer using a graduated cylinder."
3. Number Steps Sequentially
4.1 Preparation
4.1.1 Verify equipment is calibrated (check sticker date)
4.1.2 Gather materials per Materials List (Section 3)
4.1.3 Record batch number in logbook
4.2 Execution
4.2.1 Set temperature to 25 ± 2°C
...
4. Include Warning and Caution Statements
⚠️ WARNING: Hot surface. Risk of burn injury. Allow autoclave to cool for 30 minutes before opening.
⚠️ CAUTION: Sample is light-sensitive. Perform procedure in amber-tinted glassware.
5. Define Acceptance Criteria
❌ Poor: "Verify the solution is clear." ✅ Good: "Verify the solution is clear and colorless. Acceptance Criteria: Visual inspection shows no particulate matter > 0.5 mm and no color (compared to water blank)."
Document Review Checklist
Before submitting for review, verify:
- Purpose clearly states what and why
- Scope defines applicability and exclusions
- All steps are actionable (start with a verb)
- Acceptance criteria defined for critical steps
- Cross-references to related documents included
- Regulatory basis cited where applicable
- Training requirements identified
- Equipment and materials listed
- Safety warnings prominent
- Change history updated
- Spell check and grammar check passed
- All attachments included and referenced
Avoiding Common Mistakes
1. Overloading a Single Document
❌ Anti-pattern: "Laboratory Operations Manual" (300 pages covering 50 procedures) ✅ Best practice: Separate SOPs for each process, with master index document
2. Using Ambiguous Language
❌ Avoid: "soon", "approximately", "adequately", "as needed" ✅ Use: Specific timeframes, quantities, and criteria
3. Forgetting Definitions
If document uses specialized terms, define them:
3. DEFINITIONS
HEPA: High-Efficiency Particulate Air (filter removing ≥99.97% of particles ≥0.3 μm)
Aseptic: Free from contamination caused by harmful bacteria, viruses, or other microorganisms
4. Ignoring Training Implications
Every document change may require retraining. Consider:
- Is this change significant enough to require retraining?
- Who needs to be retrained?
- How will competency be verified?
3. CAPA Management User Guide
3.1 CAPA Overview and Regulatory Requirements
Corrective and Preventive Action (CAPA) is a systematic process for investigating and resolving quality issues.
What is CAPA?
Corrective Action: Action taken to eliminate the cause of a detected non-conformance or other undesirable situation, and to prevent recurrence.
Preventive Action: Action taken to eliminate the cause of a potential non-conformance or other undesirable situation, and to prevent occurrence.
Regulatory Requirements
| Regulation | Requirement |
|---|---|
| FDA 21 CFR Part 820.100 | Establish and maintain procedures for implementing corrective and preventive action |
| FDA 21 CFR Part 820.90 | Procedures for nonconforming product analysis and disposition |
| ISO 13485:2016 8.5.2 | Corrective action to eliminate causes of nonconformities |
| ISO 13485:2016 8.5.3 | Preventive action to eliminate causes of potential nonconformities |
| ICH Q10 3.2 | CAPA system as element of pharmaceutical quality system |
When to Initiate a CAPA
CAPAs are required for:
- Recurring Deviations: Same type of deviation occurs 3+ times in 90 days
- Critical Non-Conformances: Single event with significant safety or compliance impact
- Audit Findings: Internal or external audit identifies systemic issue
- Complaints: Customer or user complaints indicating process failure
- Trend Analysis: Data trending reveals potential risk
- Risk Assessments: High-risk issues identified during risk analysis
CAPA vs. Deviation vs. Change Control
| Aspect | Deviation | CAPA | Change Control |
|---|---|---|---|
| Trigger | Single unexpected event | Systemic issue or pattern | Planned improvement |
| Scope | Specific incident | Root cause + prevention | Controlled modification |
| Output | Investigation report | Action plan + verification | Updated procedures |
| Timeline | Days to weeks | Weeks to months | Varies |
Relationship:
Deviation → (if recurring) → CAPA → (generates) → Change Control / Work Orders
3.2 Creating a CAPA Record
Step-by-Step: Initiating a CAPA
Step 1: Access CAPA Module
- Click "CAPA" in main navigation
- Click "+ New CAPA" button
Step 2: Complete CAPA Initiation Form
Basic Information:
| Field | Description | Example |
|---|---|---|
| CAPA Number | Auto-generated unique ID | CAPA-2026-0042 |
| Title | Brief description | "Contamination Risk in Aseptic Gowning" |
| Classification | Type of CAPA | Corrective / Preventive / Both |
| Source | What triggered this CAPA | Deviation / Audit Finding / Complaint / Trend / Agent Detected |
| Priority | Urgency and impact | LOW / MEDIUM / HIGH / CRITICAL |
Priority Guidelines:
| Priority | Definition | Response Time | Approval Level |
|---|---|---|---|
| CRITICAL | Immediate patient safety risk or regulatory violation | 7 days | VP Quality + Executive |
| HIGH | Significant quality impact or compliance risk | 30 days | QA Director |
| MEDIUM | Moderate impact, no immediate risk | 60 days | QA Manager |
| LOW | Minor issue, opportunity for improvement | 90 days | QA Manager |
Problem Description:
Provide detailed description:
Description: During routine environmental monitoring on February 10, 2026,
increased colony counts were detected in the gowning room airlock.
Investigation revealed 3 operators were not performing the airlock
verification step per SOP-MFG-042 v1.0 step 4.2.3.
Impact Assessment:
- 3 production batches potentially affected (Batch #2026-0234, 2026-0235, 2026-0236)
- Environmental excursion (10 CFU/m³ vs. alert limit 5 CFU/m³)
- No product contamination detected (environmental only)
- Training gap identified: airlock verification added in v2.0 (2 months ago),
but 3 operators missed retraining
Affected Systems: [Select from asset registry]
- Cleanroom Suite 2A (Asset ID: CR-2A)
- Autoclave A-101 (processes affected batches)
Affected Regulations:
- FDA 21 CFR Part 211 (cGMP)
- ISO 13485:2016 (Quality Management)
Source Linkage:
Link to triggering event:
Source Deviation IDs: DEV-2026-0087, DEV-2026-0091, DEV-2026-0093
Source Work Order IDs: WO-2026-0234 (environmental monitoring)
Source Audit Finding: (leave blank if not applicable)
Step 3: Risk Assessment
Complete risk assessment to determine CAPA necessity and priority:
Risk Matrix:
| Likelihood | Impact | Risk Score | Action Required |
|---|---|---|---|
| 1 (Rare) | 1 (Negligible) | 1 | Deviation report may suffice |
| 3 (Possible) | 4 (Major) | 12 | CAPA required (Medium priority) |
| 5 (Almost Certain) | 5 (Catastrophic) | 25 | CAPA required (Critical priority) |
For Our Example:
Likelihood: 4 (Likely) — Training gap affects multiple operators
Impact: 3 (Moderate) — Environmental excursion, no product contamination detected
Risk Score: 12 (Likely × Moderate = 12)
Risk Category: Compliance
Mitigation Plan: Immediate retraining of affected operators, enhance training
verification process, add competency checks
Result: CAPA required (Medium priority, 60-day timeline)
Step 4: Submit CAPA for Approval
- Click "Submit CAPA"
- Add submission comments
- CAPA status changes to INITIATED
- QA Manager receives notification for review
3.3 Root Cause Analysis
Root Cause Analysis Methods
BIO-QMS supports three structured methods:
1. Five Whys
Ask "Why?" repeatedly to drill down to root cause.
Example:
Problem: Operators not performing airlock verification
Why 1: Why didn't operators perform the verification?
Answer: They were not aware of the new step.
Evidence: Interviews with operators, no documented training
Why 2: Why were they not aware?
Answer: Training was not delivered after SOP revision.
Evidence: Training records show no completion for SOP-MFG-042 v2.0
Why 3: Why was training not delivered?
Answer: Training department was not notified of SOP change.
Evidence: No training request in system
Why 4: Why was training department not notified?
Answer: Automated training assignment did not trigger.
Evidence: System log shows workflow failed
Why 5: Why did the workflow fail?
Answer: Document distribution list did not include training department role.
Evidence: Distribution settings review
ROOT CAUSE: Document control process does not ensure automatic training
assignment when SOPs are revised. Configuration error in workflow settings.
Root Cause Category: Process Gap
2. Fishbone Diagram (Ishikawa)
Organize potential causes into categories:
Contamination in Gowning Room
(PROBLEM)
│
┌────────────────────────┼────────────────────────┐
│ │ │
PEOPLE PROCESS TECHNOLOGY
│ │ │
- Training gap - SOP unclear - Workflow bug
- Competency not - Training process - No validation
verified broken of settings
│ │ │
└────────────────────────┴────────────────────────┘
3. Fault Tree Analysis
For complex issues, use logic tree to identify contributing factors:
Top Event: Gowning contamination risk
│
├─ AND ─┬─ Operators untrained
│ └─ Verification step not performed
│
├─ OR ──┬─ Training not assigned
├─ Training assigned but not completed
└─ Training completed but not effective
Performing Root Cause Analysis in BIO-QMS
Step 1: Access CAPA Record
- Navigate to "CAPA" > "Active CAPAs"
- Click CAPA-2026-0042
- Status shows "INITIATED" with next action: "Perform Root Cause Analysis"
Step 2: Select RCA Method
- Click "Root Cause Analysis" tab
- Select method: Five Whys / Fishbone / Fault Tree
- System provides guided template
Step 3: Document Analysis
Complete RCA template (system provides structure):
## Root Cause Analysis — CAPA-2026-0042
Method: Five Whys
Analyst: John Doe, QA Specialist
Date: 2026-02-18
[Detailed analysis as shown above]
## Root Cause Statement
The document control system's training workflow did not automatically assign
training to affected personnel when SOP-MFG-042 was revised from v1.0 to v2.0.
This resulted in a training gap where 3 operators continued using the outdated
procedure without the new airlock verification step.
Root Cause Category: Process Gap — Training Assignment
## Evidence
- SOP-MFG-042 v2.0 approved 2025-12-10, effective 2025-01-10
- Training records query: 0 completions for v2.0 by affected operators
- Document distribution settings: Training department role not included
- System logs: Training workflow did not execute on v2.0 publication
Step 4: Submit for QA Approval
- Click "Submit Root Cause Analysis"
- QA Manager receives notification
- CAPA transitions to "ROOT_CAUSE_ANALYSIS" state pending approval
Step 5: QA Manager Reviews RCA
QA Manager evaluates:
- Is root cause adequately justified with evidence?
- Are contributing factors identified?
- Is root cause specific enough to drive effective actions?
Approve or Request Revisions:
If approved:
- QA Manager applies electronic signature
- CAPA transitions to "ACTION_PLANNING" state
If revisions needed:
- QA Manager adds comments
- CAPA returns to analyst for additional investigation
3.4 Action Planning and Assignment
Defining Corrective Actions
Corrective actions address the root cause to prevent recurrence.
For Our Example:
Corrective Action 1: Fix Training Workflow
Description: Update document control workflow to automatically include training
department role in distribution list when any SOP is published or revised.
Assignee: Jane Smith, IT Systems Administrator
Due Date: 2026-03-01 (10 business days)
Expected Outcome: All future SOP publications trigger training assignments
Verification Method: Test workflow with dummy document; confirm training
assignment created
Corrective Action 2: Retrain Affected Operators
Description: Deliver SOP-MFG-042 v2.0 training to all operators who missed
initial training. Include competency verification (observed performance).
Assignee: Tom Johnson, Training Coordinator
Due Date: 2026-02-25 (5 business days)
Expected Outcome: All affected operators complete training and demonstrate
competency
Verification Method: Training records updated; competency observation checklist
completed and signed by supervisor
Corrective Action 3: Audit Document Distribution Settings
Description: Review distribution settings for all active SOPs to identify any
other documents missing training department role.
Assignee: John Doe, QA Specialist
Due Date: 2026-03-05 (15 business days)
Expected Outcome: Report of SOPs with incorrect distribution settings
Verification Method: Spreadsheet report submitted with findings
Defining Preventive Actions
Preventive actions address potential future issues.
Preventive Action 1: Add Validation Check
Description: Add automated validation rule: when document status changes to
APPROVED, system must verify training department is in distribution list.
Block publication if missing.
Assignee: Jane Smith, IT Systems Administrator
Due Date: 2026-03-15 (20 business days)
Expected Outcome: System prevents publication of documents without training assignment
Verification Method: Unit test demonstrating validation rule blocks publication
Preventive Action 2: Quarterly Distribution Audit
Description: Create scheduled report that runs quarterly to verify all active
SOPs include training department in distribution. Auto-generate CAPA if
discrepancies found.
Assignee: John Doe, QA Specialist
Due Date: 2026-03-20 (25 business days)
Expected Outcome: Automated quarterly audit report
Verification Method: Report executes successfully and identifies test case
document with missing training role
Creating Actions in BIO-QMS
Step 1: Access Action Planning
- Open CAPA-2026-0042
- Status shows "ACTION_PLANNING"
- Click "Actions" tab
Step 2: Add Corrective Actions
- Click "+ Add Corrective Action"
- Fill action details:
- Sequence: 1, 2, 3 (order of execution)
- Description: (detailed as above)
- Assignee: (search users)
- Due Date: (calendar picker)
- Click "Save Action"
- Repeat for each corrective action
Step 3: Add Preventive Actions
Same process as corrective actions, but select "Preventive Action" type.
Step 4: Generate Work Orders (Optional)
For actions requiring formal change control:
- Select action
- Click "Generate Work Order"
- System creates WO linked to CAPA:
Work Order: WO-2026-0301
Title: CAPA-2026-0042 — Update Training Workflow
Type: Corrective
Regulatory: Yes
Linked CAPA: CAPA-2026-0042, Action 1
Step 5: Submit Action Plan
- Click "Submit Action Plan"
- All actions must have assignees and due dates
- CAPA transitions to "IN_PROGRESS" state
- Assignees receive notification with action details
3.5 CAPA Execution and Tracking
For Action Assignees
Step 1: Receive Action Assignment
Email notification:
Subject: CAPA Action Assigned — CAPA-2026-0042 Action 1
You have been assigned a corrective action:
CAPA: Contamination Risk in Aseptic Gowning
Action: Update document control workflow to automatically include training department
Due Date: March 1, 2026
[View Action] [Update Status]
Step 2: Access Action Details
- Click notification or navigate to "CAPA" > "My CAPA Actions"
- Click action to view full details
- Review linked root cause analysis and related documents
Step 3: Execute Action
Perform assigned task:
- Follow implementation steps
- Document activities performed
- Collect evidence of completion
Step 4: Update Action Status
As you work:
- Click "Update Status" on action
- Change status:
- Open → In Progress (when you start)
- In Progress → Completed (when finished)
- Add progress notes:
Status Update (2026-02-22):
- Identified workflow configuration file
- Developed proposed fix (add training role to default distribution)
- Tested in development environment
- Submitted to peer review
Next: Deploy to production after peer review approval
Step 5: Attach Evidence
- Click "Attachments" tab on action
- Upload evidence files:
- Before/after screenshots
- Test results
- Training records
- Signed checklists
- System logs
Example evidence for Action 1:
workflow-config-before.jsonworkflow-config-after.jsontest-results-training-assignment.xlsxpeer-review-approval.pdf
Step 6: Mark Action Complete
- Set status to "Completed"
- Enter completion summary:
Completion Summary:
Updated document control workflow configuration to add "Training Department"
role to default distribution list for all document types. Change deployed
to production on 2026-02-28. Tested with dummy document SOP-TEST-999;
confirmed training assignment auto-generated. Peer reviewed by Sarah Lee
(signature attached). - Enter electronic signature password
- Click "Submit Completion"
For CAPA Owners (Tracking Progress)
CAPA Dashboard View:
CAPA-2026-0042: Contamination Risk in Aseptic Gowning
Status: IN_PROGRESS
Priority: MEDIUM
Due: April 18, 2026 (60 days from initiation)
Progress: 60% Complete
Corrective Actions:
✓ Action 1: Update Training Workflow [COMPLETED] — 2026-02-28
✓ Action 2: Retrain Affected Operators [COMPLETED] — 2026-02-24
⏳ Action 3: Audit Distribution Settings [IN_PROGRESS] — Due 2026-03-05
Preventive Actions:
⏸ Action 4: Add Validation Check [OPEN] — Due 2026-03-15
⏸ Action 5: Quarterly Distribution Audit [OPEN] — Due 2026-03-20
Automated Reminders:
System sends reminders:
- 7 days before due date: Reminder to assignee
- Due date: Overdue notification to assignee and QA Manager
- 7 days overdue: Escalation to QA Director
3.6 Effectiveness Verification
Effectiveness verification confirms corrective and preventive actions successfully resolved the issue.
Planning Verification
Step 1: Define Verification Method
When creating action plan, specify how effectiveness will be verified:
For Our Example:
Effectiveness Verification Plan:
Method: Post-implementation monitoring + audit
Duration: 60 days post-completion
Success Criteria:
1. Zero training-related deviations for 60 days
2. 100% of SOP publications (minimum 3) successfully generate training assignments
3. Environmental monitoring in gowning room returns to normal (< 5 CFU/m³)
4. Verification audit finds no SOPs with missing training roles
Measurement:
- Query deviation database for training-related issues
- Review training assignment logs for all SOP publications
- Review environmental monitoring data for gowning room
- Run quarterly distribution audit report
Step 2: Schedule Verification
Set verification due date:
- Effectiveness Due Date: 60 days after all actions completed
- For our example: April 30, 2026 (60 days after Action 2 completed on Feb 28)
Performing Verification
Step 1: Collect Verification Data
On effectiveness due date:
- Open CAPA-2026-0042
- Status shows "EFFECTIVENESS_PENDING"
- Click "Effectiveness Verification" tab
- Click "Begin Verification"
Step 2: Execute Verification Activities
Perform measurements defined in verification plan:
Verification Activity 1: Query Deviations
SELECT * FROM deviations
WHERE created_date BETWEEN '2026-02-28' AND '2026-04-30'
AND category = 'Training'
Result: 0 deviations found ✓
Verification Activity 2: Review Training Assignments
SOP Publications (Feb 28 - Apr 30):
- SOP-QA-017 v3.0 (published 2026-03-15) → Training assignment auto-generated ✓
- SOP-MFG-008 v2.1 (published 2026-04-02) → Training assignment auto-generated ✓
- SOP-LAB-023 v1.0 (published 2026-04-18) → Training assignment auto-generated ✓
Success Rate: 3/3 = 100% ✓
Verification Activity 3: Environmental Monitoring
Gowning Room Environmental Monitoring (Feb 28 - Apr 30):
- Average CFU/m³: 2.1 (within specification < 5)
- Excursions: 0
- Trend: Stable ✓
Verification Activity 4: Distribution Audit
Quarterly Distribution Audit (executed 2026-04-15):
- Total Active SOPs: 247
- SOPs with Training Dept in distribution: 247
- Discrepancies found: 0 ✓
Step 3: Document Verification Results
Complete verification report:
## Effectiveness Verification Report — CAPA-2026-0042
Verification Period: February 28, 2026 — April 30, 2026
Verified By: John Doe, QA Specialist
Verification Date: 2026-04-30
### Success Criteria Assessment
| Criterion | Target | Actual | Status |
|-----------|--------|--------|--------|
| Training-related deviations | 0 in 60 days | 0 | ✓ PASS |
| Training assignment success rate | 100% | 100% (3/3 publications) | ✓ PASS |
| Environmental monitoring | < 5 CFU/m³ | Avg 2.1 CFU/m³ | ✓ PASS |
| Distribution audit | 0 discrepancies | 0 discrepancies | ✓ PASS |
### Conclusion
All success criteria met. Corrective and preventive actions have been effective
in resolving the root cause and preventing recurrence.
### Evidence
- Deviation Query Results (Attachment 1)
- Training Assignment Log (Attachment 2)
- Environmental Monitoring Report (Attachment 3)
- Distribution Audit Report (Attachment 4)
Step 4: Submit for QA Approval
- Click "Submit Verification Results"
- Attach all evidence files
- QA Manager receives notification to review
3.7 CAPA Closure
Step 1: QA Manager Reviews Verification
QA Manager evaluates:
- Are all actions completed with evidence?
- Does verification data support success criteria?
- Is there confidence recurrence is prevented?
Step 2: Approve Closure
If verification is satisfactory:
- Click "Close CAPA"
- Enter closure justification:
Closure Justification:
All corrective and preventive actions completed as planned. Effectiveness
verification demonstrates successful resolution:
- Training workflow fixed (confirmed by 100% success rate)
- Affected operators retrained (competency verified)
- Preventive controls in place (validation rule + quarterly audit)
- No recurrence in 60-day monitoring period
CAPA is approved for closure. - Enter electronic signature password
- Click "Confirm Closure"
Step 3: System Closure Actions
When CAPA is closed:
- Status changes to "CLOSED"
- Closure timestamp recorded
- Final metrics calculated:
- Days to closure: 72 days (within 90-day target)
- Actions completed: 5/5 (100%)
- Effectiveness verified: Yes
- CAPA removed from "Active CAPAs" list
- Appears in "Closed CAPAs" report
- Full audit trail sealed
CAPA Closure Metrics
System calculates closure metrics:
CAPA-2026-0042 Closure Summary:
- Initiated: 2026-02-18
- Closed: 2026-04-30
- Duration: 72 days (target: 90 days) ✓
- Actions: 5 (3 corrective, 2 preventive)
- Effectiveness: Verified
- Risk Score Reduction: 12 → 2 (83% reduction)
Ineffective CAPA (Rare)
If effectiveness verification fails:
- QA Manager clicks "Close as Ineffective"
- CAPA status changes to "CLOSED_INEFFECTIVE"
- System automatically generates new CAPA:
CAPA-2026-0043: Re-investigation of CAPA-2026-0042
Source: CLOSED_INEFFECTIVE CAPA
Reference: CAPA-2026-0042
Priority: Same as original (or elevated) - New root cause analysis required
3.8 Sample CAPA Workflow
Complete example from initiation to closure:
Timeline:
| Date | Event | Actor | Action |
|---|---|---|---|
| Feb 10 | Trigger | Env Monitor | Contamination detected, 3 related deviations logged |
| Feb 18 | Initiation | QA Specialist | CAPA-2026-0042 created, risk assessment completed |
| Feb 18 | RCA Start | QA Specialist | Five Whys analysis performed |
| Feb 19 | RCA Approval | QA Manager | Root cause approved with e-signature |
| Feb 19 | Action Planning | QA Specialist | 5 actions defined (3 corrective, 2 preventive) |
| Feb 19 | Action Assignment | System | Notifications sent to assignees |
| Feb 20-28 | Execution | Assignees | Actions 1 & 2 completed with evidence |
| Mar 5 | Execution | Assignee | Action 3 completed |
| Mar 15 | Execution | Assignee | Action 4 completed |
| Mar 20 | Execution | Assignee | Action 5 completed |
| Mar 20 | Verification Start | System | 60-day monitoring period begins |
| Apr 30 | Verification Complete | QA Specialist | Verification data collected, success criteria met |
| Apr 30 | Closure | QA Manager | CAPA closed with e-signature |
Key Documents Generated:
- CAPA Record (CAPA-2026-0042.pdf)
- Root Cause Analysis Report
- Action Plan with Evidence
- Effectiveness Verification Report
- Complete Audit Trail (58 audit entries)
- Electronic Signature Logs (3 signatures)
Audit Trail Sample:
Entry ID | Timestamp | User | Action | Details
---------|-----------|------|--------|--------
1 | 2026-02-18 09:15:22 | jdoe | CAPA_CREATED | CAPA-2026-0042 created
2 | 2026-02-18 09:18:45 | jdoe | FIELD_UPDATED | Changed priority from LOW to MEDIUM
3 | 2026-02-18 10:32:11 | jdoe | STATUS_CHANGE | Status: DRAFT → INITIATED
...
56 | 2026-04-30 14:22:03 | qamgr | STATUS_CHANGE | Status: EFFECTIVENESS_PENDING → CLOSED
57 | 2026-04-30 14:22:03 | qamgr | SIGNATURE_APPLIED | E-signature: Closure approval
58 | 2026-04-30 14:22:04 | system | METRICS_CALCULATED | Duration: 72 days, Success: TRUE
4. Deviation Management User Guide
4.1 Understanding Deviations
What is a Deviation?
A deviation is an unplanned departure from approved procedures, specifications, or standards during GxP-regulated activities.
Examples:
- Temperature excursion during storage (outside specification)
- Missed step in manufacturing procedure
- Equipment malfunction during critical process
- Test result outside acceptance criteria
- Delayed approval beyond SLA
Regulatory Context
| Regulation | Requirement |
|---|---|
| FDA 21 CFR Part 211.192 | Investigation of discrepancies |
| FDA 21 CFR Part 820.90 | Nonconforming product procedures |
| ISO 13485:2016 8.3 | Control of nonconforming output |
| ICH Q10 Annex 1 | Management of change |
Deviation vs. Out-of-Specification (OOS)
| Aspect | Deviation | OOS |
|---|---|---|
| Definition | Procedural non-compliance | Result outside specification |
| Example | Skipped cleaning step | Assay result 94% (spec: 95-105%) |
| Investigation | Procedure review | Lab investigation protocol |
| CAPA Trigger | If recurring | Always (unless lab error confirmed) |
4.2 Recording a Deviation
Step-by-Step: Creating a Deviation Report
Step 1: Recognize and Report Immediately
GxP principle: Deviations must be reported when discovered, not retrospectively.
Step 2: Access Deviation Module
- Click "Deviations" in main navigation
- Click "+ Report Deviation" button
- System records submission timestamp (cannot be backdated)
Step 3: Complete Deviation Report Form
Basic Information:
| Field | Description | Example |
|---|---|---|
| Deviation Number | Auto-generated | DEV-2026-0087 |
| Title | Brief description | "Temperature Excursion in Cold Storage" |
| Detected Date/Time | When was it discovered | 2026-02-10 08:45:00 |
| Occurred Date/Time | When did it happen (if known) | 2026-02-09 22:00:00 (estimated) |
| Location | Where it occurred | Cold Storage Room 3B |
| Process/Activity | What was being done | Overnight storage of vaccine batches |
Detailed Description:
Provide comprehensive details:
Description:
Upon arriving for morning shift on 2026-02-10 at 08:30, QA Technician observed
temperature logger for Cold Storage Room 3B displaying 12°C. Specification:
2-8°C. Logger history reviewed; temperature alarm threshold (10°C) was exceeded
starting at approximately 22:00 on 2026-02-09. Alarm did not trigger (confirmed
by checking alarm history).
Temperature profile:
- 2026-02-09 18:00: 5°C (normal)
- 2026-02-09 22:00: 10°C (alarm threshold)
- 2026-02-09 23:00: 12°C (peak)
- 2026-02-10 06:00: 11°C
- 2026-02-10 08:45: 12°C (when discovered)
Affected Materials:
- Batch VAC-2026-0123 (Influenza vaccine, 500 vials)
- Batch VAC-2026-0124 (Influenza vaccine, 500 vials)
- Batch VAC-2026-0125 (Influenza vaccine, 300 vials)
Total: 1,300 vials, value $65,000
Immediate Actions Taken:
1. Materials quarantined (moved to Quarantine Area Q2)
2. Facility Maintenance notified at 09:00
3. Refrigeration unit inspection initiated
4. QA Manager notified at 09:15
Affected Records:
Link related records:
- Work Orders: WO-2026-0234 (cold storage validation)
- Batches: VAC-2026-0123, VAC-2026-0124, VAC-2026-0125
- Equipment: COLD-STORAGE-3B, LOGGER-3B-TEMP
- Personnel: J. Smith (technician who discovered), M. Johnson (previous shift)
Step 4: Perform Initial Classification
Classify deviation by severity:
| Severity | Definition | Example | Investigation SLA |
|---|---|---|---|
| Critical | Immediate safety risk or regulatory violation | Microbial contamination detected | 24 hours |
| Major | Significant quality impact, product may be affected | Temperature excursion (our example) | 5 days |
| Minor | Limited impact, unlikely to affect product quality | Documentation error | 10 days |
For Our Example: Major (temperature excursion, product potentially affected)
Step 5: Immediate Actions and Containment
Document immediate containment:
Immediate Actions:
1. ✓ Affected batches quarantined (QA hold tag applied)
2. ✓ Refrigeration unit taken out of service pending investigation
3. ✓ Maintenance inspection scheduled (Ticket #MT-2026-0087)
4. ✓ QA Manager informed
5. ✓ Customer shipments for affected batches halted
6. ⏳ Stability study initiated to assess product impact (pending approval)
Containment Verification:
- All 1,300 vials physically moved to Quarantine Area Q2 at 09:30
- QA Hold tags applied with DEV-2026-0087 reference
- Shipping system updated: batches marked "HOLD - DO NOT SHIP"
Step 6: Assign Investigator
- Select investigator from dropdown (QA specialists or technical leads)
- Set investigation due date per SLA (Major = 5 days from discovery)
- Add investigation scope:
Investigation Scope:
1. Determine root cause of temperature excursion
2. Assess refrigeration unit performance history
3. Evaluate alarm system failure
4. Review temperature data for all cold storage units
5. Assess product impact (consult stability data)
6. Determine if affected batches can be released or must be rejected
Step 7: Submit Deviation Report
- Click "Submit Deviation"
- Deviation status: "OPEN - INVESTIGATION_PENDING"
- Investigator receives notification with 5-day SLA
4.3 Deviation Classification
Classification Categories
By Severity:
| Level | Impact | Response |
|---|---|---|
| Critical | Patient safety or regulatory compliance at immediate risk | Halt production, notify management within 1 hour, external reporting may be required |
| Major | Significant quality impact, product may not meet specifications | Quarantine affected materials, investigation within 5 days |
| Minor | Limited impact, product quality not affected | Corrective action, investigation within 10 days |
By Type:
| Type | Description | Examples |
|---|---|---|
| Procedural | Failure to follow SOP | Missed signature, skipped step |
| Equipment | Equipment malfunction or failure | Temperature excursion, calibration out of tolerance |
| Material | Material outside specification | Reagent purity below acceptance criteria |
| Documentation | Recording or data integrity issue | Data entry error, missing record |
| Personnel | Human error or training gap | Incorrect technique, untrained operator |
By Source:
- Work Order execution
- Validation protocol execution (IQ/OQ/PQ)
- Batch manufacturing
- Environmental monitoring
- Equipment qualification
- Supplier quality issue
- Audit finding
4.4 Investigation Process
For Investigators
Step 1: Receive Assignment
Email notification:
Subject: Deviation Investigation Assigned — DEV-2026-0087
You have been assigned to investigate:
Deviation: Temperature Excursion in Cold Storage
Severity: Major
Due Date: February 15, 2026 (5 days)
Affected Batches: VAC-2026-0123, VAC-2026-0124, VAC-2026-0125
[Begin Investigation] [View Details]
Step 2: Access Deviation Record
- Click "Deviations" > "My Investigations"
- Click DEV-2026-0087 to open
- Review initial report and affected records
Step 3: Gather Evidence
Collect data to support investigation:
Temperature Data:
- Download logger data for Room 3B (Feb 9-10)
- Download logger data for all cold storage units (comparison)
- Review calibration records for LOGGER-3B-TEMP
Equipment History:
- Review maintenance logs for COLD-STORAGE-3B
- Review alarm history for LOGGER-3B-TEMP
- Check previous deviations involving this unit
Personnel Records:
- Interview previous shift operator (M. Johnson)
- Review training records for cold storage operation
- Check access logs (who entered room Feb 9 evening)
Product Impact:
- Review stability data for vaccine batches at elevated temperatures
- Consult product specifications for temperature tolerance
- Review batch release criteria
Step 4: Document Investigation
Complete investigation report in BIO-QMS:
## Investigation Report — DEV-2026-0087
Investigator: Sarah Lee, QA Specialist
Investigation Period: February 10-14, 2026
### Findings
1. **Root Cause: Equipment Failure**
The refrigeration unit's compressor failed at approximately 22:00 on
2026-02-09. Maintenance inspection (Ticket #MT-2026-0087) revealed
compressor motor bearing failure. Unit has 12,500 operating hours;
preventive maintenance schedule calls for bearing replacement at 10,000 hours.
Evidence: Maintenance report (Attachment 1), bearing wear photos (Attachment 2)
2. **Contributing Factor: Overdue Preventive Maintenance**
Last PM performed 2024-08-15 (18 months ago). Bearing replacement was
recommended but deferred due to "low priority." No documented risk assessment
for deferral decision.
Evidence: PM records (Attachment 3), deferral email (Attachment 4)
3. **Alarm Failure: Configuration Error**
Temperature alarm was configured to send email notification only. Email
server was undergoing maintenance Feb 9-10, so alarm emails were not
delivered. No backup alarm method (SMS, audible alarm, pager) configured.
Evidence: Alarm configuration screenshot (Attachment 5), IT maintenance
notice (Attachment 6)
4. **Product Impact Assessment**
Consulted with Product Development and Regulatory Affairs:
- Vaccine stability data shows < 2% potency loss after 24 hours at 12°C
- Product specification allows up to 5% potency loss
- Batches were exposed for ~11 hours (22:00 to 09:00)
- **Conclusion:** Product remains within specification (estimated 1% potency loss)
Evidence: Stability study data (Attachment 7), Product Development memo
(Attachment 8)
### Investigation Summary
Root cause is equipment failure (compressor bearing) due to deferred preventive
maintenance. Alarm system failure (email-only config + email server outage)
prevented timely detection. Product impact is minimal; batches can be released
after additional stability testing to confirm < 5% potency loss.
### Recommended Actions
1. **Immediate:** Replace compressor bearing in COLD-STORAGE-3B (Completed 2026-02-12)
2. **Immediate:** Configure backup alarm method (SMS) for all critical equipment
(Target: 2026-02-20)
3. **Short-term:** Conduct additional stability testing on affected batches to
confirm potency (Target: 2026-03-01)
4. **Long-term:** Review and update PM schedule to enforce bearing replacement
at 10,000 hours (Target: 2026-03-15)
5. **Long-term:** Audit all deferred PM recommendations; assess risks (Target: 2026-04-01)
Step 5: Attach Investigation Evidence
Upload all supporting documents:
- Temperature logger data files
- Maintenance reports
- Photos and diagrams
- Interview notes
- Stability study data
- Email correspondence
Step 6: Propose Disposition
For affected materials, propose disposition:
| Batch | Disposition | Rationale |
|---|---|---|
| VAC-2026-0123 | Release with additional testing | Stability test to confirm potency > 95% |
| VAC-2026-0124 | Release with additional testing | Stability test to confirm potency > 95% |
| VAC-2026-0125 | Release with additional testing | Stability test to confirm potency > 95% |
Step 7: Submit Investigation Report
- Click "Submit Investigation"
- QA Manager receives notification to review
- Deviation status: "INVESTIGATION_COMPLETE - PENDING_REVIEW"
4.5 Resolution and Closure
Step 1: QA Manager Reviews Investigation
QA Manager evaluates:
- Is root cause adequately supported by evidence?
- Are recommendations appropriate?
- Is CAPA required?
Step 2: Determine CAPA Requirement
CAPA is required if:
- Deviation is recurring (3+ similar events in 90 days)
- Severity is Critical or Major with systemic root cause
- Audit finding or complaint related
- Risk assessment indicates high likelihood of recurrence
For Our Example:
CAPA decision: Yes
Rationale: Systemic issue with PM deferral process. Risk of recurrence in other equipment.
Step 3: Create Linked CAPA
- Click "Create CAPA" from deviation record
- System pre-populates CAPA with deviation details
- CAPA-2026-0088 created:
CAPA-2026-0088: PM Deferral Process Gaps
Source: DEV-2026-0087
Root Cause: Deferred PM recommendations without risk assessment
Priority: High
Step 4: Approve Disposition
QA Manager decides on affected materials:
- Review stability test results (when available)
- Consult Quality Control and Regulatory Affairs
- Make disposition decision:
- Release: Batches meet specifications after stability testing
- Reject: Batches failed stability testing, must be destroyed
- Rework: Batches can be reprocessed
- Use as Is: Batches acceptable with concession
For Our Example:
Disposition (after stability test completed): Release
Stability test results:
- VAC-2026-0123: Potency 97.2% (spec: >95%) ✓
- VAC-2026-0124: Potency 96.8% (spec: >95%) ✓
- VAC-2026-0125: Potency 98.1% (spec: >95%) ✓
Step 5: Close Deviation
- Click "Close Deviation"
- Enter closure summary:
Closure Summary:
Investigation complete. Root cause: Equipment failure (compressor bearing)
due to deferred PM. Alarm failure (email-only config) prevented timely
detection. Product impact confirmed minimal by stability testing. All
batches released.
Immediate corrective actions completed:
- Compressor bearing replaced (2026-02-12)
- Backup SMS alarms configured (2026-02-18)
Long-term corrective actions tracked in CAPA-2026-0088. - Enter electronic signature password
- Click "Confirm Closure"
- Deviation status: "CLOSED"
4.6 Deviation-to-CAPA Linkage
Traceability
BIO-QMS maintains bidirectional traceability:
Deviation DEV-2026-0087 ──► triggers ──► CAPA-2026-0088
▲ │
│ ▼
└──────────── references ◄────── CAPA Actions
From Deviation Record:
View linked CAPA:
- Click "Related Records" tab
- See: "Triggered CAPA: CAPA-2026-0088 (PM Deferral Process Gaps)"
From CAPA Record:
View source deviations:
- Source Deviation IDs: DEV-2026-0087
- Click link to view original deviation report
Trend Analysis
System automatically detects deviation patterns:
Automated Triggers:
| Pattern | Detection Logic | Action |
|---|---|---|
| Recurring Deviation | Same deviation type ≥ 3 times in 90 days | Auto-initiate CAPA |
| Equipment Pattern | Same equipment ≥ 2 deviations in 30 days | Flag for investigation |
| Procedural Pattern | Same SOP cited in ≥ 2 deviations in 60 days | Flag for SOP review |
| Personnel Pattern | Same person involved in ≥ 3 deviations in 180 days | Flag for retraining |
Trend Dashboard:
View deviation trends:
- Navigate to "Deviations" > "Trend Analysis"
- View charts:
- Deviations per month (line chart)
- Deviations by type (pie chart)
- Deviations by severity (bar chart)
- Top 10 affected equipment (table)
- Deviation resolution time (histogram)
4.7 Response Time SLAs
Investigation SLAs by Severity
| Severity | Investigation Due | Escalation (if overdue) | Approval Authority |
|---|---|---|---|
| Critical | 24 hours | Immediate: QA Director + VP Quality | VP Quality |
| Major | 5 business days | Day 6: QA Director | QA Manager |
| Minor | 10 business days | Day 11: QA Manager | QA Specialist |
SLA Tracking
System monitors SLAs:
On-Time Performance Dashboard:
Deviation SLA Performance (Last 30 Days)
Critical Deviations:
Total: 2
On-Time: 2 (100%)
Overdue: 0
Major Deviations:
Total: 15
On-Time: 14 (93%)
Overdue: 1
Minor Deviations:
Total: 42
On-Time: 39 (93%)
Overdue: 3
Overall On-Time Rate: 93.2%
Target: > 90% ✓
Overdue Escalation
Automated escalation:
Day 1 (Due Date):
- Email to investigator: "Investigation overdue"
- Notification to QA Manager
Day 2 (1 day overdue):
- Daily reminder emails to investigator
- Overdue flag in dashboard (red)
Day 3 (2 days overdue):
- Escalation email to investigator's manager
- QA Director notified
Day 5 (4 days overdue):
- Escalation to VP Quality
- Option to reassign investigation
Day 7 (6 days overdue):
- Executive escalation (CEO/COO)
- Root cause analysis of overdue investigation required
5. Search and Reporting User Guide
5.1 Global Search Capabilities
Using Global Search
Access Search:
- Click search icon (magnifying glass) in top navigation
- Or press keyboard shortcut:
Ctrl+K(Windows/Linux) orCmd+K(Mac) - Search bar appears with autocomplete
Basic Search:
Enter search terms:
aseptic gowning
System searches across:
- Document titles and content
- CAPA records
- Deviation reports
- Work orders
- Training records
- Audit trail entries
Search Results:
Results grouped by type:
Documents (3 results)
├─ SOP-MFG-042 v2.0: Aseptic Gowning Procedure
├─ TRN-MFG-008: Aseptic Techniques Training
└─ VAL-CR-2A-IQ: Cleanroom Qualification (mentions gowning)
CAPAs (1 result)
└─ CAPA-2026-0042: Contamination Risk in Aseptic Gowning
Deviations (3 results)
├─ DEV-2026-0087: Gowning Room Temperature Excursion
├─ DEV-2026-0091: Incomplete Gowning Procedure
└─ DEV-2026-0093: Gowning Room Contamination
Advanced Search Syntax
Exact Phrase:
"aseptic gowning procedure"
Finds exact phrase only.
Boolean Operators:
aseptic AND gowning
aseptic OR cleanroom
aseptic NOT training
Wildcards:
gown*
Matches: gown, gowning, gowned, gowns
Field-Specific Search:
title:"aseptic gowning"
author:"jane smith"
status:active
created:2026-02-01..2026-02-28
Combined Queries:
title:"SOP" AND status:active AND department:manufacturing
5.2 Advanced Filtering
Filter Panel
Click "Filters" button to open advanced filter panel.
Document Filters:
| Filter | Options |
|---|---|
| Document Type | SOP, WI, Protocol, Test, Training, Form |
| Status | Draft, In Review, Approved, Active, Superseded, Obsolete |
| Department | Quality, Manufacturing, Lab, Regulatory, IT |
| Regulatory Impact | FDA, HIPAA, ISO 13485, SOC 2, GDPR |
| Date Range | Created, Updated, Effective, Review Due |
| Author | Select from user list |
| Approver | Select from user list |
| Tags | Multi-select tags |
CAPA Filters:
| Filter | Options |
|---|---|
| Status | Initiated, In Progress, Effectiveness Pending, Closed |
| Priority | Low, Medium, High, Critical |
| Classification | Corrective, Preventive, Both |
| Source | Deviation, Audit Finding, Complaint, Trend |
| Assigned To | Select from user list |
| Due Date Range | Custom date picker |
| Overdue | Yes/No checkbox |
Deviation Filters:
| Filter | Options |
|---|---|
| Severity | Critical, Major, Minor |
| Type | Procedural, Equipment, Material, Documentation, Personnel |
| Status | Open, Investigation Complete, Closed |
| Source | Work Order, Validation, Manufacturing, Monitoring, Audit |
| Investigator | Select from user list |
| CAPA Required | Yes/No/Pending |
Saved Filters
Save Frequently Used Filters:
- Configure filters
- Click "Save Filter"
- Name filter: "My Open CAPAs"
- Choose visibility: Private / Shared with Team / Public
Access Saved Filters:
- Click "Saved Filters" dropdown
- Select from list
- Filter applied instantly
Common Saved Filters:
- "My Pending Approvals"
- "Overdue CAPAs"
- "Critical Deviations - Last 30 Days"
- "SOPs Due for Review"
- "Training Records Expiring Soon"
5.3 Standard Reports
BIO-QMS includes pre-built regulatory and operational reports.
Compliance Reports
1. Audit Trail Report
Purpose: Generate complete audit trail for regulatory inspections.
Parameters:
- Record Type: Document / CAPA / Deviation / Work Order
- Record ID: Specific record or "All"
- Date Range: Start date to end date
- User: Specific user or "All"
Output:
- PDF report with tamper-evident digital signature
- Contains: Timestamp, User ID, Action, Before Value, After Value, IP Address, Reason (if provided)
Example Use: FDA inspector requests audit trail for SOP-MFG-042.
- Navigate to "Reports" > "Audit Trail Report"
- Select: Record Type = Document, Record ID = SOP-MFG-042
- Date Range: All dates
- Click "Generate Report"
- Download PDF:
Audit-Trail-SOP-MFG-042-2026-02-17.pdf
2. CAPA Summary Report
Purpose: Management review of CAPA effectiveness.
Parameters:
- Date Range: Created or closed within range
- Status: Open / Closed / All
- Priority: All or specific level
- Department: All or specific department
Output:
- Total CAPAs initiated
- CAPAs by source (deviation, audit, complaint, trend)
- CAPAs by priority
- Average time to closure
- On-time closure rate
- Effectiveness verification rate
- Recurring CAPAs (same root cause)
Metrics Included:
CAPA Performance Summary (Q1 2026)
Total CAPAs: 47
By Source:
- Deviation: 28 (60%)
- Audit Finding: 12 (26%)
- Complaint: 4 (9%)
- Trend: 3 (6%)
By Priority:
- Critical: 2 (4%)
- High: 15 (32%)
- Medium: 23 (49%)
- Low: 7 (15%)
Closure Metrics:
- Average Time to Closure: 58 days
- On-Time Closure Rate: 87% (target: 90%)
- Closed as Ineffective: 2 (4%)
Effectiveness:
- Verified Effective: 39 (94%)
- Pending Verification: 6
3. Deviation Log
Purpose: Comprehensive log of all deviations for regulatory compliance.
Parameters:
- Date Range: Detected or closed within range
- Severity: All or specific level
- Status: All or specific status
- Department: All or specific department
- Include Attachments: Yes/No
Output:
- Tabular report with all deviation details:
| Dev ID | Date | Title | Severity | Status | Investigator | Days Open | CAPA Link |
|---|---|---|---|---|---|---|---|
| DEV-2026-0087 | 02/10 | Temp Excursion | Major | Closed | S. Lee | 5 | CAPA-2026-0088 |
| DEV-2026-0091 | 02/12 | Incomplete Gowning | Minor | Closed | J. Doe | 8 | CAPA-2026-0042 |
| ... | ... | ... | ... | ... | ... | ... | ... |
4. Training Compliance Report
Purpose: Verify personnel training is current.
Parameters:
- Department: All or specific
- Training Type: SOP Training / GxP Training / Safety Training / All
- Status: Current / Expired / Expiring Soon (30 days)
- Person: All or specific
Output:
Training Compliance Report — Manufacturing Department
Total Personnel: 45
Training Status:
- Current: 42 (93%)
- Expired: 1 (2%)
- Expiring in 30 Days: 2 (4%)
Target Compliance: > 95%
Status: ⚠️ Below Target
Expired Training:
- John Doe: SOP-MFG-042 Aseptic Gowning (expired 2026-02-01)
Expiring Soon:
- Jane Smith: SOP-LAB-015 (expires 2026-03-10)
- Tom Johnson: GxP Refresher (expires 2026-03-15)
Action Required: Schedule training for 3 personnel
5. Document Review Due Report
Purpose: Identify documents requiring periodic re-approval.
Parameters:
- Date Range: Review due within range
- Department: All or specific
- Document Type: All or specific
- Status: Only active documents
Output:
| Doc ID | Title | Current Version | Last Review | Review Due | Days Overdue | Owner |
|---|---|---|---|---|---|---|
| SOP-QA-008 | Batch Release | v3.0 | 2025-02-01 | 2026-02-01 | 16 | QA Dept |
| SOP-MFG-023 | Equipment Cleaning | v2.1 | 2024-03-15 | 2026-03-15 | -26 | Mfg Dept |
Operational Reports
6. Work Order Completion Report
Purpose: Track work order execution metrics.
Output:
- Total work orders by type (PM, corrective, validation)
- Completion rate (completed on time / total)
- Average cycle time
- Resource utilization
- Cost by department
7. Equipment Downtime Report
Purpose: Monitor equipment availability and unplanned downtime.
Output:
- Total downtime hours by equipment
- Downtime reasons (PM, corrective maintenance, failure)
- Mean time between failures (MTBF)
- Mean time to repair (MTTR)
8. Batch Genealogy Report
Purpose: Traceability for material batches.
Output:
- Batch production history
- Raw materials used (with supplier lot numbers)
- Equipment used during production
- Personnel involved
- Deviations during production
- QC test results
- Disposition (released / rejected)
5.4 Custom Report Builder
Creating a Custom Report
Step 1: Access Report Builder
- Navigate to "Reports" > "Custom Reports"
- Click "+ New Custom Report"
Step 2: Select Data Source
Choose primary data source:
- Documents
- CAPAs
- Deviations
- Work Orders
- Training Records
- Audit Trail
- Equipment
- Materials/Batches
Step 3: Choose Fields
Select fields to include in report:
Example: Custom CAPA Report
Selected Fields:
- CAPA Number
- Title
- Status
- Priority
- Source
- Initiated Date
- Closed Date
- Days to Closure
- Initiator
- Assigned To
- Root Cause Category
- Number of Actions
- Effectiveness Result
Step 4: Configure Filters
Add filters to narrow results:
- Status: IN_PROGRESS, EFFECTIVENESS_PENDING (exclude CLOSED)
- Priority: HIGH, CRITICAL
- Department: Manufacturing
- Initiated Date: Last 90 days
Step 5: Add Grouping (Optional)
Group by:
- Priority (then sort by due date)
Step 6: Add Calculations (Optional)
Add calculated fields:
- Average Days Open = AVG(Current Date - Initiated Date)
- On-Time Rate = COUNT(Closed On Time) / COUNT(Total Closed)
Step 7: Choose Output Format
- Table (rows and columns)
- Summary (aggregated metrics)
- Chart (bar, line, pie)
- Pivot Table (cross-tabulation)
Step 8: Save and Schedule
- Name: "High Priority Open CAPAs - Manufacturing"
- Visibility: Shared with Manufacturing Team
- Schedule (optional):
- Frequency: Weekly
- Day: Monday
- Time: 08:00
- Recipients: Manufacturing QA Team
- Format: PDF email attachment
Step 9: Generate Report
- Click "Generate Report"
- View in browser or download as PDF/Excel/CSV
5.5 Dashboard Overview
Personal Dashboard
Widgets:
My Tasks:
- Pending document reviews (3)
- Assigned CAPA actions (2)
- Deviation investigations (1)
- Training due this month (0)
Recent Activity:
- CAPA-2026-0042 closed (2 hours ago)
- SOP-MFG-042 approved by QA Manager (1 day ago)
- DEV-2026-0087 investigation completed (3 days ago)
Notifications:
- Document review required: SOP-LAB-023 (due Feb 20)
- CAPA action overdue: Action 5 of CAPA-2026-0088 (2 days overdue)
QA Manager Dashboard
Compliance Metrics:
Regulatory Compliance Status
Documents:
- Active SOPs: 247
- Review Overdue: 3 (1.2%)
- Pending Approval: 8
CAPAs:
- Open CAPAs: 18
- Overdue: 2 (11%)
- On-Time Closure Rate (YTD): 87%
Deviations:
- Open Deviations: 12
- Critical/Major: 3 (25%)
- Investigation Overdue: 1
Training:
- Training Compliance: 93%
- Expired Training: 5 personnel
Overall Compliance Score: 92% (target: 95%)
Trend Charts:
- Deviations per Month (line chart showing trend)
- CAPA Closure Time (histogram)
- Training Compliance Over Time (area chart)
Executive Dashboard
High-Level KPIs:
Quality Management System Health
Quality Events (Last 30 Days):
- Critical Deviations: 2
- Major Deviations: 15
- Minor Deviations: 42
- CAPAs Initiated: 8
Compliance:
- Audit Findings (Open): 3
- Training Compliance: 93%
- Document Control Compliance: 99%
Operational:
- Work Orders Completed On-Time: 87%
- Equipment Uptime: 97.2%
- Batch Release Rate: 94%
Risk:
- High-Risk Open Items: 5
- Overdue CAPAs: 2
- Overdue Investigations: 1
5.6 Exporting Data
Export Formats
1. PDF Export
Use Case: Regulatory submissions, archival, printable reports
Features:
- Tamper-evident digital signature
- Audit trail included (optional)
- Attachments embedded or linked
- Watermarks (CONTROLLED COPY / UNCONTROLLED COPY)
Export PDF:
- Open any record or report
- Click "Export" > "Export as PDF"
- Options:
- Include Audit Trail: Yes/No
- Include Attachments: Yes/No
- Watermark: Controlled / Uncontrolled / None
- Click "Generate PDF"
- Download:
CAPA-2026-0042-Export-2026-02-17.pdf
2. Excel Export
Use Case: Data analysis, custom charting, importing into other tools
Features:
- One row per record
- All fields included (can customize)
- Formulas preserved
- Multiple sheets for related data
Export Excel:
- Navigate to any list view (Documents, CAPAs, Deviations)
- Apply filters
- Click "Export" > "Export to Excel"
- Download:
CAPAs-Open-2026-02-17.xlsx
3. CSV Export
Use Case: Importing into external systems, data integration, scripting
Features:
- Plain text format
- Comma-separated values
- UTF-8 encoding
- No formulas (raw data only)
4. JSON Export
Use Case: API integration, data exchange, programmatic access
Features:
- Structured data format
- Nested objects preserved
- Machine-readable
Example JSON Export:
{
"capa_id": "CAPA-2026-0042",
"title": "Contamination Risk in Aseptic Gowning",
"status": "CLOSED",
"priority": "MEDIUM",
"initiated_date": "2026-02-18T09:15:22Z",
"closed_date": "2026-04-30T14:22:03Z",
"actions": [
{
"action_id": "ACT-001",
"type": "CORRECTIVE",
"description": "Update training workflow",
"status": "COMPLETED",
"assignee": "Jane Smith",
"completed_date": "2026-02-28T10:15:00Z"
}
],
"audit_trail": [...]
}
Bulk Export
Export Multiple Records:
- Navigate to list view
- Select records using checkboxes
- Click "Export Selected" > Choose format
- Download ZIP file containing individual exports
Export All Data (Backup):
- Navigate to "Administration" > "Data Management"
- Click "Export All Data"
- Choose scope:
- All Records
- Date Range
- Specific Modules
- System generates export job (may take several minutes for large datasets)
- Receive email when export is ready
- Download encrypted ZIP file
5.7 Audit Trail Reports
Generating Audit Trail
For Regulatory Inspections:
FDA requires access to complete, accurate, and immutable audit trails per 21 CFR Part 11.10(e).
Step 1: Access Audit Trail Viewer
- Navigate to "Reports" > "Audit Trail"
- Or from any record: Click "Audit Trail" tab
Step 2: Configure Filters
| Filter | Options |
|---|---|
| Record Type | Document / CAPA / Deviation / Work Order / All |
| Record ID | Specific ID or All |
| Date Range | Start date to end date |
| User | Specific user or All |
| Action Type | Created / Updated / Deleted / Status Change / Signature Applied / All |
| Include System Actions | Yes (include automated actions) / No (human actions only) |
Step 3: Generate Report
- Click "Generate Audit Trail Report"
- System compiles all matching audit entries
- Progress bar shows generation status
Step 4: Review Report
Audit Trail Entry Format:
| Entry ID | Timestamp | User | Role | Action | Record | Field | Old Value | New Value | Reason | IP Address | Session ID |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 12345 | 2026-02-18 09:15:22 UTC | jdoe | QA Specialist | RECORD_CREATED | CAPA-2026-0042 | - | - | - | Initial creation | 192.168.1.50 | SES-2026-02-18-001 |
| 12346 | 2026-02-18 09:18:45 UTC | jdoe | QA Specialist | FIELD_UPDATED | CAPA-2026-0042 | priority | LOW | MEDIUM | Risk assessment updated | 192.168.1.50 | SES-2026-02-18-001 |
| 12347 | 2026-02-19 14:32:15 UTC | qamgr | QA Manager | SIGNATURE_APPLIED | CAPA-2026-0042 | root_cause_approved | - | TRUE | Root cause analysis approved | 192.168.1.75 | SES-2026-02-19-008 |
Step 5: Export Report
- Click "Export as PDF"
- PDF includes:
- Audit trail entries in table format
- Digital signature certifying report authenticity
- Generation metadata (who generated, when, filters used)
- Page numbering and timestamps
PDF Filename: Audit-Trail-CAPA-2026-0042-Generated-2026-02-17.pdf
Audit Trail Security
Immutability:
- Audit trail stored in append-only database table
- No delete or update operations permitted
- Database-level constraints prevent modification
- Hash chaining ensures tamper detection
Access Control:
| Role | Permissions |
|---|---|
| User | View own audit trail entries |
| QA Manager | View all audit trail entries in department |
| Administrator | View all audit trail entries (read-only) |
| Auditor | View all audit trail entries, export reports |
Important: No role can modify or delete audit trail entries.
Audit Trail Verification
For Regulatory Inspections:
Demonstrate audit trail integrity:
Step 1: Generate Verification Report
- Navigate to "Administration" > "Audit Trail Integrity"
- Select date range
- Click "Verify Integrity"
Step 2: System Performs Checks
- Verify hash chain continuity
- Check for gaps in sequence numbers
- Validate timestamps (no backdating)
- Confirm all signatures are valid
Step 3: Review Results
Audit Trail Integrity Verification Report
Date Range: 2026-01-01 to 2026-02-17
Total Entries: 15,842
Integrity Checks:
✓ Hash chain valid (no breaks)
✓ No gaps in sequence numbers
✓ All timestamps in chronological order
✓ All electronic signatures valid
✓ No unauthorized modifications detected
Conclusion: Audit trail integrity VERIFIED
Step 4: Export Verification Report
- Download PDF with digital signature
- Provide to auditor/inspector as evidence
6. Regulatory Compliance and Electronic Signatures
Electronic Signature System
BIO-QMS implements electronic signatures per FDA 21 CFR Part 11 requirements.
What Requires an Electronic Signature?
| Action | Signature Required | Signer Role |
|---|---|---|
| Document Approval | Yes | Designated Approver (QA Manager minimum) |
| CAPA Root Cause Approval | Yes | QA Manager or higher |
| CAPA Closure | Yes | QA Manager or higher |
| Deviation Closure | Yes | QA Manager or higher |
| Work Order Final Approval | Yes | System Owner or QA Manager |
| Batch Release | Yes | QA Manager (per 21 CFR Part 211) |
| Protocol Approval | Yes | QA Director |
| Training Completion | Yes | Trainee + Trainer |
Signature Meaning
Per 21 CFR Part 11.50, electronic signatures must display meaning.
Example Display:
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ELECTRONICALLY SIGNED
Signed By: John Doe, QA Manager
Date/Time: 2026-02-18 14:32:15 UTC
Action: Document Approval
Meaning: I certify that I have reviewed this document and
approve it for controlled use in accordance with established
procedures.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Signature Security
Two-Factor Authentication:
- Login password (something you know)
- E-signature password (something you know — different from login)
- MFA device (something you have)
Session Management:
- E-signature session expires after 30 minutes of inactivity
- User must re-enter e-signature password to sign again
- Prevents unauthorized signing if user steps away from computer
Audit Trail:
- Every signature attempt logged (success and failure)
- Failed signature attempts tracked (invalid password)
- Account locked after 5 failed e-signature attempts
FDA 21 CFR Part 11 Compliance
BIO-QMS is designed to meet all 21 CFR Part 11 requirements:
Subpart B: Electronic Records
| Requirement | Implementation |
|---|---|
| §11.10(a) Validation | System validation per IQ/OQ/PQ protocols |
| §11.10(b) Audit Trail | Immutable, timestamped audit trail for all actions |
| §11.10(c) Record Retention | Indefinite retention, protected backups |
| §11.10(d) Access Control | Role-based access control, unique user accounts |
| §11.10(e) Audit Trail Content | Who, what, when, why captured for every change |
| §11.10(f) Operational Checks | Real-time validation, business rule enforcement |
| §11.10(g) Device Checks | MFA required, device fingerprinting |
| §11.10(h) Training | User training on e-signature and system use |
| §11.10(i) Documentation | System documentation maintained |
| §11.10(k) Data Exchange | Audit trail accompanies data exports |
Subpart C: Electronic Signatures
| Requirement | Implementation |
|---|---|
| §11.50 Signature Manifestations | Name, date, time, meaning displayed |
| §11.70 Signature/Record Linking | Signatures cryptographically bound to record |
| §11.100 General Requirements | Unique, verifiable, not reusable |
| §11.200 Signatures via Biometrics | Not implemented (password-based) |
| §11.300 Password Requirements | Complexity, expiration, uniqueness enforced |
HIPAA Compliance
For life sciences companies handling protected health information (PHI):
Access Control (§164.312(a))
- Unique user identification
- Emergency access procedure (break-glass access)
- Automatic logoff after inactivity
- Encryption and decryption
Audit Controls (§164.312(b))
- All access to PHI logged
- Audit trail review procedures
- Incident detection and response
Integrity Controls (§164.312(c))
- Mechanisms to ensure PHI not altered or destroyed improperly
- Audit trail immutability
Transmission Security (§164.312(e))
- TLS 1.3 encryption for all data in transit
- Integrity controls for transmitted PHI
SOC 2 Type II Compliance
BIO-QMS undergoes annual SOC 2 Type II audits:
Trust Services Criteria
Security:
- Access controls (RBAC)
- Network security (firewall, IDS/IPS)
- Encryption at rest and in transit
Availability:
- 99.9% uptime SLA
- Redundant infrastructure
- Disaster recovery plan
Processing Integrity:
- Data validation rules
- Business logic enforcement
- Error handling and logging
Confidentiality:
- Data classification
- Encryption
- Access restrictions
Privacy:
- GDPR-compliant data handling
- Data subject rights (access, deletion, portability)
- Privacy by design
7. Troubleshooting and Support
Common Issues
Issue: Cannot Login
Symptoms: "Invalid username or password" error
Solutions:
- Verify username (email address) is correct
- Check Caps Lock is off
- Try password reset: Click "Forgot Password?"
- If account locked (5 failed attempts), wait 30 minutes or contact admin
- Verify MFA device is working (try backup codes)
Issue: Document Won't Save
Symptoms: "Save failed" error or document reverts to previous state
Solutions:
- Check internet connection
- Verify you have edit permissions (not in read-only mode)
- Check if document is locked by another user (collision warning)
- Try refreshing page and re-entering changes
- If issue persists, export draft to local file and contact support
Issue: Signature Password Not Working
Symptoms: "Invalid signature password" when attempting to sign
Solutions:
- Verify you're entering e-signature password (not login password)
- Check Caps Lock is off
- After 5 failed attempts, account locks for 30 minutes
- If forgotten, contact administrator to reset e-signature password
- Note: E-signature password reset requires identity verification
Issue: Report Generation Timeout
Symptoms: Report generation starts but never completes
Solutions:
- Narrow date range (reports with too many records may timeout)
- Add filters to reduce record count
- Try generating during off-peak hours
- Contact support for large data exports (administrator can run batch jobs)
Getting Help
In-App Help
- Click question mark icon (?) in top navigation
- Context-sensitive help available on every page
- Searchable knowledge base
Support Portal
- URL:
https://support.coditect.ai - Submit support tickets
- Track ticket status
- Access knowledge base articles
- View system status and planned maintenance
Support Contact
- Email: support@coditect.ai
- Phone: +1 (555) 123-4567
- Hours: Monday-Friday 8:00 AM - 6:00 PM EST
- Emergency (Critical Issues): 24/7 on-call support
Training Resources
- Video Tutorials: Available in Help Center
- Live Webinars: Monthly user training sessions
- Administrator Training: On-site or virtual available
- Certification Program: GxP QMS Administrator certification
Appendix A: Glossary
21 CFR Part 11: FDA regulation governing electronic records and electronic signatures
CAPA: Corrective and Preventive Action — systematic process for resolving quality issues
Controlled Copy: Document version that always shows current approved version and updates automatically
Deviation: Unplanned departure from approved procedures or specifications
E-Signature: Electronic signature compliant with 21 CFR Part 11 requirements
GxP: Good Practice (cGMP, GLP, GCP) — quality guidelines for pharmaceutical/medical device industries
IQ/OQ/PQ: Installation Qualification, Operational Qualification, Performance Qualification — validation stages
OOS: Out-of-Specification — test result outside acceptance criteria
RBAC: Role-Based Access Control — permission system based on user roles
Root Cause: Fundamental reason for a problem, identified through structured analysis
SOP: Standard Operating Procedure — step-by-step instructions for a process
Appendix B: Keyboard Shortcuts
| Action | Windows/Linux | Mac |
|---|---|---|
| Global Search | Ctrl+K | Cmd+K |
| Save Document | Ctrl+S | Cmd+S |
| New Document | Ctrl+N | Cmd+N |
| Open Notifications | Ctrl+Shift+N | Cmd+Shift+N |
| Go to Dashboard | Ctrl+H | Cmd+H |
| Help | F1 | F1 |
| Logout | Ctrl+Shift+Q | Cmd+Shift+Q |
Appendix C: Regulatory References
FDA Regulations:
- 21 CFR Part 11: Electronic Records and Electronic Signatures
- 21 CFR Part 210/211: Current Good Manufacturing Practice (cGMP)
- 21 CFR Part 820: Quality System Regulation (Medical Devices)
ISO Standards:
- ISO 13485:2016: Medical Devices — Quality Management Systems
- ISO 9001:2015: Quality Management Systems — Requirements
- ISO/IEC 27001: Information Security Management
ICH Guidelines:
- ICH Q10: Pharmaceutical Quality System
- ICH Q7: Good Manufacturing Practice for Active Pharmaceutical Ingredients
Appendix D: Document Revision History
| Version | Date | Author | Changes |
|---|---|---|---|
| 1.0.0 | 2026-02-17 | Documentation Generation Specialist | Initial release — comprehensive user guide covering all 5 tasks (Getting Started, Document Management, CAPA, Deviation, Search & Reporting) |
End of User Documentation
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