Your Research Site Page 1 of 7
SOP No.: SOP-CO-03
Revision: Original
Effective Date:
Your Research Site
Your Research Address
Your Research City
Standard Operating Procedure
Confidential & Proprietary Information
Department: Area(s)
Title: SOP No.: SOP-CO-03
Effective Date: Revision:
Approving Official: Clinical Investigator
_______________________________ ______________________________
Name (Printed) Title
_______________________________ ______________________________
Signature Date of Approval
Your Research Site Page 2 of 7
SOP No.: SOP-CO-03
Revision: Original
Effective Date:
CORRECTIVE AND PREVENTATIVE ACTIONS
1. PURPOSE
2. SCOPE
3. BACKGROUND
This procedure is conducted in accordance with:
4. PROCEDURE
Your Research Site Page 3 of 7
SOP No.: SOP-CO-03
Revision: Original
Effective Date:
5. Revision Tracking or
Reapproval
Documentation
Position Signature Date Signed Description of
Revision(s); Date of
Revision(s); Note if
Signature(s) is for
Reapproval Only
Medical Director
Director of Clinical Research
Assessment Tracking Log
Sponsor Protocol List and Describe Clinical Research Date(s) of
Number Document, System, or Team Member Review
Facility Inspection Performing
Performed Review
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SOP No.: SOP-CO-03
Revision: Original
Effective Date:
Assessment Plan
Protocol Number: ______________ Assessment Plan Issued Date: __________
Sponsor: _____________________ Issuer’s Initials: ____________
Date(s) of Review: ________________
Reviewer(s): _______________________________
Overall Purpose of the Assessment:
Describe the System, Documents, and/or Facility to Be Assessed:
List Clinic Research Team Members to be Involved:
Lead Reviewer:
Additional Comments:
Expected Initial Preliminary Timeline:
Initial Update:
Expected Completion:
_________________________ _________________
Clinic Director Signature Date of Signature
Your Research Site Page 5 of 7
SOP No.: SOP-CO-03
Revision: Original
Effective Date:
_________________________ _________________
Clinical Investigator Signature Date of Signature
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SOP No.: SOP-CO-03
Revision: Original
Effective Date:
CORRECTIVE and PREVENTATIVE ACTIONS
FORM
Section I
Identified Issue:
Section II
Casual Analysis:
Section III
Proposed Resolution(s):
Section IV
Final Root Causal Analysis
Issued Resolved On: ____________________
Continuing to be Reviewed: ______________ Next Planned Assessment: ___________________
Your Research Site Page 7 of 7
SOP No.: SOP-CO-03
Revision: Original
Effective Date:
Issue Completion Tracking Log
Assessment Date: Reviewer(s): _______________
Investigator: __________________ Prepared By: ___________ Date: __ __________
Protocol Number(s): ________________
Corrective Action Review:
Clinical Research Director: __________________ Date: ________
Clinical Investigator: _______________________ Date: ________
Completion Responsible Completion
Observation(s) Recommendation Corrective Action Target Date Person(s) Date