Seal Intake Inspection Form
Document the intake and inspection details for seals received for evaluation or service.
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector Full Name
*
First Name
Last Name
Inspection Location
*
Seal Serial or Identification Number
*
Seal Type/Model
*
Seal Manufacturer (if known)
Condition Upon Arrival
*
New/Unused
Used - Good Condition
Used - Damaged
Unknown
Other
Visual Inspection Checklist (select all that apply)
*
No visible wear
Cracks or splits
Deformation
Contamination (oil, dirt, etc.)
Corrosion
Other (please specify)
Rate the Overall Condition of the Seal
*
1
2
3
4
5
Upload Photos of the Seal (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Notes or Observations
Recommended Action
*
Accept for Service
Reject - Not Serviceable
Further Evaluation Needed
Other
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: