Hi Jeffrey,
I've seen answers to this post regarding enforcement of the IEC standard, as
well as to the CDRH rules. However, no one has mentioned FDA audits.

The FDA does conduct periodic audits at the manufacturer's location as
reported in the Product Reports and Annual Reports submitted to them. The
auditor will check record keeping, quality control, and product design
aspects such as proper labeling. My company has been producing laser
products for many years, and only one audit has been conducted, that anyone
can remember. I was the representative during that audit, and I commend the
auditor on his professionalism and thoroughness. The auditor was a pleasure
to work with, but he was very thorough. Rather than a 'let me see what I can
nail you on' attitude, the auditor I dealt with had a 'let me see if I can
help you improve your compliance process' attitude. The auditor will call
ahead and let you know the date for the audit - an appreciated courtesy, but
the date is not negotiable. 

Note that the FDA only has jurisdiction over manufacturing locations within
the US. That's why it falls largely to customs to enforce imported goods, I
presume. It is also noteworthy that the FDA has a very broad scope and
generally has much bigger fish to fry than a manufacturer of low-power laser
devices - I think that's why the frequency of audits for manufacturers like
us is so low. You may never have the pleasure. 

For complete information about penalties and other administrative topics,
check http://www.fda.gov/cdrh/radhlth/fdcact5c.html , the Electronic Product
Radiation Control section of the Federal Food, Drug, and Cosmetic Act.
Section 360pp covers Enforcement and Penalties.

Hope this helps.

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