Run Endoscope Reprocessing Daily QA — Free

Pre-Reprocessing Receipt and Identification

Endoscope identifier matches procedure log and reprocessing record critical (required)

Yes No N/A

Point-of-use pre-cleaning completed before transport critical (required)

Yes No N/A

Transport container clean, closed, and designated for contaminated devices critical (required)

Yes No N/A

Leak test performed per manufacturer instructions before immersion critical (required)

Yes No N/A

Leak test result documented as pass or fail critical (required)

Manual Cleaning and Inspection

All channels brushed, flushed, and cleaned per IFU critical (required)

Yes No N/A

Detergent concentration within manufacturer-specified range critical (required)

Manual cleaning sink, brushes, and accessories visibly clean and available

Yes No N/A

External surfaces and distal end visually free of soil and debris before HLD critical (required)

Yes No N/A

Manual cleaning inspection completed and documented by trained staff critical (required)

Yes No N/A

AER / HLD Cycle Parameters

AER cycle selected matches approved endoscope model and IFU critical (required)

Yes No N/A

Cycle temperature within validated range critical (required)

Cycle contact time met or exceeded validated minimum critical (required)

High-level disinfectant concentration verified within acceptable range critical (required)

AER cycle completed without alarm, interruption, or error code critical (required)

Yes No N/A

Rinse, Drying, and Storage

Post-disinfection rinse completed per IFU critical (required)

Yes No N/A

Drying completed with filtered air or approved method critical (required)

Yes No N/A

Scope stored in designated clean storage area with channels hanging or positioned per policy critical (required)

Yes No N/A

Storage cabinet or area clean, dry, and free of visible contamination

Yes No N/A

Traceability and Documentation

Reprocessing record includes patient/procedure linkage or unique scope tracking ID critical (required)

Yes No N/A

Operator initials or electronic user ID documented for each major step critical (required)

Yes No N/A

Chemical lot numbers, test strips, and expiration dates recorded critical (required)

Yes No N/A

Any non-conformance, deviation, or corrective action documented critical (required)

Yes No N/A

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Endoscope Reprocessing Daily QA

Pre-Reprocessing Receipt and Identification

Manual Cleaning and Inspection

AER / HLD Cycle Parameters

Rinse, Drying, and Storage

Traceability and Documentation

Get your results