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P3i — Pakistan Institute of Incident Investigation

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Pharmaceuticals Incident Investigation

A deviation is a question. The regulator will ask it too.

Pharmaceutical and biological manufacturing, active ingredient plants, packaging and distribution, where batch deviations, contamination, data integrity and inspection findings must be investigated to a demanding standard. We work across Lahore, Karachi, Islamabad, and in the Gulf.

Pharmaceutical clean room production
1 in 10 medical products substandard or falsified (WHO)Two root causes: occurrence and detectionLead investigator within 48 hoursFact-finding, not fault-findingFindings written for boards, insurers and regulatorsDeviation investigation supportRecurring deviation reviewInspection finding responseDeviation investigation training1 in 10 medical products substandard or falsified (WHO)Two root causes: occurrence and detectionLead investigator within 48 hoursFact-finding, not fault-findingFindings written for boards, insurers and regulatorsDeviation investigation supportRecurring deviation reviewInspection finding responseDeviation investigation training

Where it goes wrong

Six deviations. And the second cause nobody wrote down.

Illustrative, drawn from typical findings. Swipe on mobile, or use the arrows.

By the numbers

What every QA head should know.

0%

of medical products in low- and middle-income countries are estimated to be substandard or falsified.

World Health Organization, 2017

0

root causes every CAPA needs: why the deviation occurred, and why it was not detected.

P3i investigation practice

0hrs

for a P3i lead investigator to be engaged after a critical deviation.

P3i service commitment

In Pakistan

Pharmaceutical manufacturers in Pakistan face growing expectations from the national regulator and from international partners and export markets.

Globally

Worldwide, regulators increasingly cite weak deviation investigations and ineffective CAPA as leading findings in manufacturing inspections.

Laboratory analyst at a bench
Batch records reviewed by QA
Tablet press in a clean area
Warehouse with quarantined materials

Photographs illustrate typical settings; they are not from P3i cases.

The life of one batch

The life of one batch. See where the deviation begins.

Most repeat deviations trace back to a decision made several steps earlier.

MaterialsInspection

TESTING · HIGH RISK

Out of specification

A result fails, and retesting begins before the investigation.

RISK

Illustrative, drawn from the kinds of events we investigate.

How we help

Four ways we support QA. Inside your quality system.

01Deviation investigation supportRoot cause and CAPA for critical deviations.Ask about this →02Recurring deviation reviewWhy the same deviation keeps returning.Ask about this →03Inspection finding responseInvestigation and corrective plan for inspection findings.Ask about this →04Deviation investigation trainingTraining for QA and production teams.Ask about this →

Who calls us

QA head

Deviations closed with real root causes

Plant director

Batches released, not held

Regulatory affairs

Responses the inspector accepts

Export lead

Confidence for international partners

Something happened on your site this week? A first call costs nothing, and we will tell you what to preserve today.

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The P3i approach

How we investigate pharmaceutical deviations & incidents. Fact-finding, not fault-finding.

Every P3i investigation is led by a senior investigator and supported by internationally qualified process specialists. You will not receive a list of people to blame, or a long list of generic actions. You will receive the facts, the proven causes, and a short plan that closes the gaps, in this case and across your system.

Independent

No products, repairs or contracts to sell you afterwards.

Senior-led

Thirty years of investigation, from the first call to the final briefing.

Beyond the event

Process specialists find the other cracks before they fail.

Ready to present

Written for boards, buyers, insurers and regulators.

How P3i does it for you

  1. 01

    One confidential call

    We scope the deviation so the batch decision and the inspector are both served.

  2. 02

    Secure before it is cleaned up

    Batch records, data, samples and equipment logs secured.

  3. 03

    Facts, not versions

    Private interviews where nobody is pushed to name a culprit. The evidence decides.

  4. 04

    Find what the system allowed

    Procedures, data integrity, training and equipment behind the deviation.

  5. 05

    A plan leadership can approve

    Short, costed, owned actions, and a check that they worked.

What you receive

Deviation investigationRoot cause and CAPAData integrity findingsInspection-ready reportRecurrence reviewTraining option

Call us when

A critical deviation holds a batchAn inspection finding with a deadlineThe same deviation keeps returningAn export partner wants evidence

Free 30-minute case assessment.

Tell us what happened. In confidence, we will tell you what the investigation should cover, how long it will take and what to preserve today.

How we work with you

What happens after you call.

For pharmaceuticals, the first call covers what happened, what must be preserved, and who needs to be involved. From there, this is the usual pattern.

  1. First hour

    A call with a lead investigator. You leave it knowing what to preserve today and who to call next.

  2. Day one

    An investigator on site, anywhere in Pakistan. Scope and fixed fee agreed in writing.

  3. Week one

    A private briefing on early findings, so urgent risks are dealt with before the report is finished.

  4. Weeks three to four

    The final report, the wider system review and a remedial work plan, presented to your team.

  5. After

    We come back to check the actions were completed and actually worked.

Typical timings for a single-site event. Complex, multi-party matters take longer, and we tell you so on the first call.

What you receive

A full investigation report. This is only its first page.

The summary is what leadership reads first. Behind it sits the complete file: every witness heard, every document and record examined, and every finding tied to numbered evidence, so a board, an insurer, a buyer or a regulator can test it.

P3i Investigation Report · Summary Page 1 · Executive summary

1 · Established sequence

2 · Causes

Immediate
Underlying
Systemic

3 · Wider system findings

4 · Remedial work plan

ActionOwnerDateTest of effectiveness Fit personal locks for every operatorPlant Mgr30 daysSpot audit, 10 isolations

Illustrative summary page. Report length and structure depend on the scope of each case.

Inside the full report

  1. 01Executive summary SHOWNThe findings and actions leadership needs, on one page. This is the page shown here.
  2. 02Terms of reference & scopeThe questions asked, the boundaries of the investigation and who commissioned it.
  3. 03MethodHow evidence was gathered, and which analysis methods were chosen for this case, and why.
  4. 04Verified chronologyThe sequence of events, reconstructed from records, data and accounts, minute by minute where it matters.
  5. 05Site & technical examinationScene, equipment, failed parts, measurements and photographs, with specialists where needed.
  6. 06Witness evidenceInterview schedule, accounts in summary, and where the witnesses agree and where they conflict.
  7. 07Documents & recordsPermits, procedures, maintenance, training, rosters, CCTV, tracker and control-system data reviewed.
  8. 08Causal analysisImmediate, underlying and system causes, each one tied to numbered evidence.
  9. 09System reviewWhere the same weaknesses exist elsewhere in the operation.
  10. 10Findings & conclusionsWhat is proven, what is probable, and what remains open, stated plainly.
  11. 11Recommendations & work planTargeted actions, each with an owner, a date and a test of whether it worked.
  12. 12AppendicesEvidence register, photograph log, interview records, drawings and data extracts.

Every action has an owner, a date and a test of whether it worked. The evidence stays indexed, so any reader can check how each conclusion was reached.

Questions

What QA heads ask us first.

Can you work within our quality system?

Yes. Findings are delivered in your deviation and CAPA format.

Do you replace our QA team?

No. We support them with independent, evidence-led investigation.

Do you handle data integrity cases?

Yes, alongside your IT and QA specialists.

A deviation closed as human error will be back.

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