Free Sterilization Log Template
Sterilization Log
Date:[Date]
Prepared by: [Your Name]
Company: [Your Company Name]
Subject: Dental Clinic Sterilization Log
The consistent sterilization of dental instruments is fundamental for ensuring the safety of both patients and clinic personnel. Each entry represents a completed sterilization cycle.
|
Date |
Time |
Person Responsible |
Cycle Used |
|---|---|---|---|
|
August 11, 2059 |
08:00 AM |
Dr. Smith |
Steam Autoclave |
|
August 11, 2059 |
09:30 AM |
Nurse Johnson |
Dry Heat Sterilizer |
|
August 11, 2059 |
10: 00AM |
Dr. Lee |
Chemical Disinfection |
|
August 15, 2059 |
07:30 AM |
Dental Assistant |
Ultrasonic Cleaner |
|
August 15, 2059 |
08:00 AM |
Dr. Patel |
Steam Autoclave |
|
August 15, 2059 |
10:00 AM |
Nurse Thompson |
Dry Heat Sterilizer |
|
August 16, 2059 |
01:00 PM |
Dr. Rodriguez |
Chemical Disinfection |
|
August 16, 2059 |
03:00 PM |
Dental Assistant |
Ultrasonic Cleaner |
Reminders:
-
Sterilization must be performed twice daily: once before the clinic opens and once after it closes.
-
The individual responsible for the procedure must verify the sterilization settings before initiating the cycle to ensure efficacy and safety.
-
Ensure all instruments are properly cleaned before sterilization.
-
Monitor sterilization equipment for maintenance and calibration regularly.
