Microscope Inspection Checklist Form
Complete this checklist to document the inspection and maintenance of microscopes.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Microscope Identification Number
*
Overall Cleanliness of Microscope
*
Clean
Some Dust
Dirty
Inspection Checklist
Condition of Objective Lenses
*
1
2
3
4
5
Mechanical Operation (Stage, Focus, Adjustment Knobs)
*
Fully Functional
Minor Issues
Needs Repair
Light Source Functionality
*
Working Properly
Flickering
Not Working
Inspection Details Table
Rows
Pass
Fail
Not Applicable
Eyepieces
1
2
3
Stage
4
5
6
Condenser
7
8
9
Coarse Focus
10
11
12
Fine Focus
13
14
15
Comments or Observations
Submit Inspection
Should be Empty: