New QAR Blank
New QAR Blank
New QAR Blank
Date/Time of Receipt
Submission Number
File Number
B. Building Information
3. Building Name
5. Dwelling House
8. City-Town
11. Country
6. Office
9. Province/State
CANADA
Homeopathic Medicine
Manufacturing
Packaging
Labelling
Importing*
(Reduced testing program: Y / N)
Storage only
12b. Supplementary QAR form (for homeopathic medicines only) attached? Yes
No
Bacterium
Enzymes
Amino acids
Probiotics
15b.
In-House
Third Party
16a. Print the Name of Quality Assurance Person who is responsible for ensuring that Section 51 of the Natural Health
Products Regulations (approving the materials, methods and procedures; approving product release for sale and resale;
and investigating and recording complaints) is met:
16b.
In-House
Third Party
Page 1 of 27
ATTESTATION
I attest that the building(s), practice(s), and procedure(s) used for conducting activities in our facility comply with the good
manufacturing practices set out in Part 3 of the Natural Health Products Regulations.
Signature of QA Person
Date yyyy-mm-dd
Name of Quality Assurance Person
(Please print)
Yes
Yes
Yes
No
No
No
Yes
No
If yes, describe for (a), (b) and (c) how the premises design complies with NHP GMPs.
If no, provide a rationale.
Supporting documentation
Page 2 of 27
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 3 of 27
Yes
Yes
Yes
No
No
No
Yes
No
If yes, describe for (a), (b) and (c) how the premises design complies with NHP GMPs.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 4 of 27
Yes
No
Yes
No
If yes, describe the conditions and how they are controlled and monitored.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 5 of 27
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 6 of 27
Yes
No
Yes
No
Yes
No
If yes, describe for (a) and (b) how the equipment complies with NHP GMPs.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 7 of 27
PEOPLE
Personnel [Section 47]
(6) In meeting the companys requirements, individuals in charge of manufacturing,
packaging, labelling and/or storage activities have appropriate education, training or
experience, including appropriate initial and ongoing good manufacturing practices
(GMP) training necessary to perform their assigned duties.
Yes
No
If yes, describe how individual(s) meet the requirements to perform their duties relating to the activities, types
of natural health product(s) and dosage form(s).
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 8 of 27
Yes
No
If yes, describe how the Quality Assurance person(s) meet the requirements, and has the qualifications to
perform their duties relating to the activities, types of natural health product(s) and dosage form(s).
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
A Quality Assurance Person Qualification Form is required to be completed.
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 9 of 27
Yes
Yes
Yes
Yes
No
No
No
No
If yes, describe for (a), (b), (c) and (d) how the quality assurance person complies with NHP GMPs.
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 10 of 27
PROCESSES
Yes
Yes
No
No
Yes
No
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 11 of 27
Yes
No
Yes
No
If yes, describe
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 12 of 27
Yes
No
If yes, describe how materials (raw, in-process, packaging and labeling) are quarantined, approved, returned
and designated for disposal.
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 13 of 27
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
If yes, describe for (a), (b), (c) and (d) where applicable, the critical process controls.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 14 of 27
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 15 of 27
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 16 of 27
Yes
No
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
If a product recall has not been done at the site, attach a blank template of the product recall form.
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
Attach a recall template/ record
List of attachments:
Page 17 of 27
PRODUCT
Yes
No
Yes
No
(Note: any changes to product specifications require a product licence notification and/or amendment)
If yes, describe and provide evidence for at least two product types manufactured, packaged, labelled and
stored on site.
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 18 of 27
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Provide records of raw material testing if a part of the finished product specifications
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 19 of 27
Yes
No
Yes
No
If yes, describe how expiry dates are determined and demonstrate that manufactured and/ or imported
products meet their specifications at expiry.
If no, provide a rationale.
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 20 of 27
Yes
No
If yes, describe (including information on the duration of retention, environmental conditions, final trade
packages, destruction of samples etc.)
If no, provide a rationale and a copy of a completed Alternate Sample Retention form (http://www.hc-sc.gc.ca/dhpmps/alt_formats/hpfb-dgpsa/pdf/prodnatur/sample_echantillons-eng.pdf)
Yes
No
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Page 21 of 27
Yes
No
If yes, for all activities conducted at the site, identify in the boxes below where each of the following records are kept.
Use O for records maintained on-site and use A if you have access to the records but they are kept off site.
If no, provide a rationale.
Record
Manufacturer
Packager
Labeller
Importer
Yes
No
Page 22 of 27
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Page 23 of 27
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
Yes
No
Yes
No
If yes, describe.
If no, provide a rationale.
Page 24 of 27
Supporting documentation
Attach a minimum of one photocopy of a completed record(s)/log(s) as outlined in the SOP(s) listed above
(see instructions and records check list for more details).
Attach supporting documentation such as action plans with timelines for each corrective action identified
above.
List of attachments:
*Manufacturers, packagers, labellers, importers and distributors must treat all sterile natural health products in the same manner as any other sterile
health product. Follow the guidance provided in the guidelines posted on Health Canada website.
Page 25 of 27
LIST OF PRODUCTS MANUFACTURED (M), PACKAGED (P), LABELLED (L), IMPORTED (I) AND STORED (S) AT THE SITE
Product Name
(Please attach the
specifications)
Other Brand
Names
Dosage form
Product Type
NPN
Page 26 of 27
PLA #
Storage
conditions
requirements
Shelf Life
M-P-L-I-S
RECORDS CHECK LIST (Please provide samples that have been in use within the last six months)
Questions of
the QAR
Record Type
Check
Box
Relevant sections of
the NHPR
1
2
Building Design
Building Design
45
45
Storage Controls
45
Pest Control
45
46
Equipment Design,
Maintenance and
Calibration
Personnel Training
QAP Qualifications
51(1)(a)
Quality Assurance
51(1)(b),(3),(4)
48
10
48
47
*Quality
Technical
Agreement
Example of Acceptable
Record Types
Floor plan
Air filtration, water quality and
system maintenance records
Data logs recording temperature,
humidity, and light controls
Contractor pest control invoice,
internal pest activity inspection
logs
Maintenance and calibration
records (include schedules and
frequencies)
Certificates of data logs (with
trainee signature) of on-going
GMP training (internal or external)
QAPQF, training records,
certificates, job description,
resume, roles and responsibilities
Product release forms, complaint
records, and adverse reaction
reporting records, if any
Data logs of site/facility
Cleaning (production and non
production area) and equipment
cleaning (include
schedules and frequencies)
Hygiene policies, instructions
11
49
Page 27 of 27