Medical Equipment Calibration Checklist
Ensure patient safety & regulatory compliance! Download our comprehensive Medical Equipment Calibration Checklist for Facility Management. Stay organized, track schedules, and maintain peak performance of vital medical devices. Free, printable & customizable!
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Equipment Identification & Information
Details for confirming the correct equipment is being calibrated and recording calibration details.
Equipment Name
Manufacturer
Model Number
Serial Number
Asset/Equipment Tag Number
Date of Installation/Commissioning
Equipment Location (Room/Department)
Equipment Status (Operational, Awaiting Repair, Out of Service)
Calibration Scope & Standards
Defines what parameters are being calibrated and the standards used for comparison.
Equipment Name/Model
Serial Number/Asset Tag
Calibration Parameters
Calibration Standard Used
Specify Calibration Standard (If 'Other')
Acceptance Criteria Tolerance (%)
Date Standard Valid Until
Upload Calibration Standard Certificate
Pre-Calibration Checks & Assessment
Initial checks of the equipment's condition and functionality before calibration begins.
Date of Pre-Calibration Check
Equipment Name/Model
Equipment Serial Number
Visual Inspection Notes (Damage, Leaks, Wear)
Initial Reading (Parameter 1) - As Found
Initial Reading (Parameter 1) - Unit
Equipment Functionality - Pre Calibration
Any Concerns/Issues Noted Before Calibration
Calibration Procedure
Step-by-step process followed during the calibration.
Step 1: Power On and Warm-Up
Step 2: Ambient Temperature (°C)
Step 2: Ambient Humidity (%)
Step 3: Selected Calibration Mode (e.g., Auto, Manual)
Step 4: Describe any specific setup required for calibration.
Step 12: Input 1 value (Units)
Step 21: Input 2 value (Units)
Calibration Results
Detailed records of the measurements taken during the calibration process.
Measured Value 1 (e.g., Temperature)
Measured Value 2 (e.g., Pressure)
Measured Value 3 (e.g., Volume)
Uncertainty of Measurement (Value 1)
Uncertainty of Measurement (Value 2)
Uncertainty of Measurement (Value 1)
Pass/Fail Status
Notes/Comments on Results
Adjustment & Correction
Records of any adjustments made to the equipment to bring it within tolerance.
Detailed Description of Adjustments Made
Adjustment Value (e.g., % or units)
Initial Reading Before Adjustment
Final Reading After Adjustment
Adjustment Method Used
Justification for Adjustment (if applicable)
Was Tolerance Achieved?
Reason for Not Achieving Tolerance (if applicable)
Signature of Technician Performing Adjustment
Date of Adjustment
Post-Calibration Verification
Verification of calibration accuracy after adjustments are made.
Verification Measurement 1 (Value)
Verification Measurement 1 (Units)
Verification Measurement 2 (Value)
Verification Measurement 2 (Units)
Verification Result: Within Tolerance?
Notes on Verification (if applicable)
Date of Verification
Time of Verification
Documentation & Reporting
Record of certificate and documentation review.
Calibration Certificate (Uploaded)
Review of Certificate: Completeness & Accuracy
Certificate Validity?
Notes/Comments on Certificate Review (if applicable)
Date of Certificate Review
Reviewer Signature
Calibration Schedule & Follow-up
Planning for next calibration and tracking completion.
Date of Last Calibration
Next Calibration Due Date
Calibration Interval (in months/years)
Calibration Performed By (Internal/External)
Notes/Comments Regarding Calibration Schedule & Follow-up
Calibration Status
Date Calibration Reminder Sent
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