Imaging Quality Inspection Checklist Form
Complete this checklist to assess imaging output quality and inspection status. Please review each item carefully before submitting the form.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the image clarity acceptable?
*
Yes
No
Rate the overall image quality
*
1
2
3
4
5
Select any defects observed
Blurriness
Incorrect color
Artifacts or noise
Incomplete capture
Other
Is the color accuracy within acceptable limits?
*
Yes
No
Does the image meet all required specifications?
*
Yes
No
Inspection Result
*
Pass
Fail
Additional Comments
Submit Inspection
Should be Empty: