Chronometer Evaluation Form
Evaluate the performance and condition of a chronometer. Please complete all sections for a thorough review.
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator Name
*
Chronometer Brand
*
Model / Reference Number
*
Serial Number
Visual Condition
*
Excellent
Very Good
Good
Fair
Poor
Accuracy Test Result (seconds gained/lost per day)
*
Functional Checks Passed
*
Winding mechanism
Setting mechanism
Chronograph start/stop/reset
Power reserve
Other (specify below)
Noted Issues or Defects
Overall Performance Rating
*
1
2
3
4
5
Additional Comments
Submit Evaluation
Should be Empty: