SECTION A: RESOURCES
S.NO. CHECKPOINTS YES/NO
(COMMENTS)
1. There is a dedicated department of CSSD.
2. Dedicated and Full-time officer in Charge of CSSD.
(Surgeon/ Anaesthetist/OT Technician).
3. Unidirectional flow without any crisscrossing or
backtracking
4. ‘Zoning Concept’ with defined and demarcated Dirty,
Clean and Sterile Zone.
5. Adequate space to carry out various processes of
sterilisation (cleaning, washing, sterilization, package,
storing and dispatch) and meet the daily and emergency
requirements of the facility.
6. Signage (internal demarcated area signages)
7. Separate receiving and dispatching window/ area
8. The facility has a separate area for soiled linen and
instruments
9. Well-demarcated areas for decontamination, preparation,
sterilization and storage
10. Availability of equipment
11. Uninterrupted water and electricity supply 24*7 with
power backup.
12. Floors and wall surfaces are easily cleanable
13. Lighting adequate for all work areas (300- 500 lux)
14. Decontamination sink of adequate size (internal: 380mm
x 340mm) is present for soaking, cleaning and rinsing
15. Notice board for mentioning duty roster, sterilization
chart, quality checklists etc.
MANPOWER
S.NO. CADRE NUMBER SHIFT
1
1. CSSD In-Charge
2. CSSD Technician
3. Sanitation Staff
4. Others
REGISTERS/RECORDS MAINTAINED
S.NO. NAME OF THE KEY FREQUENCY OF
REGISTER INFORMATION UPDATING
RECORDED IN
THE REGISTER
1. CSSD autoclave
Register
2. Receipt Register
3. Handing over &
taking over
4. Issue Register
5. Indent Book
6. Inventory/ Stock
book
7. Attendance Register/
Biometric
2
SECTION B: PROCESS
S.NO. CHECKPOINT YES/NO
(COMMENTS)
1. SOPs for CSSD are available and the SOPs adequately
describe the processes of CSSD
2. SOPs adequately describe the process of Transfer of
unsterile items from the user department to CSSD.
3. Staff follows and adheres to the same, in day-to-day
practices
4. SOP adequately describes the process of Transfer of sterile
items from CSSD to user departments
5. Staff follows and adheres to the same, in day-to-day
practices.
6. SOP adequately describes the process of a Standardized list
of the contents of sets/trays for various procedures.
7. Staff maintains and adheres to the same, in day-to-day
practices
8. SOP adequately describes the process of Sterilization
process for different categories of items. (equipment, rubber
materials, catheter).
9. Staff follows and adheres to the same, in day-to-day
practices
10. SOP adequately describes the Complete process cycle from
start to finish (washing, cleaning, sterilization, storage and
issue).
11. Staff follows and adheres to the same, in day-to-day
practices including
• Drying, packaging and labelling of items
• Application of Autoclave indicator
• Setting up autoclaving parameters (Preheating & loading,
ensuring time, temperature and pressure) / different for linen
and equipment/different for packed and open items)
3
• Unloading and storing in a sterile area/rack
12. SOP describes the process of Internal validation of the
sterilization process
13. Staff follows and adheres to the same, in day-to-day
practices (heat sensitive indicators strips, Bowie-Dick Test)
14. Soiled items are contained during transportation (closed
drums/packed/ enclosed in tray)
15. Appropriate personal protective equipment (PPE) is used in
the entire procedure of sterilization
16. Cleaning agents are used according to the manufacturer’s
instructions
17. Appropriate manual/ mechanical cleaning methods are used
for decontamination Inspection for functionality,
defects/breakage is been done
18. Fixing of shelf life of different sterile items. System of
recall of items from the user department, if their sterile
status is in doubt. Sterile items are stored in a way to
facilitate First-In First-Out (FIFO). SOP for maintenance
and calibration of equipment.
19. There is a separate register/records for various activities on
daily basis of the following: Each cycle of autoclave
Maintenance and breakdown of equipment Stock
maintenance for the consumables Recording fumigation
details Periodic cleaning of the autoclave and other
equipment like drums, shelves sterilization defects
20. Regular training of the staff on carrying out various
processes of sterilisation, infection control practices,
Biomedical Waste Management, troubleshooting of
equipment, handling instruments, record keeping and
reporting mechanism etc.
4
SECTION C: OUTPUT
S.NO CHECKPOINTS COMMENTS
.
1. Number of sterilisation cycle per day/autoclave
2. Percentage of cycles wherein standards norms
of temperature, pressure and time were adhered
to and recorded.
3. Number of sterilisation failure cases noted/day
