Glock Inspection Form
User Name
First Name
Last Name
User's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Glock Model
Please Select
Glock 22
Glock 23
Glock 27
Weapon's Serial Number
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
User's Signature
INSPECTIONS & EVALUATIONS
General Situation
Rows
Fail
Pass
N/A
Notes
1. Component parts are correct.
1
2
3
2. Empty magazine lock does slide back.
4
5
6
3. Engagement.
7
8
9
4. External visual inspection.
10
11
12
5. Locking up and Unlocking working properly.
13
14
15
6. Trigger pull working properly.
16
17
18
7. Trigger reset check working properly.
19
20
21
8. Trigger safety check working properly.
22
23
24
A. Detail Stripped Exam
1. Extractor
Rows
Fail
Pass
N/A
Notes
1. Situation of the extractor.
25
26
27
2. Upgrade present.
28
29
30
2. Extractor Depressor Plunger Assembly
Rows
Fail
Pass
N/A
Notes
1. Faultless spring-loaded bearing.
31
32
33
2. Installed properly.
34
35
36
3. Spring straight and undamaged.
37
38
39
3. Firing Pin Assembly
Rows
Fail
Pass
N/A
Notes
1. Correct firing pin.
40
41
42
2. Firing pin channel liner.
43
44
45
3. Firing pin spring.
46
47
48
4. Firing pin spring cups.
49
50
51
5. Nose chipped or broken.
52
53
54
6. Spacer sleeve.
55
56
57
7. Upgrade present.
58
59
60
4. Firing Pin Safety
Rows
Fail
Pass
N/A
Notes
1. Firing pin safety spring in place.
61
62
63
2. Firing pin safety test.
64
65
66
3. Upgrade present.
67
68
69
5. Locking Block
Rows
Fail
Pass
N/A
Notes
1.Check & Control.
70
71
72
6. Locking Block Pin (Upgrade)
Rows
Fail
Pass
N/A
Notes
1. Check & Control.
73
74
75
7. Magazine
Rows
Fail
Pass
N/A
Notes
1. Correct for pistol.
76
77
78
2. Follower, cracked, broken.
79
80
81
3. Spring-correct, undamaged.
82
83
84
4. Tube-lips damaged.
85
86
87
8. Slide Cover Plate
Rows
Fail
Pass
N/A
Notes
1. Check & Control.
88
89
90
9. Trigger Mechanism Housing
Rows
Fail
Pass
N/A
Notes
1. Connector tight.
91
92
93
2. Ejector condition.
94
95
96
10. Trigger Pin
Rows
Fail
Pass
N/A
Notes
1. Check & Control.
97
98
99
11. Trigger Spring (Installed Correctly)
Rows
Fail
Pass
N/A
Notes
1. With proper connector.
100
101
102
12. Trigger with Trigger Bar
Rows
Fail
Pass
N/A
Notes
1. Correct for the pistol.
103
104
105
2. Unusual wear.
106
107
108
Other Findings & Comments (About Detail Stripped Exam)
B. Field Stripped Exam
1. Barrel
Rows
Fail
Pass
N/A
Notes
1. Barrel bulged.
109
110
111
2. Condition of lugs.
112
113
114
3. Cracks at muzzle or chamber.
115
116
117
4. Longitudinal cracks.
118
119
120
2. Receiver
Rows
Fail
Pass
N/A
Notes
1. Condition of rails.
121
122
123
2. Correct ejector.
124
125
126
3. Magazine catch.
127
128
129
4. Receiver cracks.
130
131
132
5. Slide lock. (up & to the rear)
133
134
135
6. Slide stop lever tension.
136
137
138
3. Recoil Spring Assembly
Rows
Fail
Pass
N/A
Notes
1. Check & Control.
139
140
141
4. Slide
Rows
Fail
Pass
N/A
Notes
1. Condition of brass deposits. (excessive or not)
142
143
144
2. Condition of Grooves.
145
146
147
3. Cracks, especially under the ejection port.
148
149
150
3. Situation of extractor clearance. (tidy or not)
151
152
153
4. Front Sight pin/screw present.
154
155
156
5. Guide ring.
157
158
159
6. Inspections of Sights/Night Sights.
160
161
162
7. Situation of extractor clearance. (tidy or not)
163
164
165
8. Slide stop lever notch.
166
167
168
Other Findings & Comments (About Field Stripped Exam)
Inspection Agency
Inspection Agency's Phone Number
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Format: (000) 000-0000.
Inspector's Name
First Name
Last Name
Inspector's Signature
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