Autoclave Sterilization Log Form
Complete this log for each autoclave sterilization cycle to ensure accurate documentation and compliance.
Operator Full Name
*
First Name
Last Name
Operator Contact (optional)
Department/Unit
*
Autoclave Identifier
*
Sterilization Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Load or Cycle Reference Number
*
Load Contents / Instrument Type
*
Packaging / Load Description
*
Cycle Type / Sterilization Method
*
Please Select
Gravity
Pre-vacuum
Flash
Steam
Other
Cycle Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Cycle End Time
*
Hour Minutes
AM
PM
AM/PM Option
Cycle Temperature (°C)
*
Cycle Pressure (kPa or psi)
*
Exposure/Hold Time (minutes)
*
Indicators Used
*
Chemical Indicator
Biological Indicator
Tape Indicator
Other
Indicator Result
*
Please Select
Pass
Fail
Not Applicable
Final Cycle Outcome / Status
*
Please Select
Successful
Unsuccessful
Aborted
Other
Notes / Remarks (issues, deviations, corrective actions)
Submit Log Entry
Should be Empty: