Afif Escheik

Instrument Washer Test Audit

An quality audit to review the washer test results card and assure compliance and pass/failure rates.

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Title Page

Conducted on
Prepared by
Facility Name
Campus
SPD Location
Campus
- Bellevue
- Elmhurst
- Harlem
- Jacobi
- Kings
- Lincoln
- Metropolitan
- North Central Bronx
- Queens
- South Brooklyn - Coney
- Woodhull
Campus
SPD Location
SPD Location

Washer Test Audit

Date of Washer Test
Test Type
Test LOT Number
Washer Number
Washer Type
Rack Upper Level Results
Rack Middle Level Results
Rack Lower Level Results
Top Left Corner Result
Bottom Left Corner Results
Middle Results
Top Right Corner Results
Bottom Right Corner Results
Results Read and Interpreted By: Technician

Afif Escheik

Instrument Washer Test Audit

An quality audit to review the washer test results card and assure compliance and pass/failure rates.

Use this Template

Print as PDF

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