Inspection Record
Year
Date
By
Seal
Check
Head/
Tube
Fit OK
PTFE
Stoppers
OK
Glass
Tube Fit
OK
1
2
3
4
5
RETURN FOR 5 YEAR CALIBRATION
6
7
8
9
10
RETURN FOR 5 YEAR CALIBRATION
11
12
13
14
15
RETURN FOR 5 YEAR CALIBRATION
16
17
18
19
20
RETURN FOR 5 YEAR CALIBRATION
16