Sterilization Log Form PDF Details

Are you looking for better ways to make sure your medical facility is running smoothly and efficiently? Creating a sterilization log – where all staff members can easily record the details of their sterilization processes - is an essential part of any successful healthcare operation. It's important to document when scheduled maintenance checks occur, what equipment needs it, which machine the maintenance was done on, and other pertinent information needed for proper sterilization in a timely manner. If you're wondering how easy it is to start implementing this level of comprehensive tracking, read on to learn more about setting up and using a Sterilization Log Form!

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

2. Once your current task is complete, take the next step – fill out all of these fields - Biweekly spore strip tests, ddmmyy Result received ddmmyy, PLEASE NOTE, Pressure cookers glassbead, Sources Ministry of Health and, and DUHEV Dec with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Tips on how to prepare autoclave log sheet templates part 2

People who use this form frequently make errors while filling out Sources Ministry of Health and in this section. Don't forget to go over whatever you type in here.

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