Cleaning ATP Verification Log
Document and verify ATP cleanliness testing results for compliance and quality assurance.
Date and Time of Test
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Area/Location Tested
*
Surface or Equipment Tested
*
Test Performed By (Full Name)
*
First Name
Last Name
ATP Meter/Kit Used
*
Please Select
3M Clean-Trace
Hygiena SystemSURE
Charm Science novaLUM
Other
ATP Reading (RLU Value)
*
Pass/Fail Threshold (RLU)
*
Test Result
*
Pass
Fail
Corrective Action Taken (if test failed)
Additional Comments or Observations
Reviewed/Approved By (Full Name)
First Name
Last Name
Signature of Reviewer/Approver
Submit Log
Submit Log
Should be Empty: