Pass Fail Retest Testing Frequency: Quarterly Semiannually Annually Test EHS # Make Date Building Room # Model Serial Dept. Contact # EHS Lab MSU Staff Tech Id Testing Conditions Internal Use Only Test # Posted Actual Pressure Black (Pass) Inside Box White (Fail) (PSI) Temperature Black (Pass) Outside Box White (Fail) (note °F or °C) Time Purple (Pass) Ampule at 24 Hours Yellow (Fail) (Minutes) Cycle Control Ampule at 24 hours Purple (Fail) Yellow (Pass) (if available) (un-autoclaved ampule) Usage Information 1-5 How frequently is it used for Internal Use Only 5-10 decontaminating waste per week? 10 + Single Lab Used by multiple labs? Entered into Filemaker Multiple Labs Media What is sterilized in autoclave? Stickers Delivered/Sent Equipment Waste Trainer for new employees on use of Memo Sent autoclave? NOTES:
Pass Fail Retest Testing Frequency: Quarterly Semiannually Annually Test Date EHS # Make Building Room # Model Dept. Contact Serial # EHS Staff Lab Tech MSU Id Testing Conditions Test # Posted Actual Internal Use Only Pressure (PSI) Inside Box Black (Pass) White (Fail) Temperature (note °F or °C) Outside Box Black (Pass) White (Fail) Time (Minutes) Ampule at 24 Hours Purple (Pass) Yellow (Fail) Cycle (if available) Control Ampule at 24 hours (un-autoclaved ampule) Purple (Fail) Yellow (Pass) Usage Information How frequently is it used for decontaminating waste per week? 1-5 5-10 10 + Internal Use Only Used by multiple labs? Single Lab Multiple Labs Entered into Filemaker What is sterilized in autoclave? Media Equipment Waste Stickers Delivered/Sent Trainer for new employees on use of autoclave? Memo Sent NOTES:
autoclave-testing-checklist.docx