Run Surgical Instrument Sterilization Verification — Free

Load Identification and Traceability

Sterilizer load record identifies date, time, sterilizer ID, and cycle number critical (required)

Yes No N/A

Load contents match the documented tray list and count critical (required)

Yes No N/A

Patient or procedure association is documented where applicable

Yes No N/A

Load release status is documented by authorized personnel critical (required)

Yes No N/A

Any load recall, quarantine, or exception is documented with disposition critical (required)

Yes No N/A

Autoclave Cycle Parameters

Cycle type matches the load and validated sterilization method critical (required)

Exposure temperature critical (required)

Exposure pressure

Exposure time critical (required)

Drying time completed per cycle record critical (required)

Yes No N/A

Cycle printout or electronic record shows no unresolved alarms or aborts critical (required)

Yes No N/A

Biological and Chemical Indicator Verification

Biological indicator used for the load is documented critical (required)

Yes No N/A

Biological indicator result is negative or acceptable for release critical (required)

Yes No N/A

Chemical indicator present on each package or tray as required critical (required)

Yes No N/A

Chemical indicator changed appropriately after processing critical (required)

Yes No N/A

Indicator lot number, expiration date, and placement are documented

Yes No N/A

Instrument Tray Contents and Packaging

Tray contents match the approved instrument set list critical (required)

Yes No N/A

All instruments are clean, dry, and free of visible soil or residue critical (required)

Yes No N/A

Packaging is intact, sealed, and free of tears, punctures, or wetness critical (required)

Yes No N/A

Instrument count and tray count are complete critical (required)

Yes No N/A

Tray labeling includes set name, sterilization date, and expiration or event-related status

Yes No N/A

Documentation, Release, and Sign-off

Sterile processing record is complete and legible critical (required)

Yes No N/A

Any non-conformance has a documented corrective action and follow-up critical (required)

Yes No N/A

Inspection reviewer signature critical (required)

Inspection comments and observations

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Run: Surgical Instrument Sterilization Verification

Load Identification and Traceability

Autoclave Cycle Parameters

Biological and Chemical Indicator Verification

Instrument Tray Contents and Packaging

Documentation, Release, and Sign-off

Get your results