Calibration Evaluation Checklist
Complete this checklist to assess if equipment calibration meets operational standards and is ready for use.
Equipment Name or ID
*
Calibration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator Name
*
First Name
Last Name
Calibration Standard or Reference Used
*
Was calibration performed within the required interval?
*
Yes
No
Pre-Check Condition of Equipment
*
Rows
Condition
Cleanliness
1
Physical Integrity
2
Power/Readiness
3
Accessories Present
4
Test Results Against Specified Tolerance
*
Rows
Pass
Fail
Not Applicable
Zero/Start Point
5
6
7
Mid-Range Reading
8
9
10
Full-Scale Reading
11
12
13
Repeatability
14
15
16
Stability
17
18
19
Overall Calibration Pass/Fail Status
*
Pass
Fail
Corrective Actions Required
*
Recalibration Needed
Repair/Service
Replace Parts
No Action Needed
Other
Final Approval or Recommendation
*
Approved for Use
Not Approved for Use
Requires Further Evaluation
Additional Comments or Observations
Submit Checklist
Should be Empty: