PURE FlexiPump - Daily Assurance Log

FLEXIPUMP™ INDEPENDENT FLUSHING SYSTEM
20
Daily Assurance Log
© Pure Processing, Inc. 2015. All rights reserved. FlexiPump™ Independent Flushing System User Manual; April 2015
17
Day
Decontamination Procedure
Initials
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes
No
6
Yes
No
7
Yes
No
8
Yes
No
9
Yes
No
10
Yes
No
11
Yes
No
12
Yes
No
13
Yes
No
14
Yes
No
15
Yes
No
16
Yes
No
17
Yes
No
18
Yes
No
19
Yes
No
20
Yes
No
21
Yes
No
22
Yes
No
23
Yes
No
24
Yes
No
25
Yes
No
26
Yes
No
27
Yes
No
28
Yes
No
29
Yes
No
30
Yes
No
31
Yes
No
Month and Year
Unit Number
FlexiPump™ Independent Flushing System
Daily Assurance Log
Tube Replacement Name: Date:
Day
Flow Validation Test
Initials
1
Pass
Fail
2
Pass
Fail
3
Pass
Fail
4
Pass
Fail
5
Pass
Fail
6
Pass
Fail
7
Pass
Fail
8
Pass
Fail
9
Pass
Fail
10
Pass
Fail
11
Pass
Fail
12
Pass
Fail
13
Pass
Fail
14
Pass
Fail
15
Pass
Fail
16
Pass
Fail
17
Pass
Fail
18
Pass
Fail
19
Pass
Fail
20
Pass
Fail
21
Pass
Fail
22
Pass
Fail
23
Pass
Fail
24
Pass
Fail
25
Pass
Fail
26
Pass
Fail
27
Pass
Fail
28
Pass
Fail
29
Pass
Fail
30
Pass
Fail
31
Pass
Fail
Pure Processing Customer Support 1-877-718-6868
FlexiPump™ Independent Flushing System User Manual
© Pure Processing, LLC. 2017. All rights reserved.