FGIS-928 Dockage Checklist

---

Overview

FGIS-928
Example Form
Instructions

---

Sheet 1: FGIS-928

											OMB No.: 0581-0309
USDA-FGIS
	DOCKAGE CHECKTEST
NOTE: TEST UNIT OPERATOR - FILL IN SHADED AREAS ONLY
DATE		FIELD OFFICE				AGENCY			LOCATION
		AIR NO.	FEED NO.	RIDDLE NO.			TOP NO.	MIDDLE NO.		BOTTOM NO.
MACHINESET UP					SIEVES
					TEST UNIT
MAKE			MODEL			SERIAL NO.			REMARKS
						THROUGH		OVER
		CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
SAMPLE		HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
NUMBER		(SECS.)	(SECS.)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)
1
2
3
AVERAGE
			TEST UNIT AVERAGE	%	%	%	%	%
RESULTS BY:						DATE
					STANDARD UNIT
MAKE			MODEL			SERIAL NO.			REMARKS
						THROUGH		OVER
		CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
SAMPLE		HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
NUMBER		(SECS.)	(SECS.)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)
1
2
3
AVERAGE
			STANDARD UNIT AVERAGE	%	%	%	%	%
RESULTS BY:						DATE
				DOCKAGE TESTER SUMMARY
									THROUGH		OVER
					CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
					HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
					(SECS.)	(SECS.)	(%)	(%)	(%)	(%)	(%)
TEST UNIT (Enter average results of test unit)
STANDARD (Enter average results of standard unit)
DEVIATION					0	0	0.00	0.00	0.00	0.00	0.00
ALLOWABLE DEVIATION							0.10	0.10	0.10	0.15
RESULTS							IN	IN	IN	IN
REMARKS
SUMMARY BY:									DATE
Form FGIS-928 (01/21) Previous editions are obsolete. Expires XX-XX

---

Sheet 2: Example Form

											OMB No.: 0581-0309
USDA-FGIS
	DOCKAGE CHECKTEST
NOTE: TEST UNIT OPERATOR - FILL IN SHADED AREAS ONLY
DATE		FIELD OFFICE				AGENCY			LOCATION
	1		2				3			4
		AIR NO.	FEED NO.	RIDDLE NO.			TOP NO.	MIDDLE NO.		BOTTOM NO.
MACHINESET UP		5			SIEVES		6
					TEST UNIT
MAKE			MODEL			SERIAL NO.			REMARKS
	7			8			9
						THROUGH		OVER		22
		CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
SAMPLE		HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
NUMBER		(SECS.)	(SECS.)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)
1		10	11	12	13	14	15	16
2
3
AVERAGE		17				18
19			TEST UNIT AVERAGE	%	%	%	%	%
RESULTS BY:		20				DATE	21
					STANDARD UNIT
MAKE			MODEL			SERIAL NO.			REMARKS
						THROUGH		OVER
		CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
SAMPLE		HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
NUMBER		(SECS.)	(SECS.)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)	(GRAMS)
1
2				23
3
AVERAGE
			STANDARD UNIT AVERAGE	%	%	%	%	%
RESULTS BY:						DATE
				DOCKAGE TESTER SUMMARY
									THROUGH		OVER
					CLEARED		RIDDLE	AIR	BOTTOM	TOTAL	BOTTOM
					HOPPER	SIEVE	SEPARATION	SEPERATION	SIEVE	DOCKAGE	SIEVE
					(SECS.)	(SECS.)	(%)	(%)	(%)	(%)	(%)
TEST UNIT (Enter average results of test unit)					24
STANDARD (Enter average results of standard unit)					25
DEVIATION					26
ALLOWABLE DEVIATION					27		0.10	0.10	0.10	0.15
RESULTS					28
REMARKS
		29
SUMMARY BY:									DATE
		30								31
Form FGIS-928 (01/21) Previous editions are obsolete. Expires January 2024

---

Sheet 3: Instructions

	Instructions for Completing FGIS-928
1		Date mailed.
2		Field office that performed the test, when applicable.
3		Agency that performed the test, when applicable.
4		Location of test unit dockage tester.
5		For tests using wheat, show: air - 4, feed - 6, riddle - 2.
		For tests using corn, show: air - 1, feed - 10, riddle - n/a.
6		For tests using wheat, show: top - n/a, middle - 2 & I.D. No., bottom - 2 & I.D. No.
		For tests using corn, show: top - 3, middle - n/a, bottom - n/a.
7		Make of the test unit dockage tester.
8		Model of the test unit dockage tester.
9		Serial number of the test unit dockage tester.
10		Time elapsed for each sample to clear the hopper, shown in whole seconds.
11		Time elapsed for each sample to clear the middle sieve, shown in whole seconds.
12		Weight of the separation that passes over the riddle, shown to 0.01 g.
13		Weight of the separation that is removed by air, shown to 0.01 g.
14		Weight of the separation that passes through the bottom sieve, shown to 0.01 g.
15		Total dockage (riddle, air, and through-the-bottom), shown to 0.01 g.
16		Weight of the separation that passes over the bottom sieve, shown to 0.01 g.
17		Averages of the test unit’s hopper and sieve clearance times, shown in whole seconds.
18		Averages of the test unit’s test results, shown to 0.01 g.
19		Convert the average separation weights to a percentage of the total sample weight, shown to 0.001 %.
20		Name of the person who tested the unit.
21		Date that testing of the test unit was completed.
22		Test unit operator’s remarks and RPM information.
23		Standard unit’s information and test results.
24		Test unit’s average test results, shown to 0.01 %.
25		Standard unit’s average test results, shown to 0.01 %.
26		Difference ( 24 minus 25). Show the plus or minus deviation.
27		Allowable deviations.
28		Indicate IN or OUT of tolerance for each type of separation.
29		Remarks
30		Name of person who completed the Summary section.
31		Date the summary was completed.