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APPENDIX 10 HELIX TEST DOCUMENTATION FORM
Documentation
For the documentation of sterilization cycles
After the sterilization process the chemical indicator strip that was used in the “Helix Test” should be at-
tached here (the strip comes with an adhesive part). The sterilization process was successful when the
previously yellow marked spots turned to a consistent dark color.
Operator No. 1:______________________ Operator No. 2:_________________________
Operator No. 3:______________________ S/N of the sterilizer ____________
Date
Cycle
No.
Operator
No.
Released
Yes - No
Signature
Chemical indicator
Summary of Contents for Lisa
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