# Nonconformity Classification Severity classification, CAPA integration, and finding documentation guidance. --- ## Table of Contents - [Classification Criteria](#classification-criteria) - [Severity Matrix](#severity-matrix) - [CAPA Integration](#capa-integration) - [Finding Documentation](#finding-documentation) - [Closure Requirements](#closure-requirements) --- ## Classification Criteria ### Nonconformity Definitions | Category | Definition | Examples | |----------|------------|----------| | Major NC | Systematic failure or absence of required element | No design control procedure, no CAPA system | | Minor NC | Isolated lapse or partial implementation | Single missing signature, one overdue calibration | | Observation | Improvement opportunity, potential future NC | Trending toward noncompliance, unclear procedure | ### Classification Decision Tree ``` Is required element absent or failed? ├── Yes → Is failure systematic (multiple instances)? │ ├── Yes → MAJOR NONCONFORMITY │ └── No → Could it cause product safety issue? │ ├── Yes → MAJOR NONCONFORMITY │ └── No → MINOR NONCONFORMITY └── No → Is there deviation from procedure? ├── Yes → Isolated or recurring? │ ├── Isolated → MINOR NONCONFORMITY │ └── Recurring → MAJOR NONCONFORMITY └── No → Is there improvement opportunity? ├── Yes → OBSERVATION └── No → NO FINDING ``` --- ## Severity Matrix ### Impact vs. Occurrence Matrix | | Low Occurrence (1 instance) | Medium (2-3 instances) | High (Systematic) | |---|---|---|---| | **High Impact** (Safety/Efficacy) | Major | Major | Major | | **Medium Impact** (Quality/Compliance) | Minor | Major | Major | | **Low Impact** (Administrative) | Observation | Minor | Minor | ### Clause-Specific Severity Guidance | Clause | Major If... | Minor If... | |--------|-------------|-------------| | 4.2 Document Control | No document control system | Single obsolete document in use | | 5.6 Management Review | Not conducted >12 months | Missing single input | | 6.2 Training | No competency defined | Single training record missing | | 7.3 Design Control | No design reviews | Review participant missing | | 7.4 Purchasing | No supplier evaluation | Single evaluation overdue | | 7.5 Production | Special process not validated | Minor deviation from WI | | 8.2.2 Internal Audit | No audit program | Audit overdue <90 days | | 8.5 CAPA | No CAPA system | Effectiveness not verified | --- ## CAPA Integration ### Finding-to-CAPA Workflow 1. **Classify finding** (Major/Minor/Observation) 2. **Document finding** with objective evidence 3. **Determine CAPA requirement** (see table below) 4. **Initiate CAPA** with finding as source 5. **Track resolution** through closure 6. **Verify effectiveness** at follow-up audit 7. **Validation:** Finding closed only after CAPA effective ### CAPA Requirement by Severity | Severity | CAPA Required | Timeline | Verification | |----------|---------------|----------|--------------| | Major | Yes | 30 days for root cause, 90 days for implementation | Next audit or within 6 months | | Minor | Recommended | 60 days for correction | Next scheduled audit | | Observation | Optional | As appropriate | Noted at next audit | ### Root Cause Depth by Severity | Severity | Root Cause Analysis Required | |----------|------------------------------| | Major | Full 5-Why or Fishbone, systemic causes | | Minor | Immediate cause identification | | Observation | Not required | --- ## Finding Documentation ### Finding Statement Structure ``` FINDING STATEMENT TEMPLATE: Requirement: [Specific clause or procedure requirement] Evidence: [What was observed, reviewed, or heard] Gap: [How the evidence fails to meet the requirement] Example: Requirement: ISO 13485:2016 Clause 8.2.2 requires internal audits at planned intervals to determine QMS conformity. Evidence: Audit schedule shows Design Control audit planned for Q2 2024. No audit records exist. Interview with QA Manager confirmed audit was not conducted. Gap: Internal audit for Design Control process not conducted as planned, representing a gap in audit program execution. ``` ### Evidence Types and Requirements | Evidence Type | How to Document | Retention | |---------------|-----------------|-----------| | Document | Reference document number, version, date | Copy in audit file | | Interview | Interviewee name, role, statement summary | Notes in audit file | | Observation | What, where, when observed | Photo if appropriate | | Record | Record identifier, date, content observed | Copy in audit file | ### Finding Writing Guidelines **Do:** - State objective evidence clearly - Reference specific requirements - Use factual, neutral language - Include document/record identifiers **Don't:** - Use judgmental language ("poor", "inadequate") - Generalize without evidence ("always", "never") - Combine multiple findings - Include corrective action suggestions --- ## Closure Requirements ### Closure Criteria by Severity **Major Nonconformity:** - [ ] Root cause analysis completed - [ ] Corrective action implemented - [ ] Effectiveness verified (objective evidence) - [ ] No recurrence observed - [ ] QA Manager sign-off - [ ] Auditor verification **Minor Nonconformity:** - [ ] Immediate correction completed - [ ] Root cause addressed (if applicable) - [ ] Evidence of correction reviewed - [ ] QA Manager sign-off **Observation:** - [ ] Action taken (if any) documented - [ ] Noted for future reference ### Verification Methods | Method | When to Use | |--------|-------------| | Record review | Correction documented in records | | Interview | Process change understood by personnel | | Observation | Physical correction verified | | Follow-up audit | Systematic correction verified over time | ### Closure Documentation ``` CLOSURE RECORD TEMPLATE: Finding ID: [NC-YYYY-XXX] Original Finding: [Brief description] Severity: [Major/Minor/Observation] Corrective Action Taken: [Description of action implemented] Evidence of Implementation: [Document numbers, dates, observations] Effectiveness Verification: [Method used, results, date] Closure Approved By: [Name, Role, Date] ``` --- ## Audit Finding Log ### Log Template | ID | Date | Clause | Finding | Severity | Status | Due Date | Closed Date | |----|------|--------|---------|----------|--------|----------|-------------| | NC-2024-001 | | | | | | | | | NC-2024-002 | | | | | | | | ### Status Definitions | Status | Definition | |--------|------------| | Open | Finding documented, CAPA not started | | In Progress | CAPA underway | | Pending Verification | Action complete, awaiting verification | | Closed | Effectiveness verified | | Escalated | Overdue or ineffective, requires management attention |