Standard Operating Procedure for Environmental Monitoring Program in Gel Manufacturing Area
| Department | Gel Manufacturing |
|---|---|
| SOP No. | SOP/GM/142/2025 |
| Supersedes | SOP/GM/142/2022 |
| Page No. | Page 1 of 12 |
| Issue Date | 09/06/2025 |
| Effective Date | 11/06/2025 |
| Review Date | 09/06/2027 |
1. Purpose
To define the procedure for the environmental monitoring (EM) program in the gel manufacturing area to ensure compliance with cGMP and regulatory standards for controlled environments.
2. Scope
This SOP applies to all areas involved in gel manufacturing where environmental control is essential, including cleanrooms, filling zones, storage areas, gowning zones, and airlocks.
3. Responsibilities
- Microbiology Lab: Conducts viable and non-viable environmental monitoring.
- QA Department: Reviews trends, reports deviations, and ensures compliance with regulatory norms.
- Engineering Department: Maintains HVAC and cleanroom integrity.
- Production
Department: Facilitates access and supports corrective actions if excursions occur.
4. Accountability
The Head – Quality Assurance is accountable for ensuring the monitoring program is implemented, reviewed, and updated as per risk-based strategies and current guidelines.
5. Procedure
5.1 EM Program Elements
- Design the EM program based on cleanroom classification (Grade A to D).
- Define sampling locations based on risk assessment and operational impact.
- Develop sampling frequency, acceptance criteria, and action/alert limits.
5.2 Types of Monitoring
- Non-Viable Monitoring: Using particle counters for 0.5µm and 5.0µm particles.
- Viable Air Monitoring: Using active air samplers with appropriate media.
- Surface Monitoring: Settle plates, contact plates, and swabs.
- Personnel Monitoring: Glove prints, garment swabs post operation.
5.3 Sampling and Incubation
- Perform sampling under dynamic and static conditions.
- Label plates with area code, date, and operator initials.
- Incubate plates: 30–35°C for 3 days and 20–25°C for 5 days (as per organism type).
5.4 Data Recording and Trending
- Document all readings in EM logbooks and software (if automated).
- Perform monthly trend analysis and highlight deviations.
- Investigate and document any excursions beyond alert/action limits.
5.5 Corrective and Preventive Actions (CAPA)
- Initiate deviation or incident report for excursions.
- Identify root cause and implement CAPA with QA oversight.
- Repeat sampling post-CAPA to confirm effectiveness.
5.6 Review and Updates
- Review EM program annually or based on major facility/process changes.
- Update sampling plans, locations, or limits as per review findings.
6. Abbreviations
- EM: Environmental Monitoring
- CFU: Colony Forming Unit
- CAPA: Corrective and Preventive Action
- QA: Quality Assurance
- HVAC: Heating, Ventilation, and Air Conditioning
7. Documents
- Environmental Monitoring Protocol – Annexure-1
- EM Log Sheets – Annexure-2
- EM Trend Report – Annexure-3
- CAPA Forms – Annexure-4
8. References
- EU GMP Annex 1 – Manufacture of Sterile Medicinal Products
- WHO TRS 961 – GMP for HVAC and Environmental Control
- ISO 14644-1 and ISO 14698
9. SOP Version
Version: 2.0
10. Approval Section
| Prepared By | Checked By | Approved By | |
|---|---|---|---|
| Signature | |||
| Date | |||
| Name | |||
| Designation | Jr. Production Chemist | QA Executive | Head – Manufacturing |
| Department | Gel Manufacturing | Quality Assurance | Manufacturing |
11. Annexures
Annexure-1: EM Protocol Format
| Area/Zone | |
|---|---|
| Classification | |
| Sampling Type | Air/Surface/Personnel |
| Frequency | |
| Alert/Action Limits |
Annexure-2: EM Log Sheet
| Date | Location | Sample Type | Reading | Remarks |
|---|---|---|---|---|
Annexure-3: EM Trend Report Template
| Month | Area | CFU Count | Trend | Deviation Noted |
|---|---|---|---|---|
Annexure-4: CAPA Form Template
| Deviation Ref No. | |
|---|---|
| Root Cause | |
| Corrective Action | |
| Preventive Action | |
| Closure Date |
Revision History
| Revision Date | Revision No. | Change Description | Reason | Approved By |
|---|---|---|---|---|
| 20/05/2022 | 1.0 | Initial release | New SOP | QA Head |
| 09/06/2025 | 2.0 | Updated scope, sampling types, and CAPA format | Periodic revision | QA Head |