A Calibration Master List Example

XYZ Company

Equipment "Out of Specification" Notice

The following equipment was found to be out of specification:

Type:________________________ Manufacturer:______________________

Serial Number:_________________ Date Error Discovered: ______________

By: _________________________

Test Results: (Required vs. Actual)

_______________, ___________________, ______________, ___________

Disposition: ____________________________________________________ ______________________________________________________________ ______________________________________________________________

Quality Manger: _____________________________ Date: ____________

Calib2004 Rev. A

XYZ Company

Page 1 of 1

Issue Date: 9/02/2004

Approved By: __________________
(Title)

This form can be computer generated and has two forms per 8" x 11" page to conserve space. The most important element which must be taken into consideration when using this form is: what constitutes "out of tolerance?" This must be defined within the individual calibration work instruction for each instrument identified on the Master Equipment List (CALIB-2001).