Sterilizer OK YES □ NO □
Date .............................................................................
No. of cycle ............... Cleaning cycles .............................
Aborted cycles .......... Alarm code ...................................
Technician name: ............................................................
Door adjustment □ Filter □
Calibration □ Cond. cleaning □
Pump □ Tank cleaning □
Notes
.........................................................................................
.........................................................................................
.........................................................................................
.........................................................................................
.........................................................................................
Sterilizer OK YES □ NO □
Date .............................................................................
No. of cycle ............... Cleaning cycles ..............................
Aborted cycles........... Alarm code ....................................
Technician name: .............................................................
Door adjustment □ Filter □
Calibration □ Cond. cleaning □
Pump □ Tank cleaning □
Notes
..........................................................................................
..........................................................................................
..........................................................................................
..........................................................................................
..........................................................................................
Sterilizer OK YES □ NO □
Date .............................................................................
No. of cycle ............... Cleaning cycles .............................
Aborted cycles .......... Alarm code ...................................
Technician name: ............................................................
Door adjustment □ Filter □
Calibration □ Cond. cleaning □
Pump □ Tank cleaning □
Notes
.........................................................................................
.........................................................................................
.........................................................................................
.........................................................................................
.........................................................................................
Sterilizer OK YES □ NO □
Date .............................................................................
No. of cycle ............... Cleaning cycles ..............................
Aborted cycles........... Alarm code ....................................
Technician name: .............................................................
Door adjustment □ Filter □
Calibration □ Cond. cleaning □
Pump □ Tank cleaning □
Notes
..........................................................................................
..........................................................................................
..........................................................................................
..........................................................................................
..........................................................................................