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Run: Compounding Hood Certification Review

Use this Compounding Hood Certification Review template to verify certification records, physical condition, placement, and corrective actions for a hood or ...

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Inspection Record and Asset Identification

Verify manufacturer, model, serial number, asset ID, and room/location match the current certification documentation.
Record the annual review date and confirm the certification period being evaluated.
Confirm whether the unit is a compounding hood, Class II biological safety cabinet, or other approved containment device.
Verify the cabinet is installed in the designated room and has not been relocated without approval.

Certification Documentation Review

Verify a valid certification report is available for the most recent annual certification cycle.
Confirm the certification is current and has not exceeded the required annual interval.
Verify documentation includes airflow or containment test results, HEPA integrity or leak test results where applicable, and final pass/fail status.
Review whether any deficiencies were identified during certification and whether they have been closed or accepted per procedure.
Confirm corrective actions include completion dates, responsible party, and evidence of resolution for any prior findings.

Physical Condition and Operational Readiness

Inspect the interior surfaces, work tray, and surrounding area for visible contamination, residue, or clutter.
Verify the sash moves properly, the alarm functions as intended, and the viewing window is intact and unobstructed.
Check for tears, gaps, corrosion, cracks, or other visible damage that could affect containment or performance.
Record the displayed airflow or pressure indicator reading and confirm it is within the acceptable range per the manufacturer or SOP.
Verify grilles, intake openings, and exhaust paths are unobstructed and not blocked by supplies or equipment.

Placement, Safety Controls, and Environmental Conditions

Verify the unit is not located near doors, high-traffic areas, supply vents, or other conditions that could disrupt airflow or containment.
Confirm the power connection is secure and any emergency disconnect or shutoff is accessible and labeled.
Verify required PPE, aseptic technique, and cabinet use instructions are posted or readily available to operators.
Check for blocked egress, combustible storage, or other hazards that could affect safe operation or emergency response.
Confirm the review is performed under the facility safety program and documented per internal compliance procedures.

Compliance Verification and Disposition

Select the final disposition for the cabinet based on documentation review and physical inspection.
If the unit is not fully compliant, document any restrictions, interim controls, or removal-from-service requirements.
Record the responsible person, target completion date, and follow-up plan for any open deficiency.
Signature of the person completing the annual review.

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