Manufacturer:
Product Model #:
Model Description:
Product Link on Website:
Kit RTR Click here Scale & Gage. (Scale & Gage other not in drop down list)

Inspection Date:	Click here to enter a date.
Inspector’s Name:
Inspector’s Phone:
Inspector’s NMRA #:
Inspector’s Email:

Manufacturer Rep. Name:
Manufacturer Name:
Address 1:
Address 2:
City:	State/Province:
Country:	Zip code:
Telephone:	FAX:
Email:

1) Basic Data

The Span, S, is derived by knowing S = C-F. C is the primary controlling dimension.

Measurements (inches/mm)	Gage (G)	Check Gage (C)	Span (S)	F-Frog (F)	F-Guard (f)	Height (H)	Points(P)
Main Rout	N/A
Diverging Route	N/A
Points	N/A	N/A	N/A	N/A	N/A

*Measurements should be taken to nearest 0.001” (0.0025mm) or better.

Compare measurements above to target +/- for the applicable Standard S-3.1, S-3.2 or S-3.3.

This track-work is built to the following Standard Choose an item.

Notes:

2) Additional Notes:

This model Passes or does not pass applicable NMRA Standards.

I certify that I inspected the model indicated, and accurately recorded the results of my inspection on this document.

Inspector’s Signature:
Manager, NMRA Conformance & Inspection

Warrant of Conformance Issued Number:

3) History

Form developed by. D.A. Voss. Date unknown

September 11, 2023, moved to new format changing to a MS Word Form document. Removed data listed in the form to refer the inspector to the actual applicable Standard.

November 15, 2023, added field for link to product on manufacturer’s website. Added more spaces to Fax number and email address fields.