Fire Safety Calibration Report Form
Submit detailed calibration information for fire safety equipment.
Equipment Type
*
Please Select
Fire Extinguisher
Smoke Detector
Fire Alarm Panel
Sprinkler System
Emergency Lighting
Other
Equipment Identification Number
*
Location of Equipment
*
Date of Calibration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Calibration Status
*
Passed
Failed
Requires Maintenance
Technician Name
*
First Name
Last Name
Next Calibration Due Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Condition
*
Good
Needs Repair
Replace Soon
Actions Taken During Calibration
Adjusted Settings
Cleaned Equipment
Replaced Parts
Tested Operation
Other
Remarks or Additional Notes
Submit Calibration Report
Should be Empty: