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Small Steam Sterilizer Type N Cycle Logbook V1 - Health Facilities ...

Small Steam Sterilizer Type N Cycle Logbook V1 - Health Facilities ...

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NHSScotland - Daily and Weekly Test Sheet<strong>Small</strong> <strong>Steam</strong> <strong>Sterilizer</strong> <strong>Type</strong> N <strong>Cycle</strong> Form (NS1)Tests to be carried out in accordance with SHTM2010.Location Week beginning WeekDepartment Ref No. Ser No.AUTOMATIC CONTROL TESTS SHTM2010 recommends an empty chamber but in order to reducetesting time it is now considered acceptable that a production load of instruments can be used instead.During sterilizing holdperiodSterilizing holdTime<strong>Cycle</strong>numberTemperature Pressure min:sec Result of test Certified fit foruse by UserMondayoC bar : PASS/FAILTuesdayoC bar : PASS/FAILWednesdayoC bar : PASS/FAILThursdayoC bar : PASS/FAILFridayoC bar : PASS/FAILSaturdayoC bar : PASS/FAILSundayoC bar : PASS/FAILoC bar : PASS/FAILRESERVOIR WATER CHANGES (where applicable). See SHTM 2031- Drain, rinse and refill withSterilized Water for Irrigation.<strong>Cycle</strong> number when waterCommentschangedMondayTuesdayWednesdayThursdayFridaySaturdaySundayWater changedbyWEEKLY SAFETY CHECKS Tick if Satisfactory Door Pressure Interlock [ ]Door Seal [ ] Door Safety Edge [ ] Door Closed Interlock [ ]TESTED BY Date SATISFACTORY/UNSATISFACTORYFAULTS-NEW OR EXISTING-ALSO ENTER IN PLANT HISTORY RECORD© <strong>Health</strong> <strong>Facilities</strong> ScotlandHFS1312.003/Daily and Weekly Test Sheet <strong>Small</strong> <strong>Steam</strong> <strong>Sterilizer</strong> <strong>Type</strong> N <strong>Cycle</strong> FormNS1/Decon/<strong>V1</strong>.0/13.01.2012


NHS Scotland-Quarterly Test Sheet<strong>Small</strong> <strong>Steam</strong> <strong>Sterilizer</strong> <strong>Type</strong> N <strong>Cycle</strong> Form (NS2)Tests to be carried out in accordance with HTM2010.Location Date WeekDepartment Ref No. Ser No.QUARTERLY SAFETY CHECKSTick if satisfactory.Door Seal [ ] Door Safety Edge [ ] Door Closed Interlock [ ]Chamber Safety Valve Free [ ] Door Pressure Interlock [ ]WATER QUALITYConductivity at start of tests Conductivity


NHSScotland - Plant History Record Sheet-Form (PHR1)<strong>Type</strong> of equipmentHospital/LocationStart date for this sheetDepartment Ref No. Ser No.FAULTS RECORD MAINTENANCE RECORDFaultnumberDate <strong>Cycle</strong>numberDetails of faultNoted andreported byDate FaultnumberMaintenance Record-include PPM as well asfault finding details.Carriedout by© <strong>Health</strong> <strong>Facilities</strong> ScotlandHFS1314.001/Plant History Record Sheet PHR1/Decon/<strong>V1</strong>.0/13.01.2012

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