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Download this template to use for collecting records related to maintaining sterilization.

Ontario Regulation 136/18 Personal Service Settings states that owners/operators of personal service settings who use sterilizers for re-usable critical equipment MUST keep sterilization records. All fields must be filled out completely.

Records must be kept onsite for at least 1 year, and in a secure location for 2 years afterwards.

DATE/TIME

STERILIZER

EQUIPMENT

MAINTENANCE

BIOLOGICAL INDICATOR TEST

Date/Time of sterilizer use:

E.g. July 1st, 2019, 9:00AM

Name of sterilizer

E.g. Prestige Pro Medical Tattoo Autoclave

Equipment reprocessed

E.g. Hildbrandt Standard Tattoo Needles

Maintenance or repairs

E.g. Calibration or re-testing

Tests or checks

E.g. Bi-weekly spore test