MOUNTING AND RETURN-CHECK RECORD
Original recording aid. Use the exact instrument/stand and vehicle measurement instructions. This form is not a calibration certificate or component acceptance specification.
Job reference (keep customer identifiers private):
Date/time and technician:
Vehicle procedure/title/revision and required component state:
Feature and intended movement:
Indicator model/identity; plunger or lever; contact arrangement:
Stand/base identity; applicable instructions/revision:
Displayed units; relevant instrument requirements:
MOUNTING CHAIN
Fixed support location and intended mounting method:
Supporting surface / base interface condition:
Arm/joint arrangement; indicator attachment:
Contact location and direction; setup photo reference:
Required component preparation and state actually observed:
ORIGINAL REFERENCE AND RETURNS
Reference location and initial reading:
Check method/source; required repetitions and criterion if specified:
Return 1: reading / units / conditions
Return 2: reading / units / conditions
Additional returns as required:
Was the bezel/zero changed? When and why:
Observed setup movement (keep separate from suspected cause):
CORRECTION AND NEW RECORD
Permitted setup change and supporting instruction:
New reference reading and location:
Repeat-check method/results; units:
Remaining uncertainty / equipment-service need:
PART DISPOSITION
Applicable component acceptance requirement and source:
Measurement accepted for comparison? Basis / unresolved limitation:
Component result / next permitted check:
A stable return does not establish full calibration or prove a component meets its service limit. Preserve the original setup and readings.

Sources (general examples; exact applicable instructions control):
https://insize.com.tr/wp-content/uploads/2026/03/6216-E-V1.pdf
https://www2.mitutoyo.co.jp/eng/products/menu/QuickGuide_Dial-Indicators.pdf

Article: https://stepdiagnostics.com/blog/dial-indicator-magnetic-base-stability