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NLA-MC-F-01-09 May 2016 NLA Page 1 of 50 APPLICATION FOR THE CERTIFICATION OF METROLOGISTS (For office use only) REFERENCE No. C A: APPLICANT DETAILS Date Title New Application Up Grade Names Surname Position / Function Physical Address Tel Postal Address Tel Cell E-Mail ID No. B: METROLOGY DISCIPLINE AND LEVEL OF CERTIFICATION SOUGHT Trainee Metrologist Metrologist Expert Metrologist Trainee Metrologist Metrologist Expert Metrologist Total No of Years in Metrology Dimensional Identify which disciple(s) of Metrology G01-1 G01-2 Electrical G02-1 G02-2 Mass G03-1 G03-2 Temperature G04-1 G04-2 Humidity G05-1 G05-2 Pressure G06-1 G06-2 Force G07-1 G07-2 Torque G08-1 G08-2 Hardness G09-1 G09-2 Time & Frequency G10-1 G10-2 Radio Frequency G11-1 G11-2 Fibre Optics G12-1 G12-2 Radiation G13-1 G13-2 Acoustics G14-1 G14-2 Vibration G15-1 G15-2 Fluid Dynamics G16-1 G16-2 Photometry G17-1 G17-2 Radiometry G18-1 G18-2 Volume G19-1 G19-2 Gas Metrology G20-1 G20-2 Gas Flow G21-1 G21-2 Liquid Flow G22-1 G22-2 Other discipline(s) G23-1 G23-2 Specify other discipline(s):-

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NLA-MC-F-01-09

May 2016 NLA Page 1 of 50

APPLICATION FOR THE CERTIFICATION OF METROLOGISTS

(For office use only)

REFERENCE No.

C

A: APPLICANT DETAILS

Date Title New Application

Up Grade

Names

Surname

Position / Function

Physical Address

Tel

Postal Address

Tel

Cell E-Mail ID No.

B: METROLOGY DISCIPLINE AND LEVEL OF CERTIFICATION SOUGHT

Trainee Metrologist

Metrologist

Expert Metrologist

Trainee

Metrologist Metrologist

Expert Metrologist

Total No of Years in

Metrology

Dimensional

Identify

whic

h d

iscip

le(s

) of M

etr

olo

gy

G01-1

G01-2

Electrical

G02-1

G02-2

Mass

G03-1

G03-2

Temperature

G04-1

G04-2

Humidity

G05-1

G05-2

Pressure

G06-1

G06-2

Force

G07-1

G07-2

Torque

G08-1

G08-2

Hardness

G09-1

G09-2

Time & Frequency

G10-1

G10-2

Radio Frequency

G11-1

G11-2

Fibre Optics

G12-1

G12-2

Radiation

G13-1

G13-2

Acoustics

G14-1

G14-2

Vibration

G15-1

G15-2

Fluid Dynamics

G16-1

G16-2

Photometry

G17-1

G17-2

Radiometry

G18-1

G18-2

Volume

G19-1

G19-2

Gas Metrology

G20-1

G20-2

Gas Flow

G21-1

G21-2

Liquid Flow

G22-1

G22-2

Other discipline(s)

G23-1

G23-2

Specify other discipline(s):-

NLA-MC-F-01-09

May 2016 NLA Page 2 of 50

C: EDUCATION AND QUALIFICATIONS

Please submit certificate of completion

Year School (Complete only if no higher education) Level

e.g. matric

Year College/Univ. of Technology /University Qualification e.g. Degree, Diploma or Certificate or Certificate or highest

level obtained

D: Additional Relevant Training e.g. courses (Quality &Technical) list all short duration courses

Please submit certificate of completion or certificate of attendance.

Year Training Provider

CO

RE

Course attended and/or certificate obtained

Duration (Days)

MetCert Exam(s) Passed

ISO/IEC 17025 System Course

Introduction to Measurement

Uncertainty of Measurement (Physical)

Method Validation (Calibration)

Communication Skills

Metr

olo

gy

Dis

cip

lin

e(s

)

OT

HE

R

E: Current membership of Professional Institutions

Year Institution Membership Grade

Member of the NLA Y N Corporate Membership

Individual Membership

NLA-MC-F-01-09

May 2016 NLA Page 3 of 50

F: CODE OF CONDUCT

In applying for certification with the NLA Metrologists Certification scheme, I recognise the important role that laboratories play in performing tests and calibrations for industry and consumers in South Africa and the SADC region in general. I hereby commit myself to the highest ethical and professional standards and agree to the following :-

to accept responsibility for the performance of the tests and calibrations carried out by myself and to respect the confidentiality thereof;

to promptly advise clients of measurement results which indicate a potential or inherent environmental, health, safety, or any other related risk with the product or material submitted by the client;

to avoid real or perceived conflicts of interest whenever possible and to disclose them to the affected parties when they do exist;

to be honest and realistic in stating claims or estimates based on available data;

to reject bribery in all its forms;

not to knowingly falsify or alter measurement data, provide misleading information or conduct work below the standard expected by regulations or general industry expectations;

to improve the understanding of technology and the appropriate application thereof together with any potential consequences;

to maintain and improve technical competence and to undertake tasks only if qualified by training or experience or after full disclosure of pertinent limitations;

to seek, accept and offer honest criticism of technical work performed and to acknowledge, correct errors and to properly credit the contributions of others;

to treat fairly all persons regardless of such factors as race, religion, gender, disability, age or national origin;

to avoid injuring others, their property, reputation or employment by false or malicious action;

to assist colleagues and co-workers with their professional development;

to protect and preserve the corporate image and reputation of the NLA;

to protect and preserve the assets both physical and intellectual of the NLA;

to support all members of the NLA in following this code of conduct;

I understand that the NLA may withdraw my certification with immediate effect, should I be found in contravention of any of the above principles.

………………………… ……………………………… ………………….. Printed Name Signature Date

NLA-MC-F-01-09

May 2016 NLA Page 4 of 50

G00: EXPERIENCE (Please indicate detail of relevant experience for approval sought)

Note!

As an option an applicants may submit a CV.

The CV must be clear, unambiguous and detail all information / requirements

Date

(from)

Date

(to) Name of Employer and nature of Business

(last five positions, most recent first)

Position held and detail of work performed (Indicate experience in performing technical

work, quality assurance)

Use addition sheet(s) if required – (CV optional, see note above)

Additional Motivation (Information pertinent to this application)

I hereby declare that the above information is a true statement of facts.

Name:

Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

Date:

NLA-MC-F-01-09

May 2016 NLA Page 5 of 50

G01-1 REGISTRATION as a METROLOGIST (Dimensional)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Dimensional Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Dimensional Certificate of Competence N

Successful completion of NLA - Dimensional Metrology Exam part 1 N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 9 tasks are required:

1 Calibration of Vernier Callipers and Accessories

2 Reading of Analogue Scales - (Verniers & Micrometers)

3 Care and cleaning of Basic Hand Measurement Tools – (Including Gauge Blocks)

4 Calibration of Digital In & Outside Tri-Micrometer and Accessories

5 Calibration of Dial Gauges

6 Measurement of Flatness using Monochromatic Light

7 Calibration of Height Gauges

8 Calibration of Digital In & Outside Micrometer and Accessories

9 Demonstrate an understanding of Thermal Expansion of Dimensional Measuring Equipment

10

11

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 6 of 50

G01-2 REGISTRATION as an EXPERT METROLOGIST (Dimensional)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Dimensional Metrology Please Submit

Evidence Registered as a “Dimensional Metrologist” (If yes state registration number)

Successful completion of NLA – Dimensional Metrology Exam Part 2 Y N

All tasks for Dimensional Metrologist Level (See Form G01-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 6 tasks are required:

1 Calibration of Plain, Screw and Taper Ring Gauges

2 Calibration of Plain, Screw Plug Gauges

3 Calibration of Cylindrical Taper Gauge

4 Calibration of Gauge Blocks and Accessories

5 Calibration of Optical Projectors

6 Calibration of Surface Plate or Table

7

8

9

10

11

12

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 7 of 50

G02-1 REGISTRATION as a METROLOGIST (Electrical - DCLF)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Electrical - DCLF Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Electrical - DCLF Certificate of Competence Y N

Successful completion of NLA – Electrical - DCLF Metrology Exam Part 1 Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment Model

Cert No (for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 5 tasks are required:

1 (AC / DC) Voltage and Current Meters ≤ 4½ Digital Multimeter

2 (AC / DC) Voltage and Current Sources Typically ± 100 ppm

3 Resistance Meters ≤ 4½ Digital Multimeter

4 Resistances Sources using Volt-drop Method Typically ± 200 ppm

5 Resistances Sources substitution Method Typically ± 500 ppm

At least 3 of the following 6 tasks are required:

6 Calibration of Insulation Testers Typically ± 3%

7 Calibration of Current Clamp Meters Typically ± 3%

8 Calibration of High Voltage Probes Typically ± 3%

9 Calibration of Capacitance Meters Typically ± 3%

10 Calibration of Inductance Meters Typically ± 3%

11 Calibration of Power & Energy Meters ( At unity and one other PF) Typically ± 5%

12

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 8 of 50

G02-2 REGISTRATION as an EXPERT METROLOGIST (Electrical - DCLF)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Electrical - DCLF Metrology Please Submit

Evidence Registered as a “Electrical - DCLF Metrologist” (If yes state registration number)

Successfully completion of NLA Electrical - DCLF Metrology Exam Part 2 Y N

All tasks for Electrical – DCLF Metrologist Level (See Form G02-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment Model

Cert No (for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 7 tasks are required:

1 (AC / DC) Voltage and Current Meters ≥ 6½ Digital Multimeter

2 Voltage Sources (AC / DC) Typically ± (10 ppm DC / 50ppm AC)

3 Current Sources (AC / DC) Typically ± (50 ppm DC / 500ppm AC)

4 Resistance Meters ≥ 6½ Digital Multimeter

5 Capacitance Sources Typically ± 0,05%

6 Inductance Sources Typically ± 0,05%

7 LCR Meters Typically ± 0,05%

At least 2 of the following 4 tasks are required:

8 Oscilloscopes Voltage / Time base / Bandwidth Typically ± 1%

9 Basic Frequency Measurements Typically ± 50ppm

10 AC & DC Power & Energy (At Unity PF and another PF) Typically ± 0,05%

11 Electrical Simulation TC & RTD (Using Internal & External CJC Typically ± 0,02%

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 9 of 50

G03-1 REGISTRATION as a METROLOGIST (Mass)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Mass Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Mass Certificate of Competence Y N

Successfully completion of NLA - Mass Metrology Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 6 tasks are required:

1 Calibration of a Digital Self Indicating Weighing Instrument

(Typical industrial weighing instrument)

2 Calibration of Analytical Laboratory Digital Balance

3 Calibration of a non-self-indicating Mechanical Weighing Instrument

(Triple beam balance, steelyard, etc.)

4 Calibration of a Set of Weights ≤ 500 g

5 Calibration of a Set of Weights ≥ 1 kg

6 Demonstrate an understanding of magnetic influence on mass measurement (e.g. Experimental results, written explanation or method).)

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 10 of 50

G03-2 REGISTRATION as an EXPERT METROLOGIST (Mass)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Mass Metrology Please Submit

Evidence Registered as a “Mass Metrologist” (If yes state registration number)

Successful completion of NLA Mass Metrology Exam Y N

All tasks for Mass Metrologist Level (See Form G03-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 6 tasks are required:

1 Calibration of Weights using Orthogonal Design

2 Demonstrate an understanding of Buoyancy and Gravity Corrections

3 Calibration of Microbalances

4 Determine the Density of a Solid

5 Determine the Density of a Liquid

6 Certification of Weights against OIML Requirements

7

8

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 11 of 50

G04-1 REGISTRATION as a METROLOGIST (Temperature)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Temperature Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Temperature Certificate of Competence N

Successful completion of NLA Temperature Metrology Course Exam Level 1 Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 9 tasks are required:

1 Preparation of an ice point

2 Calibration of a Liquid in Glass Thermometer Resolution 0,5ºC

3 ELC Corrections – Demonstrate an understanding of ELC corrections

4 Calibration of Digital Thermometer or Thermometry System including Probe and Readout Device

5 TC tables and CJC calculations – Demonstrate the use of TC tables and an understanding of CJC calculations

6 TC Calibrator Accuracy ≥ 0,5ºC

7 RTD’s, PT100, Thermistors, Semiconductors, etc. Calibration, 2 / 3 / 4 wire systems Accuracy ≥ 0,1ºC

8 Electrical Simulation (Source and Measure)

9 IR Thermometry (typically ± 5°C; 0,95 emissivity fixed)

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 12 of 50

G04-2 REGISTRATION as an EXPERT METROLOGIST (Temperature)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Temperature Metrology Please Submit

Evidence Registered as a “Temperature Metrologist” (If yes state registration number)

Successful completion of NLA Temperature Metrology Course Exam – Level 2 Y N

All tasks for Temperature Metrologist Level (See Form G04-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 5 tasks are required:

1 TC Calibration Accuracy ≤ 1ºC

2 RTD Calibration Accuracy ≤ 0,1ºC

3 Temperature Installations – (Ovens, Liquid Baths, etc.) ≥ 100ºC including measuring techniques

4 Temperature Installations – (Fridges, Freezers) ≤ 5ºC including measuring techniques

5 Calibration of Dry Blocks

At least 3 of the following 5 tasks are required:

6 Calibration of Isothermal Media – (Sterilizer)

7 Calibration of Isothermal Media – (Autoclave)

8 Radiation Thermometry (variable emissivity/bandwidth)

9 Surface Temperature Probes;

10 Heat Stress (WBGT) Monitors

11

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 13 of 50

G05-1 REGISTRATION as a METROLOGIST (Humidity)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Humidity Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Humidity Certificate of Competence Y N

Successful completion of NLA Humidity Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 5 tasks are required:

1 Calibration of Thermo-Hygrometers

2 Calibration of Temperature Measurement Sensor and/or Recorder on Thermo-Hygrometer

3 Calibration of Humidity Salts

4 Demonstrate an understanding of the use and care of a Humidity Standards - (Salts) (Including knowledge of MSDS and hazards associated with humidity salts)

5 Calibration of Humidity Loggers

6

7

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 14 of 50

G05-2 REGISTRATION as an EXPERT METROLOGIST (Humidity)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Humidity Metrology Please Submit

Evidence Registered as a “Humidity Metrologist” (If yes state registration number)

Successful completion of NLA Humidity Metrology Course Exam Y N

All tasks for Humidity Metrologist Level (See Form G05-1) Y N

All tasks for Temperature Metrologist Level (See Form G04-1) Y N Attach Form G04-1and G05-1

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 2 tasks are required:

1 Calibration of Environmental Chambers

2 Calibration of Dew-Point Hygrometer (May be replaced by the 2 optional items)

Optional:

3 Measurement of Water Activity

4 Calibration of Thermo-Hygrographs (Paper recorders)

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 15 of 50

G06-1 REGISTRATION as a METROLOGIST (Pressure)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Pressure Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Pressure Certificate of Competence Y N

Successful completion of NLA Pressure Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 6 tasks are required:

1 Calibration of Bourdon Tube type Pressure Gauges (Including the adjustment thereof to correct for zero, span and linearity errors)

2 Use and care of a Pressure Balance as a Standard in the Pressure Laboratory (Including calculation of Pressure from first principles)

3 Use and care of a Liquid Manometer as a Standard in the Pressure Laboratory (Including the calculation of applied Pressure from first principles)

4 Calibration of Pressure transmitters/transducers with electrical output - (mA, V, Ω, etc.)

5 Calibration of Digital Pressure indicators

6 Demonstrate an understanding of the hazards in the use of Oxygen related equipment

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 16 of 50

G06-2 REGISTRATION as an EXPERT METROLOGIST (Pressure)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Pressure Metrology Please Submit

Evidence Registered as a “Pressure Metrologist” (If yes state registration number)

Successful completion of NLA Pressure Metrology Course Exam Y N

All tasks for Pressure Metrologist Level (See Form G06-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 5 tasks are required:

1 Calibration of Barometers

2 Calibration of Vacuum Gauges/negative gauge pressure

3 Calibration of Pressure Calibrators including basic Electrical output/input - (mA, V, Ω)

4 Calibration of Pressure Balances by Cross Floating

5 Calibration of Pressure Balance Weights

(Including conversion from Mass units to units of Pressure)

6

7

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 17 of 50

G07-1 REGISTRATION as a METROLOGIST (Force)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Force Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Force Certificate of Competence Y N

Successful completion of NLA Force Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 4 tasks are required:

1 Calibration of Load Cells using weights

2 Calibration of Load Cells by comparison Accuracy ± 0,5%

3 Calibration of Force Machines

4 Demonstrate the use and understanding of the Polynomial function for a calibrated Load Cell

5

6

7

8

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 18 of 50

8

G07-2 REGISTRATION as an EXPERT METROLOGIST (Force)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Force Metrology Please Submit

Evidence Registered as a “Force Metrologist” (If yes state registration number)

Successful completion of NLA Force Metrology Course Exam Y N

All tasks for Force Metrologist Level (See Form G07-1) completed Y N

Experience of Torque or Hardness - (Specify)

All tasks for Torque Metrologist Level (See Form G08-1) Y N

Attach Form G08-1 or G09-1 or All tasks for Hardness Metrologist Level (See Form G09-1) Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 4 tasks are required:

1 Calibration of Load Cells Accuracy < 0,5%

2 Generation of Polynomial functions for Load Cells

3 Calibration of Tensile Machines including Creep / Speed and Extensometers

4 Demonstrate an understanding of Material Testing - (Tests such as Tensile, Impact etc.)

Optional:

5 Calibration of force Readout Devices

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 19 of 50

G08-1 REGISTRATION as a METROLOGIST (Torque)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Torque Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Torque Certificate of Competence Y N

Successful completion of NLA Torque Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 3 tasks are required:

1 Calibration of Torque Tools - (Wrenches)

2 Calibration of Torque Tools - (Screwdrivers);

3 Demonstrate an understanding of the fundamentals of Torque Measurement (Including detailed Measurement Uncertainty analysis)

4

5

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 20 of 50

G08-2 REGISTRATION as an EXPERT METROLOGIST (Torque)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Torque Metrology Please Submit

Evidence Registered as a “Torque Metrologist” (If yes state registration number)

Successful completion of NLA Torque Metrology Course Exam Y N

All tasks for Torque Metrologist Level (See Form G08-1) completed Y N

Experience of Force or Hardness - (Specify)

All tasks for Force Metrologist Level (See Form G07-1) completed Y N

Attach Form G07-1 or G09-1 or All tasks for Hardness Metrologist Level (See Form G09-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 3 tasks are required:

1 Calibration of Torque Transducers

2 Generate Torque using Beam & Weights

3 Generate and use a Polynomial function for the Interpolation of a Torque Transducer

4

5

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 21 of 50

G09-1 REGISTRATION as a METROLOGIST (Hardness)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Hardness Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Hardness Certificate of Competence Y N

Successful completion of NLA Hardness Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 3 tasks are required:

1 Calibration of Hardness Machines using Hardness Blocks - (Indirect Method)

2 Calibration of Hardness Blocks by comparison

3 Demonstrate an understanding of Hardness Scales - (e.g. Rockwell, Vickers, Brinell, etc.)

4

5

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 22 of 50

G09-2 REGISTRATION as an EXPERT METROLOGIST (Hardness)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Hardness Metrology Please Submit

Evidence Registered as a “Hardness Metrologist” (If yes state registration number)

Successful completion of NLA Hardness Metrology Course Exam Y N

All tasks for Hardness Metrologist Level (See Form G09-1) completed Y N

Experience of Force or Torque - (Specify)

All tasks compulsory for Force Metrologist Level (See Form G07-1) Y N

Attach Form G07-1 or G08-1 or All tasks compulsory for Torque Metrologist Level (See Form G08-1) Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 3 tasks are required:

1 Calibration of Hardness Machines in terms of first principles - (Direct Method)

2 Inspection of Indenters in terms of requirements

3 Demonstrate an understanding of Materials Tests - (e.g. Charpy, Izod, etc.)

4

5

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 23 of 50

G10-1 REGISTRATION as a METROLOGIST (Time & Frequency – T&F)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Time & Frequency Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Time & Frequency Certificate of Competence Y N

Successful completion of NLA Time & Frequency Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

At least five items are required, with at least one item per block (A, B & C)

A1 Calibration of the Frequency Generator or Source

A2 Generation of a Frequency with known Accuracy

A3 Calibration of Tachometers

B1 Calibrate a Time Interval Source

B2 Generate a Time Interval with known Accuracy

B3 Calibration of Stopwatches

C1 Calibration of Frequency Counter

C2 Calibration of a Function Generator

C3 Calibrate the Phase Angle between two Periodic Waves

C4 Measure the rise- or fall-time of a pulse

C5 Calibrate an Oscilloscope with a Bandwidth ≤ 250 MHz

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 24 of 50

G10-2 REGISTRATION as an EXPERT METROLOGIST (Time & Frequency – T&F)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Time & Frequency Metrology Please Submit

Evidence Registered as a “Time & Frequency Metrologist” (If yes state registration number)

Successful completion of NLA Time & Frequency Metrology Course Exam Y N

All tasks for T&F Metrologist Level (See Form G10-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 4 tasks are required:

1 Demonstrate the maintenance (monitoring) of a Frequency Standard using GPS, determine and apply corrections to provide Frequency Traceability in a laboratory

2 Calibration and characterisation of a Local, Fixed Frequency, Standard - (Oscillator)

3 Calibration of a High accuracy Frequency Counter

4 Calibrate a High Accuracy Time Interval Source - (Uncertainty ≤ 1 µs)

At least 2 of the following 3 tasks are required:

5 Oscillator phase calibration

6 Calibrate an Oscilloscope with a Bandwidth >250 MHz

7 Calibrate a Pulse for Rise and Fall Time - (Characterization)

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 25 of 50

G11-1 REGISTRATION as a METROLOGIST (Radio Frequency - RF)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Radio Frequency Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Radio Frequency Certificate of Competence Y N

Successful completion of NLA Radio Frequency Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 4 tasks are required:

1 Calibration of a Power Sensor

2 Calibration of a Fixed Attenuator

3 Calibration of a Step Attenuator

4 Calibration Voltage Reflection Coefficient of an Offset or Termination

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 26 of 50

G11-2 REGISTRATION as an EXPERT METROLOGIST (Radio Frequency - RF)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Radio Frequency Metrology Please Submit

Evidence Registered as a “Radio Frequency Metrologist” (If yes state registration number)

Successful completion of NLA Exam Y N

All tasks for RF Metrologist Level (See Form G11-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 5 tasks are required:

1 Calibration of a Modulation Meter - (AM, FM, QM, etc.)

2 Calibration of a Spectrum Analysers

3 Calibration of a Return Loss Bridge or Directional Coupler

4 Calibration of Power Splitters

5 Demonstrate an understanding of the use of a Scalar or Vector Network Analyser

Optional:

6 Calibration of a RF Millivolt Meters

7 Calibration of 75 Ω Devices

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 27 of 50

2

G12-1 REGISTRATION as a METROLOGIST (Fibre Optics)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Fibre Optics Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Fibre Optics Certificate of Competence Y N

Successful completion of NLA Fibre Optics Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 6 tasks are required:

1 Calibration of a Fibre Optic Power Meter

2 Calibration of a Fibre Optic Power Source

3 Linearity of a Power Meter

4 Calibration of Wavelength of a Laser Source

5 Calibration of ODTR Meter (Length, Attenuation, Reflectance)

6 Calibration of Attenuation of a Fibre Optic Component

Optional:

7 Attenuation of a Fibre Optic Component

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 28 of 50

G12-2 REGISTRATION as an EXPERT METROLOGIST (Fibre Optics)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Fibre Optics Metrology Please Submit

Evidence Registered as a “Fibre Optics Metrologist” (If yes state registration number)

Successful completion of NLA Fibre Optics Metrology Course Exam Y N

All tasks for Fibre Optics Metrologist Level (See Form G12-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 3 tasks are required:

1 Calibration of a Wavelength Meter

2 Calibration of an Optical Spectrum Analyser

3 Measurement of a Fibre Length

At least 2 of the following 5 tasks are required:

4 Calibration of Fibre Characteristics

(e.g. Polarisation mode dispersion, Chromatic dispersion, Non-linearity’s, Cut-off wavelength)

5 Calibration of attenuation of a Fibre Optic Cable

6 Calibration of Return Loss - (Pulsed and Continuous wave)

7 Calibration of a Polarisation Analyser

8 Characterisation of an Optical Pulse

(e.g. Spectral Bandwidth, Power, Side mode Suppression, Pulse width )

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Expert Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 29 of 50

G13-1 REGISTRATION as a METROLOGIST (Ionizing Radiation)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Ionizing Radiation Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Ionizing Radiation Metrology Y N

Successful completion of NLA Ionizing Radiation Metrology Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 3 tasks are required:

1 Calibration of Survey Meters

2 Calibration of EPD’s (Personal Dosimeters)

3 Calibration of Contamination Monitors

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 30 of 50

G13-2 REGISTRATION as an EXPERT METROLOGIST (Ionizing Radiation)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Ionizing Radiation Metrology Please Submit

Evidence Registered as a “Ionizing Radiation Metrologist” (If yes state registration number)

Successful completion of NLA Ionizing Radiation Metrology Exam Y N

All tasks for Radiation Metrologist Level (See Form G13-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 2 tasks is required:

1 Calibration or verification of a Radiation track

2 Training courses that covers as a minimum the safety aspects related to working with radioactive sources

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology)

3

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 31 of 50

G14-1 REGISTRATION as a METROLOGIST (Acoustics)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Acoustics Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Acoustics Metrology Y N

Successful completion of NLA Acoustics Metrology Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 6 tasks are required:

1 Maintaining Acoustic laboratory instrumentation

2 Conformity Testing of Sound Level Meters

3 Conformity Testing of Sound Calibrators

4 Conformity Testing of Personal Sound Exposure Meters

5 Conformity Testing of 1/1 and Fractional Octave Band Filters

6 Conformity Testing of Sound Intensity Instrumentation

7

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 32 of 50

G14-2 REGISTRATION as an EXPERT METROLOGIST (Acoustics)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Acoustics of Metrology Please Submit

Evidence Registered as a “Acoustics Metrologist” (If yes state registration number)

Successful completion of NLA Acoustics Metrology Course Exam Y N

All tasks Acoustics Metrologist Level (See Form G14-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 4 tasks are required:

1 Realising NMS for Sound Pressure in Air

2 Calibration of Working Standard Microphones

3 Calibration of Reference Sound Sources

4 Calibration of Microphones for Modulus and Frequency Response

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 33 of 50

G15-1 REGISTRATION as a METROLOGIST (Vibration)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Vibration Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Vibration Metrology Y N

Successful completion of NLA Vibration Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 6 tasks are required:

1 Maintaining Vibration laboratory Instrumentation

2 Calibration of Accelerometers (Charge Sensitivity and Phase Shift)

3 Calibration of Acceleration Measuring Chain (Voltage Sensitivity Modulus and Phase Shift)

4 Calibration of Charge Amplifiers (Gain and Phase Shift)

5 Calibration of Dynamic Force (Voltage Sensitivity)

6 Calibration of Impact Hammers (Voltage Sensitivity)

7

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 34 of 50

G15-2 REGISTRATION as an EXPERT METROLOGIST (Vibration)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Vibration Metrology Please Submit

Evidence Registered as a “Vibration Metrologist” (If yes state registration number)

Successful completion of NLA Vibration Metrology Course Exam Y N

All tasks for Vibration Metrologist Level (See Form G15-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 2 tasks are required:

1 Maintaining Vibration Laboratory Instrumentation

2 Phase Calibrations

3

4

5

6

7

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 35 of 50

G16-1 REGISTRATION as a METROLOGIST (Fluid Dynamics / Viscosity)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Viscosity Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Viscosity N

Successful completion of NLA Viscosity Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 9 tasks are required:

1 Calibration of a Spindle Type Rotational Viscometer (Dynamic Viscosity)

2 Calibration of Viscosity Cups of Various Types (Kinematic Viscosity)

3 Measurement of Liquid Density using a Pycnometer and Laboratory Balance

4 Calculations/ conversions between Dynamic and Kinematic viscosity

5 Demonstrate an understanding of the Temperature vs. Viscosity relationship, demonstrate how this relationship can be determined

6 Preparation of Liquids of different Densities for Hydrometer Calibration

7 Calibration of Hydrometer

8 Demonstrate competence in the conversion of Liquid Density to Specific Gravity (SG)

9 Certification of Viscosity Fluids (oils) using a Rotational Viscometer

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 36 of 50

G16-2 REGISTRATION as an EXPERT METROLOGIST (Fluid Dynamics/ Viscosity )

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Viscosity Please Submit

Evidence Registered as a “Viscosity Metrologist” (If yes state registration number)

Successful completion of NLA Viscosity Course Exam Y N

All tasks Viscosity Metrologist Level (See Form G16-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

The following 3 tasks are required:

1 Calibration of Glass Capillary Type Viscometers (Various types)

2 Certification of Standard Viscosity Fluids using Glass Capillary Type Viscometers

3 Establishment of a Viscosity Scale using Capillary Glass Viscometers

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 37 of 50

G17-1 REGISTRATION as a METROLOGIST (Photometry)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Photometry Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Photometry Y N

Successful completion of NLA Photometry Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 3 tasks are required:

1 Lux meter (Illuminance Responsivity)

2 Luminance Meter (Luminous Intensity, Luminance)

3 Lamp (Luminous Intensity)

4

5

6

7

8

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 38 of 50

G17-2 REGISTRATION as an EXPERT METROLOGIST (Photometry)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Photometry Please Submit

Evidence Registered as a “Photometry Metrologist” (If yes state registration number)

Successful completion of NLA Photometry Course Exam Y N

All tasks for Photometry Metrologist Level (See Form G17-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

At least 3 of the following 6 tasks are required:

1 Luminous Flux Standard Lamp (Luminous Flux)

2 Tungsten Lamp (distribution Temperature, Correlated Colour Temperature)

3 Standard Source (Emitted Colour)

4 Colorimeter (Chromaticity Response)

5 Colour Tile/Diffusers (Surface Colour)

6 Filters (Transmitted Colour)

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 39 of 50

G18-1 REGISTRATION as a METROLOGIST (Radiometry)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Radiometry Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Radiometry Y N

Successful completion of NLA Radiometry Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 3 tasks are required:

1 Calibration of a UVA or a UVB Meter (Spectral Irradiance Responsivity)

2 Calibration of a Laser Power Meter (Responsivity)

3 Standard Tungsten Lamp or Source (Spectral Radiance)

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 40 of 50

G18-2 REGISTRATION as an EXPERT METROLOGIST (Radiometry)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Radiometry Please Submit

Evidence Registered as a “Radiometry Metrologist” (If yes state registration number)

Successful completion of NLA Radiometry Course Exam Y N

All tasks Radiometry Metrologist Level (See Form G18-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

At least 3 of the following 5 tasks are required:

1 Radiant Power Meter or Detector

2 Spectral Irradiance Meter

3 Laser Energy Meter

4 Solar Irradiance Meter or Detector

5 Radiant Energy Source

6

7

8

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 41 of 50

G19-1 REGISTRATION as a METROLOGIST (Volume)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Volume of Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Volume N

Successful completion of NLA Volume Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

The following 4 tasks are required:

1 Calibration of a Digital Self Indicating Weighing Instrument (Typical Industrial Weighing Instrument)

2 Calibration of Analytical Laboratory Digital Balance

3 Gravimetric Measurement of Volume

(Micro-Pipettes, including Calculation of Mass/Volume Corrections)

4 Gravimetric Measurement of Volume

(Volumetric Glassware, and/or Metal Measures, including Calculation of Mass/Volume Corrections)

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 42 of 50

G19-2 REGISTRATION as an EXPERT METROLOGIST (Volume)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Volume of Metrology Please Submit

Evidence Registered as a “ Volume Metrologist” (If yes state registration number)

Successful completion of NLA Volume Course Exam Y N

All tasks for Metrologist Level (See Form G19-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology

1

2

3

4

5

6

7

8

9

Certificates and Data for all tasks including detailed calculation of the Uncertainty of Measurements must be available and submitted if requested

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 43 of 50

G20-1 REGISTRATION as a METROLOGIST (Gas Metrology)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Gas Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Gas Metrology N

Successful completion of NLA Gas Metrology Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

(List all tasks motivating MetCert registration

1

2

3

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 44 of 50

G20-2 REGISTRATION as an EXPERT METROLOGIST (Gas Metrology)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Gas Metrology Please Submit

Evidence Registered as a “ Gas Metrologist” (If yes state registration number)

Successful completion of NLA Gas Course Exam Y N

All tasks for Metrologist Level (See Form G20-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology

1

2

3

4

5

6

7

8

9

Certificates and Data for all tasks including detailed calculation of the Uncertainty of Measurements must be available and submitted if requested

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 45 of 50

G21-1 REGISTRATION as a METROLOGIST (Gas Flow)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Gas flow Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Gas Flow N

Successful completion of NLA Gas Flow Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

(List all tasks motivating MetCert registration)

1

2

3

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 46 of 50

G21-2 REGISTRATION as an EXPERT METROLOGIST (Gas Flow)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Gas flow Metrology Please Submit

Evidence Registered as a “ Gas Flow Metrologist” (If yes state registration number)

Successful completion of NLA Gas flow Course Exam Y N

All tasks for Metrologist Level (See Form G21-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology

1

2

3

4

5

6

7

8

9

Certificates and Data for all tasks including detailed calculation of the Uncertainty of Measurements must be available and submitted if requested

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 47 of 50

G22-1 REGISTRATION as a METROLOGIST (Liquid Flow)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Liquid Flow Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in Liquid Flow N

Successful completion of NLA Liquid Flow Course Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

(List all tasks motivating MetCert registration)

1

2

3

4

5

6

7

8

9

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 48 of 50

G22-2 REGISTRATION as an EXPERT METROLOGIST (Liquid Flow)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in Liquid Flow Metrology Please Submit

Evidence Registered as a “ Liquid Flow Metrologist” (If yes state registration number)

Successful completion of NLA Liquid Flow Course Exam Y N

All tasks for Metrologist Level (See Form G22-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology

1

2

3

4

5

6

7

8

9

Certificates and Data for all tasks including detailed calculation of the Uncertainty of Measurements must be available and submitted if requested

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 49 of 50

G23-1 REGISTRATION as a METROLOGIST (As yet undefined Metrology Field)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in the specific field of Metrology Please Submit

Evidence Registered as a “Trainee Metrologist” (If yes state registration number)

Holder of a SANAS Certificate of Competence in the field Y N

Successful completion of NLA Metrology Course in the specific field Exam Y N

No Calibration Tasks (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

Participated ILC

(Details or Report No.) (for Office use only)

(List all tasks motivating MetCert registration)

1

2

3

4

5

6

7

8

9

10

Data including a detailed calculation of the Uncertainty of Measurements must be submitted for at least one of the certificates submitted for evaluation

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position:

NLA-MC-F-01-09

May 2016 NLA Page 50 of 50

G23-2 REGISTRATION as an EXPERT METROLOGIST (As yet undefined Metrology Field)

Practical Calibration Tasks & Requirements. Evidence of successfully completed tasks in a laboratory:

Reference to ONE (1) Calibration per task to be entered.

Reference to participation in ONE (1) ILC is mandatory.

Data entered shall preferably not be older than 5 years.

(When supplying evidence of tasks/certificates, please use number on left below to identify the task/certificate).

Number of Years of Experience in the specific field of Metrology Please Submit

Evidence Registered as a “Metrologist” (If yes state registration number)

Successful completion of NLA Metrology Course in the specific field Exam Y N

All tasks compulsory for Metrologist Level (See Form G0-1) completed Y N

No Calibration Tasks. (Add additional supporting tasks if desired) Equipment

Model Cert No

(for Office use only)

*Participated ILC (Details or Report No.)

(for Office use only)

(List all tasks motivating MetCert registration noting that these tasks should be at an advanced level of metrology

1

2

3

4

5

6

7

8

9

10

I hereby declare that the above information is a true reflection of my experience.

Name: Signature:

Date:

Application is supported by Head of Lab or Registered Metrologist

Name: Signature:

Position: