Title Page

  • Was this probe picked up by a CRCST Technician?

  • Conducted on

  • Inspected by:

  • Pickup Location

  • Drop off Location

  • Probe Type

  • Probe Serial Number:

Probe Checklist

  • Is moisture/water present in the connector?

  • Are the metal prongs bent?

  • Are there any chips, cracks, or openings on the distal tip?

  • Are there tears or openings on the cord?

  • Is the bin damaged?

  • Is water present inside the bin?

  • Is the patient label present?

  • Is the patient label inside the peel pouch?

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