P&SP 4400 Vehicle Scale Test

Regulations and Related Reporting and Recording Requirements - Packers and Stockyards Programs

PSP-4400 Form

Regulations and Related Reporting and Recording Requirements - Packers and Stockyards Programs-Business

OMB: 0580-0015

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Instructions to Complete
Vehicle Scale Test Report
Form P&SP–4400
The scale inspector or person testing the scale must complete form P&SP-4400 to document the scale tests required
by the Packers and Stockyards Program.
Mail the completed form to the regional office of the Packers and Stockyards Program as listed below. The states
covered by each regional office are listed below the regional office’s address.
Regional Offices of the Packers and Stockyards Program
Grain Inspection, Packers and Stockyards Administration
Eastern Regional Office
Western Regional Office
Midwestern Regional Office
Suite 230
3950 Lewiston St., Suite 200
Room 317
75 Spring Street
Aurora, CO 80011-1556
210 Walnut Street
Atlanta, GA 30303-3308
Telephone: (303) 375-4240
Des Moines, IA 50309-2110
Telephone: (404) 562-5840
FAX: (303) 371-4609
Telephone: (515) 323-2579
FAX: (404) 562-5848
e-mail:
FAX: (515) 323-2590
e-mail:
[email protected] e-mail:
[email protected]
[email protected]
States Covered
States Covered
States Covered
AL, AR, CT, DC, DE, FL, GA, LA, AK, AZ, CA, CO, HI, ID, KS, MT, IA, IL, IN, KY, OH, MI, MO, MN,
MA, MD, ME, MS, NC, NH, NJ,
NM, NV, OK, OR, TX, UT, WA,
ND, NE, SD, WI
NY, PA, RI, SC, TN, VA, VT, WV
WY
For more information, see Instructions for Testing Livestock and Animal Scales available from a regional office or
via our web site at http://www.usda.gov/gipsa/pubs/live.pdf.
If you have any questions regarding this form, please contact the appropriate regional office of the Packers and
Stockyards Program listed above.
Line No.
1

Subject
Page Number

2
3
4

Date
Scale Owner
Scale Location

5

Processor or Dealer
Name and Address
Test Agency
Make of Scale
Scale Capacity
Kind of Indicator
Serial Number
Minimum Division
Balance Indicator
Platform Size
Balance
Type of Levers
Pit Depth
Last Date Tested
Year Installed

6
7
8
9
10
11
12
13
14
15
16
17
18

P&SP-4400-i

Instruction
The page number is normally 1 of 1. If additional space is needed or when
testing multiple indicator/platform installations, number pages identifying
the current page number and the total number of pages. For example, page
2 of 3.
Enter date scale test conducted.
Enter name of firm.
Enter full address of scale being tested, including street address, city,
county, and state.
Enter name and address of poultry processor or dealer using scale.
Enter name and address of firm conducting the test.
Enter manufacturer of indicator.
Enter how much scale is capable of weighing.
Enter digital, dial, or beam to indicate the kind of indicator on the scale.
Enter serial number of indicator being tested.
Enter minimum graduation. For example, 10 lbs, or 20 lbs.
If applicable, enter the make or manufacturer of the balance indicator.
Enter length and width of platform, in feet.
Enter the balance condition of indicator on inspector’s arrival, in pounds.
Enter mechanical, electro-mechanical, or load cell.
If indicator is below ground, enter depth of pit in feet.
Enter the date of the last vehicle scale test.
Enter the year the indicator was installed at the current location.

Page 1 of 2

Line No.
19

Subject
Test Position

20
21
22
23
24
25
26
27

Test Weights
Scale Indication
Error
Empty Truck Weight
Test Weights
Scale Indication
Error on Test Weights
Accuracy

28

Repairs, Adjustments,
or Changes
Recommendations for
Repair or Replacement

29

30

Receipt Signature

31

Inspector Signature

P&SP-4400-i

Instruction
Enter the section of the scale (left to right looking from the scale indicator)
used for the test.
Enter the weight of test in pounds.
Enter the indicated weight amount in pounds.
Enter the difference of test weights and scale indication in pounds.
Enter the indicated weight of empty truck in pounds.
Enter the amount of test weights added in pounds.
Enter the scale indication, truck plus weights in pounds.
Enter the error on test weights added in pounds.
For any errors listed above, check the appropriate box to indicate if they
are or are not within the accuracy requirements prescribed by the Packers
and Stockyards Program.
To be completed by the State or scale company that conducted the test.
Enter any repairs, adjustments, or changes made during the scale test.
To be completed by the State or scale company that conducted the test.
Enter your recommendations for repair, replacement, or other action for
the scale.
If available, have the scale owner or officer sign the form; their signature
is not required.
The official that conducted the test must sign the form.

Page 2 of 2

U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND
VEHICLE
STOCKYARDS ADMINISTRATION
PACKERS AND STOCKYARDS PROGRAM
3 Test Agency (Name, address, city, state, zip code, phone number, and
e-mail address)

OMB Control No. 0580-0015 Expires: xx/xx/20xx
1 Page No.

SCALE TEST REPORT

2 Date

4 Scale Owner (Name of firm)
5a Scale Location (Address)
5b (City)

5d (County)

5e (State)

6 Name and Address of Poultry Processor or Dealer Using Scale

9 Kind of Indicator

7 Make of Scale

8 Scale Capacity

13 Platform Size

Lbs.
14 Balance Condition on 15 Type of Levers
Arrival

X

Lbs.

Ft.

Test Weights
19 Position
20 Pounds
Balance

21 Scale
Indication

10 Serial Number

11 Minimum Division

12 Balance Indicator
(Make)

16 Pit Depth

17 Last Date Tested

18 Year Installed

Ft.
Test Results
Increasing Load Test of Each Section
Test Weights
22 Error
19 Position
20 Pounds

21 Scale Indication

22 Error

0

Section 1

Strain-Load Test
Left to Right
Section 2
Section 3

Section 4

Right to Left
Section 5

Section 6

23 Indicated Weight of Empty Truck
24 Amount of Test Weight Added
25 Scale Indication, Truck Plus
Weights
26 Error on Test Weights Added
27 The errors indicated on this test report ‰ ARE ‰ ARE NOT within the accuracy requirements specified in National Institute of Standards and Technology
(NIST) Handbook 44 as required by the Packers and Stockyards Program regulations (9 CFR 201.71). (For more information, contact the Business Practices
Unit of the Packers and Stockyards Program Regional Office that covers your state.)
28 Repairs, Adjustments, or Changes Made at This Time (To be completed by State or scale agency):

29 Recommendations for Repair, Replacement, etc. (Continue on the reverse side if necessary)

30 Receipt of Report Acknowledged (Signature):

31 Scale Inspector (Signature):

Response is required in order to assure that tests have been made on scales to show their accuracy so that live poultry may be weighed (9 CFR 201.72). Information held confidential (9 CFR 201.96).
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0580-0015. The time required to complete this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Form P&SP-4400

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The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s
income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 7206382 (TDD). USDA is an equal opportunity provider and employer.

Form P&SP-4400

Page 2 of 2


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File Modified2014-03-29
File Created2014-03-26

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