PERIODIC RELIC CONDITION CHECK SHEET Form Code: HSW-F06
HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
PERIODIC RELIC CONDITION CHECK SHEET
Form Code: HSW-F06
Relic ID Code: ____________________________
Schedule:
From ____ / ____ / ______ To ____ / ____ / ______
1. SUMMARY OF REQUIREMENTS
Storage Location: ______________________________
Ideal Temperature: ______ °C
Ideal Humidity: ______ %
Special Instructions:
_______________________________________________
_______________________________________________
2. CHECK LOG
(Use one row for each check)
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| Date | Checked By | Condition Changed? (Y/N) | Notes / New Damage / Risks |
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3. ENVIRONMENTAL READINGS (if taken)
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| Date | Time | Temperature (°C) | Humidity (%) | Notes |
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4. ACTIONS TAKEN
(e.g., moved relic, adjusted case, called conservator)
_______________________________________________
_______________________________________________
_______________________________________________
Next Check Due: ____ / ____ / ______
Supervisor Signature: ___________________________ Date: ____/____/____