ÌÎÇ ÓÊÐÀ¯ÍÈ                                                                                                             Ìåäè÷íà äîêóìåíòàö³ÿ
 ÍÀÇÂÀ ÓÑÒÀÍÎÂÈ                                                                                                    Ôîðìà N
                                                                                                                                      Çàòâåðäæåíà ÌÎÇ Óêðà¿íè
 
ÐÎÁÎ×ÈÉ ÆÓÐÍÀË
ðåºñòðàö³¿ ðåæèìó ðîáîòè ñòåðèë³çàòîð³â
 
 Ðîçïî÷àòèé "__"_________200_ ð.                                                                 Çàê³í÷åíèé "__"_________200_ ð.
 
 Âêàçàòè íîðìàòèâíî-òåõí³÷íó äîêóìåíòàö³þ
 êîíòðîëþ ðîáîòè ñòåðèë³çàòîð³â:
 1. ____________________________
 2. ____________________________
 3. ____________________________
 
 
Ðåºñòðà-ö³éíèé íîìåð
Äàòà ñòåðè-ë³çàö³¿
Óñòàíîâà (â³ää³ë)
Ìàðêà, N ñòåðèë³-çàòîðà
Âèðîáè, ùî ï³äëÿãàþòü ñòåðèë³çàö³¿
Óïà-êîâêà
Òåðì³í ñòåðèë³çàö³¿, õâ.
Ðåæèì
Òåñò-êîíòðîëü
ϳäïèñ îñîáè, ÿêà ïðîâî-äèëà ñòåðè-ë³çàö³þ
ϳäïèñ îñîáè, ÿêà îòðèìàëà ñòåðèëü-íèé ìàòåð³àë
íàéìå-íóâàí-íÿ
ê³ëü-ê³ñòü øò.
ïî÷à-òîê
ê³íåöü
òèñê Ìïà (êãñ/êâ. ñì)
òåìïå-ðàòóðè, îÑ
ô³çè÷-íèé
õ³ì³÷-íèé
áàêòå-ð³î ëîã³÷-íèé
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