Rangefinder Accuracy Inspection Form
Use this form to inspect a rangefinder, record test conditions and readings, evaluate accuracy, and document the final result.
Device and Inspection Details
Device Model / Name
*
Serial or Asset Number
*
Manufacturer
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
Inspection Location
*
Inspection Type / Reason
*
Routine Check
Pre-use Inspection
Post-repair Inspection
Calibration Verification
Other
Environmental Conditions
Ambient Temperature (°C)
*
Lighting Condition
*
Indoor
Outdoor Daylight
Low Light
Mixed
Target Distance Used for Testing (m)
*
Target Type
*
Please Select
Reflective Target
Flat Wall
Survey Target
Other
Environmental Notes
Accuracy Test Results
Test Shots / Readings
*
Overall Accuracy Status
*
Please Select
Pass
Marginal
Fail
Maximum Acceptable Tolerance
*
Accuracy Rating
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Reference Standard Used
Inspection Findings and Corrective Action
Observed Issues
*
Condition of Lens, Display, Buttons, and Controls
*
Clean
Dirty
Damaged
Malfunctioning
Unreadable
Other
Corrective Action Taken or Required
*
Final Disposition
*
Approved for Use
Requires Recalibration
Requires Repair
Removed from Service
Inspector Conclusion
Inspector Conclusion / Comments
*
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: