Instrument verification certificate

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Equipment

Customer

Kystarbeid AS

Location

Chamber Container

Producer

3D instruments

Model

Pneumo Gauge

Build year

Serial no

Entrylock

Service interval (months)

Certificate type

Calibration Certificate

Calibration tracability

Calibration instrument

Calibration Instrument verified against

Instrument & range

Instrument tested

Instrument serial no

Customer instrument tag (optional)

Input basis

Range

Full scale

msw

Bar → msw factor

Used when Input basis is msw (e.g. salt water correction)

Accuracy

%FS

Verification results

Instrument verified against a traceable reference. No adjustment performed unless As-Left is enabled.

Show As-Left (after adjustment / replacement) – advanced

Instrument reading (msw)	Deviation (msw)	Error (%FS)	Result
	0.0600	0.1000	PASS
After adjustment / replacement (As-Left)
	0.0320	0.0533	PASS
After adjustment / replacement (As-Left)
	0.0360	0.0600	PASS
After adjustment / replacement (As-Left)
	0.0440	0.0733	PASS
After adjustment / replacement (As-Left)
	0.0590	0.0983	PASS
After adjustment / replacement (As-Left)

Remarks

DS Bergen

Outcome

Comment

Service date

Valid to

Serviced by

Signature