Dental Sterilization Checklist: Equipment & Procedure Validation
Ensure patient safety and regulatory compliance with our comprehensive Dental Sterilization Checklist! Validate equipment performance, confirm procedural accuracy, and minimize infection risk. Download now for a safer, more efficient dental practice.
This Template was installed 2 times.
Pre-Cleaning & Preparation
Initial steps before sterilization, including rinsing, scrubbing, and disassembly.
Date of Pre-Cleaning
Time of Initial Rinse
Description of Visible Debris (e.g., blood, saliva)
Rinsing Solution Used
Rinsing Time (minutes)
Contaminants Removed
Notes on Instrument Condition
Loading the Autoclave/Sterilizer
Ensuring proper loading techniques for optimal sterilization, including tray packing and air removal.
Tray Load Capacity (Max)
Load Type
Tray Orientation
Air Removal Method
Cycle Number/ID (if applicable)
Special Instructions/Notes for Load
Packaging Type
Cycle Parameters Verification
Confirming correct temperature, pressure, and time settings for the sterilization cycle.
Temperature (°C)
Pressure (PSI)
Cycle Time (minutes)
Cycle Type
Load Type
Cycle Completion Date
Cycle Start Time
Autoclave/Sterilizer Maintenance
Routine checks, cleaning, and maintenance of the sterilizer equipment.
Last Preventative Maintenance Date
Water Reservoir Level (inches)
Notes on Visual Inspection (e.g., corrosion, leaks)
Air Pump Pressure (PSI)
Filter Replacement Status
Next Scheduled Maintenance Date
Any unusual sounds during cycle?
Biological Indicator Testing
Validation of sterilization effectiveness using biological indicators (e.g., spore tests).
Date of Biological Indicator Test
Time of Biological Indicator Test
Type of Biological Indicator
Lot Number of Biological Indicator
Incubation Temperature (°C)
Notes/Observations during incubation (e.g., unusual growth)
Result
Image of Biological Indicator (if applicable)
Signature of Person Performing Test
Chemical Indicator Monitoring
Checking for proper sterilization using chemical indicators on each load.
Indicator Type (e.g., MSD, Bowie-Dick)
Indicator Result
Lot Number/Batch ID (if applicable)
Date of Monitoring
Time of Monitoring
Comments/Observations (e.g., discoloration, reading)
Photo of Indicator (optional)
Loading and Unloading Procedures
Safe handling and segregation of sterilized and non-sterilized instruments.
Number of Instrument Trays Loaded
Instrument Tray Orientation (Check all that apply)
Air Removal Method
Time of Unloading
Notes on Loading/Unloading Process (e.g., unusual observations)
Packaging Type (for Unloading)
Storage Location of Sterilized Instruments
Record Keeping & Documentation
Maintaining accurate records of sterilization cycles, indicator results, and equipment maintenance.
Cycle Date
Cycle Start Time
Cycle Number
Sterilizer Type
Biological Indicator Result
Biological Indicator Report (Optional)
Notes/Comments
Operator Signature
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