Treatment and Disposal of Biohazardous Waste
UBC.RMS.ENV.001.PRO
Date of Issue:
Procedure
Autoclave Facilities Sample Monthly Inspection Checklist
13.09.26
Building name:
Room #:
Autoclave Make & Model:
Unit Serial #:
Inspection date
Inspector’s contact information:
 Name
 Phone
 E-mail
Instructions:
1.
2.
3.
4.
5.
Complete inspection on a monthly basis.
Inspect each item on the checklist and check Yes box ( ) if satisfactory or No if unsatisfactory.
For unsatisfactory items, describe the deficiency in the Comments section.
Take actions or make necessary recommendations to correct the deficiencies.
Submit a copy of the completed checklist to RMS at the end of each month, through the
autoclave.report@ubc.ca email
Checklist Items
Yes
No
1. Does the room have a controlled Access?
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2. Room is open but area/floor is controlled
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3. Is the area inspected monthly?
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4. Record of inspection is up-to-date?
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5. The area is free of spills and leaks?
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6. Autoclave cycles are recorded on autoclave logs?
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7. Autoclave Charts are kept on file?
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8. Written autoclave logs contain all required
information?
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9. Has the autoclave unit been tested with
biological indicator (BI) monthly?
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Date BI was tested (mm-dd-yyyy)
Comments
If YES please provide date and serial # below.
Vial lot (serial) #
10. Was the test successful this month?
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11. Were the BI test parameters
(temperature=121°C, time=60min,
pressure=15psi) noted on the autoclave log?
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Inspector’s signature: ______________________________