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Quality control and findings

Document-level QC asks whether one exact Document Version, classification revision, and metadata revision are complete, readable, correctly classified, correctly indexed, and acceptable for filing.

TMF-level QC asks whether all applicable evidence is present, correctly placed, timely, accessible, and sufficient to reconstruct conduct across the study, countries, sites, functions, and record locations.

Passing one does not imply passing the other.

A QC criterion is one governed question used to decide whether evidence is acceptable.

Field Meaning
Criterion identifier and version Exact approved definition
Plain-language question For example, “Are all signed pages present and readable?”
Applies to Record types, filing levels, copy types, risk classes, or TMF scopes
Evidence to examine Content, metadata, classification, filing placement, approval, audit history, or external availability
Pass, fail, and not-applicable rules Observable decision criteria
Default finding type and severity Consequence of failure, subject to governed review
Blocking effect Whether failure prevents finalization, filing, readiness, or archive
Effective period When the criterion may be used

A published criterion version is not edited in place. A QC Round pins the exact criterion versions used.

A QC request assigns a defined review and explains why it is required.

Field Meaning
Request identifier Stable identity across rework rounds
Review scope Exact Document Version plus proposed classification and metadata revisions, or a stated TMF population
Reason and risk basis Routine, triggered, milestone, closeout, inspection preparation, or for-cause
Required criteria Exact QC criterion versions and any approved sampling instruction
Requester, assignee, and due date Accountability
Independence requirement Whether the reviewer must differ from contributor, classifier, or approver
Status Open, In Review, Rework Required, Ready for Another Round, Accepted, or Closed by Decision
Related Filing Slots or milestone Operational impact

One QC request has one or more QC Rounds. A failed round does not disappear when rework begins.

A QC round is one completed review attempt against one exact evidence state.

Field Meaning
QC request and round number Sequence within the review request
Evidence reviewed Exact Document Version, classification revision, metadata revision, and proposed filing placement, or exact TMF population snapshot
Reviewer Person, role, and qualification
Started and completed dates Review period
Criterion results One result for every applicable required criterion
Overall result Accepted, Accepted with Non-blocking Findings, or Rework Required
Findings Deficiencies raised by this round
Supersedes Earlier round after rework, without erasing it

A criterion result records Pass, Fail, or Not Applicable; evidence examined; observation; reviewer; time; and, for Not Applicable, the reason. Every required criterion has exactly one result in a completed round. A failed criterion that is material produces or links to a Quality Finding.

Field Meaning
Review scope Document Version, Filing Slot, milestone, country, site, process, sample, or full TMF
Reason and risk basis Routine, triggered, milestone, closeout, inspection preparation, or for-cause
Review criteria version Exact approved checklist or procedure used
Reviewer and qualification Who performed the review and under which role
Started and completed dates Review period
Population and sample What was eligible, selected, and excluded
Evidence examined Exact versions, metadata, placements, audit history, or external locations
Result Acceptable, Acceptable with Findings, or Unacceptable
Findings Deficiencies raised from the review

This summary is derived from the QC Request, its QC Rounds, criterion results, and findings. It is not a replacement for them.

  • correct study, country, site, and record type;
  • correct meaningful document date and version;
  • all pages, appendices, and signature components present;
  • readable text, signatures, handwriting, seals, and meaningful color;
  • required approval, certification, and authorship evidence;
  • correct confidentiality, privacy, and blinding classification;
  • correct relationship to original, translation, rendition, or superseded version;
  • acceptable duplicate assessment;
  • correct Filing Slot match;
  • content and metadata consistent with related trial facts.
  • every applicable due Filing Slot is resolved or visibly outstanding;
  • records are in the correct filing location and scope;
  • records were filed within the approved period;
  • superseded versions and implementation evidence support reconstruction;
  • essential correspondence includes the necessary conversation and attachments;
  • declared external record locations remain accessible and retrievable;
  • role access is appropriate, especially for unblinded and directly identifying records;
  • alterations, refiling, withdrawal, and corrections are traceable;
  • open findings and exceptions have accountable owners;
  • the TMF can be searched, retrieved, and understood without undocumented explanation.
Field Meaning
Finding identifier Stable identity
Finding type Missing, Misfiled, Metadata, Illegible, Incomplete, Wrong Version, Duplicate, Expired, Untimely, Access, Audit Evidence, or Other governed type
Severity Critical, Major, or Minor under an approved severity definition
Affected evidence Exact Document Version, Filing Slot, scope, or record location
Description Observable problem, not a vague judgement
Detected by and date Attribution
Assignee and due date Correction ownership
Immediate containment Access restriction, quarantine, notification, or other protection
Root cause and broader impact Required where the risk warrants it
Proposed and completed correction What will change and what changed
Verification Independent check where required
Outcome Closed, Confirmed Non-Issue, or linked to an approved Exception Decision
Rationale and approval Required for non-issue; exceptions use the separate Exception Decision and retain the finding
Open → Assigned → Correction in progress → Ready for verification → Closed
├──────────────────────────────────────────────→ Confirmed non-issue
└──────────────────────────────────────────────→ Governed by approved exception

“Corrected” is not the same as “verified.” An approved exception does not close or erase the observed deficiency; it records why and under which controls the unresolved condition is temporarily or permanently accepted. The person who makes a high-risk correction should not be the only person who confirms that it resolved the problem.

The Filing Plan Revision defines which findings block finalization or continued use.

Examples that normally block finalization include:

  • wrong study or site;
  • missing required signature or page;
  • illegible content needed to understand the record;
  • a privacy or blinding breach;
  • absence of required certified-copy evidence;
  • content that contradicts its stated version or approval status.

A minor spelling correction in non-material metadata may follow an approved self-evident correction path. It still leaves the original value, corrected value, actor, date, reason, and verification evidence.

  • Content approval records a clinical, functional, regulatory, or management decision about the content.
  • QC acceptance confirms that the record meets the applicable TMF quality criteria.
  • Finalization makes that exact Document Version eligible to serve as authoritative TMF evidence.
  • Effectiveness records when the content begins to govern conduct, where applicable.

The same person may perform more than one role only when the Filing Plan Revision and risk controls permit it. The model records the role in which each decision was made.

When QC rejects a version:

  1. The failed QC Round and criterion result identify the exact version, classification, metadata, and problem.
  2. The responsible contributor receives the finding and due date.
  3. A content correction produces a new Document Version; a metadata or filing correction follows its own traceable route.
  4. The original failed version remains linked to the finding.
  5. Another QC Round verifies the corrected evidence against the pinned criteria.
  6. Filing Slot matches and affected measures are recalculated without erasing the prior failure or delay.

Retain the QC Request, each round, review scope, selection method, criterion versions and results, exact evidence reviewed, reviewer, timestamps, decision, findings, correction history, verification, signatures where required, and any approved exception. A checkbox saying “QC complete” is not sufficient evidence.