III-03 Recording of Results Analyst Worksheet v03
III-03 Recording of Results Analyst Worksheet v03
III-03 Recording of Results Analyst Worksheet v03
Revision #: 03
OFFICE OF REGULATORY AFFAIRS III-03
Revision Date:
ORA Laboratory Manual Volume III Section 3 06/06/2019
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1. Introduction ................................................................................................................................. 2
2. Recording Analytical Information, Observations and Findings.................................................. 2
2.1. General ............................................................................................................................ 2
2.2. Analyst Worksheets ......................................................................................................... 3
2.2.1. Basic Worksheets.............................................................................................. 3
2.2.2. Specialized Worksheets and Continuation Sheets........................................... 3
2.2.3. Electronically-Entered Raw Data ...................................................................... 4
2.2.4. Instrument-Generated Reports and Charts ...................................................... 4
2.3. Photographs, X-Rays, and Electronic Documentation.................................................... 4
2.4. FACTS (Field Accomplishments and Compliance Tracking System) or LIMS .............. 5
2.5. Notebooks ........................................................................................................................ 5
2.5.1. Typical Uses of Notebooks ............................................................................... 5
2.5.2. Maintaining the Notebook ................................................................................. 5
3. Completing Worksheet and Continuation Sheet........................................................................ 5
3.1. General Information ......................................................................................................... 5
3.2. Worksheet, FORM FDA 431............................................................................................ 5
3.3. Continuation Sheet, FORM FDA 431a .......................................................................... 13
3.4. Miscellaneous Data Entry .............................................................................................. 14
4. Types of Analyses .................................................................................................................... 15
4.1. Check Analysis .............................................................................................................. 16
4.1.1. Check Analysis Requirements ........................................................................ 16
4.1.2. Check Analysis Not Required ......................................................................... 17
5. Assembling, Reviewing, and Approving the Analytical Package ............................................ 18
5.1. Assembling the Analytical Package .............................................................................. 18
5.2. Reviewing and Approving the Analytical Package........................................................ 20
5.3. Approving the Analytical Package and Reporting......................................................... 20
5.4. Reporting Results .......................................................................................................... 21
5.4.1. Reporting Microbiological Results .................................................................. 21
5.4.2. Reporting Chemical Results ........................................................................... 21
5.4.3. Reporting presumptive positive results or Cannot Rule Out (CRO) .............. 22
6. Abbreviated Recording and Reporting of Findings for Surveillance Samples ........................ 22
7. Consumer Complaint Letters ................................................................................................... 22
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8. Glossary/Definitions.................................................................................................................. 23
9. References ............................................................................................................................... 26
10. Document History ..................................................................................................................... 26
11. Change History ......................................................................................................................... 27
12. Attachments.............................................................................................................................. 28
1. Introduction
ORA Laboratory Manual Volume II, ORA-LAB.5.10, defines the national
procedures for reporting laboratory data. This document provides additional
instructions for the preparation of analytical packages, including block-by-block
directions for completing an Analyst Worksheet (FORM FDA 431 and FORM
FDA 431a), and other associated documentation. It also describes laboratory
protocols for recording observations and analytical findings (e.g., forms,
notebooks, web applications, etc.)
2. Recording Analytical Information, Observations and Findings
2.1. General
The laboratory analyst records descriptive information pertaining to the
sample, its handling in the laboratory, and analytical findings and observations
on worksheets (e.g. FORM FDA 431, FORM FDA 431a), and in web
applications, such as FACTS or Laboratory Information Management System
(LIMS). General directions and considerations for completing these forms or
electronic records include:
A. Sample information required for worksheets (hardcopy or electronic) are
initiated upon receipt of the sample by the analyst. Blocks 1 through 9,
and description of the container, labeling, codes, and product in Block
10 (FORM FDA 431), can be completed at this time.
B. Raw data and observations are recorded directly on the worksheets as
acquired. For electronic data see section below on Electronically-
entered Raw Data. When handwriting worksheets, the writing will be in
permanent black or blue ink, and must be legible, neat, and of adequate
size to be easily read and photocopied.
C. Do not write in the left margin on the front of the worksheet page and
the right margin on the back. Information placed in these areas can be
obscured or lost if worksheets are bound.
D. Do not erase, overwrite, or use correction fluid or tape to correct errors.
For errors, draw a single line through the incorrect entry, write the
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show an analytical finding. Because the size of an object may not be evident
from the photograph or photocopy, it is recommended to include a ruler along
with the object in the picture. When providing a photocopy with an
enlargement or reduction, indicate the percent enlargement or reduction on the
photocopy or mounting sheet. Photographs, x-rays, and electronic
documentation must include sample identification, date, and initials.
2.4. FACTS (Field Accomplishments and Compliance Tracking System) or LIMS
Laboratory analysts enter analytical findings and observations following the
analysis. The supervisor enters final conclusions and sample classification
codes. Laboratory personnel will make every effort possible to ensure that they
accurately enter data and errors are corrected as quickly as possible.
2.5. Notebooks
Analysts may keep bound notebooks to record non-sample specific data and
observations. Sample-specific data and observations are recorded on the
worksheets. The notebook is not to contain data, observations, and results
applicable to identified samples. Keep in mind that sample background and
other supporting information that may be contained in a notebook can be used
as evidence in litigation.
2.5.1. Typical Uses of Notebooks
When an analyst elects to keep a notebook, it is bound, and the pages are
hand-numbered or preprinted with numbers. Examples of the data that may be
recorded in a notebook include the following:
A. calibration of weights, glassware and equipment; and
B. preparation and standardization of solutions and reagents
2.5.2. Maintaining the Notebook
General instructions for entering data are discussed in part 6.2.1(D).
3. Completing Worksheet and Continuation Sheet
3.1. General Information
An analyst initiates an analytical package (on FORM FDA 431,FORM FDA
431a or other approved worksheets) upon receipt from either sample
custodian or transferred from another analyst.
3.2. Worksheet, FORM FDA 431
The FORM FDA 431 is completed as follows: (Supplemental to ORA
Laboratory Manual, Volume II, ORA-LAB.5.10 Reporting Laboratory Data)
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Flag: Indicate the appropriate “flag” in the top left margin of the worksheet to
highlight the nature and significance of the sample for reviewers. The flag can
indicate when other related reports are available or if the sample has a specific
reporting need. This is an “optional” designation. Laboratories are to follow
their local procedures for flags. A flag may be indicated for the following:
A. Check and Additional Analysis Samples;
B. Compliance and Surveillance Samples;
C. Complaint Samples;
D. Follow-up to Consumer Complaints, often denoted "F/U to CC";
E. Dealer Voluntarily Holding;
F. Audit Sample;
G. Split Samples; and
H. NDA and ANDA Samples
Block 1. Product: Specify the common or usual name of the product received
for examination. When a label accompanies the product, the name entered is
consistent with the name used on the product label. The name should also be
consistent with information reported on the Collection Report (CR). If the
product is a drug, include dosage form and strength. If the drug is a USP
product, note this as part of the description.
Block 2. Sample Number: The assigned sample number.
Block 3. Sample Seals: Check one of the three blocks to show the seal
condition upon sample receipt. Check “Intact” or “Broken” if the sample is
sealed; or “None” if the sample is not sealed.
Block 4. Date Received: The date the analyst received the sample from the
laboratory’s Sample Custodian (or another analyst).
Block 5. Received From: The full name of person (first & last) from whom the
sample was received, or location if the sample was obtained directly from
storage.
Block 6. Laboratory: The common abbreviation for the laboratory (e.g.
NFFL, KCL).
Block 7. Description of Sample: The complete description of the sample
received. Quote the seal inscription (see next paragraph.) and note condition
of the seal if damaged or broken. Quote the collector's identification on the
sample, including sub-samples and sub-numbers. Specify the numbers and
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describe the types of containers (e.g. clear plastic tray within a heat-sealed
Mylar bag). Describe any abnormal sample conditions (e.g. torn, broken, not
frozen). The worksheet “description of sample” contains only the basics for
sample accountability and is consistent with the information on the Collection
Report. Document any discrepancies or deviations found from the Collection
Report on the worksheet pertaining to the collector’s identification on the
package and on the seal, and the number of subs collected.
Quote the official seal (FD-415a) exactly as written, including any mistakes
and corrections. The seal is quoted in this order: sample number, date, and
printed name (e.g., "X000001 1/1/00 Sidney H. Rogers"). When quoting a
metal seal, quote both "U.S. Food and Drug" and the number on the seal. The
seal quote is in quotation marks. The seal should be identical to the Collection
Report, "Collector's Identification on Seal”. If a discrepancy exists, the seal
should not be broken, and the analyst should notify his or her supervisor. If a
seal is completely illegible, the analyst should notify his or her supervisor and
resolve seal problems with the investigator before proceeding.
Quote previously broken seal if present (e.g. from a previous analysis). Include
"Seals Broken By”, initials and date. Do not remove any official seals from
sample unless absolutely necessary (e.g. to enter the sample or to maintain
the chain of custody when there is no sample reserve). If a seal is removed,
mount it on a sheet of heavy mounting paper and include with the analytical
package as an attachment. Note the fact that the seal is attached and a brief
description as to why the seal was removed on the worksheet in Block 11.
Other Information: Describe all sample items down to the container in contact
with the product. Additionally, describe any standards and reagents included
with the sample. If there is insufficient space in Block 7, reference location
where information is continued. Note in Block 7 any 702(b) portion of sample
collected for the claimant.
Block 8. Net Contents: Record label declaration of net contents. When the
net contents are listed in multiple units (i.e., both fluid ounces & milliliters)
record both declarations. If the label declares both a “net” and a “drained”
weight, then record only the net weight.
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what is being submitted (e.g. original cardboard box label, photocopy of bottle
labeling, photograph of original tube) and include identification for example as
Outer Product Labeling, Immediate Product Labeling, Package Insert.
Assemble the labeling set copies as a set in the order packaged.
Block 10. Summary of Analysis: Summarize in concise and concrete
language the following information under the headings and in the order listed:
A. Container;
B. Labeling;
C. Code;
D. Product;
E. Analysis (Purpose);
F. Method; and
G. Results.
Further clarification of directions for each of these items follows:
A. Container: Describe any commercial container in immediate contact
with the product and any retail container(s) enclosing the immediate
container. If a complete container or photo is submitted as labeling, do
not describe it here, instead state that it is being submitted as labeling.
Otherwise, record details as to the container’s type, size, color, and
closure(s). Color and closure may not be pertinent for some products
but are always needed for drugs. Describe any abnormalities or
unusual conditions associated with the container, such as opened can,
abnormal can, evidence of leakage, or broken commercial seal. Do not
describe in detail containers furnished by FDA and used by the
collector, such as “Inspector's glass vials”, “Whirl-Pak bag”, or “Mason
jar”. For NDA and ANDA samples, describe only the primary product
container. Secondary materials, such as standards and reagents, need
not be described here, but should be referenced in Block 7: Description
of Sample.
Examples of container characteristics that should be described include
the following:
1. Shape (e.g. round, square);
2. Color and Transparency (e.g. brown, clear, transparent, translucent,
opaque);
3. Material (e.g. glass, plastic, cardboard, Mylar);
4. Type (e.g. can, bag, vial, bottle, syringe);
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Supply units (i.e., mg, oz, nm) for analytical data and express the data
in the same units as those on the product label. Whenever possible,
tabulate the analytical data.
If sub-samples with differing codes were individually examined,
separately report the results for each code because regulatory action
may be based on the results for a particular code exclusive of other
codes.
Results reflect the correct number of significant figures as indicated by
the analytical method.
Compare the analytical results with the label declarations, published
tolerances and standards, regulatory action levels, manufacturer's
specifications or other applicable criteria.
Record any discrepancies between analytical results and labeling
statements or other criteria.
For analytical findings that are confirmed directly without a separate
check analysis (e.g. confirmation of TLC spots that fade rapidly,
identification of isolated filth elements, sensory confirmation) include a
signed statement as to what was confirmed and by whom.
Block 11. Reserve Sample: When a reserve sample is retained, provide a
description of it for accountability purposes. The amount of reserve remaining
correlates with the difference between the amount received and the amount
used in the analysis or provide an explanation for any discrepancy.
Quote the inscription on any new seal placed on the reserve sample. If the
reserve sample is not returned to the sample custodian, record the place and
condition of storage. When no reserve remains, state “NONE”, or “NO
RESERVE”. Record the absence of a reserve in FACTS or in a LIMS.
When sending a portion of the sample to another party outside the laboratory,
describe what was provided, how much, to whom, the date, how it was sealed,
and a short explanation as to why the sample was sent.
If transferring all or a portion of the sample to an analyst within the laboratory
indicate what was provided, to whom, the date, and a brief reason for the
transfer.
Return to the sample custodian any developed x-rays or electronic media
associated with the sample, which due to their bulk or storage-condition cannot
be attached to the worksheet as part of the sample reserve. Otherwise submit
such supporting documentation as attachments to the analytical report.
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Block 12. Analyst Signature: If more than one analyst is involved in the
analysis, the worksheet identifies the original analyst (who broke the seal) and
the involvement of each individual who assisted with the analytical process.
The original analyst signs and dates Block 12a upon completing the 431 and
checks the box if applicable.
Other analysts or technicians participating in the analysis also sign in Block 12.
Each analyst should identify, initial and date their work as it appears elsewhere
in the package.
If more than three individuals are involved in the analysis, the signatures can
be continued on the FORM FDA 431a or on the back of the worksheet.
If an individual’s signature is difficult to read, they need to also print their full
name adjacent, above, or below to their signature.
With computer-generated worksheets, the names of the analysts involved may
be already entered or typed in this block. In this instance, the analyst still
needs to sign his or her name.
Block 13. Worksheet Check: A second analyst that is fully knowledgeable of
the type of analysis performed or supervisor will review the worksheets and
supporting records for technical quality (e.g. method suitability, accuracy of
calculations, accuracy of data transferred from one section of the worksheet or
attachment to another, completeness). The person who performs these checks
will sign and date in this block.
Block 14. Date Reported: Following completion of the final worksheet review,
the supervisor or reviewing official enters the date that the completed
analytical package is classified.
3.3. Continuation Sheet, FORM FDA 431a
Use the “General Continuation Sheet” to continue information from Block 7,
Block 10, Block 11, and to record other data and observations that will not fit
on the first page of the worksheet (FORM FDA 431). The FORM FDA 431a or
approved electronic template is also used to record raw analytical data,
calculations; quality controls, calibrations, standardizations, and instruments or
equipment used to complete the analysis, or reference to attachments,
logbooks, or appropriate worksheets containing this information.
Complete the blocks of this form as follows:
A. Product: Enter product name identical to that found on the first page of
the FORM FDA 431.
B. Sample No.: The FACTS assigned sample number. This number
should be identical to that on the FORM FDA 431.
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C. Body: The body on the FORM FDA 431a can be used for the following:
1. To continue information from the FORM FDA 431. When
information is continued on the FORM FDA 431a, clearly indicate
the block number, name and “continued”. Reference where
continued in original block on the FORM FDA 431.
2. To record raw analytical data, calculations, quality controls,
calibrations, standardization, instrument operating parameters, and
identification of instruments or equipment used to complete the
analysis.
3. Use the following guidelines:
a. Clearly annotate entries.
b. Enter data in a clear, logical sequence. It is permissible to
abbreviate, but there should be sufficient detail and identification
for complete reconstruction and understanding of the data.
c. When showing calculations, use the formulas given in the
method whenever possible and explain any factors used in the
calculation that are not evident in the method or from common
knowledge.
d. Provide traceability for the equipment and instruments used.
This may include the name, model number, and instrument
identification number. If this data is in an attachment, reference
the location where this information is found.
e. If the back of the sheet is used, enter the FACTS assigned
sample number, date, analyst’s initials and page number (i.e.
Page X of Y) in the upper right-hand corner of each page on
which an entry is made.
D. Analyst: The “lead” analyst signs his or her name in this block. When a
computer-generated form already has the “lead” analyst’s printed name
in this block, he or she only needs to initial that entry.
E. Page Number: Consecutively number all the pages (i.e. Page X of Y).
3.4. Miscellaneous Data Entry
A. Unused areas of handwritten worksheets are marked by lining out. A
diagonal line is placed through the entire empty space, initialed, and
dated.
B. Unused data is lined out, initialed, dated, and state why the data was
not used.
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for analytical purposes but not examined or held for further action, and
perishables that have arrived at the laboratory decomposed and cannot be
analyzed. In this case, there will be no worksheets or analytical package; the
sample will be closed in FACTS or LIMS.
The lead analyst is responsible for assembling the worksheet package.
Once the analysis is complete, records related to the sample are assembled
for review as follows:
A. Worksheets, Continuation Sheets (FORM FDA 431 and 431a), and
Attachments – Worksheets, continuation sheets, and attachments are
assembled in a manner that effectively organizes and displays the
analyst’s findings.
Page Numbering and Identification – Worksheets and continuation
sheets compose the main sections of the analytical package and are
numbered in consecutive order using a format showing the total number
of pages (e.g. 1 of 6, 2 of 6. . .6 of 6.)
B. Attachments – Additional analytical records (e.g. instrument or
computer-generated charts and data sheets, photographs, negatives,
developed x-rays, electronic media, or photocopies) accumulated during
the analytical phase of the sample examination attached as needed to
support laboratory findings and conclusions.
1. Each page of each attachment will be directly identified with the
sample number, unique attachment number or letter, date, and
initials of the analyst.
2. The first page of each attachment is also titled, and attachments with
multiple pages are numbered (e.g. 1 of 4, 2 of 4. . . 4 of 4).
3. If the attachment is less than the size of a page or of awkward
shape, the item may be mounted securely on heavy mounting paper.
If mounting paper is used, it is also identified with the sample
number, date, and the analyst's initials.
4. The number of attachments included with the analytical package is
listed as “Attachments A to ZZ” or “Attachments 1 to 99” in the
bottom of block ten or in the bottom margin of the first page
worksheet (FORM FDA 431).
5. In situations where an instrument produces a large number of
spectra (e.g. GC/MS and FTIR/MS) and it is not practical to attach
them all to the package only those used to form analytical
conclusions need be attached.
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B. Results between the LOD or MDL and the Limit of Quantitation (LOQ) –
report the concentration and include the detection limit and quantitation
limit concentration.
C. Results above the LOQ, report the sample concentration.
5.4.3. Reporting presumptive positive results or Cannot Rule Out (CRO)
When initial testing or screening indicate the possibility that the analyte or
organism in question is present. Additional analysis is required to confirm the
presence, absence or concentration.
6. Abbreviated Recording and Reporting of Findings for Surveillance Samples
ORA Laboratory Manual, Volume II, ORA-LAB.5.10, describes additional
information on abbreviated reporting.
7. Consumer Complaint Letters
A complainant is to be informed of FDA's findings when a sample is examined.
When the examination is completed (or if no examination is made), an inquiry
is made to determine if the consumer wishes the sample returned.
There may be rare occasions when an intact complaint sample serves as the
basis for legal actions. On these occasions, the compliance branch is
consulted before an offer to return the remaining sample is made.
A letter is sent to the complainant advising the individual of the general nature
of the findings. When additional interpretation is indicated, an explanation of
the findings is included. If an examination has not been made, the
complainant is informed and given the reason(s). Do not offer to return the
sample if it is needed for FDA regulatory purposes or if it has been purchased
from the complainant.
Sufficient copies of the consumer complaint letter must be provided for
distribution to:
A. the complainant (original); and
B. the home division and collecting division, if different from the examining
division (1 copy each); and
C. the analyzing laboratory (1 copy).
The letter to the complainant is sent by certified mail, return receipt requested,
to establish a clear record of the transaction. If the complainant requests the
sample, the sample is returned, and an appropriate record maintained.
Complaint samples are held for at least thirty days from the time the letter is
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sent. If sample return is not requested by the complainant during this period,
the sample may be destroyed.
Cosmetic injury complaint reports will be handled by the Center for Food
Safety and Applied Nutrition.
8. Glossary/Definitions
A. Analytical Package – A collection of printed records designed to
provide a complete account of laboratory’s analytical efforts and related
findings and conclusions.
B. Attachments (to an Analytical Package) – Broken seals, instrument
generated charts, chromatograms and spectra, contractor provided
data, computer printouts, standard curves, photographs, x-rays,
exhibits, photocopies are to support laboratory findings and
conclusions.
C. Claimant’s Portion – This is the portion of a sample, normally referred to
as a 702(b) sample, that is retained by the laboratory in its original
condition for examination by any person named on the label of the
article, or the owner thereof, or their attorney or agent per the
requirements of Section 702(b) of the FD&C Act and 21 CFR 2.10.
D. Labels or Labeling – Labels or labeling is commercially printed material
that describes the contents of a sample package and is found in
association with the product. Labels or labeling include carton labeling,
bottle labels, all inserts, product packaging, promotional materials,
photographs or photocopies of original label, or verified handwritten
copies. Labels or labeling is often referred to as Outer Container
Labeling, Immediate Container Labeling, and Package Insert. Labels or
labeling is comprehensively defined in the FD&C Act, Sections 201(k)
and 201(m).
E. Sample Classifications – Samples are assigned by laboratory
supervisors to classes based upon whether they are considered
“regulatory (classes 1, 2, 3, & 5)” or “non-regulatory (class 4)” in nature,
and the results of the laboratory’s examination.
1. Class #1 (In Compliance) – The sample meets established
standards (CFR, USP, etc.) or policy guides in the absence of
standards.
2. Class #2 (Regulatory Action Not Established/Defined):
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9. References
A. ISO/IEC 17025:2017, General requirements for the competence of
testing and calibration laboratories. Section 7.8.
B. AOAC International Guidelines for Laboratories Performing
Microbiological and Chemical Analysis of Food, Dietary Supplements,
and Pharmaceuticals – An Aid to Interpretation of ISO/IEC 17025:2017;
August 2018.
C. LIMS User’s Manual
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Revision
Change
#
2.0 Contents: 3.2.5 – added Laboratory Information System
Contents: 3.9 – changed to References
Contents: 3.10 – now Document Change History
3.1 – changed FACTS system to “web application, such as FACTS or LIMS”
3.2.1 – revised first paragraph
3.2.1 a. – added “Handwritten”
3.2.1 b. – added “or web application”
3.2.2.1 – added last sentence
3.2.2.3 – added “or web application”
3.2.2.3 c. – added “or electronically”
3.2.2.3 d. – added “or LIMS generated PDF file”
3.2.3 – revised second paragraph
3.2.5 – added references to LIMS
3.3.1 – added “or enters information into the web application”
3.3.2 – minor changes made to grammar
3.3.2 Block 6 – deleted District
3.3.2 Block 7 – added to last sentence
3.3.2 Block 9 – added to last sentence of first bullet on retaining original label
3.3.2 Block 10 Containers – added “or photo”
3.3.2 Block 10 Labeling – revised
3.3.2 Block 11 – added “or LIMS”
3.3.4 – added “handwritten” to first bullet
3.5.1 – added reference to LIMS at end of first paragraph & Attachments first bullet
3.5.2 – added reference to LIMS to Supervisor Review
3.5.3 – added reference to LIMS
3.8 – added reference to LIMS in definition of Lab Class 5
3.9 – added references
03 Revisions made as needed to align this procedure with new ISO/IEC 17025 and
AOAC requirements. Revision to formatting and policy clarifications were also made.
12. Attachments
None