Equipment Quality Standards Checklist Form
Inspect and verify equipment against quality standards. Please complete all sections to ensure a thorough review.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Name or ID
*
Location of Equipment
*
Inspector Name
*
First Name
Last Name
Physical Condition
*
Pass
Fail
Needs Attention
Functionality Test
*
Pass
Fail
Needs Attention
Calibration Status
*
Up to Date
Out of Date
Not Applicable
Cleanliness
*
Clean
Requires Cleaning
Safety Features Present and Functional
*
Yes
No
Not Applicable
Additional Comments or Notes
Submit Inspection
Should be Empty: