Annex 1: WHO Good Practices For Pharmaceutical Quality Control Laboratories

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World Health Organization

WHO Technical Report Series, No. 957, 2010

Annex 1
WHO good practices for pharmaceutical
quality control laboratories

General considerations
Glossary
Part one. Management and infrastructure
1. Organization and management
2. Quality management system
3. Control of documentation
4. Records
5. Data-processing equipment
6. Personnel
7. Premises
8. Equipment, instruments and other devices
9. Contracts
Part two. Materials, equipment, instruments and other devices
10. Reagents
11. Reference substances and reference materials
12. Calibration, verication of performance and
qualication of equipment, instruments and other devices
13. Traceability
Part three. Working procedures
14. Incoming samples
15. Analytical worksheet
16. Validation of analytical procedures
17. Testing
18. Evaluation of test results
19. Certicate of analysis
20. Retained samples
Part four. Safety
21. General rules
References
Appendix
Equipment for a rst-stage and medium-sized pharmaceutical quality control laboratory

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General considerations
The WHO Expert Committee on Specications for Pharmaceutical Products
adopted in 1999 the guidelines entitled WHO Good practices for national
pharmaceutical control laboratories, which were published as Annex 3 of
the WHO Technical Report Series, No. 902, 2002. As the other guidelines
related to laboratory quality assurance have been updated and subsequent
inspections for the compliance with the guidelines on good practices for
national pharmaceutical control laboratories indicated that some sections
were in need of improvement and clarication, it was considered necessary
to prepare a revised text.
These guidelines provide advice on the quality management system within
which the analysis of active pharmaceutical ingredients (APIs), excipients
and pharmaceutical products should be performed to demonstrate that
reliable results are obtained.
Compliance with the recommendations provided in these guidelines will
help promote international harmonization of laboratory practices and will
facilitate cooperation among laboratories and mutual recognition of results.
Special attention should be given to ensure the correct and efcient
functioning of the laboratory. Planning and future budgets should ensure
that the necessary resources are available inter alia for the maintenance
of the laboratory, as well as for an appropriate infrastructure and energy
supply. Means and procedures should be in place (in case of possible supply
problems) to ensure that the laboratory can continue its activities.
These guidelines are applicable to any pharmaceutical quality control
laboratory, be it national, commercial or nongovernmental. However, they
do not include guidance for those laboratories involved in the testing of
biological products, e.g. vaccines and blood products. Separate guidance
for such laboratories is available.
These guidelines are consistent with the requirements of the WHO
guidelines for good manufacturing practices (1) and with the requirements
of the International Standard ISO/IEC 17025:2005 (2), and provide detailed
guidance for laboratories performing quality control of medicines. The
guidance specic to microbiology laboratories can be found in the draft
working document WHO guideline on good practices for pharmaceutical
microbiology laboratories (reference QAS/09.297).
The good practice outlined below is to be considered as a general guide
and it may be adapted to meet individual needs provided that an equivalent
level of quality assurance is achieved. The notes given provide clarication
of the text or examples; they do not contain requirements which should be
fullled to comply with these guidelines.

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Pharmaceutical quality control testing is usually a matter of repetitive testing
of samples of APIs or of a limited number of pharmaceutical products,
whereas national quality control laboratories have to be able to deal with a
much wider range of pharmaceutical substances and products and, therefore,
have to apply a wider variety of test methods. Specic recommendations
for national pharmaceutical quality control laboratories are addressed
in the following text. Particular consideration is given to countries with
limited resources wishing to establish a governmental pharmaceutical
quality control laboratory, having recently done so, or which are planning
to modernize an existing laboratory.
Quality control laboratories may perform some or all quality control
activities, e.g. sampling, testing of APIs, excipients, packaging materials and/
or pharmaceutical products, stability testing, testing against specications
and investigative testing.
For the quality of a medicine sample to be correctly assessed:
The submission of a sample of an API, excipient or pharmaceutical
product or a suspected counterfeit material to the laboratory, selected
in accordance with national requirements, should be accompanied by a
statement of the reason why the analysis has been requested.
The analysis should be correctly planned and meticulously executed.
The results should be competently evaluated to determine whether the
sample complies with the specications or other relevant criteria.

National pharmaceutical quality control laboratories


The government, normally through the national medicines regulatory
authority (NMRA), may establish and maintain a pharmaceutical quality
control laboratory to carry out the required tests and assays to verify
that APIs, excipients and pharmaceutical products meet the prescribed
specications. Large countries may require several pharmaceutical quality
control laboratories which conform to national legislation, and appropriate
arrangements should, therefore, be in place to monitor their compliance
with a quality management system. Throughout the process of marketing
authorization and postmarketing surveillance, the laboratory or laboratories
work closely with the NMRA.
A national pharmaceutical quality control laboratory provides effective
support for an NMRA acting together with its inspection services. The
analytical results obtained should accurately describe the properties of
the samples assessed, permitting correct conclusions to be drawn about
the quality of the samples of medicines analysed, and also serving as an
adequate basis for any subsequent administrative regulations and legal
action.

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National pharmaceutical quality control laboratories usually encompass
essentially two types of activity:
compliance testing of APIs, pharmaceutical excipients and
pharmaceutical products employing ofcial methods including
pharmacopoeial methods, validated analytical procedures provided by
the manufacturer and approved by the relevant government authority for
marketing authorization or validated analytical procedures developed by
the laboratory; and
investigative testing of suspicious, illegal, counterfeit substances or
products, submitted for examination by medicine inspectors, customs or
police.
To ensure patient safety, the role of the national pharmaceutical quality
control laboratory should be dened in the general pharmaceutical
legislation of the country in such a way that the results provided by it can, if
necessary, lead to enforcement of the law and legal action.

Glossary
The denitions given below apply to the terms as used in these guidelines.
They may have different meanings in other contexts.

acceptance criterion for an analytical result


Predened and documented indicators by which a result is considered to be
within the limit(s) or to exceed the limit(s) indicated in the specication.

accuracy
The degree of agreement of test results with the true value or the closeness
of the results obtained by the procedure to the true value (1).
Note: It is normally established on samples of the material to be examined
that have been prepared to quantitative accuracy. Accuracy should be
established across the specied range of the analytical procedure. It is
generally acceptable to use a spiked placebo which contains a known
quantity or concentration of a reference substance.

active pharmaceutical ingredient (API)


Any substance or mixture of substances intended to be used in the
manufacture of a pharmaceutical dosage form and that, when so used,
becomes an active ingredient of that pharmaceutical dosage form. Such
substances are intended to furnish pharmacological activity or other direct
effect in the diagnosis, cure, mitigation, treatment, or prevention of disease
or to affect the structure and function of the body (1).

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analytical test report
An analytical test report usually includes a description of the test
procedure(s) employed, results of the analysis, discussion and conclusions
and/or recommendations for one or more samples submitted for testing (see
Part three, sections 18.718.11).
analytical worksheet
A printed form, an analytical workbook or electronic means (e-records) for
recording information about the sample, as well as reagents and solvents
used, test procedure applied, calculations made, results and any other
relevant information or comments (see Part three, section 15).
batch (or lot)
A dened quantity of starting material, packaging material or product
processed in a single process or series of processes so that it is expected
to be homogeneous. It may sometimes be necessary to divide a batch into
a number of sub-batches which are later brought together to form a nal
homogeneous batch. In the case of terminal sterilization the batch size is
determined by the capacity of the autoclave. In continuous manufacture
the batch should correspond to a dened fraction of the production,
characterized by its intended homogeneity. The batch size can be dened
either as a xed quantity or as the amount produced in a xed time
interval (1).
batch number (or lot number)
A distinctive combination of numbers and/or letters which uniquely identies
a batch on the labels, its batch records and corresponding certicates of
analysis (1).

calibration
The set of operations that establish, under specied conditions, the
relationship between values indicated by an instrument or system for
measuring (especially weighing), recording and controlling, or the values
represented by a material measure, and the corresponding known values
of a reference standard. Limits for acceptance of the results of measuring
should be established (1).

certicate of analysis
The list of test procedures applied to a particular sample with the results
obtained and the acceptance criteria applied. It indicates whether or not the
sample complies with the specication (3).

certied reference material


Reference material, characterized by a metrologically valid procedure for
one or more specied properties, accompanied by a certicate that provides

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the value of the specied property, its associated uncertainty and a statement
of metrological traceability (4).

compliance testing
Analysis of active pharmaceutical ingredients (APIs), pharmaceutical
excipients, packaging material or pharmaceutical products according to
the requirements of a pharmacopoeial monograph or a specication in an
approved marketing authorization.

control sample
A sample used for testing the continued accuracy and precision of the
procedure. It should have a matrix similar to that of the samples to be
analysed. It has an assigned value with its associated uncertainty.

design qualication (DQ)


Documented collection of activities that dene the functional and
operational specications of the instrument and criteria for selection of the
vendor, based on the intended purpose of the instrument.

Note: Selection and purchase of a new instrument should follow a conscious


decision process, based on the needs of the technical management. When
designing a new laboratory facility, the design specication and the
requirements for services should be agreed between the management team
and the agreed suppliers and documented.

good manufacturing practice(s) (GMP)


That part of quality assurance which ensures that pharmaceutical
products are consistently produced and controlled to the quality standards
appropriate to their intended use and as required by the marketing
authorization (1).

installation qualication (IQ)


The performance of tests to ensure that the analytical equipment used in a
laboratory is correctly installed and operates in accordance with established
specications.

management review
A formal, documented review of the key performance indicators of a quality
management system performed by top management.

manufacturer
A company that carries out operations such as production, packaging,
testing, repackaging, labelling and/or relabelling of pharmaceuticals (1).

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marketing authorization (product licence, registration certicate)
A legal document issued by the competent medicines regulatory authority
that authorizes the marketing or free distribution of a pharmaceutical
product in the respective country after evaluation for safety, efcacy and
quality. In terms of quality it establishes inter alia the detailed composition
and formulation of the pharmaceutical product and the quality requirements
for the product and its ingredients. It also includes details of packaging,
labelling, storage conditions, shelf-life and approved conditions of use.

measurement uncertainty
Non-negative parameter characterizing the dispersion of quantity values
being attributed to a measurand (analyte), based on the information used
(4).

metrological traceability
Property of a measurement result whereby the result can be related to a
reference through a documented, unbroken chain of calibrations, each
contributing to the measurement uncertainty (4).

operational qualication (OQ)


Documented verication that the analytical equipment performs as intended
over all anticipated operating ranges.

out-of-specication (OOS) result


All test results that fall outside the specications or acceptance criteria
established in product dossiers, drug master les, pharmacopoeias or by the
manufacturer (5).

performance qualication (PQ)


Documented verication that the analytical equipment operates consistently
and gives reproducibility within the dened specications and parameters
for prolonged periods.

pharmaceutical excipient
A substance, other than the active pharmaceutical ingredient (API), which
has been appropriately evaluated for safety and is included in a medicines
delivery system to:
aid in the processing of the medicines delivery system during its
manufacture;
protect, support or enhance stability, bioavailability or patient
acceptability;
assist in pharmaceutical product identication; or
enhance any other attribute of the overall safety and effectiveness of the
medicine during its storage or use (6, 7).

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pharmaceutical product
Any material or product intended for human or veterinary use, presented in
its nished dosage form or as a starting material for use in such a dosage
form, which is subject to control by pharmaceutical legislation in the
exporting state and/or the importing state (1).

precision
The degree of agreement among individual results when the procedure
is applied repeatedly to multiple samplings of a homogeneous sample.
Precision, usually expressed as relative standard deviation, may be
considered at three levels: repeatability (precision under the same operating
conditions over a short period of time), intermediate precision (within
laboratory variations different days, different analysts or different
equipment) and reproducibility (precision between laboratories).

primary reference substance (or standard)


A substance that is widely acknowledged to possess the appropriate qualities
within a specied context, and whose assigned content is accepted without
requiring comparison with another chemical substance (8).
Note: Pharmacopoeial chemical reference substances are considered to be
primary reference substances. In the absence of a pharmacopoeial reference
substance, a manufacturer should establish a primary reference substance.

qualication of equipment
Action of proving and documenting that any analytical equipment complies
with the required specications and performs suitably for its intended
purpose (see Part two, section 12).

quality control
All measures taken, including the setting of specications, sampling, testing
and analytical clearance, to ensure that raw materials, intermediates, packaging
materials and nished pharmaceutical products conform with established
specications for identity, strength, purity and other characteristics.

quality management system


An appropriate infrastructure, encompassing the organizational structure,
procedures, processes and resources, and systematic actions necessary to
ensure adequate condence that a product or service will satisfy given
requirements for quality (see Part one, section 2).

quality manager
A member of staff who has a dened responsibility and authority for
ensuring that the management system related to quality is implemented and
followed at all times (see Part one, section 1.3(j)).

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quality manual
A handbook that describes the various elements of the quality management
system for assuring the quality of the test results generated by a laboratory
(see Part one, sections 2.12.2).

quality unit(s)
An organizational unit, independent of production, which fulls
both quality assurance and quality control responsibilities. This can
be in the form of separate quality assurance and quality control or a
single individual or group, depending on the size and structure of the
organization.

reference material
Material sufciently homogeneous and stable with respect to one or more
specied properties, which has been established to be t for its intended use
in a measurement process (4).

reference substance (or standard)


An authenticated, uniform material that is intended for use in specied
chemical and physical tests, in which its properties are compared with those
of the product under examination, and which possesses a degree of purity
adequate for its intended use (8).

secondary reference substance (or standard)


A substance whose characteristics are assigned and/or calibrated
by comparison with a primary reference substance. The extent of
characterization and testing of a secondary reference substance may be less
than for a primary reference substance (8).
Note: Often referred to as an in-house working standard.

signature (signed)
Record of the individual who performed a particular action or review.
The record can be initials, full handwritten signature, personal seal or
authenticated and secure electronic signature.

specication
A list of detailed requirements (acceptance criteria for the prescribed test
procedures) with which the substance or pharmaceutical product has to
conform to ensure suitable quality.

standard operating procedure (SOP)


An authorized written procedure giving instructions for performing
operations both general and specic.

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standard uncertainty
Uncertainty of the result of a measurement expressed as a standard deviation
(4, 9, 10).

system suitability test


A test which is performed to ensure that the analytical procedure fulls the
acceptance criteria which had been established during the validation of the
procedure. This test is performed before starting the analytical procedure
and is to be repeated regularly, as appropriate, throughout the analytical
run to ensure that the systems performance is acceptable at the time of
the test.

validation of an analytical procedure


The documented process by which an analytical procedure (or method) is
demonstrated to be suitable for its intended use.

verication of an analytical procedure


Process by which a pharmacopoeial method or validated analytical
procedure is demonstrated to be suitable for the analysis to be performed.

verication of performance
Test procedure regularly applied to a system (e.g. liquid chromatographic
system) to demonstrate consistency of response.

Part One. Management and infrastructure


1. Organization and management
1.1 The laboratory, or the organization of which it is part, should be an
entity that is legally authorized to function and can be held legally
responsible.
1.2 The laboratory should be organized and operate so as to meet the
requirements laid down in these guidelines.
1.3 The laboratory should:
(a) have managerial and technical personnel with the authority and
resources needed to carry out their duties and to identify the
occurrence of departures from the quality management system
or the procedures for performing tests and/or calibrations,
validation and verication, and to initiate actions to prevent or
minimize such departures;
(b) have arrangements to ensure that its management and personnel
are not subject to commercial, political, nancial and other

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pressures or conicts of interest that may adversely affect the
quality of their work;
(c) have a policy and procedure in place to ensure condentiality of
information contained in marketing authorizations,
transfer of results or reports,
and to protect data in archives (paper and electronic);
(d) dene, with the aid of organizational charts, the organization and
management structure of the laboratory, its place in any parent
organization (such as the ministry or the NMRA in the case
of a national pharmaceutical quality control laboratory), and
the relationships between management, technical operations,
support services and the quality management system;
(e) specify the responsibility, authority and interrelationships of all
personnel who manage, perform or verify work which affects
the quality of the tests and/or calibrations, validations and
verications;
(f) ensure the precise allocation of responsibilities, particularly in
the designation of specic units for particular types of medicines;
(g) nominate trained substitutes/deputies for key management and
specialized scientic personnel;
(h) provide adequate supervision of staff, including trainees, by
persons familiar with the test and/or calibration, validation and
verication methods and procedures, as well as their purpose
and the assessment of the results;
(i) have management which has overall responsibility for the
technical operations and the provision of resources needed to
ensure the required quality of laboratory operations;
(j) designate a member of staff as quality manager who,
irrespective of other duties he/she may have, will ensure
compliance with the quality management system. The
nominated quality manager should have direct access to the
highest level of management at which decisions are taken on
laboratory policies or resources;
(k) ensure adequate information ow between staff at all levels.
Staff are to be made aware of the relevance and importance of
their activities;
(l) ensure the traceability of the sample from receipt, throughout
the stages of testing, to the completion of the analytical test
report;
(m) maintain an up-to-date collection of all specications and related
documents (paper or electronic) used in the laboratory; and
(n) have appropriate safety procedures (see Part four).

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1.4 The laboratory should maintain a registry with the following
functions:
(a) receiving, distributing and supervising the consignment of the
samples to the specic units; and
(b) keeping records on all incoming samples and accompanying
documents.
1.5 In a large laboratory, it is necessary to guarantee communication and
coordination between the staff involved in the testing of the same
sample in different units.

2. Quality management system


2.1 The laboratory or organization management should establish,
implement and maintain a quality management system appropriate
to the scope of its activities, including the type, range and volume
of testing and/or calibration, validation and verication activities
it undertakes. The laboratory management should ensure that its
policies, systems, programmes, procedures and instructions are
described to the extent necessary to enable the laboratory to assure
the quality of the test results that it generates. The documentation
used in this quality management system should be communicated,
available to, and understood and implemented by, the appropriate
personnel. The elements of this system should be documented, e.g.
in a quality manual, for the organization as a whole and/or for a
laboratory within the organization.
Note: Quality control laboratories of a manufacturer may have this
information in other documents than a quality manual.
2.2 The quality manual should contain as a minimum:
(a) a quality policy statement, including at least the following:
(i) a statement of the laboratory managements intentions with
respect to the standard of service it will provide,
(ii) a commitment to establishing, implementing and
maintaining an effective quality management system,
(iii) the laboratory managements commitment to good
professional practice and quality of testing, calibration,
validation and verication,
(iv) the laboratory managements commitment to compliance
with the content of these guidelines,
(v) a requirement that all personnel concerned with testing
and calibration activities within the laboratory familiarize
themselves with the documentation concerning quality and

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the implementation of the policies and procedures in their
work;
(b) the structure of the laboratory (organizational chart);
(c) the operational and functional activities pertaining to quality, so
that the extent and the limits of the responsibilities are clearly
dened;
(d) outline of the structure of documentation used in the laboratory
quality management system;
(e) the general internal quality management procedures;
(f) references to specic procedures for each test;
(g) information on the appropriate qualications, experience and
competencies that personnel are required to possess;
(h) information on initial and in-service training of staff;
(i) a policy for internal and external audit;
(j) a policy for implementing and verifying corrective and
preventive actions;
(k) a policy for dealing with complaints;
(l) a policy for performing management reviews of the quality
management system;
(m) a policy for selecting, establishing and approving analytical
procedures;
(n) a policy for handling of OOS results;
(o) a policy for the employment of appropriate reference substances
and reference materials;
(p) a policy for participation in appropriate prociency testing schemes
and collaborative trials and the evaluation of the performance
(applicable to national pharmaceutical quality control laboratories,
but may be applied by other laboratories); and
(q) a policy to select service providers and suppliers.
2.3 The laboratory should establish, implement and maintain authorized
written SOPs including, but not limited to, administrative and
technical operations, such as:
(a) personnel matters, including qualications, training, clothing
and hygiene;
(b) the change control;
(c) internal audit;
(d) dealing with complaints;
(e) implementation and verication of corrective and preventive
actions;
(f) the purchase and receipt of consignments of materials (e.g.
samples, reagents);

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(g) the procurement, preparation and control of reference substances
and reference materials (8);
(h) the internal labelling, quarantine and storage of materials;
(i) the qualication of equipment (11);
(j) the calibration of equipment;
(k) preventive maintenance and verication of instruments and equipment;
(l) sampling, if performed by the laboratory, and visual inspection;
(m) the testing of samples with descriptions of the methods and
equipment used;
(n) atypical and OOS results;
(o) validation of analytical procedures;
(p) cleaning of laboratory facilities, including bench tops, equipment,
work stations, clean rooms (aseptic suites) and glassware;
(q) monitoring of environmental conditions, e.g. temperature and
humidity;
(r) monitoring storage conditions;
(s) disposal of reagents and solvent samples; and
(t) safety measures.
2.4 The activities of the laboratory should be systematically and
periodically audited (internally and, where appropriate, by external
audits or inspections) to verify compliance with the requirements
of the quality management system and to apply corrective and
preventive actions, if necessary. The audits should be carried out by
trained and qualied personnel, who are independent of the activity
to be audited. The quality manager is responsible for planning and
organizing internal audits addressing all elements of the quality
management system. Such audits should be recorded, together with
details of any corrective and preventive action taken.
2.5 Management review of quality issues should be regularly undertaken
(at least annually), including:
(a) reports on internal and external audits or inspections and any
follow-up required to correct any deciencies;
(b) the outcome of investigations carried out as a result of complaints
received, doubtful (atypical) or aberrant results reported in
collaborative trials and/or prociency tests; and
(c) corrective actions applied and preventive actions introduced as
a result of these investigations.

3. Control of documentation
3.1 Documentation is an essential part of the quality management
system. The laboratory should establish and maintain procedures

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to control and review all documents (both internally generated and
from external sources) that form part of the quality documentation.
A master list identifying the current version status and distribution
of documents should be established and readily available.
3.2 The procedures should ensure that:
(a) each document, whether a technical or a quality document, has
a unique identier, version number and date of implementation;
(b) appropriate, authorized SOPs are available at the relevant
locations, e.g. near instruments;
(c) documents are kept up to date and reviewed as required;
(d) any invalid document is removed and replaced with the
authorized, revised document with immediate effect;
(e) a revised document includes references to the previous
document;
(f) old, invalid documents are retained in the archives to ensure
traceability of the evolution of the procedures; any copies are
destroyed;
(g) all relevant staff are trained for the new and revised SOPs; and
(h) quality documentation, including records, is retained for a
minimum of ve years.
3.3 A system of change control should be in place to inform staff of new
and revised procedures. The system should ensure that:
(a) revised documents are prepared by the initiator, or a person who
performs the same function, reviewed and approved at the same
level as the original document and subsequently released by the
quality manager (quality unit); and
(b) staff acknowledge by a signature that they are aware of applicable
changes and their date of implementation.

4. Records
4.1 The laboratory should establish and maintain procedures for the
identication, collection, indexing, retrieval, storage, maintenance
and disposal of and access to all quality and technical/scientic
records.
4.2 All original observations, including calculations and derived data,
calibration, validation and verication records and nal results,
should be retained on record for an appropriate period of time in
accordance with national regulations and, if applicable, contractual
arrangements, whichever is longer. The records should include the
data recorded in the analytical worksheet by the technician or analyst

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on consecutively numbered pages with references to the appendices
containing the relevant recordings, e.g. chromatograms and spectra.
The records for each test should contain sufcient information to
permit the tests to be repeated and/or the results to be recalculated,
if necessary. The records should include the identity of the personnel
involved in the sampling, preparation and testing of the samples. The
records of samples to be used in legal proceedings should be kept
according to the legal requirements applicable to them.
Note: The generally accepted retention period of shelf-life plus one
year for a pharmaceutical product on the market and 15 years for an
investigational product is recommended, unless national regulations
are more stringent or contractual arrangements do not require
otherwise.
4.3 All quality and technical/scientic records (including analytical test
reports, certicates of analysis and analytical worksheets) should
be legible, readily retrievable, stored and retained within facilities
that provide a suitable environment that will prevent modication,
damage or deterioration and/or loss. The conditions under which
all original records are stored should be such as to ensure their
security and condentiality and access to them should be restricted
to authorized personnel. Electronic storage and signatures may also
be employed but with restricted access and in conformance with
requirements for electronic records (1216).
4.4 Quality management records should include reports from internal
(and external if performed) audits and management reviews, as
well as records of all complaints and their investigations, including
records of possible corrective and preventive actions.

5. Data-processing equipment
5.1 Detailed recommendations are provided in Appendix 5 to Annex 4 of
the Fortieth report of the WHO Expert Committee on Specications
for Pharmaceutical Preparations: Supplementary guidelines in
good manufacturing practice: validation. Validation of computerized
systems (12).
5.2 For computers, automated tests or calibration equipment, and the
collection, processing, recording, reporting, storage or retrieval of
test and/or calibration data, the laboratory should ensure that:
(a) computer software developed by the user is documented in
sufcient detail and appropriately validated or veried as being
suitable for use;

96
(b) procedures are established and implemented for protecting the
integrity of data. Such procedures should include, but are not
limited to, measures to ensure the integrity and condentiality
of data entry or collection and the storage, transmission and
processing of data. In particular, electronic data should be
protected from unauthorized access and an audit trail of any
amendments should be maintained;
(c) computers and automated equipment are maintained so as to
function properly and are provided with the environmental and
operating conditions necessary to ensure the integrity of test and
calibration data;
(d) procedures are established and implemented for making,
documenting and controlling changes to information stored in
computerized systems; and
(e) electronic data should be backed up at appropriate regular intervals
according to a documented procedure. Backed-up data should be
retrievable and stored in such a manner as to prevent data loss.
Note: For further guidance on validation of data-processing equipment,
refer to documents published by the International Society for
Pharmaceutical Engineering (13, 14), US Food and Drug Administration
(15), European Commission (16) and the Ofcial Medicines Control
Laboratories Network of the Council of Europe (17).

6. Personnel
6.1 The laboratory should have sufcient personnel with the necessary
education, training, technical knowledge and experience for their
assigned functions.
6.2 The technical management should ensure the competence of all
personnel operating specic equipment, instruments or other
devices, who are performing tests and/or calibrations, validations or
verications. Their duties also involve the evaluation of results as
well as signing analytical test reports and certicates of analysis (see
Part three, sections 18.718.11 and 19).
6.3 Staff undergoing training should be appropriately supervised
and should be assessed on completion of the training. Personnel
performing specic tasks should be appropriately qualied in terms
of their education, training and experience, as required.
6.4 The laboratory personnel should be permanently employed or under
contract. The laboratory should ensure that additional technical and
key support personnel who are under contract are supervised and

97
sufciently competent and that their work is in accordance with the
quality management system.
6.5 The laboratory should maintain current job descriptions for all
personnel involved in tests and/or calibrations, validations and
verications. The laboratory should also maintain records of all
technical personnel, describing their qualications, training and
experience.
6.6 The laboratory should have the following managerial and technical
personnel:
(a) a head of laboratory (supervisor), who should have
qualications appropriate to the position, with extensive
experience in medicines analysis and laboratory management
in a pharmaceutical quality control laboratory in the regulatory
sector or in industry. The head of laboratory is responsible for
the content of certicates of analysis and analytical testing
reports. This person is also responsible for ensuring that:
(i) all key members of the laboratory staff have the requisite
competence for the required functions and their grades
reect their responsibilities,
(ii) the adequacy of existing stafng, management and training
procedures is reviewed periodically,
(iii) the technical management is adequately supervised;
(b) the technical management who ensure that:
(i) procedures for performing calibration, verication and (re-)
qualication of instruments, monitoring of environmental
and storage conditions are in place and are conducted as
required,
(ii) regular in-service training programmes to update and
extend the skills of both professionals and technicians are
arranged,
(iii) the safekeeping of any materials subject to poison
regulation or to the controls applied to narcotic and
psychotropic substances (see Part one, section 7.12) kept
in the workplace is under the supervision of an authorized
person,
(iv) national pharmaceutical quality control laboratories
regularly participate in suitable prociency testing schemes
and collaborative trials to assess analytical procedures or
reference substances;
(c) analysts, who should normally be graduates in pharmacy,
analytical chemistry, microbiology or other relevant subjects,

98
with the requisite knowledge, skills and ability to adequately
perform the tasks assigned to them by management and to
supervise technical staff;
(d) technical staff, who should hold diplomas in their subjects
awarded by technical or vocational schools; and
(e) a quality manager (see Part one, section 1.3(j)).

7. Premises
7.1 The laboratory facilities are to be of a suitable size, construction
and location. These facilities are to be designed to suit the functions
and operations to be conducted in them. Rest and refreshment rooms
should be separate from laboratory areas. Changing areas and toilets
should be easily accessible and appropriate for the number of users.
7.2 The laboratory facilities should have adequate safety equipment
located appropriately and measures should be in place to ensure good
housekeeping. Each laboratory should be equipped with adequate
instruments and equipment, including work benches, work stations
and fume hoods.
7.3 The environmental conditions, including lighting, energy sources,
temperature, humidity and air pressure, are to be appropriate to the
functions and operations to be performed. The laboratory should
ensure that the environmental conditions are monitored, controlled
and documented and do not invalidate the results or adversely affect
the quality of the measurements.
7.4 Special precautions should be taken and, if necessary, there should
be a separate and dedicated unit or equipment (e.g. isolator, laminar
ow work bench) to handle, weigh and manipulate highly toxic
substances, including genotoxic substances. Procedures should be in
place to avoid exposure and contamination.
7.5 Archive facilities should be provided to ensure the secure storage and
retrieval of all documents. The design and condition of the archives
should be such as to protect the contents from deterioration. Access
to the archives should be restricted to designated personnel.
7.6 Procedures should be in place for the safe removal of types of waste
including toxic waste (chemical and biological), reagents, samples,
solvents and air lters.
7.7 Microbiological testing, if performed, should be contained in an
appropriately designed and constructed laboratory unit. For further
guidance see the draft working document WHO guideline on good

99
practices for pharmaceutical microbiology laboratories (reference
QAS/09.297).
7.8 If in vivo biological testing (e.g. rabbit pyrogen test) is included in
the scope of the laboratory activities then the animal houses should
be isolated from the other laboratory areas with a separate entrance
and air-conditioning system. The relevant guidance and regulations
are to be applied (18).

Laboratory storage facilities


7.9 The storage facilities should be well organized for the correct storage
of samples, reagents and equipment.
7.10 Separate storage facilities should be maintained for the secure
storage of samples, retained samples (see Part three, section 20),
reagents and laboratory accessories (see Part two, sections 10.13
10.14), reference substances and reference materials (see Part two,
section 11). Storage facilities should be equipped to store material,
if necessary, under refrigeration (28C) and frozen (-20C) and
securely locked. All specied storage conditions should be controlled,
monitored and records maintained. Access should be restricted to
designated personnel.
7.11 Appropriate safety procedures should be drawn up and rigorously
implemented wherever toxic or ammable reagents are stored or
used. The laboratory should provide separate rooms or areas for
storing ammable substances, fuming and concentrated acids and
bases, volatile amines and other reagents, such as hydrochloric
acid, nitric acid, ammonia and bromine. Self-igniting materials,
such as metallic sodium and potassium, should also be stored
separately. Small stocks of acids, bases and solvents may be kept
in the laboratory store but the main stocks of these items should
preferably be retained in a store separate from the laboratory
building.
7.12 Reagents subject to poison regulations or to the controls applied to
narcotic and psychotropic substances should be clearly marked as
required by national legislation. They should be kept separately from
other reagents in locked cabinets. A designated responsible member
of staff should maintain a register of these substances. The head of
each unit should accept personal responsibility for the safekeeping
of any of these reagents kept in the workplace.
7.13 Gases also should be stored in a dedicated store, if possible isolated
from the main building. Wherever possible gas bottles in the
laboratory are to be avoided and distribution from an external gas

100
store is preferred. If gas bottles are present in the laboratory they
should be safely secured.
Note: Consideration should be given to the installation of gas generators.

8. Equipment, instruments and other devices


8.1 Equipment, instruments and other devices should be designed,
constructed, adapted, located, calibrated, qualied, veried and
maintained as required by the operations to be carried out in the
local environment. The user should purchase the equipment from an
agent capable of providing full technical support and maintenance
when necessary.
8.2 The laboratory should have the required test equipment, instruments
and other devices for the correct performance of the tests and/or
calibrations, validations and verications (including the preparation of
samples and the processing and analysis of test and/or calibration data).
8.3 Equipment, instruments and other devices, including those used for
sampling, should meet the laboratorys requirements and comply
with the relevant standard specications, as well as being veried,
qualied and/or calibrated regularly (see Part two, section 12).

9. Contracts
Purchasing services and supplies
9.1 The laboratory should have a procedure for the selection and
purchasing of services and supplies it uses that affect the quality of
testing.
9.2 The laboratory should evaluate suppliers of critical consumables, supplies
and services which affect quality of testing, maintain records of these
evaluations and list approved suppliers, which have been demonstrated to
be of a suitable quality with respect to the requirements of the laboratory.

Subcontracting of testing
9.3 When a laboratory subcontracts work, which may include specic
testing, it is to be done with organizations approved for the type
of activity required. The laboratory is responsible for periodically
assessing the competence of a contracted organization.
9.4 When a laboratory performs testing for a customer and subcontracts
part of the testing, it should advise the customer of the arrangement
in writing and, if appropriate, gain his or her approval.

101
9.5 There should be a written contract which clearly establishes the
duties and responsibilities of each party, denes the contracted
work and any technical arrangements made in connection with it.
The contract should permit the laboratory to audit the facilities and
competencies of the contracted organization and ensure the access of
the laboratory to records and retained samples.
9.6 The contracted organization should not pass to a third party any
work entrusted to it under contract without the laboratorys prior
evaluation and approval of the arrangements.
9.7 The laboratory should maintain a register of all subcontractors
that it uses and a record of the assessment of the competence of
subcontractors.
9.8 The laboratory takes the responsibility for all results reported,
including those furnished by the subcontracting organization.

Part two. Materials, equipment,


instruments and other devices
10. Reagents
10.1 All reagents and chemicals, including solvents and materials used in
tests and assays, should be of appropriate quality.
10.2 Reagents should be purchased from reputable, approved suppliers
and should be accompanied by the certicate of analysis, and the
material safety data sheet, if required.
10.3 In the preparation of reagent solutions in the laboratory:
(a) responsibility for this task should be clearly specied in the job
description of the person assigned to carry it out; and
(b) prescribed procedures should be used which are in accordance
with published pharmacopoeial or other standards where
available. Records should be kept of the preparation and
standardization of volumetric solutions.
10.4 The labels of all reagents should clearly specify:
(a) content;
(b) manufacturer;
(c) date received and date of opening of the container;
(d) concentration, if applicable;
(e) storage conditions; and
(f) expiry date or retest date, as justied.

102
10.5 The labels of reagent solutions prepared in the laboratory should
clearly specify:
(a) name;
(b) date of preparation and initials of technician or analyst;
(c) expiry date or retest date, as justied; and
(d) concentration, if applicable.
10.6 The labels for volumetric solutions prepared in the laboratory should
clearly specify:
(a) name;
(b) molarity (or concentration);
(c) date of preparation and initials of technician/analyst;
(d) date of standardization and initials of technician/analyst; and
(e) standardization factor.
Note: The laboratory should ensure that the volumetric solution is
suitable for use at the time of use.
10.7 In the transportation and subdivision of reagents:
(a) whenever possible they should be transported in the original
containers; and
(b) when subdivision is necessary, clean containers should be used
and appropriately labelled.

Visual inspection
10.8 All reagent containers should be visually inspected to ensure that the
seals are intact, both when they are delivered to the store and when
they are distributed to the units.
10.9 Reagents that appear to have been tampered with should be rejected;
however, this requirement may exceptionally be waived if the
identity and purity of the reagent concerned can be conrmed by
testing.

Water
10.10 Water should be considered as a reagent. The appropriate grade for a
specic test should be used as described in the pharmacopoeias or in
an approved test when available.
10.11 Precautions should be taken to avoid contamination during its supply,
storage and distribution.
10.12 The quality of the water should be veried regularly to ensure that
the various grades of water meet the appropriate specications.

103
Storage
10.13 Stocks of reagents should be maintained in a store under the
appropriate storage conditions (ambient temperature, under
refrigeration or frozen). The store should contain a supply of clean
bottles, vials, spoons, funnels and labels, as required, for dispensing
reagents from larger to smaller containers. Special equipment may
be needed for the transfer of larger volumes of corrosive liquids.
10.14 The person in charge of the store is responsible for looking after
the storage facilities and their inventory and for noting the expiry
date of chemicals and reagents. Training may be needed in handling
chemicals safely and with the necessary care.

11. Reference substances and reference materials


11.1 Reference substances (primary reference substances or secondary
reference substances (8)) are used for the testing of a sample.
Note: Pharmacopoeial reference substances should be employed when
available and appropriate for the analysis. When a pharmacopoeia
reference substance has not been established then the manufacturer
should use its own reference substance.
11.2 Reference materials may be necessary for the calibration and/or
qualication of equipment, instruments or other devices.

Registration and labelling


11.3 An identication number should be assigned to all reference
substances, except for pharmacopoeial reference substances.
11.4 A new identication number should be assigned to each new batch.
11.5 This number should be marked on each vial of the reference
substance.
11.6 The identication number should be quoted on the analytical
worksheet every time the reference substance is used (see Part three,
section 15.5). In the case of pharmacopoeial reference substances the
batch number and/or the batch validity statement should be attached
to the worksheet.
11.7 The register for all reference substances and reference materials
should be maintained and contain the following information:
(a) the identication number of the substance or material;
(b) a precise description of the substance or material;
(c) the source;

104
(d) the date of receipt;
(e) the batch designation or other identication code;
(f) the intended use of the substance or material (e.g. as an infrared
reference substance or as an impurity reference substance for
thin-layer chromatography);
(g) the location of storage in the laboratory, and any special storage
conditions;
(h) any further necessary information (e.g. the results of visual
inspections);
(i) expiry date or retest date;
(j) certicate (batch validity statement) of a pharmacopoeial
reference substance and a certied reference material which
indicates its use, the assigned content, if applicable, and its
status (validity); and
(k) in the case of secondary reference substances prepared and
supplied by the manufacturer, the certicate of analysis.
11.8 A person should be nominated to be responsible for reference
substances and reference materials.
11.9 If a national pharmaceutical quality control laboratory is required to
establish reference substances for use by other institutions, a separate
reference substances unit should be established.
11.10 In addition a le should be kept in which all information on the
properties of each reference substance is entered including the safety
data sheets.
11.11 For reference substances prepared in the laboratory, the le should
include the results of all tests and verications used to establish the
reference substances and expiry date or retest date; these should be
signed by the responsible analyst.

Retesting (monitoring)
11.12 All reference substances prepared in the laboratory or supplied
externally should be retested at regular intervals to ensure that
deterioration has not occurred. The interval for retesting depends
on a number of factors, including stability of the substance, storage
conditions employed, type of container and extent of use (how often
the container is opened and closed). More detailed information on
the handling, storage and retesting of reference substances is given
in the WHO General guidelines for the establishment, maintenance
and distribution of chemical reference substances (8).
11.13 The results of these tests should be recorded and signed by the
responsible analyst.

105
11.14 In the case that the result of retesting of a reference substance is non-
compliant, a retrospective check of tests performed using this reference
substance since its previous examination should be carried out. For
evaluation of outcomes of retrospective checks and consideration of
possible corrective actions, risk analysis should be applied.
11.15 Pharmacopoeial reference substances are regularly retested and the
validity (current status) of these reference substances is available
from the issuing pharmacopoeia by various means, e.g. web sites
or catalogues. Retesting by the laboratory is not necessary, provided
the reference substances are stored in accordance with the storage
conditions indicated.

12. Calibration, verication of performance


and qualication of equipment, instruments
and other devices
12.1 Each item of equipment, instrument or other device used for testing,
verication and/or calibration should, when practicable, be uniquely
identied.
12.2 All equipment, instruments and other devices (e.g. volumetric glassware
and automatic dispensers) requiring calibration should be labelled,
coded or otherwise identied to indicate the status of calibration and
the date when recalibration is due.
12.3 Laboratory equipment should undergo design qualication, installation
qualication, operation qualication and performance qualication
(for denitions of these terms see the Glossary) (11). Depending on
the function and operation of the instrument, the design qualication
of a commercially available standard instrument may be omitted as the
installation qualication, operational qualication and performance
qualication may be considered to be a sufcient indicator of its
suitable design.
12.4 As applicable, the performance of equipment should be veried at
appropriate intervals according to a plan established by the laboratory.
12.5 Measuring equipment should be regularly calibrated according to a
plan established by the laboratory (11).
12.6 Specic procedures should be established for each type of measuring
equipment, taking into account the type of equipment, the extent of
use and suppliers recommendations. For example:
pH meters are veried with standard certied buffer solutions
before use;

106
balances are to be checked daily using internal calibration and
regularly using suitable test weights, and requalication should
be performed annually using certied reference weights.
12.7 Only authorized personnel should operate equipment, instruments
and devices. Up-to-date SOPs on the use, maintenance, verication,
qualication and calibration of equipment, instruments and devices
(including any relevant manuals provided by the manufacturer)
should be readily available for use by the appropriate laboratory
personnel together with a schedule of the dates on which verication
and/or calibration is due.
12.8 Records should be kept of each item of equipment, instrument or
other device used to perform testing, verication and/or calibration.
The records should include at least the following:
(a) the identity of the equipment, instrument or other device;
(b) the manufacturers name and the equipment model, serial
number or other unique identication;
(c) the qualication, verication and/or calibration required;
(d) the current location, where appropriate;
(e) the equipment manufacturers instructions, if available, or an
indication of their location;
(f) the dates, results and copies of reports, verications and certicates
of all calibrations, adjustments, acceptance criteria and the due
date of the next qualication, verication and/or calibration;
(g) the maintenance carried out to date and the maintenance plan;
and
(h) a history of any damage, malfunction, modication or repair.
It is also recommended that records should be kept and additional
observations made of the time for which the equipment, instruments
or devices were used.
12.9 Procedures should include instructions for the safe handling, transport
and storage of measuring equipment. On reinstallation, requalication
of the equipment is required to ensure that it functions properly.
12.10 Maintenance procedures should be established, e.g. regular servicing
should be performed by a team of maintenance specialists, whether
internal or external, followed by verication of performance.
12.11 Equipment, instruments and other devices, either subjected to
overloading or mishandling, giving suspect results, shown to be
defective or outside specied limits, should be taken out of service
and clearly labelled or marked. Wherever possible they should not be
used until they have been repaired and requalied.

107
12.12 When the equipment, instruments and other devices are outside the
direct control of the laboratory for a certain period or have undergone
major repair, the laboratory should requalify the equipment to ensure
its suitability for use.
Note: For further guidance on calibration, verication of performance
and qualication of equipment refer to:
Procedures for verifying and calibrating refractometers,
thermometers used in determinations of melting temperatures
and potentiometers for pH determinations and methods for
verifying the reliability of scales for ultraviolet and infrared
spectrophotometers and spectrouorometers in The International
Pharmacopoeia (19);
Specic guidelines for qualication of equipment elaborated by
the European Network of Ofcial Medicines Control Laboratories
(OMCL) (20); and
General chapter of the US Pharmacopeia on Analytical instrument
qualication (21).

13. Traceability
13.1 The result of an analysis should be traceable, when appropriate,
ultimately to a primary reference substance.
13.2 All calibrations or qualication of instruments should be traceable
to certied reference materials and to SI units (metrological
traceability).

Part Three. Working procedures


14. Incoming samples
Sections 14.114.3 are applicable to national pharmaceutical quality control
laboratories.
14.1 Samples received by a laboratory may be for compliance testing or for
investigative testing. Samples for compliance testing include routine
samples for control, samples suspected of not complying with the
specications or samples submitted in connection with a marketing
authorization process. Close collaboration with the providers of the
samples is important. In particular it is important that the sample is
large enough to enable, if required, a number of replicate tests to be
carried out (see Part three, section 14.3) and for part of the sample to
be retained (see Part three, section 20).

108
14.2 Samples for investigative testing may be submitted by various
sources including customs, police and medicines inspectors. These
samples comprise suspicious, illegal or counterfeit substances or
products. Usually, the primary objective of investigative testing
is to identify the substance or the ingredient in the product and, if
sufcient substance or product is available, to estimate the purity or
content. Well-documented screening procedures should be in place
as well as conrmatory analytical procedures to positively identify
the substance or the ingredient(s). If an estimation of the content of
an identied ingredient is required then an appropriate quantitative
analytical procedure should be applied. The value obtained should
be reported with an indication of the uncertainty of measurement if
required (see Part three, section 18.10).
14.3 It is common for a sample to be taken and divided into three
approximately equal portions for submission to the laboratory:
one for immediate testing;
the second for conrmation of testing if required; and
the third for retention in case of dispute.
14.4 If the laboratory is responsible for sampling of substances, materials
or products for subsequent testing then it should have a sampling
plan and an internal procedure for sampling available to all analysts
and technicians working in the laboratory. Samples should be
representative of the batches of material from which they are taken
and sampling should be carried out so as to avoid contamination
and other adverse effects on quality, or mix-up of or by the material
being sampled. All the relevant data related to sampling should be
recorded.
Note: Guidelines for sampling of pharmaceutical products and
related materials were adopted by the WHO Expert Committee on
Specications for Pharmaceutical Preparations at its thirty-ninth
meeting (22).
Test request
14.5 A standard test request form should be lled out and should
accompany each sample submitted to the laboratory. In the case of a
pharmaceutical manufacturers laboratory the requirements may be
given in the master production instructions.
14.6 The test request form should provide or leave space for the following
information:
(a) the name of the institution or inspector that supplied the sample;
(b) the source of the material;

109
(c) a full description of the medicine, including its composition,
international nonproprietary name (INN) (if available) and
brand name(s);
(d) dosage form and concentration or strength, the manufacturer,
the batch number (if available) and the marketing authorization
number;
(e) the size of the sample;
(f) the reason for requesting the analysis;
(g) the date on which the sample was collected;
(h) the size of the consignment from which it was taken, when
appropriate;
(i) the expiry date (for pharmaceutical products) or retest date (for
APIs and pharmaceutical excipients);
(j) the specication to be used for testing;
(k) a record of any further comments (e.g. discrepancies found or
associated hazard); and
(l) the required storage conditions.
14.7 The laboratory should review the test request to ensure that:
(a) the requirements are adequately dened and the laboratory has
the capability and resources to meet them; and
(b) the appropriate tests and/or methods are selected and are capable
of meeting customers requirements.
Any issue should be resolved with the originator of the request for
analysis before testing starts and a record of the review should be
kept.

Registration and labelling


14.8 All newly delivered samples and accompanying documents (e.g.
the test request) should be assigned a registration number. Separate
registration numbers should be assigned to requests referring to two
or more medicines, different dosage forms, or different batches of the
same medicine or different sources of the same batch. If applicable, a
unique registration number should also be assigned to any incoming
retained sample (see Part three, section 20).
14.9 A label bearing the registration number should be afxed to each
container of the sample. Care should be taken to avoid obscuring any
other markings or inscriptions.
14.10 A register should be kept, which may be a record book, a card le
or data-processing equipment, in which the following information is
recorded:

110
(a) the registration number of the sample;
(b) the date of receipt; and
(c) the specic unit to which the sample was forwarded.

Visual inspection of the submitted sample


14.11 The sample received should be visually inspected by laboratory staff
to ensure that the labelling conforms with the information contained
in the test request. The ndings should be recorded, dated and signed.
If discrepancies are found, or if the sample is obviously damaged,
this fact should be recorded without delay on the test request form.
Any queries should be immediately referred back to the provider of
the sample.

Storage
14.12 The sample prior to testing, the retained sample (see Part three,
section 20) and any portions of the sample remaining after
performance of all the required tests should be stored safely, taking
into account the storage conditions (22, 23) specied for the sample.

Forwarding to testing
14.13 The specic unit to which the sample is sent for testing is determined
by the person responsible.
14.14 The examination of a sample should not be started before the relevant
test request has been received.
14.15 The sample should be properly stored until all relevant documentation
has been received.
14.16 A request for analysis may be accepted verbally only in emergencies.
All details should immediately be placed on record pending the
receipt of written conrmation.
14.17 Unless a computerized system is used, copies or duplicates of all
documentation should accompany each numbered sample when sent
to the specic unit.
14.18 Testing should be performed as described under Part three, section 17.

15. Analytical worksheet


15.1 The analytical worksheet is an internal document to be used by the
analyst for recording information about the sample, the test procedure,
calculations and the results of testing. It is to be complemented by
the raw data obtained in the analysis.

111
Purpose
15.2 The analytical worksheet contains documentary evidence either:
to conrm that the sample being examined is in accordance with
the requirements; or
to support an OOS result (see Part three, sections 18.118.3).

Use
15.3 A separate analytical worksheet should usually be used for each
numbered sample or group of samples.
15.4 Analytical worksheets from different units relating to the same
sample should be assembled together.

Content
15.5 The analytical worksheet should provide the following information:
(a) the registration number of the sample (see Part three,
section 14.9);
(b) page numbering, including the total number of pages (and
including annexes);
(c) the date of the test request;
(d) the date on which the analysis was started and completed;
(e) the name and signature of the analyst;
(f) a description of the sample received;
(g) references to the specications and a full description of test
methods by which the sample was tested, including the limits;
(h) the identication of the test equipment used (see Part two,
section 12.1);
(i) the identication number of any reference substance used (see
Part two, section 11.5);
(j) if applicable, the results of the system suitability test;
(k) the identication of reagents and solvents employed;
(l) the results obtained;
(m) the interpretation of the results and the nal conclusions (whether
or not the sample was found to comply with the specications),
approved and signed by the supervisor; and
(n) any further comments, for example, for internal information (see
Part three, section 17.1), or detailed notes on the specications
selected and the methods of assessment used (see Part three,
section 15.9), or any deviation from the prescribed procedure,
which should be approved and reported, or whether and when
portions of the sample were forwarded to other units for special
tests and the date on which the results were received.

112
15.6 All values obtained from each test, including blank results, should
immediately be entered on the analytical worksheet and all graphical
data, whether obtained from recording instruments or plotted by
hand, should be attached or be traceable to an electronic record le
or document where the data are available.
15.7 The completed analytical worksheet should be signed by the responsible
analyst(s), veried and approved and signed by the supervisor.
15.8 When a mistake is made in an analytical worksheet or when data
or text need to be amended, the old information should be deleted
by putting a single line through it (it should not be erased or made
illegible) and the new information added alongside. All such
alterations should be signed by the person making the correction and
the date of the change inserted. The reason for the change should
also be given on the worksheet (suitable procedures should be in
place for amending electronic worksheets).

Selection of the specications to be used


15.9 The specication necessary to assess the sample may be that
given in the test request or master production instructions. If
no precise instruction is given, the specication in the ofcially
recognized national pharmacopoeia may be used or, failing this, the
manufacturers ofcially approved or other nationally recognized
specication. If no suitable method is available:
(a) the specication contained in the marketing authorization or
product licence may be requested from the marketing authorization
holder or manufacturer and veried by the laboratory; or
(b) the requirements may be set by the laboratory itself on the basis
of published information and any procedure employed is to be
validated by the testing laboratory (see Part three, section 16).
15.10 For ofcial specications the current version of the relevant
pharmacopoeia should be available.

Filing
15.11 The analytical worksheet should be kept safely together with any
attachments, including calculations and recordings of instrumental
analyses.

16. Validation of analytical procedures


16.1 All analytical procedures employed for testing should be suitable for
the intended use. This is demonstrated by validation (24). Validation

113
also serves to establish acceptance criteria for system suitability
tests which are subsequently employed for the verication of the
analytical procedure before analysis.
16.2 Validation should be performed according to a validation protocol,
which includes analytical performance characteristics to be veried
for various types of analytical procedures. Typical characteristics
which should be considered are listed in Table 1 (in the development
phase of an analytical procedure, robustness, i.e. the ability of the
procedure to provide results of acceptable accuracy and precision
under a variety of conditions should also be considered). The results
are to be documented in the validation report.
Table 1
Characteristics to consider during validation of analytical procedures
Type of analytical Identication Testing for impurities Assay
Procedure
Quantitative Limit dissolution
tests tests (measurement
only)
content/potency
Characteristics
Accuracy + +
Precision
Repeatability + +
Intermediate + +
precisiona
Specicity + + + +
b
Detection limit +
Quantitation limit +
Linearity + +
Range + +
Characteristic is normally not evaluated; + characteristic should normally be evaluated.
a
In cases where a reproducibility study has been performed, intermediate precision is not needed.
b
May be needed in some cases.

16.3 Pharmacopoeial methods are considered to be validated for the


intended use as prescribed in the monograph(s). However, the
laboratory should also conrm that, for example, for a particular
nished pharmaceutical product (FPP) examined for the rst time,
no interference arises from the excipients present, or that for an API,
impurities coming from a new route of synthesis are adequately
differentiated. If the pharmacopoeial method is adapted for another
use then it should be validated for such a use to demonstrate that it is
t-for-purpose.

114
16.4 System suitability testing is an integral part of many analytical
procedures. The tests are based on the fact that the equipment,
electronics, analytical operations and samples to be analysed
contribute to the system. Which system suitability tests are to be
applied depends on the type of procedure to be used. System
suitability tests are employed for the verication of pharmacopoeial
methods or validated analytical procedures and should be performed
prior to the analysis. Provided the system suitability criteria are
fullled the method or procedure is considered to be suitable for the
intended purpose.
Note: If a large number of samples is being analysed in sequence, then
appropriate system suitability tests are to be performed throughout
the sequence to demonstrate that the performance of the procedure
is satisfactory.
Verication is not required for basic pharmacopoeial methods such
as (but not limited to) pH, loss on drying and wet chemical methods.
16.5 A major change to the analytical procedure, or in the composition
of the product tested, or in the synthesis of the API, will require
revalidation of the analytical procedure.
Note: Further guidance on validation of analytical procedures is
available in the following:
Guideline elaborated by the International Conference on
Harmonisation of Technical Requirements for Registration of
Pharmaceuticals for Human Use (ICH) (25);
Guideline elaborated by the European Network of Ofcial
Medicines Control Laboratories (OMCL) (26);
General chapters of the US Pharmacopeia on Validation of
compendial procedures and on Verication of compendial
procedures (27).

17. Testing
17.1 The sample should be tested in accordance with the work plan of
the laboratory after completion of the preliminary procedures. If
this is not feasible the reasons should be noted, e.g. in the analytical
worksheet (see Part three, section 15), and the sample should be stored
in a special place which is kept locked (see Part three, section 14.12).
17.2 Specic tests required may need to be carried out by another unit or
by a specialized external laboratory (see Part one, section 9). The
responsible person should prepare the request and arrange for the

115
transfer of the required number of units (bottles, vials or tablets) from
the sample. Each of these units should bear the correct registration
number. When the analytical test report contains results of tests
performed by subcontractors, these results should be identied as
such.
17.3 Detailed guidance on ofcial pharmacopoeial requirements is
usually given in the general notices and specic monographs of the
pharmacopoeia concerned. Test procedures should be described in
detail and should provide sufcient information to allow properly
trained analysts to perform the analysis in a reliable manner. Where
system suitability criteria are dened in the method they should be
fullled. Any deviation from the test procedure should be approved
and documented.

18. Evaluation of test results


18.1 Test results should be reviewed and, where appropriate, evaluated
statistically after completion of all the tests to determine whether
they are mutually consistent and if they meet the specications used.
The evaluation should take into consideration the results of all the
tests (all test data). Whenever doubtful (atypical) results are obtained
they should be investigated. The complete testing procedure needs
to be checked according to the internal quality management system
(see also Part one, section 2).
18.2 When a doubtful result (suspected OOS result) has been identied, a
review of the different procedures applied during the testing process
is to be undertaken by the supervisor with the analyst or technician
before retesting is permitted. The following steps should be followed:
(a) conrm with the analyst or technician that the appropriate
procedure(s) was (were) applied and followed correctly;
(b) examine the raw data to identify possible discrepancies;
(c) check all calculations;
(d) check that the equipment used was qualied and calibrated, and
that system suitability tests were performed and were acceptable;
(e) ensure that the appropriate reagents, solvents and reference
substances were used;
(f) conrm that the correct glassware was used; and
(g) ensure that original sample preparations are not discarded until
the investigation is complete.
18.3 The identication of an error which caused an aberrant result will
invalidate the result and a retest of the sample will be necessary.

116
Doubtful results can be rejected only if they are clearly due to an
identied error. Sometimes the outcome of the investigation is
inconclusive no obvious cause can be identied in which case
a conrmatory determination is to be performed by another analyst
who should be at least as experienced and competent in the analytical
procedure as the original analyst. A similar value would indicate an
OOS result. However, further conrmation using another validated
method, if available, may be advised.
18.4 An SOP should be in place for the conduct of an investigation of
an OOS test result. The SOP should give clear guidance on the
number of retests allowed (based on sound statistical principles). All
investigations and their conclusions should be recorded. In the event
of an error, any corrective action taken and any preventive measure
introduced should be recorded and implemented.
18.5 All individual results (all test data) with acceptance criteria should
be reported.
18.6 All conclusions should be entered on the analytical worksheet (see
Part three, section 15) by the analyst and signed by the supervisor.
Note: Further guidance on evaluation and reporting of test results is
available in the following:
Guideline elaborated by the US Food and Drug Administration (5);
Guideline elaborated by the European Network of Ofcial
Medicines Control Laboratories (OMCL) (28).

Analytical test report


18.7 The analytical test report is a compilation of the results and states the
conclusions of the examination of a sample. It should be:
(a) issued by the laboratory; and
(b) based on the analytical worksheet (see Part three, section 15).
18.8 Any amendments to the original analytical test report will require the
issue of a new corrected document.
18.9 Pharmacopoeial content limits are set taking into account the
uncertainty of measurement, and the production capability and
acceptance criteria for an analytical result should be predened.
Under presently applicable rules neither the pharmacopoeias nor the
NMRAs require the value found to be expressed with its associated
expanded uncertainty for compliance testing. However, when
reporting the results of investigative testing, although the primary
objective is to identify a substance in the sample, a determination of

117
its concentration may be also requested, in which case the estimated
uncertainty should also be given.
18.10 Measurement uncertainty can be estimated in a number of ways,
e.g.:
(a) by preparing an uncertainty budget for each uncertainty
component identied in an analytical procedure (bottom-up
approach);
(b) from validation data and control charts (29); and
(c) from the data obtained from prociency tests or collaborative
trials (top-down approach).
Note: Further guidance can be found in various guidelines (9, 10, 30,
31, 32).

Content of the analytical test report


18.11 The analytical test report should provide the following information:
(a) the laboratory registration number of the sample;
(b) the laboratory test report number;
(c) the name and address of the laboratory testing the sample;
(d) the name and address of the originator of the request for analysis;
(e) the name, description and batch number of the sample, where
appropriate;
(f) an introduction giving the background to and the purpose of the
investigation;
(g) a reference to the specications used for testing the sample or
a detailed description of the procedures employed (sample for
investigative testing), including the limits;
(h) the results of all the tests performed or the numerical results with
the standard deviation of all the tests performed (if applicable);
(i) a discussion of the results obtained;
(j) a conclusion as to whether or not the sample(s) was (were)
found to be within the limits of the specications used, or for a
sample for investigative testing, the substance(s) or ingredient(s)
identied;
(k) the date on which the test(s) was (were) completed;
(l) the signature of the head of the laboratory or authorized person;
(m) the name and address of the original manufacturer and, if
applicable, those of the repacker and/or trader;
(n) whether or not the sample(s) complies (comply) with the
requirements;
(o) the date on which the sample was received;
(p) the expiry date or retest date, if applicable; and

118
(q) a statement indicating that the analytical test report, or any
portion thereof, cannot be reproduced without the authorization
of the laboratory.

19. Certicate of analysis


19.1 A certicate of analysis is prepared for each batch of a substance or
product and usually contains the following information:
(a) the registration number of the sample;
(b) date of receipt;
(c) the name and address of the laboratory testing the sample;
(d) the name and address of the originator of the request for analysis;
(e) the name, description and batch number of the sample where
appropriate;
(f) the name and address of the original manufacturer and, if
applicable, those of the repacker and/or trader;
(g) the reference to the specication used for testing the sample;
(h) the results of all tests performed (mean and standard deviation,
if applicable) with the prescribed limits;
(i) a conclusion as to whether or not the sample was found to be
within the limits of the specication;
(j) expiry date or retest date if applicable;
(k) date on which the test(s) was (were) completed; and
(l) the signature of the head of laboratory or other authorized person.
Note: The Guideline on model certicate of analysis was adopted by
the WHO Expert Committee on Specications for Pharmaceutical
Preparations at its thirty-sixth meeting (3).

20. Retained samples


20.1 Samples should be retained as required by the legislation or by the
originator of the request for analysis. There should be a sufcient
amount of retained sample to allow at least two re-analyses. The
retained sample should be kept in its nal pack.

Part four. Safety


21. General rules
21.1 General and specic safety instructions reecting identied risk,
should be made available to each staff member and supplemented
regularly as appropriate (e.g. with written material, poster displays,
audiovisual material and occasional seminars).

119
21.2 General rules for safe working in accordance with national regulations
and SOPs normally include the following requirements:
(a) safety data sheets should be available to staff before testing is
carried out;
(b) smoking, eating and drinking in the laboratory should be
prohibited;
(c) staff should be familiar with the use of re-ghting equipment,
including re extinguishers, re blankets and gas masks;
(d) staff should wear laboratory coats or other protective clothing,
including eye protection;
(e) special care should be taken, as appropriate, in handling, for
example, highly potent, infectious or volatile substances;
(f) highly toxic and/or genotoxic samples should be handled in a
specially designed facility to avoid the risk of contamination;
(g) all containers of chemicals should be fully labelled and include
prominent warnings (e.g. poison, ammable, radioactive)
whenever appropriate;
(h) adequate insulation and spark-proong should be provided for
electrical wiring and equipment, including refrigerators;
(i) rules on safe handling of cylinders of compressed gases should
be observed and staff should be familiar with the relevant colour
identication codes;
(j) staff should be aware of the need to avoid working alone in the
laboratory; and
(k) rst-aid materials should be provided and staff instructed in
rst-aid techniques, emergency care and the use of antidotes.
21.3 Protective clothing should be available, including eye protection,
masks and gloves. Safety showers should be installed. Rubber suction
bulbs should be used on manual pipettes and siphons. Staff should be
instructed in the safe handling of glassware, corrosive reagents and
solvents and particularly in the use of safety containers or baskets to
avoid spillage from containers. Warnings, precautions and instructions
should be given for work with violent, uncontrollable or dangerous
reactions when handling specic reagents (e.g. mixing water and
acids, or acetonechloroform and ammonia), ammable products,
oxidizing or radioactive agents and especially biologicals such as
infectious agents. Peroxide-free solvents should be used. Staff should
be aware of methods for the safe disposal of unwanted corrosive or
dangerous products by neutralization or deactivation and of the need
for safe and complete disposal of mercury and its salts.
21.4 Poisonous or hazardous products should be singled out and labelled
appropriately, but it should not be taken for granted that all other

120
chemicals and biologicals are safe. Unnecessary contact with
reagents, especially solvents and their vapours, should be avoided.
The use of known carcinogens and mutagens as reagents should
be limited or totally excluded if required by national regulations.
Replacement of toxic solvents and reagents by less toxic materials
or reduction of their use should always be the aim, particularly when
new techniques are developed.

References
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and inspection. Geneva, World Health Organization, 2007.
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PA/PH/OMCL (08) 87 2R Annex 1: Validation of computerised
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(http://www.edqm.eu/site/NEW_Annex_1_Validation_of_computerised_
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PA/PH/OMCL (08) 88 R Annex 2: Validation of Databases (DB),
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Validation_of_Databases_DB_Laboratory_pdf-en-8392-2.html),
PA/PH/OMCL (08) 89 R Annex 3: Validation of computers as part of
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of_computers_as_part_of_tespdf-en-8393-2.html).
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(http://www.who.int/phint).

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medias/chiers/NEW_Qualication_of_equipment_core_document.pdf),
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(http://www.edqm.eu/medias/chiers/Annex_1_Qualication_of_HPLC_
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PA/PH/OMCL (06) 86 DEF Annex 2: Qualication of GC Equipment
(http://www.edqm.eu/medias/chiers/Annex_2_Qualication_of_GC_
equipment.pdf),
PA/PH/OMCL (07) 11 DEF CORR Annex 3: Qualication of UV-visible
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Qualication_of_UV_Visible_spectrophotometers.pdf),
PA/PH/OMCL (07) 12 DEF CORR - Annex 4: Qualication of IR
spectrophotometers (http://www.edqm.eu/medias/chiers/Annex_4_
Qualication_of_IR_spectrophotometers.pdf),
PA/PH/OMCL (07) 108 3R Annex 5: Qualication of automatic titrators
(http://www.edqm.eu/medias/chiers/NEW_Annex_5_Qualication_of_
Automatic_Titrators.pdf).
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Requirements for Registration of Pharmaceuticals for Human Use (ICH)
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Analytical_Procedures.pdf).
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compendial procedures and <1226> Verication of compendial procedures.
Rockville, MD, 2009.
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123
Evaluation and reporting of results (http://www.edqm.eu/medias/chiers/
Evaluation_Reporting_of_Results.pdf).
29. Shewhart control charts. International Organization for Standardization, 1991
(ISO 8258).
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Quality Assurance Documents:
PA/PH/OMCL (05) 49 DEF CORR Uncertainty of measurement Part
1: General OMCL policy for implementation of measurement uncertainty
in compliance testing (http://www.edqm.eu/medias/chiers/Uncertainty_
of_Measurements_Part_I_Compliance_testing.pdf),
PA/PH/OMCL (07) 106 DEF Uncertainty of measurement Part
2: OMCL policy on the estimation and application of uncertainty
in analytical measurement (http://www.edqm.eu/medias/chiers/
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(CITAC) Guides. Quantifying uncertainty in analytical measurement, 2nd ed,
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(CITAC) Guides. Use of uncertainty information in compliance assessment,
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124
Appendix
Equipment for a rst-stage and medium-sized
pharmaceutical quality control laboratory
A list of equipment considered by the Committee to be adequate either for
a rst-stage or medium-sized pharmaceutical quality control laboratory is
given in the table. In the case of a medium-sized laboratory, specic sections
are devoted to a microbiology unit and pharmacognosy/phytochemistry
unit. For a rst-stage laboratory testing herbal medicines, the additional
equipment recommended is specied in the table.
This list does not represent any requirements which should be fullled
to comply with these guidelines. NMRAs or laboratories wishing to
perform pharmaceutical analyses may consider the following list in the
establishment or upgrading of their testing facilities. For budgetary reasons
it is necessary, besides the cost of equipment, to take into consideration the
cost of reference materials, reagents, solvents, glassware, other laboratory
commodities and personnel. Experience has shown that for sustainability,
a laboratory should allow a margin of 1015% per year of the purchasing
expenditure on equipment to cover the cost of maintenance.

Table
Equipment for a rst-stage and medium-sized pharmaceutical quality control laboratory
First-stage laboratory
Equipment and major instruments Quantity
Top-loading balance 1
Analytical balance (5 digits) 1 or 2
Melting-point apparatus 1
pH meter (with assorted electrodes) 1
Microscope 1
Polarimeter 1
High-performance liquid chromatograph with ultraviolet detector 2
Ultraviolet/visible spectrophotometer 1
Infrared spectrophotometer with pellet press 1
Karl Fischer titrator (semi-micro determination of water) 1
Agate mortar with pestle 1
Equipment for thin-layer chromatography 1
Thin-layer chromatography spotter 1
Developing chambers 6 + 1a
Atomizers 6

125
First-stage laboratory (cont.)
Ultraviolet viewing lamp 1
Disintegration test equipment (1 basket for 6 tablets) 1
Dissolution apparatus 1
Soxhlet extraction apparatus (60 ml) 3 + 1a
Micrometer callipers 1
Pycnometers 2
Burettes/pipettes (10 ml and 25 ml/1, 2, 5, 10, 20, 25, 50 ml) 3 of each
Desiccator 1 + 1a
Centrifuge (table-top model, 4-place swing rotor) 1
Water-bath (20 litres) 1
Hot plates with magnetic stirrers 3
Vacuum pump (rotary, oil) 1
Drying oven (60 litres) 1
Vacuum oven (17 litres) 1
Mufe furnace 1
Refrigerator (explosion-proof) 1
Water distilling apparatus (8 litres/hour) 1
Water deionizer (10 litres/hour) 1
Dehumidier (where needed) 1
Fume hood 1

Optional items
Analytical microbalance 1
Flame photometer (including air compressor) 1
Refractometer 1
Viscometer 1
Vortex mixer 1
Shaker (wrist-action) 1
Pipette rinser 1
Constant temperature water-bath 1
Ultrasonic cleaner (5 litres) 1

Medium-sized laboratory
Equipment and major instruments Quantity
Top-loading balance 1 or 2
Analytical balance (5 digits) 2
Analytical microbalance 1

126
Medium-sized laboratory (cont.)
Microscope 1 or 2
Equipment for thin-layer chromatography 1
Thin-layer chromatography multispotter 1
Developing chambers 6
Atomizers 6
Ultraviolet viewing lamp 1
Potentiometric titrimeter 1
Micro-Kjeldahl equipment (including fume asks) 1
Soxhlet extraction apparatus (60 ml) 3
Pycnometers 2
Burettes/pipettes (10 ml and 25 ml/1, 2, 5, 10, 20, 25, 50 ml) 6 of each
Micrometer callipers 1
Heating mantles for asks (assorted sizes: 50, 200 and 2000 ml) 6
Sieves (assorted sizes) 1 set
Centrifuge (oor model) 1
Shaker (wrist-action) 1
Vortex mixers 2
Water-bath (electrical, 20 litres) 2 or 3
Hot plates with magnetic stirrers 3 or 4
Vacuum pump (rotary, oil) 2
Vacuum rotary evaporator 1
Drying oven (60 litres) 2 or 3
Mufe furnace (23 litres) 1
Vacuum oven (17 litres) 1
Desiccators 2
Refrigerator (explosion-proof) 2
Freezer 1
Ultrasonic cleaners (5 litres) 2
Laboratory glassware washing machine 1
Water distilling apparatus (8 litres/hour) 1
Water deionizing equipment (10 litres/hour) 1
Fume hoods 2
Melting-point apparatus 1
Polarimeter 1
pH meters (with assorted electrodes) 2
High-performance liquid chromatograph with variable wavelength
Ultraviolet/visible detector 3 or 4

127
Medium-sized laboratory (cont.)
Ultraviolet/visible spectrophotometer, double-beam 1
Infrared spectrophotometer with pellet press 1
Agate mortar with pestle 1
Gas chromatograph (ame ionization, direct and static head space
1
injection)
Refractometer 1
Karl Fischer titrators (1 semi-micro and 1 coulometric for micro-
2
determination of water)
Oxygen ask combustion apparatus 1
Disintegration test equipment (1 basket for 6 tablets) 1
Dissolution test equipment (for 6 tablets/capsules) 1

Optional items
Atomic absorption spectrophotometer 1
Spectrouorometer 1
High-performance liquid chromatograph detectors:
uorescence 1
diode-array 1
refractive index 1
evaporative light scattering (ELSD) 1
charged aerosol (CAD) 1
mass spectrometric (MS) 1
Gas chromatograph detectors:
conductivity 1
nitrogen/phosphorous (NPD) 1
mass spectrometric (MS) 1
Capillary electrophoresis equipment 1
Thin-layer chromatography scanner 1
Crushing strength tester 1
Friability tester 1
Viscometer 1
Ice machine 1
Solvent-recovery apparatus 1

Equipment for microbiology unit


pH meter 1
Ultraviolet/visible spectrophotometer, single-beam 1
Microscopes (for bacteriology) 2

128
Medium-sized laboratory (cont.)
Membrane lter assembly for sterility tests 1
Colony counter with magnier 1
Laminar air ow unit 1
Hot-air sterilizer 1
Incubators, 60 litres 2 or 3
Anaerobic jar 1
Zone reader 1
Centrifuge 1
Water-bath (thermostatically controlled) 2
Autoclaves (100 litres, top-loading) 2
Refrigerators (340 litres) 2
Deep freeze 1
Laboratory glassware washing machine 1

Equipment for pharmacognosy/phytochemistry unit


Grinder/mill (for preparation of sample of herbal materials) 1
Top loading balance 1
Sieves 1 set
Microscopeb 1
Soxhlet extraction apparatus 2 or 3
Water-bath 1
Heating mantles for asks 1 or 2
Hot plates with magnetic stirrers 2
Equipment for thin-layer chromatography 1 or 2
Developing chambers 3 or 4
Desiccators 2
Rotary vacuum apparatus 1
Distillation equipment 1
Conical percolators 2 or 3
b
Apparatus for determination of water content by azeotropic method 1
b
Apparatus for determination of volatile oils 1
c
Apparatus for determination of arsenic limit test 1
a
Needed in the case that herbal medicines are also tested.
b
Quality control methods for medicinal plant materials. Geneva, World Health Organization, 1998.
c
WHO guidelines for assessing quality of herbal medicines with reference to contaminants and
residues. Geneva, World Health Organization, 2006.

129

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