Sterilization Log Form PDF Details

Maintaining the highest standards of sterilization is paramount in healthcare and various service settings, ensuring safety and compliance with health regulations. The Sterilization Log Sheet serves as a critical tool in this process, meticulously recording each sterilization cycle's crucial parameters such as date, start and end times, cycle length, temperature, and pressure. This comprehensive form also tracks the color change in temperature-sensitive indicators, an essential component in verifying the effectiveness of the sterilization process. Operator initials and comments sections further tailor the documentation, providing accountability and additional insights into each cycle. Moreover, the form includes provisions for biweekly spore strip tests—a rigorous measure of the sterilizing equipment’s efficacy, with spaces to record submission and result dates. It's important to note that alternative sterilizing methods like pressure cookers, glass-bead sterilizers, and microwaves do not meet approved standards for sterilization. The Sterilization Log Sheet not only ensures that the manufacturer’s guidelines are followed and readily available but also mandates a record-keeping duration, securing logs and spore test results for a minimum of five years. This level of detailed record-keeping, underscored by specific guidelines from health authorities, highlights the commitment to maintaining public health safety and adherence to best practices in sterilization.

QuestionAnswer
Form NameSterilization Log Form
Form Length1 pages
Fillable?Yes
Fillable fields93
Avg. time to fill out18 min 51 sec
Other nameslog sheet autoclave printable, sterilization log sheet pdf, log autoclave printable, sterilization log sheet

Form Preview Example

STERILIZATION LOG SHEET

Environmental Help Line

1-888-777-9613 durham.ca

 

Month/Year: ____________________ Location/Unit: ____________________

 

Date

(dd/mm/yy)

 

Time

 

 

 

 

Start

End

Cycle

Length

 

 

 

 

 

Temp.

0F or 0C

Pressure

Temperature-

sensitive indicator:

Colour Change Observed (Y/N)

Operator’s

Initials

Comments

□ Biweekly spore strip tests submitted: (dd/mm/yy) □ Result received (dd/mm/yy) □ Result received (dd/mm/yy) □ Result received

PLEASE NOTE:

1.Pressure cookers, glass-bead sterilizers, microwaves, U.V. sterilizers, boiling water and dry-heat domestic ovens are NOT approved means of sterilizing.

2.The manufacturer’s instructions for the sterilizing equipment must be onsite and easily accessible.

3.A record book for monitoring each load placed in the sterilizer (temperature, pressure and cycle length) must be maintained for a minimum of five years, with the last 12 months onsite.

4.Biweekly spore strip test results must be kept for a minimum of five years, with the last 12 months onsite.

5.Failed spore strip tests – refer to Biological Monitoring of Sterilizer (Spore Test) poster.

Sources: Ministry of Health and Long Term Care, Infection Prevention and Control Best Practices for Personal Services Settings, Jan. 2009.

DUHEV-252 Dec/17

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Part # 1 for filling in autoclave log sheet templates

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