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Equipment callibration form

Document number

Certificate number

Requested by

Address

Equipment Measured

Scope

Manufacturer

Model

Serial number

Site

Date recieved

Callibration date

Department

Starting temperature

Ending temperature

Starting ambient pressure

Ending ambient pressure

Starting humidity

Ending humidity

Equipment used

Procedure

Callibration result

Standard Reading(°C)	Test Unit Reading(°C)	Correction(°C)	Action

Equipment service report

Requirement - Test	Verdict	Result - Remark	Action

Results

UUT Indications bar	Reference Readings bar	Deviations bar	Expanded Uncertainty (k=2) ± bar	Required Tolerance ± bar	Achieved Tolerance ± bar	Conformity ± bar	Action