No.
: BMJ - INS - 1003
PT. BHATINI MITRA JAYA Rev. : 0
Date : 29-Aug-19
SWITCH CALIBRATION RECORD FORM
Page : 1 Of 1
INSTRUMENT SPECIFICATION CALIBRATION DATA
Tag No. : Calibration No. :
Service : Calibration Date :
Model : Expired Date :
Manufacture : Accuracy :
Range :
Set :
STANDARD CALIBRATOR
Input :
output :
CALIBRATION DATA
BEFORE CALIBRATION BEFORE CALIBRATION
CONNECTION
INPUT SWITCH CONTACT SWITCH CONTACT
NC/NO Reset On/Off Set On/Off Hysterisis Reset On/Off Set On/Off Hysterisis
CALIBRATION RESULT
OK
Out of Tolerance
NOTE
APPROVAL
Calibrated by Checked by Approved by
Yunus
0
ARRIVAL AFTER CLEANNING
OVERHAUL OVERHAUL
AFTER RE ASSEMBLY LEAK TEST
BEFORE CALIBRATION AFTER CALIBRATION