QS-107

Recall Procedure

Section QS — Quality System Revision 14 23 pages

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1.0 Purpose 
 
 The purpose of this procedure is to identify the requirements for performing a recall to remove or
 
 correct consumer products that are in violation of laws administered by the Food and Drug
 
 Administration in compliance with FDA 21 CFR Part 7, CFR Part 111, 117, 330 and 507 as
 applicable, as pertains to Food and Drug. 
 
 2.0 Scope 
 
 This procedure applies to all products sold or distributed to include customer direct by Ion Labs,
 
 Inc., which are determined or suspected to be in violation of applicable regulations and may pose
 
 a potential hazard to the public health. For contract-manufactured products, customers will be
 notified of any issues related to product safety. It is the customer’s responsibility to initiate any
 
 recall activities collaborating with Ion Labs, where necessary. 
 
 3.0 Responsibility 
 
 As a registered food and drug facility through the FDA, under section 415(a) of the FD&C Act
 
 (21 U.S.C. 350d), and section 510 of the FD&C Act (21 U.S.C 360), Ion Labs acknowledges the
 requirement to issue a report when there is a reasonable probability that the use of, or exposure
 
 to, an Ion Labs product will cause serious adverse health consequences or death to humans or
 animals. 
 
 3.1 It is the responsibility of the VP Quality and Regulatory Affairs or designee to implement
 
 and maintain this procedure. 
 
 3.2 Importers are accountable for providing all recall information to Health Canada -
 
 referencing the Health Canada Natural Health Products Regulation SOR/2003-196
 
 
 

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 (Section 24) -Canada Vigilance online Adverse Reaction Reporting (MedEffect Canada
 
 Guidelines). 
 
 NSF/GRMA- shall be notified by a Quality Representative should any instance of a food
3.3 safety incident of a public nature, or product recall be initiated within 24 hours of

 occurrence 
 
3.4 NSF- shall be notified immediately in case of withdrawal or recall of a NSF Gluten-Free

 Certified Product. 
 
 For Nutritional Food Products, the Reportable Food Registry (RFR) requires a
3.5 responsible party (recall team) to file a report through the RFR electronic portal when

 there is a reasonable probability that the use of, or exposure to, an article of food will
 cause serious adverse health consequences or death to humans or animals. Such foods are
 
 “Reportable Foods.” A report will be filed within 24 hours after the recall team
 
 determines that the article of food is a reportable food. 
 
 4.0 Definitions 
 
 4.1 FDA — United States Food and Drug Administration. 
 
 4.2 CFR — Code of Federal Regulations 
 
 4.3 RFR — Reportable Food Registry 
 
 4.4 Recall — A firm’s removal or correction of a marketed product that the FDA considers to
 be in violation of the laws it administers and against which the agency would initiate
 
 legal action, e.g., seizure. The recall will be planned in accordance with 21 CFR Sec. 7.40
 through 7.49, 7.53 and 7.55. Sr. Management will enlist legal counsel if required.
 
 4.5 Market Withdrawal — Removal or correction of a distributed product which involves a
 minor violation that would not be subject to legal action by the Food and Drug
 
 Administration. The firm removes the product from the market or corrects the violation.
 
 For example, a product removed from the market due to tampering, without evidence of
 
 
 

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 manufacturing or distribution problems would be a market withdrawal.
 
 4.6 Field Corrections — Field Corrections will be performed by the recalling firm
 
 representatives, or under their supervision and control. It is not recommended that a
 
 disinterested party such as a wholesaler or retailer be responsible for field corrections.
 For Drug Recalls: Misbranded drugs for re-labeling should be returned to the recalling
 
 firm 
 
 4.7. Mock Recall — An exercise that is performed twice a year to ensure Ion Labs’ ability to
 
 test the recall process and identify the distribution location of all products of interest in
 the event of a finished product or raw material incident. This may include a Traceability
 
 Exercise (ref. attachment 3) which is designed to test the company’s ability to trace
 
 product to the customer (up-one) and by also tracing raw materials back to the supplier
 (one-down). Product is chosen randomly for this exercise. 
 
 4.8 Recalling Firm — The firm that initiates a recall or, in the case of an FDA-requested
 recall, the firm that has primary responsibility for the manufacture and marketing of the
 
 product to be recalled. 
 
 4.9 Recall Strategy — A planned specific course of action to be taken in conducting a
 
 specific recall, which addresses the depth of recall, need for public warnings, and extent
 
 of effectiveness checks for the recall. 
 
 4.10 Depth of Recall — The recall notification should clearly identify the depth to which the
 
 recall is to extend (e.g. wholesale, retail, or user level). If the recall is to the retail level, a
 statement should read, “This recall is to the retail level”. If product could have been
 
 further distributed by your customers, then you should include instruction to subrecall.
 
 Subrecall instructions should also include the depth of the recall (e.g. “If you have further
 distributed this product, you should notify your customers to the retail level.” If
 
 customers are instructed to conduct subrecalls, it is advisable to provide them with the
 date range that the recalled product was distributed. A subrecall letter will need to
 
 accompany the notification package for or customers to further notify their sub accounts.
 
 

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 This will ensure that the information to the sub accounts is accurate and complete.
 
 Note: It is not appropriate for a sales representative to visit a doctor’s office or customer
 
 and remove product without notifying the responsible staff. It is also not
 appropriate for sales representative or broker representatives to remove product
 
 from retail shelves without informing store management of the recall. Failure to
 
 inform store management of the recall could result in product that is in storage, in
 transit to the store, or returned by customers, being offered for sale. There is a risk
 
 that product that is in-transit or returned to the store may be sold to the customer.
 
 4.11 Recall Classification — The numerical designation, i.e., I, II, or III, assigned by the FDA
 
 to a particular product recall to indicate the relative degree of health hazard presented by
 
 the product being recalled. Refer to 21 CFR Chapter 7.1 Recalls Subchapter 7.1.1.2
 
 4.11.1 Class I is a situation in which there is a reasonable probability that the use of, or
 
 exposure to, a violative product will cause serious adverse health consequences or
 death 
 
 4.11.2 Class II is a situation in which use of, or exposure to, a violative product may
 cause temporary or medically reversible adverse health consequences or where
 
 the probability of serious adverse health consequences is remote
 
 4.11.3 Class III is a situation in which use of, or exposure to, a violative product is not
 
 likely to cause adverse health consequences 
 
 4.12 Recall Team — The team will be comprised of key staff with the expertise, authority, and
 responsibility to manage the recall. The group will consist of (at a minimum) the CEO,
 
 the VP of Quality and Regulatory Affairs, the CFO, the Quality Assurance Director,
 Quality Control Director, Director of Supply Chain, and the Chief Operating Officer.
 
 The team shall be responsible for satisfying all aspects/phases of the recall. The VP of
 
 Quality and Regulatory Affairs will lead the Recall Team and process.
 
 
 

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 Press Release — A notice that alerts the public (including regulators, retailers, consignees,
4.13 other distributors, and consumers) that a product presents a serious hazard to health. Not

 all recalls require a press release; the regulatory agency will advise the firm when a press
 
 release is necessary. 
 
 Stock Recovery — A firm’s removal or correction of a product that has not been marketed
4.14 or that has not left the direct control of the firm, i.e., the product is located on premises

 owned by, or under the control of, the firm and no portion of the lot has been released for
 
 sale or use. 
 
 Terminated — FDA has determined that all reasonable efforts have been made to remove
4.15 or correct the violative product in accordance with the recall strategy, and proper

 disposition has been made according to the degree of hazard. 
 
 NSF International — an accredited, independent third-party certification body that tests
4.16 and certifies products to verify they meet public health and safety standards; Originally

 established as the National Sanitation Foundation to standardize sanitation and food
 
 safety requirements. Ion Labs is certified under NSF and GRMA (Global Retailer and
 
 Manufacturer Alliance) 
 
 5.0 References 
 
 Sul C-201, SOP, Deviation and Investigation Procedure 
 
 3.2 C-502, SOP, Record Storage, Retention, and Destruction 
 
 33 E-501, SOP, Procedure for Returned Products 
 
 5.4 QS-107-F1, Form, Recall Notification Form 
 
 5.5 FDA Title 21 CFR part 7, Enforcement Policy, Subpart C-Recalls (Including Product
 Corrections)--Guidance on Policy, Procedures, and Industry Responsibilities
 
 5.6 SOR/2003-196 Natural Health Products Regulations 
 
 
 

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 6.0 Recall Submission to FDA 
 
 6.1 The VP of Quality and Regulatory Affairs will notify the local FDA Recall Coordinator
 as soon as a decision is made that a recall is appropriate through an investigation (Refer
 
 to SOP C-201 Deviation and Investigation Procedure) and prior to the issuance of press
 or written notification to customers providing the minimum but not limited to the
 
 following information using Form QS-107-F1 Recall Notification Form:
 
 6.1.1 Product information 
 
 6.L1.1 Product name 
 
 6.1.1.2 Description of the product including its form (powder, liquid, tablets,
 capsule, gummies, etc.), its indication or intended use, its expected shelf
 
 life, its type of packaging (i.e. box, flexible plastic, glass)
 
 6.1.1.3 Two complete sets of all labeling used including all private labels used
 
 for Product Labeling, individual package label, Case Label (photocopy
 acceptable), Package Inserts, Directions for Use and all promotional
 
 material (if applicable) must be sent to the local FDA District Recall
 
 Coordinator. 
 
 e Additional Information for Drug Recalls: _NDA/ANDA/NADA
 
 Number, NDC Number, Indicate if prescription or OTC, Strength,
 Route of Administration (where applicable). 
 
 6.1.1.4 Production Identification Numbers 
 
 6.L.1-5 Batch number(s) 
 
 6.1.1.6 Expiration date, or Use by date, or Expected shelf life of product
 
 6.1-1.7 Universal Product Codes (UPC) 
 
 
 

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 6.1.2. Recalling firm - the following information about Ion Labs, Inc. must be provided
 
 to the local FDA Recall Coordinator. 
 
 6.1.2.1 Firm name, address, city, state, zip code 
 
 6.1.2.2 FDA registration number, if applicable 
 
 6.1.2.3 Identify firm type (i.e. manufacturer, importer, broker, repacker, own-
 
 label distributor) 
 
 6.1.2.4 Name/title/phone/fax number/e-mail address for Ion’s recall contact
 
 and/or most responsible individual for the recall 
 
 6.1.3. Reason for the recall — a detailed explanation of how the product is defective
 
 and/or violative and how the defect affects the performance and safety of the
 product should be provided to the local FDA Recall Coordinator. The following
 
 information has to be provided, as applicable: 
 
 6.1.3.1 Description of a foreign object’s size, composition, hardness, and
 
 sharpness if the recall is due to the presence of a foreign object.
 
 6.1.3.2 Description of a contaminant (e.g. cleaning fluid, machine oil or paint
 vapors) and level of it in the product if the recall is due to the presence
 
 of a contaminant. Provide labeling, a list of ingredients and the Safety
 Data Sheet (SDS) for the contaminant. 
 
 6.1.3.3 The specifications and report of all test results if the recall is due to
 failure of the product to meet product specifications. 
 
 6.1.3.4 Identification of correct and incorrect label(s), description(s), and
 
 formulation(s) if the recall is due to a label/ingredient issue.
 
 6.1.3.5 Explanation on how the problem occurred and the date it occurred.
 
 
 

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 6.1.3.6 Explanation on how the problem was discovered and the date
 discovered. 
 
 6.1.3.7. Explanation on whether the problem or defect affects all units subject to
 recall, or just a portion of the units in the lots subject to recall.
 
 6.1.3.8 Detailed information on complaints associated with the product/problem
 including — date of complaint, description of complaint including details
 
 of any injury or illness, batch number. 
 
 Health Hazard Assessment — an assessment of the health risk associated with the
 
 problem or defect (if any) should be provided to the local FDA Recall
 
 Coordinator. 
 
 6.1.5 Volume of Recalled Product 
 
 6.1.5.1 Total quantity produced and date(s) produced 
 
 6.1.5.2 Quantity distributed and date(s) distributed 
 
 6.1.5.3 Quantity on hold by recalling firm 
 
 6.1.5.4 An estimation of the amount remaining in the marketplace
 
 6.1.5.5 Status/disposition of marketed product 
 
 6.1.6 Distribution Pattern - the following information with respect to the distribution
 
 pattern of the recalled products will be provided to the local FDA Recall
 
 Coordinator. 
 
 6.1.6.1 The number of direct accounts that are customers to whom the recalled
 
 product was sold to directly. 
 
 
 

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 6.1.6.2 Consignee list of all customers both national and foreign to whom the
 recalled product was sold including their names/address/city/state
 
 contact name/phone number. 
 
 6.1.6.3 This is obtained by running a report to identify all customers receiving
 the recalled product. 
 
 6.1.7 Recall Strategy 
 
 6.1.7.1 Indication of the level in the distribution chain to which the recall will be
 
 extended 
 
 6.1.7.2 Indication of the method of notification (i.e. mail, phone, e-mail)
 
 6.1.7.3 Report on what you have instructed customers to do with the recalled
 products 
 
 6.1.7.4 Name and title of the recall contact for each of its consignees
 
 6.1.7.5 An explanation of the procedure to be followed in case the recalled
 
 product is to be returned 
 
 6.1.7.6 A proposed method of destruction (if applicable) 
 
 6.1.8 Public Notification 
 
 6.1.8.1 In a situation where the product may pose a significant health hazard and
 
 recalled product is in the hands of consumers, after consultation with
 
 FDA, the company may issue a press release. 
 
 6.1.8.2 All customers to whom products are sold directly will be contacted by
 
 telephone, fax with mailed follow up, requesting them to stop all sales of
 the suspected batch, to take the necessary steps to return all stock of the
 
 recalled batch, and to recover distributed supplies from their clients (see
 
 Attachment 1 Sample Recall Letter). 
 
 
 

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 Recall Procedure 
 
 The customers involved in further distribution of the recalled product
6.1.8.3 will be instructed to contact any sub-customers that may have received

 the product and promptly initiate recall communication with them.
 
 6.1.8.4 Letters to direct customers should include a return response form to
 
 enable the consignee to report the amount of the product available and
 its disposition (see Attachment 2 Sample Prepaid Return Response
 
 Form). 
 
 6.1.9 Evaluation of the Recall 
 
6.1.9.1 The Recall Team will carry out effectiveness check for the recall to

 ensure that the notification letters were received, read, understood and
 instructions followed by the customer. This activity should be
 
 documented by the V.P. of Quality and Regulatory or designee.
 
 6.1.9.2 If the effectiveness check indicates that the recall notification was not
 received, read and/or instructions followed, necessary steps should be
 
 taken to make the recall effective. These steps should involve sending
 out a follow up notification that better identifies the product, better
 
 explains the problem and/or provides better instructions to customers.
 
 6.1.9.3 Recall status reports should be sent to the local FDA Recall Coordinator
 
 after initiating a recall on a monthly basis with following information:
 dates customers notified, number of customers notified, number of
 
 customers responding, quantity of recalled product returned or
 
 accounted for, details of your recall effectiveness checks.
 
 6.1.9.4 The Recall Team will establish the root cause of the problem and such
 
 information will be provided to the local FDA Recall Coordinator. The
 Recall Team will propose the corrective and preventive action plan to
 
 prevent future occurrences of similar problems. 
 
 
 

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 6.1.10 Disposition of Recalled Products 
 
 6.1.10.1 All products should be returned to the company following SOP E-501
 
 Procedure for Returned Products. 
 
 6.1.10.2 All recalled product must be clearly identified, logged on Form E-501-
 
 F2 Returned Product Authorization Log, and placed in quarantine area.
 
 6.1.10.3 Final disposition must be documented by V.P. of Quality and Regulatory
 
 Affairs or designee using forms E-501-F1 Returned Product
 Authorization and E-501-F2 Returned Product Authorization Log.
 
 Termination of the recall — following receipt of all customer responses and after
6.1.11 making sure the recall product has been recovered, corrected, reconditioned or

 destroyed; a final status report and documentation of recalled product disposition
 
 should be provided to the local FDA Recall Coordinator. The FDA will consider
 formal termination of the recall action and then notify the company.
 
 6.1.12 Effectiveness Checks - After a recall is completed, FDA may follow-up to ensure
 that the product is destroyed and investigates why the product was deemed
 
 defective. 
 
 6.1.13 Recall Insurance Status — As an additional resource, recall insurance is available.
 If necessary, this service should be utilized. This will be at the discretion of the
 
 V. P. of Quality and Regulatory. A follow up with the Finance department is
 necessary to determine the current status and provider of the recall insurance.
 
 7.0 Mock Recalls 
 
 fa Two random Mock Recalls are performed as a recall self-audit each year. This exercise
 may include a Traceability Exercise (which may include distribution of specific product
 
 lots, raw material ingredients and primary packaging). The objective/target reconciliation
 result is 100%, with an allowance of +/-2%. Executive Management shall review results.
 
 
 

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 Should this reconciliation fall outside of the allowance, a full investigation will be
 initiated as per SOP C-201 Deviation and Investigation Procedure. 
 
 7.1.1 Develop and execute a realistic plan. 
 
 Tal2 Goals and Policies should address the following items: 
 
 7.1.2.1 Mitigate damage to the reputation of your company and brand
 
 7.1.2.2 Mitigate the cost of a recall 
 
 7.1.2.3 Meet government regulations 
 
 713 Copies of all supporting materials (shipping records, production records, etc.)
 
 shall be retained to demonstrate how reconciliation occurred. 
 
 7.1.4 The Mock Recall exercise is performed to ensure the ability to identify the
 distribution location/trace activities of all products (Finished Product and Raw
 
 Material) of interest in the event of a product/process/equipment incident.
 
 Mock recalls must be completed within a four (4) hour period. 
 
 7.1.5.1 Timeline for performing a Mock Recall during an onsite audit is at the
 discretion of the Auditor and may differ from the 4 hour requirement.
 
 116 Mock Recalls are notated on the Internal Audit Schedule by Quarter, but may be
 unscheduled when performed. 
 
 ye Mock Recalls conducted by a 3" party audit may also serve as a qualified random
 mock recall exercise requirement as outlined in the commitment of performing
 
 two random mock recalls per year. 
 
 tz The Recall Notification form (QS-107-F1) is used to note all pertinent information. A
 staff member is designated to manage the recall procedure and after completion, the data
 
 gathered from the Mock Recall is maintained by the Quality Assurance Department. The
 
 
 

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 time to complete the exercise is recorded on the form. All documentation associated with
 the Mock Recall should be notated as such (i.e. watermark, stamp or written “Mock
 
 Recall’). 
 
 Wee) Executive Management Review 
 
 7.3.1 Recall activity is reviewed during Management Review Meetings.
 
 8.0 Record Retention 
 
 8.1 Records for recall will be maintained in accordance with SOP C-502 Record Storage,
 
 Retention, and Destruction. 
 
 8.2 Recall documentation associated with a formal recall is retained by the QA Department.
 
 
 

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 9.0 Revision History 

| Rev | Date | Description of Changes | CCR # | By |
|-----|----------|------------------------|-------|----|
| 0 | 03/17/14 | Replaces J-102. Added mock recall requirements. | 14-0227 | S. Millar |
| 1 | 05/20/14 | Updated SOP. | 14-0437 | S. Millar |
| 2 | 09/09/14 | Added Recall Team responsibilities. Added OTC reference. Added new contact information. Added new | 14-0706 | S. Millar |
| 3 | 02/09/15 | evaluation and recall flow. Added mock recall and internal audit schedule. 4 vilhiias U Re p v d i a s t e e d d t F o D re A fl c e o ct n t c a u c r t r e i n n t f o r r e m ca a l t l i o t n e . a m A . d d A e d d d e r d e f r e e r f e e n r c e e n c t e o t l o e g N al S F c / ou S n Q s F el . . bsOi0? a sag e | 15-0137 | S. Millar |
| 5 | 06/05/17 | Updated contact information. | 17-0436 | K. Burris |
| 6 | 04/27/18 | Updated contact information. Added Ref. to Canada MedEffect. Revised to reflect current Recall Team. QA retains Mock Recall , O2HOGiTE d D o o c c u u m m e e n n t t a a t t i i o o n n . . A D d o d c e u d m e re n f t . t C o o n C t o r s o m l e t D i e c p s a r t t o m p e r n o t c e r d e u t r a e i . ns Q f S o - r 1 m 0 a 7 l - R F e 1 c all tg ' eS0 S + o lili aR llne | 18-0147 | S. Millar |

 added ref to Cosmetic 
 8 03/05/19 a to reflect current Recall Team. Corrected typographical 19-0173 L. Vick
 Added 7.17, instructions that a mock rock conducted by a 34d party
 9 03/10/20 audit may service as a qualified mock recall exercise requirement. CC-20-0178 L. Vick
 Various organization title revisions and revised FDA contact 
 information 
 Added section 7.1.5.1 for clarification of timeline during on site
 audits. Updated FDA contact info. Updated recall team members and
 10 06/24/21 | contact info. Updated additional resources. Added statement CC-21-0243 | C. Mitchell
 regarding recall insurance. Changed recall completion time to 6 
 hours. 
 nt 08/04/22 | s R r e a v c i t s ic e e d s , t o R i e n m c o lu v d e e d a p r p e l f i e c r a e b n l c e e C t F o R C os r m ef e e t r i e c n c R e e g a u n l d a t r i e o f n le . c t current Seine | Mndaai ‘ taal
 Added statement to report to the RFR within 24 hours. Removed 
 12 03/22/23 | “District” from the title FDA Recall Coordinator. Updated recall team | CC-23-0154 | C. Horelle
 members and contact info. 
 13 08/15/23 | Add 3.4 in reference to NSF Gluten Free notification. Updated titles. | CC-23-0412 | C. Horelle
 
 i 12/13/23 | c C o h n a c n i g l e i d at m i o on c . k R r e e v c i al s l e d t i r m e e c a t l o l 4 t - e h a o m u r m s e m a b n e d r a s d . d ed allowance of 55actaeel maiasdmnil j a
 
 10.0 Attachments 
 
 10.1 Attachment 1 - Sample Recall Letter 
 
 10.2 Attachment 2 - Sample prepaid return response form 
 
 10.3. Attachment 3 - Complaint/Condition Evaluation Flow Chart 
 
 10.4 Attachment 4 - Recall Flow Chart 
 
 10.5 Attachment 5 - Example of a Traceability Activity Flow 
 
 10.6 Attachment 6 - FDA and Recall Team Contact Information 
 
 10.7. Attachment 7 - FDA Model Press Release Links/address and Additional Resources
 
 
 

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 Attachment 1 — Sample Recall Letter 
 
 (COMPANY LETTERHEAD) 
 URGENT :< PRODUCT NAME> RECALL 
 <Contact Name or Department> 
 <Firm Name> 
 <Address> 
 <City /state/zip> 
 
 Dear Sir/Madam, 
 
 This is to inform you of a product recall involving: 
 PRODUCT NAME: 
 PRODUCT DESCRIPTION: 
 BATCH NUMBER: 
 UPC CODES: 
 See enclosed product label <helpful for retailers/users in identifying the recalled product>
 
 This recall has been initiated due to the following reason<Insert reason for recall>
 Use of this product may cause <Insert any potential health hazard>. 
 Our records indicate that you purchased or were supplied with the following quantities of the subject product, on the date(s)
 below: 
 
 Date: Quantity: 
 
 Immediately examine your inventory and quarantine product subject to recall. In addition, if you may have further distributed
 this product, please immediately identify and contact your customers, notify them at once of this product recall and have
 them return their outstanding recalled stocks. Notify your customers by including a copy of this recall notification letter.
 NO FURTHER SALES OR CONSUMPTION OF THIS PRODUCT ARE TO BE MADE. Please return all stocks
 immediately, at our expense; upon receipt the merchandise will be replaced without charge or you will be issued with a credit
 note to cover the cost of merchandise and return shipping expense. 
 The merchandise should be returned to: 
 
 <Insert company name, complete address, and phone number> 
 Please complete and return the enclosed response form as soon as possible. 
 If you have any question, call <telephone number> 
 
 This recall is being made with the knowledge of the Food and Drug Administration. This recall has classified as
 
 (if classified). 
 
 Your assistance is appreciated and necessary to prevent <i.e. consumer illness or patient harm>. Thank you for your
 immediate attention to this matter. 
 Sincerely, 
 CEO [or delegate] 
 
 
 

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 Attachment 2 — Sample Prepaid Return Response Form 
 
 (COMPANY LETTERHEAD) 
 
 PRODUCT: 
 BATCH NO(S): 
 
 Please check all appropriate boxes: 
 co I have read and understand the recall instructions provided in the <date> letter.
 c I have checked my stocks and have quarantined inventory consisting of 
 <units or cases> 
 c I have identified and notified my customers that were shipped or may have 
 been shipped this product. 
 Attached is a list of customers who received or may have received this product.
 
 Please notify my customers. 
 
 We acknowledge that no further sales of this product are to be made. Any balance of stock will be
 returned without delay to < insert company name, complete address and telephone number>
 
 Any adverse events associated with recalled product? oYes oNo 
 If yes, please explain: 
 
 Please check the appropriate box (es) to describe your business 
 © Wholesaler/distributor 0 Repacker 
 © Manufacturer oO Hospital/medical facility 
 Oo Retailer Oo Pharmacy- retail 
 
 o Other: 
 
 Name: 
 Title: 
 
 Phone number: 
 
 Firm name: 
 Address: 
 City/state: 
 
 Please fax the completed response form to Fax # <>, Attn. <> 
 Or mail to: 
 <Insert company name, complete address and phone number> 
 
 
 

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 Attachment 3 — Complaint/Condition Evaluation Flow Chart 
 
 CONSUMER REGULATOR INTERNAL LABORATORY 
 COMPLAINT NOTIFICATION DISCOVERY REPORT 
 
 esi ne P H OT A E Z N A T R I D A L | INFORM 
 pecan "| EXISTS AND MANAGEMENT 
 VIOLATIVE 
 
 } 
 
 ; MANAGEMENT MANAGEMENT Bessh ae 
 NORISK |—»| BELIEVES THERE BELIEVES THERE IS GRICAnT 
 IS NO RISK IS MINIMAL RISK 
 RISK 
 _— So| 
 
 COMPLAINT 
 HANDLED 
 ASSEMBLE 
 INTERNALLY 
 RECALL 
 COMMITTEE 
 = 
 MARKET J | 
 WITHDRA WAL 
 RECALL COMMITTEE RECALL COMMITTEE 
 BELIEVES THERE IS BELIEVES A RECALL 
 MINIMAL RISK IS WARRANTED 
 
 DETERMINE LEVEL OF 
 REMOVAL 
 
 PRODUCT NOT IN PRODUCT IN 
 COMMERCE COMMERCE 
 
 d ‘ ‘ 
 DETAIN’ \ 
 QUARANTINE z ; RECALL INITIATED BY 
 AND See Cees RECALL COMMITTEE 
 DISPOSITION 
 
 
 

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 Attachment 4 — Recall Flow Chart 
 
 RECALL INITIATED 
 BY RECALL 
 COMMITTEE 
 i 
 IDENTIFY AND 
 LOCATE ALL 
 PRODUCTS 
 ASSOCIATED WITH 
 RECALL 
 : 
 DETAIN/ X 
 PRODUCT 
 QUARANTINE REMAINING UNDER 
 AND COMPANY CONTROL 
 DISPOSITION 
 
 PROVIDE 
 DISTRIBUTION LIST 
 
 REQUEST 
 TERMINATION 
 OF RECALL 
 
 
 ¥ 
 : 
 PRODUCT NOT 
 UNDER COMPANY 
 CONTROL 
 ' 
 IMPLEMENT RECALL 
 STRATEGY meres 
 : 
 PREPARE 
 DISTRIBUTION LIST 
 TO APPROPRIATE 
 REGULATORY 
 AGENCY a 
 ea 
 y ¥. 
 PREPARE AND 
 PREPARE AND 
 DISTRIBUTE PRESS 
 DISTRIBUTE NOTICE 
 RELEASE (IF 
 OF RECALL 
 NECESSARY) 
 Soe eer TRS 
 Po | J 
 DETERMINE WHAT 
 TODO WITH ‘ 
 REMOVE PRODUCT 
 FROM COMMERCE 
 RECALLED PRODUCT 
 . 
 VERIFY RECALL 
 EFFECTIVENESS 
 | 
 : 
 RECALL NOT 
 RECALL EFFECTIVE 
 EFFECTIVE 
 Labs use only 

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 Standard Operating Procedure SOP No | Rev No Page 
 QS-107 14 
 Recall Procedure 19 of 22 
 
 Attachment 5 — Example of a Traceability Activity Flow 
 
 RAW 
 MATERIAL DISPATCH 
 iH» TRANSPORT 
 SUPPLIER 
 | 
 
 _ 
 MAT 
 R 
 E 
 A 
 R 
 W 
 IAL 
 W a 
 CUSTOMER 
 RECEIPT 
 oo. 
 MANUFACTURE 
 PROCESS [ ————| 
 REJECT;/WASTE 
 CONSUMER 
 
 
 

[SOP 

 Standard Operating Procedure SOP No Rev No Page 
 QS-107 14 
 Recall Procedure 20 of 22 
 
 Attachment 6 — Contact Information 
 
 ORA District and Headquarters Recall Coordinators 
 
 FDA Contact Information 
 FDA Southeast Region Recall Contact Information 
 Office of Regulatory Affairs 
 Florida District: 
 FL 
 Human and Animal Food & Cosmetics 
 
 Wanda J. Torres 
 Division of Human and Animal Food Operations East IV 
 
 466 Fernandez Juncos Avenue 
 San Juan, PR 00901-3223 
 Phone: 787-729-8709 
 Fax: 787-729-8826 
 E-mail: Orahafeast4recalls@fda.hhs.gov 
 
 Florida District: 
 FL 
 Pharmaceutical 
 
 Kenitra Hewitt 
 Division of Pharmaceutical Quality Operations II 
 501 West Felix Street Suite 1103 
 Fort Worth, TX 76115 
 Phone: 817-334-5218 
 E-mail: orapharm2recalls@fda.hhs.gov 
 
 Headquarters 
 Cecilia M. Wolyniak 
 ORA 
 Office of Strategic Planning and Operational Policy 
 Recall Branch 
 WO 32 RM 4352 
 10903 New Hampshire Ave. 
 Silver Spring, MD 20993 
 
 Phone: 301-796-8209E-mail: orarecalloe@fda.hhs.gov 
 
 
 

[SOP 

 Standard Operating Procedure SOP No Rev No Page 
 Recall Procedure 
 QS-107 14 
 21 of 22 
 Attachment 6 — Contact Information (Cont’d) 
 
 Recall Team Contact Information 
 The receptionist will retain all contact information, should the team need to be assembled.
 CEO 
 Ivan Ilchev 
 8031 114" Avenue, Suite 4000 
 Largo, FL 33773 
 727-220-1365 
 
 VP of Quality and Regulatory Affairs 
 Dennis Herd 
 8031 114 Avenue, Suite 4000 
 Largo, FL 33773 
 727-220-1281 
 CFO 
 Michael Cawley 
 8031 114" Avenue, Suite 4000 
 Largo, FL 337733 
 727-220-1282 
 Quality Assurance Director 
 Kimberlee Burris 
 8031 114 Avenue Suite 4000 
 Largo, FL 33773 
 727-220-1290 
 
 Quality Control Director 
 Jennifer Sassman 
 8031 114% Avenue Suite 4000 
 Largo, FL 33773 
 727-220-1333 
 Director of Supply Chain 
 Millie Zhou 
 8031 114" Avenue Suite 4000 
 Largo, FL 33773 
 727-220-1365 
 Chief Operating Officer 
 Matthew Keib 
 8031 114" Avenue Suite 4000 
 Largo, FL 33773 
 727-273-1759 
 
 
 

[SOP 

 Standard Operating Procedure SOP No | RevNo| page 
 Recall Procedure QS-107 | 14 | 22 of 22 
 
 Attachment 7 — FDA Model Press Release Links and Additional Resources 
 
 Model Press Releases 
 
 Allergens (Allergy Alert) 
 http://www. fda.gov/Safety/Recalls/IndustryGuidance/ucm129262.htm
 Listeria monocytogenes 
 http://www. fda.gov/Safety/Recalls/IndustryGuidance/ucm 129267.htm
 
 E. coli 0157:H7 
 http://www. fda.gov/Safety/Recalls/IndustryGuidance/ucm129287.htm
 
 Human Drug Model Press Release 
 http://www. fda.gov/Safety/Recalls/IndustryGuidance/ucm272194.htm
 FDA Guidance for Written Recall Notification Letters 
 https://www. 
 fda.gov/safety/recalls-market-withdrawals-safety-alerts/industry-guidance-recalls
 
 Additional Resources 
 
 Termination of Recall — 21 CFR Sec. 7.55 
 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfeft/CFRSearch.cfm?FR=7.55
 
 Industry Guidance: Information on Recalls of FDA Regulated Products
 
 https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/ industry-guidance-recalls
 US Food and Drug Administration 
 http://www. fda.gov/ 
 Recall Policy - 21 CFR Recall Regulations Sect. 7.40 
 http://www.gpo.gov/fdsys/pkg/CFR-2004-title2 1 -vol1/xml/CFR-2004-title2 1 -vol l-sec7-40.xml
 
 USDA (FSIS —Food Safety and Inspection Service) 
 http://www. fsis.usda.gov/wps/portal/fsis/home 
 
 Center for Disease Control 
 http://www.cdc.gov/ 
 Guidance for Industry: Product Recalls, including Removals and Corrections
 https://www.fda.gov/regulatory-information/search-fda-guidance-documents/product-recalls-including-removals-and-
 correction 
 
 Reportable Food Registry for Industry 
 https://www.fda.gov/food/compliance-enforcement-food/reportable-food-registry-industry
 
 
 

[SOP 

 Recall Notification Form 
 i @) N 
 tabs Form: QS-107-Fl_ | CCRNo. CC-23-0605 Revision: 6 
 
 Item Information 
 Product Trae: oO Dietary Supplement CT] orc C) Pet C1 Cosmetic 
 ae CI Other (specify): 
 
 Product Name: 
 
 Product Description: 
 Indication: 
 
 Expiry Date: 
 Batch Number: UPC Code: 
 
 Packaging Information: 
 
 Manufacturer Information 
 
 Name: 
 Address: 
 
 Contact Person: 
 Title: 
 
 Phone Number: 
 
 Email Address: 
 Fax Number: 
 
 Recalling Firm Information 
 
 Name: 
 Address: 
 
 Contact Person: 
 Title: 
 
 Phone Number: 
 
 Email Address: 
 Fax Number: 
 
 Most Responsible Individual for Recalling Firm / Public Contact 
 
 Name: 
 Title: 
 
 Address: 
 Phone Number: 
 
 Email Address: 
 
 Fax Number: