CalCertReq Att(B) FY22.pdf

Attachment "B" Checklist

Calibration Certification Requirements

Certificate Must Contain: Comment/Details/Additional Info

1 A Title such as "Report and Certificate of Calibration" Per AASHTO R-18 Table Requirements, use the applicable or "Report and Certificate of Check" title.

or "Report and Certificate of Standardization Check"

2 Name and address of calibration service provider's firm such as A2LA, etc.

Logo of ISO 17025 accreditation body

3 Location of where the calibration/standardization/check took place EFLHD Lab room number or Provider's Lab and in which EFLHD Lab section the equipment belongs Soils & Aggregate Section, Concrete Section, Asphalt Binder Section, and room number Asphalt Mixture Section

4 Unique identification of the calibration certificate (such as serial such as sieves Set #1, 2, etc.

number(In Bold Font), file number, etc.) The identification goes on each page of the certificate.

Pagination of the certificate (1 of 2, 2 of 2, etc.)

5 Name and address of the client (EFLHD) Federal Highway Administration Do not use a person's name Eastern Federal Lands Highway Division

Materials Laboratory 1827 Jack Delozier Drive Sevierville, TN 37876

6 Description and identification of the item being calibrated Name of equipment, and S/N, Filing Book identification include model number also Filing Book Identification(in bold font) A list containing all identifying numbers and Filing Book Identification will be provided to you for easy reference

7 Date of performance of the calibration or verification; Information on past dates and frequencies will be provided to you and date of last C/S/C and date of next C/S/C; and C/S/C frequency or interval; and notations of recommended action, if any

8 Calibration/Standardization/Check results with appropriate units of measurement

9 Documented procedures used in performing the C/S/C work;

Identify the procedure used to perform the If the AASHTO or ASTM test procedure contains a calibration calibration/standardization/check, or procedure, you must use and refer to that procedure number.

a brief, clear description of how the calibration was performed If there is a Provider's in-house procedure used, you must refer to that specific procedure number or describe it on the certification.

10 The conditions (e.g. environment) under which the state the environmental conditions if they are required calibrations, etc. were made by the calibration procedure

11 Statement of the Measurement Uncertainty

12 Evidence that the measurements are traceable, including include description and serial numbers, NIST numbers, etc.

uniquely identified calibration equipment/tools used

13 Name, function, and signature of metrologist authorizing the certificate

14 Statement specifying that the certificate shall not be reproduced except in full, and not without written approval of the EFLHD Materials Laboratory

15 All worksheets and recorded measurements taken during calibration must be provided.

worksheets can be delivered seperately

Sheet1