Name of the Instrument-- Range : Identification No---
Acceptance Criteria – Calibration Frequency –
Year of Purchase – Issued to -
Sr Calibration date Next Calibration due Certificate no Actual Error and
No date Acceptance Status Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair Actual Error : Accepted Not Accepted/ Repair
INSTRUMENT FITNESS VERIFICATION DETAILS
1ST Quarter 2ND Quarter 3RD Quarter 4TH Quarter
Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date
Rev. No. Revision details W.E.F
01 Fitness verification details added 15.09.17 1ST Quarter 2ND Quarter 3RD Quarter 4TH Quarter Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date
1ST Quarter 2ND Quarter 3RD Quarter 4TH Quarter
Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date ST ND RD 1 Quarter 2 Quarter 3 Quarter 4TH Quarter Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date ST ND RD 1 Quarter 2 Quarter 3 Quarter 4TH Quarter Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date ST ND RD 1 Quarter 2 Quarter 3 Quarter 4TH Quarter Year No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date ST ND RD Year 1 Quarter 2 Quarter 3 Quarter 4TH Quarter No Dent No Dent No Dent No Dent No Damages No Damages No Damages No Damages No Re Calibration No Re Calibration No Re Calibration No Re Calibration No Repair No Repair No Repair No Repair
Rev. No. Revision details W.E.F
01 Fitness verification details added 15.09.17 No Misuse No Misuse No Misuse No Misuse Calibration sticker Calibration sticker Calibration sticker Calibration sticker Identification marks Identification marks Identification marks Identification marks Date Date Date Date