ATP Hygiene Monitoring Log Form
Use this form to log ATP hygiene monitoring results and verify operational cleaning. Do not use for sensitive health or medical data.
Monitoring Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Monitoring Time
*
Hour Minutes
AM
PM
AM/PM Option
Location/Area Monitored
*
Surface/Equipment/Item Tested
*
Sample/Reference ID
*
Cleaned/Prep Status Before Test
*
Cleaned and ready
Not cleaned
Partially cleaned
ATP Result Value (RLU)
*
Pass/Fail Status
*
Pass
Fail
Corrective Action Needed (if failed)
Inspector/Monitor Name
*
Submit Log
Should be Empty: