Run Endoscope Reprocessing Verification — Free

Pre-Cleaning at Point of Use

Pre-cleaning performed immediately after procedure completion critical (required)

Visible gross soil is removed at point of use per facility SOP and manufacturer instructions before transport.

Yes No N/A

Exterior surfaces wiped and suction/air-water channels flushed critical (required)

Exterior surfaces and accessible channels are pre-cleaned before the scope leaves the procedure area.

Yes No N/A

Endoscope transported in a covered, labeled container critical (required)

Transport container is clean, covered, and designated to prevent contamination during movement to reprocessing.

Yes No N/A

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 critical (required)

Leak testing is completed according to the endoscope IFU before the device is immersed in liquid.

Yes No N/A

Leak test passed with no evidence of fluid intrusion critical (required)

No bubbles, pressure loss, or other indicators of leakage were observed during the test.

Yes No N/A

Detergent concentration and water temperature within IFU critical (required)

Cleaning solution concentration and temperature are within manufacturer instructions and facility policy.

All accessible channels brushed with correct-sized brush critical (required)

Channels are brushed with the correct brush size and technique until visibly clean.

Yes No N/A

Manual cleaning completed until no visible soil remains critical (required)

Exterior surfaces, valves, and channels are cleaned until free of visible soil and debris.

Yes No N/A

Single-use accessories and detachable components handled per IFU

Valves, caps, and detachable parts are removed, cleaned, and processed according to the manufacturer instructions.

Yes No N/A

High-Level Disinfection Process

High-level disinfectant is approved for the endoscope model critical (required)

The disinfectant used is compatible with the specific endoscope and reprocessing system per IFU.

Yes No N/A

Disinfectant concentration verified before use critical (required)

Minimum effective concentration or test-strip result is documented before the cycle starts.

Yes No N/A

Exposure time and temperature met critical (required)

Required contact time and temperature were maintained for the full HLD cycle.

Yes No N/A

Automated endoscope reprocessor or manual HLD cycle completed without alarms critical (required)

Cycle completed successfully and any alarms or interruptions were addressed per SOP.

Yes No N/A

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 critical (required)

Rinsing method matches the endoscope IFU and facility policy to remove residual disinfectant.

Yes No N/A

Internal channels dried using approved method critical (required)

Drying is completed using forced air, alcohol flush if required, or other approved method per IFU.

Yes No N/A

Endoscope stored hanging in a clean, ventilated cabinet critical (required)

Storage cabinet is clean, dry, and designed to prevent contamination and physical damage.

Yes No N/A

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.

Yes No N/A

Documentation and Competency

Reprocessing record complete for this scope critical (required)

Record includes scope ID, date/time, operator, leak test result, cleaning, HLD, rinse, dry, and storage details.

Yes No N/A

Inspector verified staff competency or training status

Personnel performing reprocessing are documented as trained and competent for the task.

Yes No N/A

Non-conformances documented with corrective action critical (required)

Any deficiency, deviation, or critical item failure is recorded with immediate corrective action and escalation as required.

Yes No N/A

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Run: Endoscope Reprocessing Verification

Pre-Cleaning at Point of Use

Leak Testing and Manual Cleaning

High-Level Disinfection Process

Rinsing, Drying, and Storage

Documentation and Competency

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