Sync template from atomicqms-style deployment
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Forms/Assent-Forms/.gitkeep
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Forms/Assent-Forms/.gitkeep
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Forms/Case-Report/.gitkeep
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Forms/Case-Report/.gitkeep
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Forms/FRM-001-Document-Change-Request.md
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Forms/FRM-001-Document-Change-Request.md
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# Document Change Request Form
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| Form ID | FRM-001 | Revision | 1.0 |
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|---------|---------|----------|-----|
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---
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## Section 1: Request Information
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| Field | Entry |
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|-------|-------|
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| Request Date | |
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| Requested By | |
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| Department | |
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## Section 2: Document Information
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| Field | Entry |
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|-------|-------|
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| Document Number | |
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| Document Title | |
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| Current Revision | |
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## Section 3: Change Description
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### Type of Change
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- [ ] New Document
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- [ ] Revision to Existing Document
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- [ ] Document Obsolescence
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### Description of Change
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*(Describe the proposed change in detail)*
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### Reason for Change
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*(Explain why this change is needed)*
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## Section 4: Impact Assessment
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### Affected Areas
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- [ ] Training Required
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- [ ] Other Documents Affected
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- [ ] Process Changes Required
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- [ ] Validation Impact
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- [ ] IRB/Ethics Committee Approval Required
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- [ ] Informed Consent/Assent Forms Affected
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- [ ] Pediatric Safety Considerations
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- [ ] Age-Appropriateness Review Needed
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### List Affected Documents
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### Impact on Active Pediatric Studies
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*(If applicable, describe impact on ongoing studies)*
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## Section 5: Approvals
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| Role | Name | Signature | Date |
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|------|------|-----------|------|
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| Requester | | | |
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| Document Owner | | | |
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| Quality Assurance | | | |
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| Pediatric Specialist (if applicable) | | | |
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---
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*Form FRM-001 Rev 1.0*
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Forms/FRM-003-CAPA-Form.md
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Forms/FRM-003-CAPA-Form.md
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# Corrective and Preventive Action (CAPA) Form
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| Form ID | FRM-003 | Revision | 1.0 |
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|---------|---------|----------|-----|
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---
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## Section 1: CAPA Identification
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| Field | Entry |
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|-------|-------|
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| CAPA Number | |
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| Date Initiated | |
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| Initiated By | |
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| CAPA Owner | |
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| Target Closure Date | |
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## Section 2: Classification
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### Type
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- [ ] Corrective Action
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- [ ] Preventive Action
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### Source
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- [ ] Customer/Sponsor Complaint
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- [ ] Internal Audit
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- [ ] External Audit
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- [ ] Sponsor Monitoring
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- [ ] Protocol Deviation/Violation
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- [ ] Adverse Event
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- [ ] IRB/Ethics Committee Finding
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- [ ] Participant/Family Concern
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- [ ] Pediatric Safety Issue
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- [ ] Nonconforming Product
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- [ ] Management Review
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- [ ] Other: ____________
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### Priority
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- [ ] Critical - Child Safety Risk (Immediate action required)
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- [ ] Major (5 business days)
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- [ ] Minor (15 business days)
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## Section 3: Problem Description
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*(Describe the nonconformity or potential nonconformity. For pediatric-related issues, include age group affected, number of participants impacted, and any safety implications.)*
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## Section 4: Immediate Containment
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*(Actions taken to contain the immediate impact, especially for child safety issues)*
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## Section 5: Root Cause Investigation
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### Investigation Method Used
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- [ ] 5 Whys
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- [ ] Fishbone Diagram
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- [ ] Fault Tree Analysis
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- [ ] Timeline Analysis
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- [ ] Other: ____________
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### Pediatric-Specific Factors Considered
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- [ ] Age-appropriateness of procedures/materials
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- [ ] Developmental considerations
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- [ ] Family communication
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- [ ] Parental permission/child assent process
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- [ ] Pediatric dosing or procedures
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- [ ] Child safety monitoring
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- [ ] N/A
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### Root Cause Determination
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## Section 6: Corrective/Preventive Actions
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| Action | Responsible | Due Date | Status |
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|--------|-------------|----------|--------|
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| | | | |
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## Section 7: Notifications (if applicable)
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- [ ] Principal Investigator notified
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- [ ] Sponsor notified (Date: ______)
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- [ ] IRB/Ethics Committee notified (Date: ______)
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- [ ] FDA or other regulatory authority notified (Date: ______)
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- [ ] Participants/families notified (Date: ______)
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- [ ] DSMB notified (Date: ______)
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## Section 8: Effectiveness Verification
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| Criteria | Method | Result |
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|----------|--------|--------|
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| | | |
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Verification Date: ____________
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Verified By: ____________
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## Section 9: Closure
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| Role | Name | Signature | Date |
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|------|------|-----------|------|
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| CAPA Owner | | | |
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| Quality Approval | | | |
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| PI Approval (if study-related) | | | |
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---
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*Form FRM-003 Rev 1.0*
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Forms/FRM-004-Training-Record.md
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Forms/FRM-004-Training-Record.md
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# Training Record Form
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| Form ID | FRM-004 | Revision | 1.0 |
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|---------|---------|----------|-----|
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---
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## Section 1: Employee Information
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| Field | Entry |
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|-------|-------|
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| Employee Name | |
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| Employee ID | |
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| Department | |
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| Job Title | |
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## Section 2: Training Information
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| Field | Entry |
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|-------|-------|
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| Training Title | |
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| Training Date | |
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| Training Duration | |
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| Trainer Name | |
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| Trainer Qualification | |
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### Training Type
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- [ ] Initial Training
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- [ ] Retraining
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- [ ] Refresher
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- [ ] Procedure Update
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- [ ] Protocol-Specific Training
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### Training Category
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- [ ] Good Clinical Practice (GCP)
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- [ ] Human Subject Protection
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- [ ] Pediatric Research Ethics (45 CFR 46 Subpart D)
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- [ ] Pediatric Safety Requirements (21 CFR 50 Subpart D)
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- [ ] ICH E11 Pediatric Guidelines
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- [ ] Pediatric Assent Process
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- [ ] Parental Permission
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- [ ] Age-Appropriate Communication
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- [ ] Child Development
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- [ ] Child Abuse Recognition and Reporting
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- [ ] Pediatric Procedures/Techniques
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- [ ] Study Protocol Training
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- [ ] Other: ____________
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### Delivery Method
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- [ ] Classroom
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- [ ] On-the-Job
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- [ ] Self-Study
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- [ ] Computer-Based
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- [ ] Simulation/Role-Play
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- [ ] Other: ____________
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## Section 3: Training Content
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*(List topics covered or attach training materials)*
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### Pediatric-Specific Content (if applicable)
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- Applicable age groups: [ ] Neonates [ ] Infants [ ] Children [ ] Adolescents
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- Special populations covered: ___________________________
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## Section 4: Assessment
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### Assessment Method
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- [ ] Written Test
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- [ ] Practical Demonstration
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- [ ] Verbal Assessment
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- [ ] Observation
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- [ ] Competency Checklist
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- [ ] Role-Play/Simulation (for assent discussions)
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### Assessment Results
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| Metric | Result |
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|--------|--------|
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| Score (if applicable) | |
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| Pass/Fail | |
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| Passing Score Required | 80% (or per protocol) |
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### Competency Achieved
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- [ ] Yes - Authorized to perform independently
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- [ ] No - Requires additional training/supervision
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### Next Retraining Due Date
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## Section 5: Signatures
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| Role | Name | Signature | Date |
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|------|------|-----------|------|
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| Trainee | | | |
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| Trainer | | | |
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| Supervisor | | | |
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---
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*Form FRM-004 Rev 1.0*
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105
Forms/FRM-006-Audit-Checklist.md
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Forms/FRM-006-Audit-Checklist.md
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# Internal Audit Checklist - Pediatric Clinical Research
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| Form ID | FRM-006 | Revision | 1.0 |
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|---------|---------|----------|-----|
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---
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## Audit Information
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| Field | Entry |
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|-------|-------|
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| Audit Number | |
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| Audit Date | |
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| Area/Process Audited | |
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| Study Protocol (if applicable) | |
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| Lead Auditor | |
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| Auditee(s) | |
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---
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## General QMS Checklist Items
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| # | Requirement/Question | Reference | C/NC/NA | Evidence/Notes |
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|---|---------------------|-----------|---------|----------------|
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| 1 | Are current versions of applicable procedures available? | SOP-001 | | |
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| 2 | Are personnel trained on applicable procedures? | SOP-003 | | |
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| 3 | Are training records current and complete? | SOP-003 | | |
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| 4 | Are records properly maintained and retrievable? | SOP-001 | | |
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| 5 | Are nonconformities being documented and addressed? | SOP-002 | | |
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| 6 | Are CAPAs being completed on time? | SOP-002 | | |
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| 7 | Is equipment calibrated and maintained? | | | |
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| 8 | Are process controls being followed? | | | |
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| 9 | Are quality objectives being monitored? | | | |
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---
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## Pediatric Research-Specific Checklist
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| # | Requirement/Question | Reference | C/NC/NA | Evidence/Notes |
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|---|---------------------|-----------|---------|----------------|
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| 10 | Are informed consent forms IRB-approved and current? | 45 CFR 46 | | |
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| 11 | Are assent forms age-appropriate for target population? | 45 CFR 46.408 | | |
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| 12 | Is parental permission properly documented? | 21 CFR 50.55 | | |
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| 13 | Do consent/assent forms include all required elements? | ICH-GCP 4.8 | | |
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| 14 | Are both parent signatures obtained when required? | 45 CFR 46.408(b) | | |
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| 15 | Are assent refusals properly documented and respected? | 45 CFR 46.408(a) | | |
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| 16 | Is study categorized correctly per 45 CFR 46.404-407? | SOP-PED | | |
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| 17 | Are pediatric safety assessments conducted per protocol? | SOP-SAF | | |
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| 18 | Are adverse events assessed with pediatric considerations? | ICH E11 | | |
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| 19 | Are growth/development parameters monitored? | Protocol | | |
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| 20 | Is pediatric dosing calculated and verified correctly? | Protocol | | |
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| 21 | Are age-appropriate study materials being used? | SOP-PED | | |
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| 22 | Are child-friendly facilities/equipment available? | Site SOPs | | |
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| 23 | Is staff trained on pediatric research requirements? | SOP-003 | | |
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| 24 | Are child abuse reporting procedures in place? | State Law | | |
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| 25 | Is family burden minimized per protocol design? | ICH E11 | | |
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| 26 | Are adolescent confidentiality provisions addressed? | HIPAA/State | | |
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| 27 | Is DSMB oversight in place if required? | Protocol | | |
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| 28 | Are protocol deviations reported per requirements? | ICH-GCP | | |
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| 29 | Are serious adverse events reported timely? | 21 CFR 312 | | |
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| 30 | Are eligibility criteria properly assessed (age ranges)? | Protocol | | |
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---
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## Study-Specific Items (customize per protocol)
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| # | Requirement/Question | Reference | C/NC/NA | Evidence/Notes |
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|---|---------------------|-----------|---------|----------------|
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| 31 | | | | |
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| 32 | | | | |
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| 33 | | | | |
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| 34 | | | | |
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| 35 | | | | |
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**Legend:** C = Conforming, NC = Nonconforming, NA = Not Applicable
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---
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## Findings Summary
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| Finding # | Type (Critical/Major/Minor) | Description | Regulatory/SOP Reference |
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|-----------|---------------------------|-------------|-------------------------|
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---
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## Positive Observations
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*(Note any exemplary practices or strengths observed)*
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---
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## Auditor Signatures
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| Auditor | Signature | Date |
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|---------|-----------|------|
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| Lead Auditor | | |
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| Co-Auditor (if applicable) | | |
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---
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*Form FRM-006 Rev 1.0*
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0
Forms/Monitoring/.gitkeep
Normal file
0
Forms/Monitoring/.gitkeep
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0
Forms/Parental-Permission/.gitkeep
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0
Forms/Parental-Permission/.gitkeep
Normal file
0
Forms/Safety-Monitoring/.gitkeep
Normal file
0
Forms/Safety-Monitoring/.gitkeep
Normal file
Reference in New Lab Ticket
Block a user