Maintenance Log Sheet

Month:	_________________________

Year:	_________________________

Daily: Clean test table with distilled water after last patient sample.
Date and Initial box when procedure was performed

As needed: Perform the following on an as needed basis.
Date, Initial and indicate the initials of procedure performed. Wipe exterior (WE) Disinfect reagent feed table (DT) Check calibration Bar (CB)
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Note: Maintenance requirements for each laboratory must be assessed individually. Use this log sheet as a guide. It is good laboratory practice to properly maintain your instrument.

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