DI
MONITORING LOG

RAI Facility:

Date
(M/D/Y)

Time*

Reason for DI use          (Backup/Polish)

Above 1 megOhm post
primary tank? YES/NO     (check light)

DI Quality Meter
(record value)

D
Pressure across Endotoxin Filter                 (> 2 - <
15 psi)

DI Tanks changed? YES/NO

Comments/Staff
Signature

* Complete
check and document prior to each patient shift

File
completed form in facility's Water/Technical Master File