Endoscope Reprocessing Verification

Inspection template for verifying high-level disinfection and reprocessing steps for flexible endoscopes, including pre-cleaning, leak testing, brushing, HLD, and storage.

Pre-Cleaning at Point of Use

• Pre-cleaning performed immediately after procedure completion
  Visible gross soil is removed at point of use per facility SOP and manufacturer instructions before transport.
• Exterior surfaces wiped and suction/air-water channels flushed
  Exterior surfaces and accessible channels are pre-cleaned before the scope leaves the procedure area.
• Endoscope transported in a covered, labeled container
  Transport container is clean, covered, and designated to prevent contamination during movement to reprocessing.
• Leak or damage observed before transport
  Record whether visible damage, fluid intrusion, or suspected leak was identified before reprocessing.
• Procedure and scope identification recorded
  Document scope ID, procedure date/time, and operator for traceability.

Leak Testing and Manual Cleaning

• Leak test performed before immersion
  Leak testing is completed according to the endoscope IFU before the device is immersed in liquid.
• Leak test passed with no evidence of fluid intrusion
  No bubbles, pressure loss, or other indicators of leakage were observed during the test.
• Detergent concentration and water temperature within IFU
  Cleaning solution concentration and temperature are within manufacturer instructions and facility policy.
• All accessible channels brushed with correct-sized brush
  Channels are brushed with the correct brush size and technique until visibly clean.
• Manual cleaning completed until no visible soil remains
  Exterior surfaces, valves, and channels are cleaned until free of visible soil and debris.
• Single-use accessories and detachable components handled per IFU
  Valves, caps, and detachable parts are removed, cleaned, and processed according to the manufacturer instructions.

High-Level Disinfection Process

• High-level disinfectant is approved for the endoscope model
  The disinfectant used is compatible with the specific endoscope and reprocessing system per IFU.
• Disinfectant concentration verified before use
  Minimum effective concentration or test-strip result is documented before the cycle starts.
• Exposure time and temperature met
  Required contact time and temperature were maintained for the full HLD cycle.
• Automated endoscope reprocessor or manual HLD cycle completed without alarms
  Cycle completed successfully and any alarms or interruptions were addressed per SOP.
• HLD solution log and expiration date current
  Solution lot number, reuse life, expiration, and change-out date are documented and current.

Rinsing, Drying, and Storage

• Post-HLD rinse performed with clean or sterile water as required
  Rinsing method matches the endoscope IFU and facility policy to remove residual disinfectant.
• Internal channels dried using approved method
  Drying is completed using forced air, alcohol flush if required, or other approved method per IFU.
• Endoscope stored hanging in a clean, ventilated cabinet
  Storage cabinet is clean, dry, and designed to prevent contamination and physical damage.
• Scope is separated to prevent contact and channel recontamination
  Stored scopes do not touch each other or the cabinet floor and are protected from splash, dust, and moisture.

Documentation and Competency

• Reprocessing record complete for this scope
  Record includes scope ID, date/time, operator, leak test result, cleaning, HLD, rinse, dry, and storage details.
• Inspector verified staff competency or training status
  Personnel performing reprocessing are documented as trained and competent for the task.
• Non-conformances documented with corrective action
  Any deficiency, deviation, or critical item failure is recorded with immediate corrective action and escalation as required.