Medical Device Sterilizer Setup Validation Sheet
Sterilizer Information
Sterilizer Model:
Serial Number:
Location:
Date of Validation:
Technician Name:
Department:
Cycle Parameters
Parameter
Standard/Required
Measured/Observed
Pass/Fail
Remarks
Temperature (°C)
Pressure (kPa)
Exposure Time (min)
Other
Indicators/Controls
Indicator/Control
Status
Remarks
Physical Indicator
Chemical Indicator
Biological Indicator
Mechanical Controls
Observations/Comments
Validator Signature
Name:
Signature:
Date: