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Introduction.
This report has been compiled by Swee Lan San and relates to the assessment activity detailed below:
Assessment Scope
The management system processes at the Lot 5068 & 5069, Batu 4, Jalan Meru, 41050 Klang, Selangor Darul Ehsan, Malaysia
Assessment Objectives
To conduct a recertification assessment to determine the effectiveness of implementation of the QMS applicable within the proposed
scope of registration, in accordance with the company objectives, policies and procedures, applicable requirements of the
management standard(s) & BSI Conditions of Contract and to determine whether a re-certification recommendation can be made.
To verify all requirements of ISO 13485:2003 and EN ISO 13485:2012 have been effectively implemented.
To verify Wear Safe (Malaysia) Sdn. Bhd. has implemented all requirements of ISO 13485:2003 and the most current version of Part
1 of the Canadian Medical Device Regulations. GD210 will be used.
To verify effective implementation of the requirements of Ministerial Ordinance No. 169, 2004 published by Ministry of Health Labour
and Welfare of Japan.
Management Summary.
Overall Conclusion
The objectives of the assessment were met.
There were no obstacles encountered during the course of the audit. No factors were encountered during the audit that would affect
the reliability of this assessment.
Audit report authors are as per the assessment team listed. The recommendation included in this assessment is based on
assessment of Lot 5068 & 5069, Batu 4, Jalan Meru, 41050 Klang, Selangor Darul Ehsan, Malaysia & dates of audit 23-26 May 2016
The management system has been effectively implemented, addresses the proposed scope of registration and is in accordance with
the company objectives, applicable requirements of the management standard & BSI Conditions of Contract. The result of this
assessment enable a recommendation for recertification dependent on submission of a satisfactory action plan.
A corrective action plan is required to define the action to address the non-conformities identified during this assessment and detailed
in this report. The corrective action plan must include the correction (containment), root cause, corrective action, timescales & person
responsible for implementation.
All Requirements of ISO 13485:2003 and EN ISO 13485:2012 have been effectively implemented.
The capacity to systematically meet agreed requirements for products and services supplied within the scope of the certificates is
confirmed and the requirements of ISO 13485:2003 and Part 1 of the Canadian Medical Device Regulations are met.
The management system meets generally meets the requirements of MDD 93/42/EEC Annex V 3.2
Ministerial Ordinance No. 169, 2004 published by Ministry of Health Labour and Welfare of Japan is effectively implemented within
the management system.
Corrective actions with respect to nonconformities raised at the last assessment have been reviewed and found to be effectively
implemented.
2 nonconformities requiring attention were identified. These, along with other findings, are contained within subsequent sections of
the report.
A nonconformity relates to a single identified lapse, which in itself would not indicate a breakdown in the management system's
ability to effectively control the processes for which it was intended. It is necessary to investigate the underlying cause of any issue to
determine corrective action. The proposed action will be reviewed for effective implementation at the next assessment.
Please submit a plan to BSI detailing the nonconformity, the cause, correction and your proposed corrective action, with
responsibilities and timescales allocated. The plan is to be submitted no later than 10/06/2016 by e-mail or fax to the correspondence
address below, referencing the report number.
The standards were fully assessed. There were no trends to suggest a breakdown in their QMS. This review includes the physical
location and records associated with the company QMS certification.
A total of 1 Major non-conformity (UAV) and 8 minor non-conformities raised for the last audit cycle and actions have been taken
accordingly to close the NC. Organization has also improved awareness, monitoring and audit system resulting to the discovery of
more findings in the internal audit system for subsequent audit periods. The organization has managed to effectively implement the
designed management system in compliance to the specific requirements of the quality management system. Overall performance in
the previous cycle of certification yielded improving trend on the aspect of achieving the desired objectives and targets and
improvement on the management system.
Over the next 3 years the business expects growth gently and planned to expand more sale volume by focus for more increase
capacity in future. Consideration of the management strategy has been used in developing of people by provide training, addition
resources, maintain safety of product and effectiveness of QMS.
The company objective is in line with their quality policy. The organization has demonstrated the establishment and tracking of
appropriate key performance objectives and targets and monitored progress towards their achievement which is generally being met
with continual improvement made. The management review process demonstrated capability to ensure the continuing suitability,
adequacy and effectiveness of the management system. Overall, the organization has demonstrated effective implementation,
maintenance and improvement of its management system.
Justified Exclusions
Justified exclusions have been confirmed
details:
7.5.1.2.2 Installation Activities, justification: gloves do not require installation in order to be used
7.5.1.2.3 Service provision product servicing, justification product servicing is not applicable to gloves
7.5.3.2.2 & 8.2.4.2 particular requirements for active implantable medical devices and implantable medical devices, justification
gloves are not implantable medical devices
Organization QOC-001 rev 3 (date 18/4/16) has update as a new General manger and assistance factory manager.
Plant maintenance, production report to Assistance factory manager and others departments direct report to GM
Top management interview has commitment to fulfill the standard requirement and customer requirement. Focus on meeting internal
and external requirement.
Top management has review objective target and proposed some target can be more challenge such as absenteeism. To increase the
capacity of production therefore the production and packing staffs planned to be increased. Currently product quality is meet
customer requirements. There are no any critical complaints.
Organization has planned to produce Powder free NR Latex Examination Gloves OLPYT ST5 Sterile at Dipping line no 2. Therefore
the qualification run to validate process, sterilization dose setting, technical file has been updated.
Top management has provided evidence of its commitment to the development and implementation of the quality management
system and continually improving its effectiveness.
Top management has ensured that responsibilities and authorities are defined, documented and communicated within the
organization. Top management has established the interrelation of all personnel who manage, perform and verify work affecting
quality, and has ensure the independence and authority necessary to perform these tasks.
Quality manual, QMS Policy and Objectives, analysis of data : 5.3, 5.4, 5.5.1, 5.5.2, 5.5.3, 4.1, 4.2.1, 4.2.2, 5.4.1
Interviewed: Mr. Ong Tong Lee (General Manager), Mr Loh (Assistant QA Manager and Management Representative)
Quality policy was seen established in align with the organization and was well communicated through organizational several method
of internal communication (e.g. induction, briefing, framed at strategic areas, etc.)
Company quality policy is committed to satisfy customer requirement by supplying gloves with an assured level of quality. To
establish and continuously improve the effectiveness of the quality system including requirements of International Standards,
Regulations and National regulatory requirements. Continuous improving employee efficiency by providing proper training.
Quality objectives established for relevant departments. Proper action plans/procedures have been established to implement and
monitor the progress and achievement of these objectives. Quality level targets at factory for online QC surveillance@post stripping,
post dipping, QA final release, as well as performance targets at various sections. Data has monitored and continually review monthly
in the annual management review meeting.
System documentation comprise of Quality manual, system procedures and interaction with related quality plans and forms/checklist.
The management system documentation demonstrated conformity with the requirements of the assessment standard and provided
sufficient structure to support implementation and maintenance of the management system.
Quality Management System (QMS) Manual QM-W5-001, Revision 06, effective date: 18 Apr 2016, reviewed by Mr Ong Tong Lee,
General Manager and approved by Mr Charles Lim Ooi Chow, Executive Director.
Change has been made to the Quality Manual on Appendix 1 restructure WSMs Organization Chart and added the microbiology
laboratory department.
Quality Management Review Meeting is planned to be conducted at least once per year.
Verified the last Quality System Management Review conducted on 19/5/16, attended by General Manager, Assistant Factory
Manager, HOD, MR and key personnel in the organization. Agenda discussed were action items from previous Management Review,
quality policy, quality objectives, process performance and product conformity, nonconformance, CAPA closure, effectiveness and
trend data, result of audits and status of commitments, customer complaint, key internal & external (e.g. regulatory or market)
changes that could affect the QMS, adequacy of the QMS in terms of the business unit structure, staffing and resources,
recommendation for improvement and conclusion about the quality systems for continuing effectiveness.
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
Packing, treatment process, lab, QA, Micro, warehouse, marketing, maintenance are planned to be conducted from 7 June to 29
June. The internal audit was done over the period of 19 Apr to 29 June 2016. So far no non-conformity raised from the audit, other
than OFI
Verified that selection of auditors and conduct of audits maintained objectivity and impartiality of the audit process, whereby auditors
did not audit their own work
The results of the internal audit done appear to represent an acceptable tool that the QMS has been implemented and properly
maintained by internal resources.
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
There was none of adverse events to be incident report, advisory notice issuance, vigilance report, and mandatory report.
QA manager or assistant QA manager shall review and determine whether required to report or not
Advisory notice, Recall will be performed follow procedure QS-0052 rev0, whenever discover of serious defect or suspected cases.
For adverse event that need to be report, will follow procedure QS-0051rev 1 for Europe, QS-0017 rev0 for Canada and QS-0019 rev0
for Japan. The procedure as refer to MEDDEV 2.12-1 rev 8 the report timeline is clearly mention in procedure and meet the
requirement.
Post market surveillance is performed follow procedure QS-0050 via the MDAs accessible to MHRA website.
Observations.
Type Area/Process Clause
Scope CE 598967
Details: There was not defined the procedure to notify BSI via BSI e Vigilance Portal in documented procedure.
Procedures have been established to support and fulfil the CMDR, MDD and JPAL and relevant requirement. There are list of
procedure:
1. QS-0013 rev0 Medical Device license handling: Health Canada, the procedure outline the application, obligation, handling and
maintaining of License also include amendment to medical device license and annual renewal process.
2. QS-0014 rev 0 Application & Classification Rules for medical device, Health Canada
Under rules of schedule 1 of CMDR the surgical gloves are classified as class II (rule 1) and examination gloves are classified as class
II (rule 2)
3. QS-0015 rev0: Health Canada Labelling review. To establish the procedure for review the contents of label and comply with CMDR
as per section 21(1), the language must label in either English or French as per section 23(1).
4. QS-0016 rev0: Canadian Distribution/Importer Problem or customer complaint procedure has defined procedure on
importer/distributor maintain records of proble. QS-0009 rev 1 Notification to certify body on the change of QMS, QA manager shall
inform BSI service Malaysia bhd m and complaint.
5. QS-0017 rev 0: Mandatory problem reporting: None of the case occurs. The timeframe to report has comply with requirement
6. QS-0009 rev 1 Notification to certify body on the change of QMS, QA manager shall inform BSI service Malaysia bhd of any
indented modification to Management system product or manufacturing process with may affect compliance with the following
ISO13485, ISO9001, CMDR, MHLW MO 169
7. QS-0004 rev 1 defined the control of quality record as per MDD, CMDR, J-PAL requirement
8. QS-0027 rev 0 Technical documentation Generating procedure
9. Quality and process record retain 5 year, For Notify body record / CA record forever retain, technical file, DMR retains life of
device plus 5year, training record retain life of employment/minimum 5 year.
10. QS-0050 rev 0 Post market surveillance procedure: A review of post marketing experience was review on month basis Seen Post
marketing surveillance review record on March and April 2016
Intouch brand product deliver to Canada, however WSM5 has OEM product e.g.Medline, as seen DHR and packaging.
JPAL
-Accreditation certificate for foreign Medical device Manufacture issued 2013 valid 2018
-The quality manual and related procedure has updated to reflect with Japanese Pharmaceutical Affairs Law (J-PAL), Ministry of
Health, Labour, and Welfare (MHLW) Ministerial Ordinance 169, 2004.
-QMR is appointed to QA manager has responsibility and authority under OJD-001 to ensure that QMS system is established
maintained and implemented according MO 169.
-Medline international Japan KK as the Marketing authorization holder
Observations.
Type Area/Process Clause
Scope CE 598967
Details: Organization has planned to produce Powder free NR Latex Examination Gloves OLPYT ST5 Sterile at
Dipping line no 2 . (Existing is subcontract to sister company, WSM2) . However it is unclear that
organization has considered whether this change is significant change and need to notify to BSI. It is a
potential to not comply with requirement.
Sampling technical file: Technical file no. TF/W201/MDD, review the heading and contain is completed as per below, the technical file
was updated date 12/1/2015 by section 16 is restructured to be independently update without affecting future technical file revision.
- Name and address Legal manufacture and sterilization site
- Synergy Sterilization Rawang (M) Sdn Bhd, Synergy sterilization (M) Sdn Bhd (Kuala Ketil)
- European Authorized representative: Obelis S.A. Belguim Release of liability Addendum to the European Authorized representative
services agreement was provided.
-The product was classified under class II a according rule 6, 7 Product shelf life was defined 3 Year from manufacturing date.
Natural rubber latex, natural color and blue color
-Intended use to be worn on hand by surgeons and /or operating room personnel to protect a surgical wound from contamination
and to be worn once and then discarded.
-Device description and family devices are defined the gloves type under family, Design and features, List of material used, labeling
requirement, Manufacturing and QA process, Design input specification
-The device does not incorporate any accessories as defined in article 1
-The device has no incorporate any substance that consider as medicinal product and are not derived from any animal issues or other
biological substances.
- Conformity path is I,V, VII
- List of raw material used, sterilization overview, design input specification, Quality assurance, List of harmonized standard , product
speciation
- Product labeling &IFU was prepared according requirement, seen Check list of label requirement. The symbols used in the labelling
are refer to BS EN ISO 15223-1
- Clinical assessment report was performed by literature review routes.
-The product test results shown comply with reference standard. The biocompatibility test was available. Primary Skin Irritation test,
Cytotoxicity, Extraction protein, Chemical residue, Physical property, Endotoxin.
-Risk assessment was performed by using FMEA technique which analysis base on severity, occurrence level
-EC declaration was prepared to declare compliance with directive 93/42EEC amendment 2007/47/EC.
-Completed the ER checklist, Annex V and Annex VII according directive 93/42EEC amendment 2007/47/EC.
Technical file are established according MDD93/42EEC of 14 June 1993 as amended by Council Directive 2007/42/EEC and will be
review and update one a year. As seen checklist of technical document review on date 12/1/2015.Technical file was defined the
manufacture will inform the notified body, BSI for any plan of substantial change
This assessment also covers for sampling technical file: Technical files no. TF/W101/MDD, Sterile powder free NR Latex Examination
gloves review the heading and contain is completed as per below, the technical file was updated date 01/4/2016 by section 1-12 due
added the manufacturing site 2, update the product code, update CE certificate.
The manufacture has plan to produce Power free NR latex examination at WSM 5, this product produce at WSM 2 before
-The product test results shown comply with reference standard. The biocompatibility test was available. Primary Skin Irritation test,
Cytotoxicity, Extraction protein, Chemical residue, Physical property, Endotoxin
Biocompatibility was compete testing Skin irritation test , Dermal sensitization , cytotoxicity, protein content, chemical residue, power
residue, physical property, endotoxin,
-Risk assessment was performed by using FMEA technique which analysis base on severity, occurrence level refer to RM/RA-W5/104
A, rev 0 date 22/9/2015 comply to Risk management procedure QS-0044 rev 1
-The risk evaluation is cover allergic, powder level, gloves tear, loss of barrier, tear, short gloves etc.
Risk base on process cover for incoming, compounding, dipping, packing, warehouse, delivery, sterilization
By conclusion the risk assessment and risk control has been conducted taking into account all know and foreseeable risk. Consider is
safe to be used according to its intended purpose.
The organization has evaluated all individual residue risk as well as overall residue risk against with benefit. The identified medical
benefits outweigh the identified overall risk residue.
Process validation, Seen report W-FROQ-D02/2015 date 17 Nov 2015, Protocol W-VPOQ-D02/2015 date 26 Oct 2015
Scope of qualification run is limited to validate Dipping machine no. 2 for product type Powder free NR Latex Examination Gloves
OLPYT ST5 Sterile for WSM5.
OQ qualification was done 2 consecutive production run was 24 hr at dipping line 2 is to determine the acceptable operating window
worst case 1 and worst case 2.
Protocol no. W-VPPQ-D02/2015 date 27 Oct 2015, Report W-FRPQ-D02/2015 date 25 Nov 2015
PQ qualification was done in 3 days continuously for nominal values setting for key process parameter. The critical parameters was
defined such as machine speed, Coagulant temperature, Latex dip temperature, Pre Leaching tank temperature ,polymer TSC, Main
oven temperature, Post reaching temperature
And completed the verification of process validation Pre-requisites of SOP, training and calibration
All QQ and PQ run performed in accordance with protocol. Visual inspection, water tight, physical property, powder residue,
bioburden, protein content, moisture and gloves bioburden as according QC post striping, OA pre-packing was inspected and pass
criteria as defined in protocol
Sterilization validation report Powder free NR Latex Examination Gloves (OLPYT ST5 240) Short thermoform unit package (poly to
poly) W-FRSV-15-1004 date 29 Feb 2016
Product biobuden 3 lot of finished goods was send to internal lab for bioburden testing.
Verification dose was obtained from standard ISO11137-2 and actual dose are with in limit
Sterility test was conduct on irraditation product at 9.1+/-10% kGy , 25 kGy and 45+/-10 kGy all pass
All outer pouches test for Seal leak test, Seal strength test , product visual inspection, water tight test, physical property test,
packaging visual inspection as condition Pre-sterile , Min 25 and 45 kGy
By conclusion the sterilization process effectiveness and meet SAL
Control of sterile product QS-0056 rev 1 control dose at 25-40 kGy.
Dose mapping will be carried out when has commercial run product.
Conclusion: Validation has carried out as per protocol and meet requirement.
Production and Quality control - Sterile /Non sterile and non-latex surgical gloves, non conforming product control :
7.5.1,8.2.3,8.2.4
Interview: Mr. TK Loh: Assistance QA Manager, Ms. MazniHashim: Technical and compounding manager, Mr. Nizam: Production
executive, Ms Lim Wai Kwan : Packing manager, Ms. Lim Chee Wang: Executive , Ms. Norhayat : QA supervisor
Visit production at ground floor, well separate for Latex and non-latex production since compounding, dipping process, inspection by
segregate tank, machine.
Review preparation and inspection record for compounding latex batch SPP 2138
The record can traceable to chemical and latex used in process. The approved for use record shown inspection results are meet
criteria.
Review the preparation of Coagulant batch no. CD 0048 and CD2032 and lab test result found completed record and meet
formulation.
Site visit at machine no. 3 (DD-SPBPPS 0.15) review process control check list date 24/5/16 which monitored every 2hr. and in
process lab control sheet found meet acceptable according process control parameter DPC-2007 rev 4
Review tumbling process record, machine T4 for batch no. MA-240516-03-L-65-015 was completed record.
Review record on line QC post striping and QA post tumbling (QA1) are completed visual inspection and dimension inspection.
QA 2 after 100%Air inspection was checking water Leak test, Visual inspection , example batch as per QWI-2002
Inner wrap process, observe at GPM3 P/O 4508432213 SPBPPS-0.15, seen line clearance checklist and in-process real time
inspection every 2 hr.
Pouching at Triomat number 2, P/O no 71590 (TR6AB) seen line clearance record and Tiromat power pack pouch which monitored
sealing temp, time, pressure, speed every 2 hr.
In-process real time inspection every 2 hr. such as seal integrity, dye leak test was carried out.
QA in RTI , sampling per PO and size was recorded in Visual inspection for surgical glove, QA packing and labelling inspection. The
inspection covers pack seal, shipper, inner box, seal integrity, dye leak test, seal strength test, seen PO 71590 (SPBPPS-0.15).
Seen QA3 Final release inspection was under controlled condition which approved by QA manager. The final inspection was meet
criteria and AQL since visual inspection, leak test, dimension, physical property test, powder residual, protein, and packaging test.
Laboratory : 8.2.4,8.2.3,6.3
Interview: Erna Suzieani
Site visit at laboratory, review in process control as seen Laboratory test report of monitoring in process chemical solution latex
compound, coagulant and polymer.
Finished product was test follow the laboratory test request form such as physical properties, powder content/ powder residual
following
Physical properties testing were carried out as per instruction, reviewed of LWI-0014, LWI-0018, LWI-0007.
Control at tensile testing room at temperature 23+/- 2 degree C, humidity 50+/5 %, monitoring and record two times a day.
All test equipment found verification/calibration valid.
For packaging materials, vendor/supplier evaluated in accordance to New Vendor Assessment Questionaire. After the evaluation,
qualified vendor registered to Approved Vendor List (AVL). Sighted New Vendor Assessment Questionaire and assessment audit
report (dated 9/1/14) to Percetakan Tenaga Sdn Bhd, which qualified as packaging material vendor effective from 25/2/14
Vendors were monitored monthly through the following indicators: Delivered product quality and delivery schedule performance.
Results recorded on the Monthly Vendor Performance Report. Sighted Vendor Performance Report for month Jan 2016, Feb 2016 and
March 2016. Overall good/excellence rating.
All monthly Vendor Performance Report was summarized into a report and compiled for management review.
Sighted data analysis of supplier performance and management review dated 19/5/16.
Vendor audit was carried out to new or potential vendor, reassessment audit (AVL vendor) and problematic supplier. Sighted vendor
audit report to Harta Packaging Industries (Selangor) Sdn Bhd on 25/8/15, Tiong Tat Printing Industry Sdn Bhd on 21/10/15, F.A
Graphic Sdn Bhd on 8/9/15, South Island Plastic Sdn Bhd on 1/10/15 and Tiong Tat Printing Industry Sdn Bhd (problematic supplier)
on 20/4/15, Synthomer Sdn Bhd (synthomer EL746SXL Nitrile latex vendor) on 13/11/15, H&R Wax Malaysia Sdn Bhd on 28/10/15
and Innerys Mineral Malaysia Sdn Bhd on 21/10/15
Based on quantity purchased within 2 year the top two and three onwards vendors, re-assessment VAQ was conducted to them.
Sighted vendor re-assessment questionnaire for Harta Packaging Industries (Selangor) Sdn Bhd, Chuan Thong Industries Sdn Bhd,
Sonoco Products (M) Sdn Bhd
All the above vendors verified listed in the Approved Vendor List (packaging material) which last updated on 18/1/16 and AVL
(chemical) which last updated on 1/6/15
Sighted yearly sub-contractor assessment audit report (2015-01) for Synergy Sterilization (M) Sdn Bhd at Plot 203, Kuala Ketil
Industrial Estate, 09300 Kuala Ketil, Kedah, Malaysia. SHKK mainly sterilizes powder free & powdered NR Latex Surgical gloves,
powder free non-latex surgical gloves, powder free NR latex exam gloves and powder free nitrile exam gloves, by gamma irradiation.
Sighted yearly sub-contractor assessment audit report dated 21/4/16 for Synergy Sterilization Rawang (M) Sdn Bhd at Lot 42,
Rawang Integrated Industrial Park, 48000 Rawang, Selangor.
Available of service agreement between Synergy Sterilization (M) Sdn Bhd with Wear Safe Malaysia Sdn Bhd dated 6/6/2012 and
Synergy Sterilization Rawang (M) Sdn Bhd with Wear Safe dated 3/12/15
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
Customer process was performed according Order processing procedure QS-0041 rev 0. Processing the order received from
Marketing. Production planner responsible to schedule the delivery based on the order received. Factory manager or his designee
responsible to verify and approve the Order form, Order Form Packing Material, Purchase requisition and delivery schedule.
Production planner responsible to issue Purchase Requisition (PR) for the packaging material and gloves, and plan for production run.
Once of approved Order Form, planner sends a copy to QA and packing. Packing to generate Purchase Order Notification (PON)
together with relevant information. Planner reviews and check PON, QA Executive to check and reconfirm PON against OF.
Production run dipping lines scheduled accordingly to meet order requirement. Seen planning schedule for month May 2016.
The details of product requirements were defined in order form such as product code, AQL, quantity, packaging material, printing
code, shipment date etc that will be communicated to production and QA person.
Seen Order form OKB-0539/2016 dated 28/4/16 upon Customer Order 4543197396 from Customer Hartmann Rico A.S. for product
Digital PF-Bulk ER46001BA-NA-OCPYF-240 and Digital PF-Wallet ER46001BA-NA-OCPYF-240, detailed with AQL, item code, size,
quantity, packing condition, final inspection location, bioburden test frequency, lot number format, customer request to put
cardboards at the bottom, on top and both side of the container to avoid wet damage during the transit.
Seen Order Form OW5-0186/2016 dated 20/4/16 against Customer Order USPO#2016135 MYPO#801384 (4524936650) from
customer Cardinal Health Malaysia Sdn Bhd for product Flexam N8831NS EB56701JC-BE-OCPFNF-300-BE, detailed with packing
condition, final inspection location, size, quantity.
Seen Order Form OW5-0053/2016 dated 17/2/16 against Customer Order 71590 from Medline International B.V. for SR11502UD-NA-
ME-SPBPPS-290-0.15mm detailed with customer special request on packing method, supplier pre-print info, sticker and inner wrapper
barcode. PON detailed with the Artwork, type of packing, scheduled shipment date.
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
Latex and Nitrile Examination gloves: Production and Quality control, traceability, nonconforming product control,
Finish goods warehouse and delivery : 7.5.1, 7.5.3, 7.5.5, 8.3, 8.2.3, 8.2.4,
Auditee: Mr. TK Loh (Assistance QA Manager), Mr An Boon Seong (Assistant Production Manager), Ikhram (Compounding Executive),
Ms Lim (Assistant Manager of Warehouse), Aliff (Lab Executive); Ms Chew (Packing Executive)
Documents reviewed: QA1 Pre-packing Inspection Procedure for Examination Gloves, QWI-1005, Rev 2, and procedure/WI stated
below.
Product realization procedures were checked and verified through sampling of activities and records. Each stage of the processes was
supported by operation procedure/WI/drawings displayed at each station/site/area.
Process(s) were sighted, observed and trailed as follows:
Latex and nitrile examination gloves manufacturing process and activity were checked involving raw material incoming inspection,
storage tank, chemical preparation tank, compounding, feeding tank to dipping line which involve acid and alkaline cleaning, rinsing
tank, washing brush, coagulant dip tank, coagulant oven, latex dip tank, latex oven, pre leaching, polymer tank, polymer oven,
beading station, oven, post leaching, slurry oven, pre-stripping, stripping, tumbling, WIP, packing and delivery, together with their
inspection (QA/QC) activities.
Verified records (process flow, quality plan, process control checklist, in process lab control checklist, inspection report, travel card
etc.) and trailed samples (latex exam) Batch No SC-240516-02-2, SC-220516-02-2 and SC-220616-02-1 for Machine No 02 and
samples (nitrile exam) Batch No. SC-150516-07-1 and SC-150516-07-2
Each tanks was monitored 2 hourly for temperature and 8 hourly for pH, concentration and/or %TSC according to the Process
Parameter Document DPC-1005, Rev 1 (latex exam) and NBR Exam Gloves OCPFNF-WH-LD 300, DPC-3002, Rev 0 (nitrile exam).
Pre-packing inspection by visual inspection, water leak test and physical dimension test. Results recorded into travel card. Checked
travel card for Batch No. SC-220516-02-1 and SC-220516-02-2 from M/C No. 02, Product Name PYS-5.4G, verified the sample size,
AQL and frequency followed according to procedure QWI-1005.
Latex exam - The compounded latex with Batch No. EG22934, EG2295 and EG2296 verified tested for %Total Solid Content (TSC)
and pH and recorded in the FL-60, Rev 1 NR Latex Compound Exam Preparation Approved for Use Latex (Exam). Noted on the
In-Process Lab Passed stamped on the form. Verified the compounding prepared did follow formulation stated in the CFL-1001, Rev 2
Formulation Latex Compound for OLPY(T), (F), (S) 5.4G and Natural Rubber (NR) Examination Glove Compounding, CWI-1001, Rev
1.
Compounding mixture contains HA Latex, Texapon, 20% KOH solution, N700, TM Chemical, Aquamax 48 and Webrix Freesil. Checked
incoming inspection test for
a)HA latex LX(W5)0051 Supplier E Hup Huat, inspection checked on 12/5/16; HA latex LX(W5)005 Supplier E Hup Huat,
inspection checked on 16/5/16. Lab tested on pH, %TSC, %alkalinity, MST; CoA inspection for maturation, DRC%, KOH Number and
VFA, as well as visual inspection. Verified lab test results meeting specification stated in Specification for In-coming Natural Rubber
Latex LWI-0081 (In-coming NR Latex Inspection and analysis Rev 2)
b) TM Chemical T27-05/16-003(W5) Supplier Hai Poh Marketing, checked for CoA, as per according to RMS-0018, Rev 3 In house
Chemical, Material Inspection and Analysis Specification.
c) N-700 C1-05/16-001 (W5) Supplier Imerys Mineral, inspected on 5/5/16 as according to RMS-0018
c) Aquamax A7-04/16-001(W5) Supplioer Luxchem, inspection as according to RMS-001 Rev 1
Sighted packing for Product PFNFBE 200mm, BN: PB-210316-16-2 and PB-200316-17-1; OCPFNF-300-BE (Cardinal Health) and
SPBPPS-290-0.15mm (Medline International). Seen visual inspection for bi-fold inner wallet and pouch, for regulatory defect (AQL
0.25), critical (AQL 0.25), major (AQL 1) and minor (AQL 2.5) and recorded in FQ-12 QA Visual Inspection for Examination Glove
(Cardinal). Seen shipping and delivery arrangement for Packing List, order no. OWS-0116/2016, consignment 220/16/2, customer
MOPAK Medical, checked for carton number, glove size, lot number and quantity before delivery.
Warehouse is being monitored for the temperature and humidity two times daily (7-10am, 12-3pm). Seen record for May 2016,
temperature all below 38C and humidity below 85%, following requirement stated in SWI-0020, Monitoring of Temperature and
Humidity in Warehouse Working Instruction. Seen designated area for quarantine products.
Conclusion: In generally is comply with standard requirement and one minor NC was raised to production dipping process control.
Seen monthly inspection checklist for dipping machine, Machine No 2 and 3 for Apr, May and June 2016, machines checked for the
thermos oil piping, coil and tank. Sighted monthly preventive maintenance done to Dipping Line for Machine No. 1-8 as per PM
checklist.
Calibration Schedule established for equipment. Sighted the Masterlist of internal calibration/verification schedule and Masterlist of
External Equipment Calibration Schedule, detailed with the equipment internal ID number, equipment name, model, serial number,
location, frequency of calibration, calibration range, tolerance limit, calibration date and due date.
Verified calibration status by the calibration label, tag and calibration report for
1) Weighing balance, lab, ID No. LATB-022/1, verification done 14/4/16, valid till 14/8/16.
2) Standard Weight Set, lab, S/N ZSTW-003/1, calibration done on 19/11/15, valid till 19/11/16
3) pH meter, lab, ID No. LPHM-001/1 and LPHM-002/1, verification done on 21/3/16, valid till 21/6/16
4) MST Machine, ID No. LMST-001/1, calibration done on 10/5/16 valid till 10/6/16
Pest control done monthly by Rentonkil. Seen Rodent Control Station Summary Report #52842 done on 30/3/16, #66249 done on
28/4/16 and #56198 done on 20/5/16.
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
Awareness, Training, Competence, responsibility, authority and communication : 5.5.1, 5.5.2, 5.5.3, 6.2.1, 6.2.2,
Auditee: Mr Norman Lim (HR Manager); Ms Gunasuntharri (HR Executive)
Document reviewed: Competence, Awareness & Training, QS-0058, Rev 0
Organization chart established. Job description was developed, communicated during hiring and induction program.
Training plan is established yearly. Seen training calendar for year 2016. Sighted training record for
1) Gigetrak Calibration Management dated 23/2/16 attended by Mohd Aliff Bin Razali
2) E-TDMS & E-TNA dated 24/3/16 attended by Pang Mok Shyan, Jessca Wong, Lee Swee Gee, etc
3) E-recruitment, E-manpower & E-Succession Planning dated 5/4/16 attended by Norman Lim, Gunasunthari
Seen Job Description, employee job qualification records and training evaluation for
1) Production Supervisor, Babu A/L Muniandy. Training provided were Machine start up procedure, chemical filling, offline cleaning
procedure, gloves tumbling procedure (training date 8/4/16)
2) QA Inspector, Md Luthfor Rahman. Training provided included WSM Quality Policy and objective, pre-packing sampling and
inspection procedure at post tumbling for surgical gloves, physical dimension test procedure, rework procedure for glove failed
inspection (dated 24/2-1/3/16)
3) Packing Operator, Satendra. Trainings provided includes defect awareness at packing department, gowning procedure for clean
room, rules and regulation for clean room, manual pouching, sealing and final packing procedure dated 27-29/8/15
Seen appointment letter from Executive Director dated 15/3/16, appointed Mr Loh Tuck Kuan, Assistant QA Manager as Quality
Management Representative (QMR). Job description clearly described in the QS-0010, Rev 1 Management Representative Procedure.
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
A four level documentation is used to clearly communicate quality requirements: Level 1 Quality Manual, Level 2: Standard Operating
Procedure, Level 3: Work Instructions, Level 4: Quality Records, Reference Documents.
Master copy identified with Document Centre Master Copy stamped in green colour, QA Controlled document stamped in red colour,
Obsolete stamped with Obsoleted in red colour.
Available of Approved Distribution List last updated on 2/1/16 for Standard Operating Procedures QS-001 to QS-0075
Available of the updated Masterlist of SOP
Sampled Obsoleted copy of RMS-0018, Rev 3, In-House Chemical/Material Inspection & Analysis Specification, verified stamped with
identification OBSOLETED
Records are properly kept, easily retrieved and identifiable and the contents are legible. Retention period for records clearly stated in
the Appendix 1 of Control of Records Procedure, for example QA inspection record, CAPA, customer complaint record for 5 years,
device master records for life of device+5 years
Based on the sampled objective evidence, the area assessed is generally found to be effective in meeting the standard requirements.
During the course of the visit logos were found to be used correctly.
Scope CE 598967
Statement of non Krutex Latex Surgical gloves have been inappropriately labelled with Regulatory approvals
conformance:
Requirements: The EC declaration of conformity is the procedure whereby the manufactureror his authorised
representative who fulfils the obligations ..
declares that the products concernedmeet the provisions of this Directive which apply to them.
Objective Krutex Latex Surgical gloves carries CE 0086. These gloves are not covered by the Declaration of
Evidence: Conformity by WearSafe and has not been approved by BSi.
Closed?: Yes
Scope MD 598968
Requirements:
Customer communication
The organization shall determine and implement effective arrangements for communicating with customers
in relation to
a) product information,
b) enquiries, contracts or order handling, including amendments,
c) customer feedback, including customer complaints (see 8.2.1), and
d) advisory notices (see 8.5.1).
Objective Customer order no. OW2-0113/2015 has indicated that "All Paul Hartman shipment are require to do a 3
Evidence: stage of bioburden-on line QC, Pre-packing, Pre-shipment" while acutual only do quarterly
Actions: Correction: All current Order Form reviewed and revised to state that the requirement for bioburden test is
conducted at quarterly interval.
Root cause: Due to internal miscommunication, requirement was misinterpreted
Corrective Action: All Order Form indicate the requirement for pre-shipment product bioburden test upon
due quarterly.
Closed?: Yes
Scope MD 598968
Statement of non Tolerance limit of external calibration equipment has not determine and documented.
conformance:
Requirements:
Control of monitoring and measuring devices
The organization shall determine the monitoring and measurement to be undertaken and the monitoring
and measuring devices needed to provide evidence of conformity of product to determined requirements
(see 7.2.1).
The organization shall establish documented procedures to ensure that monitoring and measurement can
be carried out and are carried out in a manner that is consistent with the monitoring and measurement
requirements.
In addition, the organization shall assess and record the validity of the previous measuring results when the
equipment is found not to conform to requirements. The organization shall take appropriate action on the
equipment and any product affected. Records of the results of calibration and verification shall be
maintained (see 4.2.4).
When used in the monitoring and measurement of specified requirements, the ability of computer software
to satisfy the intended application shall be confirmed. This shall be undertaken prior to initial use and
reconfirmed as necessary.
NOTE See ISO 10012 for guidance related to measurement management systems.
Objective Calibration procedure, no. 5.4.3 has indicated that Acceptance criteria for Standard reference equipment
Evidence: using for calibration of MTE (measuring and test equipment) shall be set up as raito 1:3. However this ratio
has not taken to be set up as a criteria.
Actions: Correction: Tolerance value is hand-written in the relevant column as a temporary measure until replaced
with official revision of masterlist.
Root cause: Tolerance limit of external calibration equipment has been overlooked during documentation
Corrective action: Tolerance limit being calculated and determined according to MTE (Measuring and Test
Equipment) set up ratio 1:3 and documented in the revised Masterlist of External Equipment Calibration
Schedule.
Closed?: Yes
Scope MD 598968
Statement of non There was partial failure control of Quarterly dose audit according ISO 11137-2 Established the sterilization
conformance: dose.
Requirements:
Particular requirements for sterile medical devices
The organization shall establish documented procedures for the validation of sterilization processes.
Sterilization processes shall be validated prior to initial use.
Objective Determine the bioburden of each of at least 10 each product and calculate the average bioburden was not
Evidence: implemented for Quarterly dose audit Q1 (2015) product Lot 2015-044 W5.
Actions: Reinstate the requirement in procedure and implement product bioburden test
Seen Quarterly dose audit for Powder free NR latex surgical (DD SPBPYF 0.17) Q1 year 2016
Product lot 2016-002W5 AVG result =98
Dose audit irradiation 8.01-9.79 kGy , sterility test pass test
Closed?: Yes
Scope MD 598968
Statement of non Inconsistency monitoring of microbiological as per Environment monitoring program W-QII-LMT-001 rev
conformance: 008 and
Environmental monitoring procedure QS-0061-rev 0.
The organization shall determine and manage the work environment needed to achieve conformity to
product requirements.
The following requirements shall apply.
a) The organization shall establish documented requirements for health, cleanliness and clothing of
personnel if contact between such personnel and the product or work environment could adversely affect
the quality of the product (see 7.5.1.2.1).
b) If work environment conditions can have an adverse effect on product quality, the organization shall
establish documented requirements for the work environment conditions and documented procedures or
work instructions to monitor and control these work environment conditions (see 7.5.1.2.1).
c) The organization shall ensure that all personnel who are required to work temporarily under special
environmental conditions within the work environment are appropriately trained or supervised by a trained
person [see 6.2.2 b)].
d) If appropriate, special arrangements shall be established and documented for the control of
contaminated or potentially contaminated product in order to prevent contamination of other product, the
work environment or personnel (see 7.5.3.1).
Actions: 1) QS-0061 rev 2 was include Viable air count by Compressed air count at ex-strip and ex-machine
Seen record for Viable air count data sheet date 22/03/2016 and 19/4/2016 , result shown with in alert
limit.
2) QS-0061 rev 2 was update the sampling point for former, plastic bag, machine at production , and table
, floor at packing room
3) QS-0061 rev 2 add up the monitoring of soft water. Seen monitoring record on March and April 2016
Closed?: Yes
1203527N5 Surgical: Production and Quality control, traceability, nonconforming product 7.5.1.1
control, Finish goods warehouse and delivery:
Scope MD 598968
Statement of non There was partial failure control at QA2 which not comply to Quality plan DD-SPBPYS 0.17 rev 2 and QWI-
conformance: 2002 rev 3 QA-Pre-packing sampling inspection procedure.
Requirements:
General requirements
The organization shall plan and carry out production and service provision under controlled conditions.
Controlled conditions shall include, as applicable
The organization shall establish and maintain a record (see 4.2.4) for each batch of medical devices that
provides traceability to the extent specified in 7.5.3 and identifies the amount manufactured and amount
approved for distribution. The batch record shall be verified and approved.
Objective QA-Pre-packing for visual inspection record (QA 2) of batch MA-110515-05 was defined the criteria of visual
Evidence: defect (Minor) at GI AQL 4.0 Sample 80, Accept =7, Reject =8 which not comply to Quality plan and
procedure at AQL 2.5 Accept = 5 reject =6.
(Quality plan DD-SPBPYS 0.17 rev 2 and QWI-2002 rev 3,QA-Pre-packing sampling inspection procedure)
Actions: Revise QWI-2002 rev 4 to describe inspection criteria AQL by product/gloves type
And brief all inspectors on the entry error and retain date 30/6/2015
Closed?: Yes
Scope CE 598967
Statement of non Storage temperatures for the Intouch PF have been inappropriately labelled
conformance:
Objective Shipper for the Intouch PF size 7 ref INTW 0570 Lot 2015 322 W5 expiry 2018-10 had storage temperature
Evidence: symbol of storing inbetween 10 and 40C. There is no documented evidence for this in the Technical file.
Actions: Sighted the CAPA for 1272509N1. Verified action taken to revise artwork to remove the temperature
symbol on dispenser box unit packages.
Closed?: Yes
Scope CE 598967
Statement of non Procedure are not adequate to address the requirement to inform the notified body for signification change.
conformance:
Requirements: The manufacturer must inform the notified body which approved the quality system of any plan for
substantial changes to the quality system or the product-range covered. The notified body must assess the
changes proposed and verify whether after these changes the quality system still meets the requirements
referred to in Section 3.2. It must notify the manufacture of its decision. This decision must contain the
conclusions of the inspection and a reasoned assessment.
Objective The documented procedure are not defined the requirement to inform the notified body for signification
Evidence: change which approved the quality system of any plan for substantial changes to the quality system or the
product-range covered.
Existing procedure QS-0009 rev 1 was limit only Notification to certify body (BSI service Malaysia bhd) on
the change of QMS,
1336568N2 Latex and Nitrile Examination gloves: Production and Quality control, 8.2.4.1
traceability, nonconforming product control, Finish goods warehouse and
delivery
Scope MD 598968
Statement of non Production process control parameter is not entirely follow procedure
conformance:
Requirements:
General requirements
The organization shall monitor and measure the characteristics of the product to verify that product
requirements have been met. This shall be carried out at appropriate stages of the product realization
process in accordance with the planned arrangements (see 7.1) and documented procedures (see 7.5.1.1).
Evidence of conformity with the acceptance criteria shall be maintained. Records shall indicate the
person(s) authorizing release of product (see 4.2.4).
Product release and service delivery shall not proceed until the planned arrangements (see 7.1) have been
satisfactorily completed.
Objective Latex Exam Glove - Checked record in the Process Control Checklist dated 22/5/16 for M/C 02 Shift 1 and
Evidence: 2, found discrepancy for the control limit stated in process control checklist and procedure DPC-1005 Rev 1
Process Parameter For NR Exam Gloves OLPYS 5.4G. In process Lab Control Checklist, Exam, FD-41(e), Rev
1 showed Nitric acid concentration cleaning tank #1 (2.5+/-0.5%), FC4 concentration cleaning tank #2
(4.0+/-1.0%), water flow rate cleaning tank #2 (2+/-0.5 LPM), however Document DPC-1005 showed NA
1.5-2.5%, FC4 3.5-4.5% and water flow 1-3 LPM). If following the specification stated in DPC-1005, MC#2
dated 22/5/16, Glove type: OLPYS 5.4, the FC4 concentration monitoring at 0000-0030 time showed 3.3%
will out of specification.
Nitrile Exam Glove - Pre-leaching tank#4 temperature (65+/-3 stated at process control checklist), whereas
process flow chart for NBR Exam Gloves OCPFNF-WH-LD 300, DPC-3002, Rev 0 stated 60-70degC
Assessment Participants.
On behalf of the organisation:
Name Position
As in Attendace List .
Name Position
Continuing Assessment.
The programme of continuing assessment is detailed below.
Re-certification will be conducted on completion of the cycle, or sooner as required. An entire system re-assessment visit will be
required.
Re-certification Plan.
WEAR S-0047471854-000|CE 598967
Process validation X X X
Risk management X X X
Management Review X X X X
Internal Audit X X X X
Microbiologist visit X X
Recertification X X
To conduct a recertification assessment to determine the effectiveness of implementation of the QMS applicable within the proposed
scope of registration, in accordance with the company objectives, policies and procedures, applicable requirements of the
management standard(s) & BSI Conditions of Contract and to determine whether a certification / re-certification recommendation can
/ could be made.
To verify all requirements of ISO 13485:2003 and EN ISO 13485:2012 have been effectively implemented.
To verify Wear Safe (Malaysia) Sdn. Bhd. has implemented all requirements of ISO 13485:2003 and the most current version of Part
1 of the Canadian Medical Device Regulations. GD210 will be used.
To determine if the management system continues to meet the requirements of MDD 93/42/EEC Annex V 3.2
To verify effective implementation of the requirements of Ministerial Ordinance No. 169, 2004 published by Ministry of Health Labour
and Welfare of Japan.
Visit Criteria
93/42/EEC Annex V, Section 3.2 (2007/47), ISO 9001:2008, ISO 13485:2003 & EN ISO 13485, PAL,manual, policies, procedures,
work instructions, legal and statutory and customer requirements, other related certification requirements
Visit Scope
This visit will cover the location activities for the management system processes at the Wear Safe (Malaysia) Sdn. Bhd. at Lot 5068 &
5069, Batu 4, Jalan Meru, 41050 Klang, Selangor Darul Ehsan, Malaysia
Assessor 1 &
1 Dec 2016 9:00 Opening meeting and review of changes
2
9.30-
Day 1 Assessor 2 Microbiologist visit 7.5.2, 6.4
16.30
Management review meeting, data analysis and
Assessor 1 9:30 improvement, including quality policy & 5.1-5.6, 8.1, 8.2, 8.4, 8.5
objectives
12:00 Lunch
Corrective and Preventive Actions, including
13:00 8.2.1, 8.3, 8.5.1-8.5.3
customer complaints
15:00 Technical file and related regulatory MDD, CMDR, JPAL
Please note that BSI reserves the right to apply a charge equivalent to the full daily rate for cancellation of the visit by the
organisation within 30 days of an agreed visit date.
Location Scope
WEAR S-0047471854-000
Location Scope
WEAR S-0047471854-000
Location Scope
WEAR S-0047471854-000
Location Scope
WEAR S-0047471854-000
Location Scope
WEAR S-0047471854-000
Location Scope
WEAR S-0047471854-000
Notes.
The assessment was based on sampling and therefore nonconformities may exist which have not been identified.
If you wish to distribute copies of this report external to your organisation, then all pages must be included.
BSI, its staff and agents shall keep confidential all information relating to your organisation and shall not disclose any such
information to any third party, except that in the public domain or required by law or relevant accreditation bodies. BSI staff, agents
and accreditation bodies have signed individual confidentiality undertakings and will only receive confidential information on a 'need
to know' basis.
This report and related documents is prepared for and only for BSIs client and for no other purpose. As such, BSI does not accept or
assume any responsibility (legal or otherwise) or accept any liability for or in connection with any other purpose for which the Report
may be used, or to any other person to whom the Report is shown or in to whose hands it may come, and no other persons shall be
entitled to rely on the Report.
Should you wish to speak with BSI in relation to your registration, please contact your customer service officer.
Regulatory Compliance.
BSI requires to be informed of all relevant regulatory non-compliance or incidents that require notification to any regulatory authority.
Acceptance of this report by the client signifies that all such issues have been disclosed as part of the assessment process and
agreement that any such non-compliance or incidents occurring after this visit will be notified to BSI as soon as practical after the
event.