Weight Scale Accuracy Assessment Form
Complete this form to evaluate and record the accuracy of a weight scale based on structured test measurements.
Scale Model / Identification
*
Location of Scale
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
Weight Test Results
*
Rows
Reference Weight (kg)
Measured Weight (kg)
Deviation (kg)
Test 1
Test 2
Test 3
Test 4
Test 5
How would you rate the overall accuracy of the scale?
*
1
2
3
4
5
Does the scale pass the accuracy criteria?
*
Pass
Fail
Is the scale display clear and easy to read?
*
1
2
3
4
5
Are there any visible signs of damage or wear?
*
No
Yes (please specify below)
Additional Observations or Comments
Submit Assessment
Should be Empty: