Industrial Measurement Equipment Inspection Checklist Form
Document the inspection of industrial measurement equipment and record findings and action status.
Equipment Name
*
Equipment Serial Number or ID
*
Location of Equipment
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Inspection Checklist
*
Physical condition satisfactory
Calibration up to date
Safety features operational
Clean and free of debris
Rate the following aspects
*
Rows
Excellent
Good
Fair
Poor
Measurement accuracy
1
2
3
4
Display/Readout clarity
5
6
7
8
Response time
9
10
11
12
Stability during operation
13
14
15
16
Defects or Issues Noted
Action Taken / Status
*
Please Select
No action required
Repaired on site
Sent for calibration
Removed from service
Other
Final Inspection Outcome
*
Passed
Passed with conditions
Failed
Submit Inspection
Should be Empty: