Each manufacturer shall establish procedures for quality audits and conduct such audits to assure that the quality system is in compliance with the established quality system requirements and to determine the effectiveness of the quality system. Quality audits shall be conducted by individuals who do not have direct responsibility for the matters being audited. Corrective action(s), including a reaudit of deficient matters, shall be taken when necessary. A report of the results of each quality audit, and reaudit(s) where taken, shall be made and such reports shall be reviewed by management having responsibility for the matters audited. The dates and results of quality audits and reaudits shall be documented.
21 CFR Part 820 · Quality Management System Regulation
§ 820.22 Quality audit
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What FDA inspectors cite under § 820.22
Form FDA 483 observations citing this section, fiscal years 2009–2026 (Devices).
- Quality audits - Lack of or inadequate procedures 1,011
- Quality Audit/Reaudit - conducted 528
- Quality Audits - defined intervals 318
- Quality audits - auditor independence 243
- Quality Audit/Reaudit - documentation 33
- Quality audit - audit report review 11
Warning letters citing § 820.22
55 FDA warning letters since 2017 cite this section ; the most recent:
- Chirp Innovations, LLC 2 Oct 2026
- Peter Schiff Enterprises 26 Aug 2026
- Longhorn Vaccines and Diagnostics LLC 26 Feb 2026
- Technological Medical Advancements LLC 26 Sept 2025
- SeniorLife Technologies, Inc. 21 Aug 2025
- Spectra Therapy, LLC 22 Jul 2025
- LEVO AG 18 Jul 2025
- O3UV, LLC 7 Jul 2025
- Mectronic Medicale S.R.L. 27 Jun 2025
- Red Oak Instruments, LLC 21 Feb 2025
- Exer Labs, Inc. 10 Feb 2025
- Baylab USA, LLC 27 Jun 2024
FDA guidance that cites § 820.22
- Postmarket Management of Cybersecurity in Medical Devices: Guidance for Industry and Food and Drug Administration Staff 28 Dec 2016
- Current Good Tissue Practice (CGTP) and Additional Requirements for Manufacturers of Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps): Guidance for Industry 1 Dec 2011
- Medical Glove Guidance Manual: Guidance for Industry and FDA Staff 22 Jan 2008