HOSPITAL/Lab:_____________________

ADDRESS:_________________________

Brand Name: _________________

Volume Range: ________________

Report Date: _________________

Pipette Serial No.________________

TEST DETAILS

Test Number of Mean Weight Mean Volume

10 µl 10
25.00 µl 10
50.00 µl 10

Inaccuracy E% Imprecision CV%

Statu
Test Volume SD Actual Target Status Actual Target s
10.00 µl ± 3.00 ± 1.50
25.00 µl ± 1.00 ± 0.50
50.00 µl ± 0.80 ± 0.15
STATUS : PASSED Calibration Method according to………………. EN ISO 8655-6

_____________________
Field service Engineer