Non-Contact Measurement System Inspection
Complete this form to document the inspection of a non-contact measurement system, including equipment details, inspection criteria, and findings.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Inspection
*
System/Equipment ID
*
Type of Non-Contact Measurement System
*
Please Select
Laser Measurement
Ultrasonic Sensor
Optical Sensor
Infrared Sensor
Other
System Operational Status
*
Operational
Requires Maintenance
Out of Service
Inspection Checklist
*
Rows
Pass
Fail
N/A
Sensor Alignment
1
2
3
Power Supply
4
5
6
Signal Output
7
8
9
Mounting Integrity
10
11
12
Calibration Status
13
14
15
Rate the Overall Performance of the System
*
1
2
3
4
5
Issues Identified (if any)
Corrective Actions Taken
Additional Comments
Upload Supporting Photos or Documents
Upload a File
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Choose a file
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of
Inspector Signature
*
Submit Inspection
Submit Inspection
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