FDA 483 OBSERVATION · #47 OF 1,923 MOST-CITED

Quality audits - Lack of or inadequate procedures

FDA cited this observation 515 times across 473 firms in recent inspections. Below: how it breaks down by program area and fiscal year, and real examples of how FDA worded it on Form FDA 483.

What this grouping is not

An observation-type page groups FDA’s published citation records. The grouping, the compliance steps and the root causes are SPEQ synthesis, not an FDA classification of any citation, and a count measures what FDA published rather than risk.

BY PROGRAM AREA
Devices515
BY FISCAL YEAR
FY202614
FY202550
FY202441
FY202335
FY202248
FY202113
FY202036
FY201977
FY201869
FY201764
FY201668

What this observation means, and how to comply

SPEQ's practitioner reading of this finding. The regulatory basis is a cited fact; the interpretation, compliance steps, and root causes are SPEQ synthesis — not an FDA classification of the citation.

21 CFR 820.22

A device firm lacked adequate procedures for quality audits, or did not conduct them — the internal audits that check whether the quality system is working and conforms to requirements, with re-audit of deficient matters.

Why FDA writes it — Quality audits are how a firm finds its own problems before FDA does. Without them, the quality system has no internal feedback loop, deficiencies persist unseen, and the firm cannot demonstrate it monitors its own compliance — so the missing audit program is itself a system-level finding.

HOW TO COMPLY
  • Establish procedures for quality audits and conduct them to assure the quality system is in compliance and to determine its effectiveness.
  • Ensure audits are conducted by individuals who do not have direct responsibility for the matters being audited.
  • Document each audit and any re-audits, and take corrective action where deficiencies are found.
  • Make audit results available to management with executive responsibility, but keep audit reports appropriately confidential per the regulation.
WHY FIRMS GET CITED
  • Auditors assigned to areas they are responsible for, compromising independence.
  • Audits performed but findings not driven to corrective action and re-audit, so the loop never closes.
PROFESSIONAL · REMEDIATION PLAYBOOK · SPEQ SYNTHESIS

How to close this finding — and stop it recurring

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What this observation is associated with

Firms cited for this observation also appear in FDA compliance actions — warning letters, injunctions, or seizures — at 1.5× the rate of the average FDA-cited firm (11.8% vs 7.8%), across 473 FEI-matched firms.

This is an association, not causation, and reflects co-occurrence in FDA's records — not a claim that the observation caused or preceded the action.

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How FDA worded it — real examples

Procedures for quality audits have not been adequately established.

DASISIMULATIONS, LLC · Dublin, Ohio · Devices · 2026-01-16

Procedures for quality audits have not been adequately established.

Peter Schiff Enterprises · Cookeville, Tennessee · Devices · 2025-12-31

Procedures for quality audits have not been adequately established.

Specialty Health Products CO, LLC · Phoenix, Arizona · Devices · 2025-12-11

Procedures for quality audits have not been adequately established.

Moldworks Worldwide LLC · Fords, New Jersey · Devices · 2025-12-09

Procedures for quality audits have not been adequately established.

OnePacs, LLC · Machesney Park, Illinois · Devices · 2025-12-02

Procedures for quality audits have not been established.

Blephex, LLC · Brentwood, Tennessee · Devices · 2025-11-19

Related SPEQ references

Where to read the requirements behind this observation area on SPEQ. These are SPEQ's topic and audience pages — not an FDA classification of the citation.

Pharmaceutical quality system →Medical devices →

Examples are a representative sample of FDA's published inspection observations. Open the 483 observation explorer →