STERILIZATION EQUIPMENT VALIDATION CHECKLIST Created by ChecklistGuro (https://checklistguro.com) --- DOCUMENT CONTROL & PLANNING --- [ ] Validation Protocol Number [ ] Protocol Creation Date [ ] Protocol Review Date [ ] Document Status (Draft/Approved/Revoked) (Draft, Approved, Revoked) [ ] Document Scope & Objectives [ ] Approved Protocol Document (PDF) [ ] Validation Phase (Planning/Execution/Reporting) (Planning, Execution, Reporting) [ ] Deviation Handling Procedure Reference [ ] Protocol Approver Signature --- EQUIPMENT IDENTIFICATION & DESCRIPTION --- [ ] Equipment Name [ ] Manufacturer [ ] Model Number [ ] Serial Number [ ] Detailed Equipment Description (including configuration) [ ] Capacity (e.g., number of trays) [ ] Cycle Type(s) Validated (e.g., Gravity, Steam Flush, Vacuum) (Gravity, Steam Flush, Vacuum, Other (Specify in Long Text)) [ ] Equipment Photos/Diagrams [ ] Any known modifications to the standard equipment configuration --- PERSONNEL & TRAINING --- [ ] Number of Personnel Involved in Validation [ ] Validation Personnel Roles (Validation Lead, Equipment Operator, Quality Assurance, Facility Management) [ ] Brief Description of Personnel Training (e.g., manufacturer training, SOP review) [ ] Date of Personnel Training [ ] Attach Training Certificates/Records [ ] Competency Assessment Performed? (Yes, No) [ ] Details of Competency Assessment (if applicable) [ ] Signature of Validation Personnel (Confirmation of Training and Competency) --- VALIDATION PROTOCOL DEVELOPMENT --- [ ] Protocol Purpose and Scope [ ] Reference Documents (e.g., SOPs, Manufacturer's Instructions) [ ] Number of Validation Runs [ ] Validation Method (e.g., Release, Non-release) (Release, Non-Release) [ ] Types of Indicators Used (e.g., Biological, Chemical) (Biological Indicators, Chemical Indicators, Class 1 Chemical Indicators, Class 1 Rapid Readout Indicators, Class 2 Chemical Indicators) [ ] Date Protocol Prepared [ ] Acceptance Criteria – Sterility Assurance Level (SAL) (10^-6, 10^-3, Other (Specify)) [ ] Specify 'Other' SAL, if applicable [ ] Prepared By --- PRE-VALIDATION EQUIPMENT CHECKS --- [ ] Equipment Serial Number [ ] Date of Last Preventative Maintenance [ ] Time of Equipment Startup for Pre-Validation Check [ ] Voltage Reading (Input) [ ] Pressure Reading (Initial) [ ] Equipment Cycle Type (e.g., Gravity, Steam Flush, Vacuum) (Gravity, Steam Flush, Vacuum, Other) [ ] Description of Pre-Validation Checks Performed [ ] Visual Inspection - Equipment Condition (Excellent, Good, Fair, Poor) [ ] Technician Signature - Pre-Validation Check Completion --- VALIDATION RUNS – BIOLOGICAL INDICATORS (BIS) --- [ ] BI Lot Number [ ] Date of BI Exposure [ ] Time of BI Exposure [ ] BI Incubation Temperature (°C) [ ] BI Incubation Time (hours) [ ] BI Result – Positive/Negative (Positive, Negative) [ ] BI Result Comments (e.g., unusual growth, etc.) [ ] Upload BI Result Image/Documentation [ ] BI Type (e.g., Spore Disc, Strip) (Spore Disc, Spore Strip, Spore Suspension) --- VALIDATION RUNS – CHEMICAL INDICATORS (CIS) --- [ ] Cycle Number [ ] Chemical Indicator Type Used (e.g., MSD, Dye, Integrator) (MSD, Dye, Integrator, Other (Specify in LONG_TEXT)) [ ] If 'Other' indicator type selected, please specify: [ ] Number of Chemical Indicators Used [ ] Indicator Placement (e.g., Inside, Outside, Top, Bottom) (Inside, Outside, Top, Bottom, Other (Specify in LONG_TEXT)) [ ] If 'Other' indicator placement selected, please specify: [ ] Time Indicator Observed (Initial) [ ] Time Indicator Observed (Final) [ ] Photo/Scan of Chemical Indicator Post-Cycle [ ] Indicator Result (Based on Manufacturer Instructions) (Passed, Failed, Uncertain/Unreadable) --- DATA ANALYSIS & EVALUATION --- [ ] BI Spore Count (CFU/mL) [ ] Incubation Temperature (°C) [ ] Incubation Time (hours) [ ] BI Result (Positive/Negative) (Positive, Negative) [ ] CI Result (Passed/Failed) (Passed, Failed) [ ] Summary of Data Analysis [ ] Acceptance Criteria Met? (Yes, No) [ ] Detailed Explanation of Results and Justification (if applicable) [ ] Attach Raw Data Files (e.g., data logs, instrument printouts) --- DEVIATION HANDLING & CORRECTIVE ACTIONS --- [ ] Description of Deviation [ ] Severity of Deviation (Minor, Moderate, Major) (Minor, Moderate, Major) [ ] Root Cause Analysis [ ] Corrective Action(s) Implemented [ ] Date Corrective Action Implemented [ ] Effectiveness Verification of Corrective Action [ ] Verification Status (Satisfactory, Unsatisfactory) (Satisfactory, Unsatisfactory) [ ] Signature of Person Implementing Corrective Action --- VALIDATION REPORT & DOCUMENTATION --- [ ] Report Summary & Conclusion [ ] Validation Protocol Document [ ] Raw Data Files (BI & CI Results) [ ] Number of Validation Cycles Completed [ ] Deviations Encountered (Select all that apply) (None, Parameter Out of Range, Equipment Malfunction, Documentation Error, Other (Specify in Long Text)) [ ] Detailed Description of Deviations & Corrective Actions (If Applicable) [ ] Report Completion Date [ ] Validation Lead Signature [ ] Report Approval Status (Approved, Rejected, Pending Review) --- EQUIPMENT RELOCATION/MAINTENANCE/REPAIR VALIDATION --- [ ] Description of Relocation/Maintenance/Repair Performed [ ] Reason for Relocation/Maintenance/Repair (Routine Maintenance, Equipment Repair, Equipment Relocation, Software Update, Other (Specify in Long Text)) [ ] Date of Relocation/Maintenance/Repair [ ] Time of Relocation/Maintenance/Repair (Start) [ ] Cycle Number on Which Validation was Performed [ ] Pre-Relocation/Maintenance/Repair Equipment Log/Service Records [ ] Software Version (if applicable) [ ] Detailed Description of Post-Maintenance/Repair Checks [ ] Technician Signature - Verification of Work Completion --- PERIODIC REVALIDATION --- [ ] Date of Revalidation [ ] Reason for Revalidation (e.g., Time-based, Equipment Modification, Deviation) (Time-based (Scheduled), Equipment Modification, Process Change, Deviation Identified, Other (Specify)) [ ] Brief Description of Revalidation Activities Performed [ ] Biological Indicator (BI) Records [ ] Chemical Indicator (CI) Records [ ] Number of BI Strips Used [ ] BI Results: All Positive/Negative? (All Negative, All Positive, Mixed Results (Specify)) [ ] Explanation/Details of any Deviation from Expected Results (if applicable) [ ] Reviewer Signature --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/facility-management/sterilization-equipment-validation-checklist (Click "Install Template" to launch your digital inspection tool immediately)