Calibration Certificate Review Form template
A checklist in the Equipment and Calibration procedure (PR16), mapped to ISO 15189:2022 clause 6.5. Fill it in whenever the task occurs. Used by the laboratory team.
ChecklistISO 15189 · 6.5As needed
Calculated automaticallyRed = outside limits
Your LaboratoryCalibration Certificate Review Form | YL-LAB-FRM-16-F05 v1.0
Record: Calibration Certificate Review Form — October 2026
EquipmentChemistry analyser
Equipment ID / serialEQ-012
Certificate no.REF-26-001
Calibration provider
Calibration date2026-10-01
Next due2026-10-01
| No. | Requirement | Response | Evidence / comment |
|---|---|---|---|
| 1 | Certificate complete (all pages, signed, dated) | Yes | Within limits |
| 2 | Equipment details correct (ID, serial no., model) | Yes | |
| 3 | Provider accredited to ISO/IEC 17025 for this calibration (accreditation no. on certificate) | Yes | |
| 4 | Metrological traceability stated | No | Within limits |
| 5 | Calibrated within the equipment's range of use | Yes | |
| 6 | At least three calibration points | Yes | |
| 7 | Measurement uncertainty stated | Yes | Within limits |
| 8 | Correction factors stated | Yes | |
| 9 | Results within the laboratory's tolerance (table below) | Yes |
Calibration Points
| No. | Reference value | Equipment reading | Error (reading − reference) | Correction factor | Tolerance ± | Within tolerance? |
|---|---|---|---|---|---|---|
| 1 | 4.95 | 5.10 | 0.15000 | -0.15000 | 7 | Yes |
| 2 | 5.08 | 7.80 | 2.72000 | -2.72000 | 7 | Yes |
| 3 | 4.91 | 7.50 | 2.59000 | -2.59000 | 5 | Yes |
| 4 | 4.99 | 7.30 | 2.31000 | -2.31000 | 8 | Yes |
| 5 | 5.06 | 8.10 | 3.04000 | -3.04000 | 7 | Yes |
| 6 | 5.05 | 3.70 | -1.35000 | 1.35000 | 9 | Yes |
Decision (accept / reject — equipment out of use)Chemistry analyser
New correction factors communicated to staff on0.08
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Reviewed by | |||
| Approved by (Section Head) |
Shaded cells are calculated automatically. Values in red are outside their limits. † marks a corrected value (see Corrections).
Controlled document. Printed copies are uncontrolled unless stamped.Page 1
A4 portrait · first page · showing 15 of 15 rowsExactly as LabToolkit Pro prints it — with your logo and colours
What it records
- Requirement
- Response
- Evidence / comment
- Reference value
- Equipment reading
- Error (reading − reference)
- Correction factor
- Tolerance ±
- Within tolerance?
Sign-off
- Reviewed by
- Approved by (Section Head)
Related templates
- Equipment Inventory List (PR16-F01)
- Equipment Operating List (PR16-F02)
- Equipment Decontamination Form (PR16-F03)
- Equipment Maintenance & Occurrence Log (PR16-F04)
- Interpolation Calculator (PR16-F06)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.