University Laboratory Equipment Inspection Form
Please complete this form to document the inspection of laboratory equipment. Ensure all sections are filled out accurately.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Laboratory Location / Room Number
*
Equipment Name / Type
*
Equipment Serial or Asset Number
*
General Equipment Condition
*
Excellent
Good
Fair
Poor
Inspection Checklist
*
Rows
Pass
Fail
N/A
Cleanliness
1
2
3
Calibration up to date
4
5
6
Safety guards in place
7
8
9
No visible damage
10
11
12
Operational functionality
13
14
15
Labels/markings legible
16
17
18
Additional Comments or Observations
Is maintenance or repair required?
*
No
Yes
If maintenance or repair is required, please describe the issue
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: