Question 14 of 20 Intermediate Troubleshooting
An internal audit keeps finding the same observation. How would you investigate why controls fail?
Short answer
Treat the repeat as evidence that earlier CAPAs addressed the finding, not its cause. Review each past response, check whether actions were implemented and verified, and look for the condition that keeps recreating the problem, such as design, ownership, resources or incentives.
Why
EU GMP Chapter 9 requires self inspections to be recorded with proposals for corrective measures and the actions taken, and ICH Q7 says agreed corrective actions should be completed in a timely and effective manner. A repeat observation shows the effective part failed. Start by laying out every occurrence and the response to each.
Often the first response was to retrain, the second was to rewrite the SOP, and neither changed the conditions. Then test each response. Was it actually implemented, did anyone check it worked, and did it target the mechanism?
Ask what has stayed constant across occurrences. A line that keeps failing calibration overdue checks might share one scheduler with too many instruments and no backup. A logbook gap might come from a logbook stored where nobody passes.
The investigation also has to look at ownership, since findings that belong to several departments tend to belong to none. ICH Q10 asks management review to look at audit results and allocate resources, so a repeat finding is a legitimate management review topic. The outcome should be a CAPA whose effectiveness check is the absence of the finding at the next audit plus a leading indicator in between.
The limit is that auditors sample, so a finding that disappears might simply not have been sampled.
A strong answer covers
- List each occurrence and the response given
- Check implementation and verification of past actions
- Find the constant condition behind recurrence
- Clarify ownership across departments
- Escalate through management review
Common mistakes
- Raising the same retraining CAPA again for a repeat finding.
- Closing the finding because the next audit did not happen to sample the area.
- Investigating only the latest occurrence instead of the whole history.
The interviewer might ask next
What leading indicator would you track between audits to know the new CAPA is working?