Lesson 17 - Biorisk Program Assessments
Audits, Inspections, and Certification in Biorisk Management
In this lesson, we will cover the importance of biorisk program evaluation, using inspections, audits and certification. This is the final phase of the AMP model, which involves determining the (P)erformance of your biorisk management program. In this lesson you will learn the importance of program evaluation, why you should evaluate your program regularly and how.
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FAQ's
Audits and inspections are fundamental components of any safety program. Without systematic evaluation, it is not possible to identify deficiencies or verify that controls are functioning as intended. These activities serve several key purposes:
1. Identifying potential hazards and non-conformities
2. Investigating the root causes of incidents
3. Demonstrating compliance to regulatory authorities
4. Providing documented evidence of ongoing oversight
5. Supporting continuous improvement
The main methods are inspections and audits, supported by evidence of certification.
- Inspections are focused, short-term assessments of conditions at a specific point in time. They are typically checklist-based and identify visible issues or non-compliance.
- Audits are comprehensive evaluations of an entire program. They examine processes, systems, and documentation in depth to identify root causes and assess overall effectiveness.
- Certification involves verification that a specific process, system, or piece of equipment meets defined standards. Eg. certification of biosafety cabinets
Audit and inspection activities occur at multiple levels:
Self-inspections conducted routinely by laboratory personnel
Departmental or internal reviews by teams or safety committees
External audits conducted by third-party or organizational entities
Regulatory inspections performed by governmental authorities
Audits, Inspections, and Certification in Biorisk Management
Welcome back to this series of modules on biorisk management.
In this lesson, we will examine the role and importance of audits, inspections, and certification within a comprehensive biorisk management program. This represents the final phase of the Assess–Mitigate–Perform (AMP) process, focusing on performance evaluation—specifically, determining whether implemented risk mitigation measures are effective.
Purpose of Audits and Inspections
Audits and inspections are fundamental components of any safety program. Without systematic evaluation, it is not possible to identify deficiencies or verify that controls are functioning as intended.
These activities serve several key purposes:
- Identifying potential hazards and non-conformities
- Investigating the root causes of incidents
- Demonstrating compliance to regulatory authorities
- Providing documented evidence of ongoing oversight
- Supporting continuous improvement
Regular inspections and audits ensure that organizations remain prepared for both internal review and external scrutiny.
Regulatory and Standards Context
Audits and inspections are often required to demonstrate compliance with national regulations, international agreements, and recognized standards.
One widely recognized framework is ISO 35001, which requires organizations to establish audit and inspection programs appropriate to their level of risk. These programs must be conducted at planned intervals to confirm that biorisk management systems align with documented requirements and are functioning effectively.
Management is responsible for addressing identified deficiencies, determining root causes, and implementing corrective actions.
The Value of Proactive Evaluation
Audits and inspections help eliminate uncertainty by providing a clear and objective understanding of current practices. Rather than relying on assumptions, these processes answer key operational questions—who, what, where, when, and why.
Importantly, evaluations should be proactive. Waiting for incidents to occur before assessing performance increases risk and reduces organizational readiness.
Accreditation, Certification, and Compliance
Several related terms are commonly used in this context:
- Accreditation refers to formal recognition that an organization has implemented and maintains a system that meets established standards. This is typically conducted by an authoritative external body.
- Certification involves verification that a specific process, system, or piece of equipment meets defined standards. This is often performed by trained third-party professionals—for example, certification of biosafety cabinets.
- Compliance indicates adherence to standards or regulations but does not necessarily involve independent verification. As such, the term should be used carefully, as it may lack formal validation.
Understanding these distinctions is essential for accurately communicating program status.
Inspections vs. Audits
Although often used interchangeably, inspections and audits serve different purposes:
- Inspections are focused, short-term assessments of conditions at a specific point in time. They are typically checklist-based and identify visible issues or non-compliance.
- Audits are comprehensive evaluations of an entire program. They examine processes, systems, and documentation in depth to identify root causes and assess overall effectiveness.
Inspections provide snapshots of performance, while audits offer a complete and systematic analysis.
Levels of Inspection and Audit
Audit and inspection activities occur at multiple levels:
- Self-inspections conducted routinely by laboratory personnel
- Departmental or internal reviews by teams or safety committees
- External audits conducted by third-party or organizational entities
- Regulatory inspections performed by governmental authorities
Higher-level inspections typically carry greater regulatory consequences, while routine internal inspections support ongoing improvement.
Developing an Effective Program
An effective audit and inspection program should follow a structured approach, such as the Plan–Do–Check–Act cycle:
- Plan: Develop checklists, protocols, and objectives
- Do: Conduct inspections or audits with trained personnel
- Check: Analyze findings and compare against standards
- Act: Implement corrective actions and verify improvements
This cycle promotes continuous improvement and ensures that findings lead to meaningful change.
Conducting Inspections and Audits
Preparation is critical. Inspectors should:
- Use standardized checklists based on recognized regulations or best practices
- Be trained and equipped to document observations accurately
- Collect evidence through notes, photographs, or other records
- Engage with personnel to clarify observations
Before concluding, findings should be communicated clearly to avoid misunderstandings.
Reporting and Corrective Actions
Following an inspection or audit, a formal report should be prepared. Reports should be:
- Objective and fact-based
- Clear and concise
- Consistent with observations discussed during the review
A corrective action plan must then be developed, including:
- Assignment of responsibility
- Defined timelines and milestones
- Clear description of deficiencies and required actions
- Documentation of completion and closure
Root Cause Analysis
Effective corrective action depends on identifying the root cause of deficiencies. These may include:
- Lack of training or knowledge
- Unclear procedures or responsibilities
- Inadequate resources or equipment
- Organizational or systemic issues
Addressing only the immediate issue without resolving the underlying cause will limit long-term improvement.
Documentation and Recordkeeping
Comprehensive documentation is essential. As a guiding principle: if it is not documented, it is considered not done.
Key documents include:
- Inspection and audit reports
- Standard operating procedures
- Training records
- Incident reports and
- Corrective action plans
Modern systems increasingly rely on electronic tools to improve efficiency, accuracy, and accessibility of records.
Use of Technology
Digital tools, including mobile devices and inspection software, enhance the audit process by enabling:
- Real-time data collection
- Photo and audio documentation
- Automated time and location tracking
- Efficient data storage and reporting
These systems support better analysis, communication, and long-term record management.
Standards and Evaluation Criteria
All inspections and audits must be conducted against defined standards. These may include:
- National regulations
- International guidelines
- Industry best practices
Organizations must clearly identify which standards apply to their operations and ensure that evaluations are aligned accordingly.
Key Takeaways
- Audits and inspections are essential for verifying performance and ensuring compliance
- Inspections provide targeted observations; audits deliver comprehensive evaluations
- Programs should be structured, risk-based, and aligned with recognized standards
- Corrective actions must address root causes, not just symptoms
- Documentation and technology play critical roles in effective program management
- The ultimate goal is continuous improvement—not fault-finding
Conclusion
A well-designed audit and inspection program strengthens biorisk management by promoting accountability, transparency, and continuous improvement. When conducted effectively, these processes enhance safety, ensure compliance, and support the long-term success of laboratory operations.
Thank you for taking this lesson and learning more about biorisk management.
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Learn more
VIDEO – The Difference between an Audit, and an Inspection
VIDEO – Conducting an Effective Safety Audit
VIDEO –
ISO 35001:2019 Biorisk Management for Laboratories
VIDEO –
Safety Audit Essentials: Documentation, Walkthroughs & Worker Checks
BSL2 Lab Inspection Guidelines – from the University of Cincinnati
A Biosafety Checklist:
Developing A Culture of Biosafety – from the American Public Health Laboratories
Forms, templates & inspection checklists – from Washington State University
Inspection Checklist for General Biosafety (9 CFR 121, 42 CFR 73; BMBL 6th Edition)