IVD Machine Calibration Survey
Help us ensure quality and compliance by completing this calibration survey for IVD machines.
Machine Identification
*
Machine Model / Type
*
Calibration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Operator Name
*
First Name
Last Name
Operator Contact Email
*
example@example.com
Calibration Steps Checklist
*
Rows
Completed
Visual inspection
1
Functional test
2
Reagent check
3
Temperature calibration
4
Software update check
5
Calibration Step Result
*
Rows
Pass
Fail
Visual inspection
6
7
Functional test
8
9
Reagent check
10
11
Temperature calibration
12
13
Software update check
14
15
Rate the overall calibration process
*
1
2
3
4
5
How would you rate the ease of following the calibration protocol?
*
Very Difficult
1
2
3
4
Very Easy
5
1 is Very Difficult, 5 is Very Easy
Were any issues encountered during calibration?
*
No issues
Minor issues (did not affect calibration)
Major issues (affected calibration)
Other (please specify)
Additional comments or suggestions
Submit Survey
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