Independent and not affiliated with the FDA, MHRA, ISPE, PDA, or any agency. Get the appgoutham@madhadi.com
madhadi.comData Integrity & GxP Quality
Browse all topics -> Articles Templates & Procedures Learning paths GlossaryScenariosToolsRegulatory ReferencesLearning PathsTopics About Start here
Risk Assessment Plug-and-play starting point Data Integrity

Risk Assessment: Extent-of-Investigation Scope-Expansion

A plug-and-play risk-based tool for deciding how far a data integrity investigation must expand along the person, system, method, time, and pattern axes, with a scoring methodology, an assessment table, mitigations, residual risk, and a filled specimen.

Document type: Risk Assessment

Read and copy the template below into your own quality system. It is a generic starting point for your own internal use, provided as is, with no warranty; see the Terms and License. Adopting it does not by itself create compliance.

This is a ready-to-use risk assessment for the question that decides whether a data integrity investigation holds up: how far does the scope have to expand before you can say, with evidence, where the problem stops. It sits inside the investigation governed by your data integrity investigation SOP, after the first finding is identified and before the retrospective review begins. Replace every <<FILL: ...>> placeholder with your own specifics. A filled specimen follows the template. This content is educational and general; adapt it to your own quality system and, where intent or employment consequences are in play, to legal advice.

Document control header

FieldEntry
Assessment titleExtent-of-Investigation Scope-Expansion Risk Assessment
Document number<<FILL: reference, e.g. DI-SCOPE-2026-01>>
Linked investigation number<<FILL: DI-INV-ID>>
Date<<FILL>>
Assessor(s)<<FILL: name, role>>
QA / data integrity lead concurrence<<FILL>>

1. Purpose

This assessment gives an investigator a repeatable, risk-based way to decide whether a candidate expansion of scope (another instrument, another analyst’s other work, an earlier time window, a site-wide pattern search) is required, optional with documented justification, or can be deferred. The goal is to replace “we have no evidence it goes further” with a reasoned, scored decision that a reviewer or inspector can follow.

2. Scope

This assessment applies to any candidate boundary considered during Phase 2 (scope and extent determination) of a data integrity investigation. It does not replace the investigation SOP’s requirement that every boundary ultimately chosen be justified in writing; it is the tool that produces that justification in a reproducible form.

3. Methodology

For each candidate expansion listed in section 5, score three factors on a 1 to 3 scale, using the anchors in section 4, then multiply them to get a priority number from 1 to 27.

BandPriority numberAction
Must expand12 to 27Pull the population now; this is part of the core investigation, not an option
Expand with documented rationale5 to 11Expand unless a specific, written reason supports stopping short, reviewed by the QA / data integrity lead
May defer with justification1 to 4Document why the boundary was not expanded; revisit if later findings change any factor

The band is a decision aid, not a ceiling on judgment. An assessor may expand a boundary scored below 12 anyway; the assessment exists to make sure a boundary is never left unexpanded only because nobody asked the question.

4. Scoring scales

Factor1 (low)2 (medium)3 (high)
Mechanism transferability: could the same control gap or act occur at this candidate boundaryThe configuration, login, or access path is specific to the original instance and not present elsewhereThe mechanism exists elsewhere but under different conditions or controlsThe exact same mechanism (shared login, deletable folder, movable clock, absent review) is present at the candidate boundary
Signal match strength: how closely does a quick check at the candidate boundary match the known signatureNo matching indicator found on a quick checkA partial or ambiguous matchThe same signature (blank-reason re-integration, favorable-direction pattern, orphan runs) found on a quick check
Consequence if missed: what is lost if this boundary is wrongly left unexpandedLow-criticality data, no product or submission linkModerate: a non-release decision or an internal recordHigh: a release, stability, or submission decision, or patient-exposed product

5. Assessment table

#Candidate expansionMechanism transferabilitySignal match strengthConsequence if missedPriority numberBand
1<<FILL: e.g. same analyst, other instruments>><<FILL: 1-3>><<FILL: 1-3>><<FILL: 1-3>><<FILL: product>><<FILL>>
2<<FILL: e.g. same instrument, other analysts>><<FILL>><<FILL>><<FILL>><<FILL>><<FILL>>
3<<FILL: e.g. same method, other products>><<FILL>><<FILL>><<FILL>><<FILL>><<FILL>>
4<<FILL: e.g. extended time window>><<FILL>><<FILL>><<FILL>><<FILL>><<FILL>>
5<<FILL: e.g. site-wide pattern search>><<FILL>><<FILL>><<FILL>><<FILL>><<FILL>>

6. Mitigations and actions

#Action if “Must expand” or “Expand with rationale”OwnerTarget dateStatus
<<FILL>><<FILL: e.g. pull 24-month CDS audit trail for instrument HPLC-07>><<FILL>><<FILL>><<FILL>>
<<FILL>><<FILL>><<FILL>><<FILL>><<FILL>>

7. Residual risk statement

After the actions above are complete, state the residual risk of an unexamined population remaining: <<FILL: e.g. "Low. All instruments on this method, all analysts with access to the shared login, and 24 months of history have been searched for the signature; no further credible mechanism-transferable boundary remains unexamined.">>

8. Acceptance criteria

The assessment is adequate when every candidate boundary that a reasonable investigator would consider has been scored, not only the ones that turned out positive; when every “Must expand” item has a completed action before the scope statement is finalized; and when the residual risk statement names what was searched, not only what was found.

9. Approval

RoleNameSignatureDate
Assessor / investigator<<FILL>>
QA / data integrity lead<<FILL>>

10. Revision history

VersionDateAuthorSummary of change
<<FILL: 1.0>><<FILL: date>><<FILL: author>>Initial issue.

Filled specimen

The scenario: a blank-reason re-integration was found on instrument HPLC-07, analyst J. Alvarez (illustrative name), affecting a release result. Five candidate expansions were scored.

#Candidate expansionMechanismSignalConsequencePriorityBand
1Same analyst, all other CDS activity, 24 months33327Must expand
2Same instrument, other analysts and the shared second-shift login32318Must expand
3Same assay method, other products2136Expand with rationale
4Extend time window beyond 24 months to the analyst’s hire date2228Expand with rationale
5Site-wide search, all CDS instruments, same signature32318Must expand

Residual risk statement: “Low. Items 1, 2, and 5 were expanded and closed; item 3 was expanded on a 12-month sample with no hits and the full population deferred with that rationale recorded; item 4 extended the window to the analyst’s start date after item 1 confirmed the pattern predated the current campaign. No further mechanism-transferable boundary identified.”

The specimen shows the point of the tool: item 3 scored low enough to defer, but the deferral is a documented, scored decision rather than a boundary nobody thought to ask about.

Common inspection findings this risk assessment prevents

  • A scope boundary left unexamined because it was never explicitly considered, rather than considered and reasonably deferred.
  • “Expand with rationale” items expanded informally with no record of why, so a reviewer cannot tell a considered deferral from an oversight.
  • The same scoring logic applied inconsistently between investigations, so two similar findings get different extents with no visible reason.
  • A residual risk statement that describes only what was found, not what was searched and came back clean.

How to adapt this risk assessment

  1. Set your own anchor language in section 4 to match the systems and mechanisms common at your site.
  2. Adjust the band thresholds in section 3 if your quality system wants a different cut point; keep the logic that “Must expand” items are never optional.
  3. Add rows to section 5 for any site-specific axis (for example, a specific interface or integration point) your systems create.
  4. Reference this document’s number from the scope section of your investigation record so the two stay linked.
  5. Where the scoring is done jointly with an independent party, record their concurrence alongside the assessor’s.
Use madhadi.com as an app Full screen, works offline, one tap from your home screen.