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📋 Quality & Accreditation

NABH 6th Edition CSSD Audit Tool

Evaluate your Central Sterile Services Department compliance across handling, sterilization, storage, recall, and quality control standards.

1. Handling, Collection, and Transport of Contaminated Instruments
Audit Point Compliance Options Score
1.1 Reusable items separated from waste at the point of use.

0/10
1.2 Contaminated disposable items discarded appropriately (including sharps).

0/10
1.3 Gross soil removed from instruments at point of use if immediate transport not possible.

0/10
1.4 Soiled instruments kept moist until transport (moist towel, enzyme foam).

0/10
1.5 Secured, leak-proof, puncture-resistant containers available for soiled instruments.

0/10
1.6 Soiled items contained and covered during transport.

0/10
1.7 Transportation avoids public traffic areas.

0/10
1.8 Dedicated elevators or lifts available and used for soiled instrument transport.

0/10
4. Sterilization and Monitoring
Audit Point Compliance Options Score
4.1 Sterilization cycle parameters followed as per manufacturer instructions.

0/10
4.2 External process indicators (Type 1) applied to all packages.

0/10
4.3 Internal chemical indicators (Type 4, 5, or 6) placed in most challenging area.

0/10
4.4 Biological indicators (BI) used in each sterilizer cycle (especially implants).

0/10
4.5 Sterilizer maintenance (Bowie-Dick tests, vacuum tests) performed regularly.

0/10
4.6 Sterilizer carts loaded correctly (space between items, avoiding overload).

0/10
4.7 Records and registers for sterilization monitoring, including BI and CI results.

0/10
4.8 Availability and implementation of recall procedure for failed cycles.

0/10
5. Sterile Storage and Instrumentation
Audit Point Compliance Options Score
5.1 Written policies for sterile storage (stock rotation, labeling).

0/10
5.2 Sterile storage area temperature and humidity maintained (18-24°C, RH <70%).

0/10
5.3 Items stored at appropriate height (20-25 cm above floor, 45 cm below ceiling).

0/10
5.4 Packaging visually inspected for damage and expiry date before use.

0/10
5.5 First In First Out (FIFO) method used to rotate stock.

0/10
5.6 Records and registers for sterile storage (stock rotation logs, expiry tracking).

0/10
6. Recall Process and Reprocessing of Single-Use Devices
Audit Point Compliance Options Score
6.1 Written policy for recall of sterile items and reprocessing of recalled instruments.

0/10
6.2 Single-use devices identified and managed in compliance with policy/guidelines.

0/10
6.3 SOP for re-use of single-use devices in place, if applicable.

0/10
6.4 SOP for integrity checks and monitoring number of reuses for SUDs.

0/10
6.5 Reprocessing of single-use devices compliant with regulatory guidelines.

0/10
7. Documentation and Other Considerations for Patient Safety & Quality
Audit Point Compliance Options Score
7.1 Documentation maintained for cleaning, sterilization, and equipment calibration.

0/10
7.2 Sterility testing (BIs, CIs) results recorded, and corrective actions taken for failures.

0/10
7.3 Staff competency and training records maintained (with yearly refreshers).

0/10
7.4 Policies ensuring compliance with patient safety protocols integrated with CSSD operations.

0/10
7.5 Records and registers for quality checks and audits (internal audits, quality reports).

0/10

📊 NABH Audit Compliance Summary

• Section 1 (Handling & Transport): 0 / 80

• Section 4 (Sterilization & Monitoring): 0 / 80

• Section 5 (Sterile Storage): 0 / 60

• Section 6 (Recall & SUDs): 0 / 50

• Section 7 (Documentation & Quality): 0 / 50

Overall Score: 0 / 320 (0%)

Compliance Status: Pending Evaluation