Equipment Selection Checklist
Complete this checklist to ensure all required equipment is selected, inspected, and verified before use.
Equipment Name
*
Equipment ID or Serial Number
*
Equipment Type
*
Please Select
Electrical
Mechanical
Safety
Measurement/Testing
Tools
Other
Quantity Required
*
Selection Criteria
*
Meets technical specifications
Available in inventory
Certified/Calibrated
Safety checked
Other
Equipment Condition
*
New
Good
Needs Maintenance
Requires Replacement
Inspection Checklist
Rows
Checked
Not Applicable
Physical damage
1
2
Operational test
3
4
Labels/markings present
5
6
Accessories included
7
8
Accessories Included
Cables
Adapters
Manuals
Carrying case
Other
Location of Equipment
*
Person Responsible for Selection
*
First Name
Last Name
Date of Selection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes or Comments
Upload Supporting Documents (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Checklist
Should be Empty: