Calibration and Weight Check Form
Please complete all sections to document the calibration and weight verification process accurately.
Device/Equipment Name
*
Device/Equipment ID or Serial Number
*
Device Type/Model
*
Location of Calibration
*
Date and Time of Calibration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Environmental Conditions
*
Rows
Temperature (°C)
Humidity (%)
Before Calibration
After Calibration
Calibration Weights and Results
*
Rows
Standard Weight (g)
Measured Weight (g)
Difference (g)
Pass/Fail
Check 1
Pass
Fail
Check 2
Pass
Fail
Check 3
Pass
Fail
Calibration Procedure or Method Used
*
Comments or Observations
Calibration Status
*
Passed
Failed
Name of Personnel Performing Calibration
*
First Name
Last Name
Signature of Responsible Personnel
*
Submit Calibration Record
Submit Calibration Record
Should be Empty: