Sterile Processing Line Clearance Form
Date
Shift
Line/Area
Product Name
Batch/Lot No.
Previous Product/Campaign
Previous Batch/Lot No.
Check Points
Yes
No
Remarks
All equipment cleaned
Work surfaces cleaned
Residues removed
Labels/tags of previous batch removed
Line emptied of previous material
Verification of cleaning records
Additional Comments
Inspected by
Date
Approved by
Date