Dark Field Inspection Checklist Form

Dark Field Inspection Checklist Form
Complete this form to document and assess all required items during a dark field inspection.
Inspection Reference Number
Inspection Date and Time
MonthDayYear
Date
Hour MinutesAM/PM Option
Inspector Name
First NameLast Name
Inspection Location or Equipment
Checklist: Visual Cleanliness
Checklist: Surface Defects Detected
Checklist: Illumination Adequacy
Severity Rating of Findings

1
2
3
4
5
1 is None, 5 is Severe
Observations and Notes
Corrective Actions Required
Should be Empty:

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