Title Page
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Document No.
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Audit Title
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Client/ Site
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Conducted on
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Prepared by
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Location
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Personnel
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CLINIC NAME AND SURGERY NUMBER
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Steriliser Manufacturer
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Steriliser Model
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Steriliser Serial Number and YOM
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Software version/ updated version
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Unit Photos
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Clean out unit free from built up dust and lint
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Clean out waste water and clean water tanks.
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Replace and or clean bottom coarse filters/ sieves and sealing washers.
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Clean chamber and rack of built up debris. Notify staff if more cleaning is required.
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Clean chamber filter.
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Ensure tightness of Door.
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Replace door seal.
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Check the door for correct operation including:
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1/ door locking device
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Check and adjust door contact switch where required.
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Replace sterile filter where required.
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Replace vacuum pump insert filter and brass seals if necessary.
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Check condition and connection of all hoses. Check tightness of all tubing locking nuts.
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Check pressure transducer, brass block and steel tubing for built up green residue and clean if required
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Perform a component test through service software.
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Check water conductivity and record reading in uS
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Replace reverse osmosis filters or instruct staff to do so where required.
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Check and clean water conductivity sensor and filter.
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Perform a Vacuum test and ensure correct parameters.
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Vacuum test leakage rate
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Perform a 134'C standard cycle and ensure correct parameters
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Check overall condition and performance of unit
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Reset maintenance counter on steriliser
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Alarm Codes:
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Notes:
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Add media
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Follow up work required:
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Add media
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Extra work performed:
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Add media
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Extra parts used:
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Add media
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Technicians Signature:
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Next service Due:
