FGIS 921-2 Inspection Report - Insects in Grain

U.S. Department of Agriculture
Agricultural Marketing Service
Federal Grain Inspection Service
Animal and Plant Health Inspection Service
INSPECTION REPORT – INSECTS IN GRAIN
8
8
Page ______
of ______
5. Grain Inspection Certificate Number.

2. Location of Elevator 3. Grain/Commodity

4. Quantity

Corrected

7. Country of Destination

8. Name of Carrier/Vessel
11. Date
Inspected

OMB No. 0581-0309

6. Status of Report
Original

10. Sublot Number/
Carrier Identification

1. Name and Address of Shipper

12. Stowage (Hold Nos.) 13. Quantity

17. Remarks (Use reverse for additional space)

14. No. of
Live Insects

9. Loading Date Start/Date Finished

15. Lot 16. Name of Insect
Infested

18. Name of Inspector and name of official service provider

Fumigation Information
19. Date of Fumigation

20. Treatment

21. Hold Nos.

22. Type of Chemical

23. Concentration Level

24. Duration of Exposure

25. Commodity Temperature at Time of Fumigation

26. Quantity (metric tons)

27. Name of Inspector

Form FGIS 921-2 (03/25) Previous editions are obsolete. Expires 03/28

FORM APPROVED OMB NO. 0581-0309: 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 display a valid OMB control number. The valid OMB control for this information collection is 0581-0309. The time required to complete this information
collection is estimated to average 5 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.

Additional Remarks: (Additional information from boxes 10-17 may be continued on this page, or agency letterhead may be
attached. Agency letterhead cannot be used for unit trains or containers where individual identification is needed.)

Form FGIS-921-2

(Reverse) Page ______of_____

Instructions for Completing Form FGIS 921-2 “INSPECTION REPORT – INSECTS IN GRAIN.”
1. Name and address of the shipper.
2. Location of elevator where the barge, vessel or carriers (railcars, containers) were loaded.
3. Type of grain/commodity examined for insects.
4. Total quantity (pounds or metric tons) of the grain/commodity that was loaded on the barge or vessel,
or the number of trucks, containers, and/or hopper cars.
5. If applicable grain inspection certificate number representing the containers/vessel shown on this
report
6. Indicate if this “Insects in Grain Repot” is the original or has been corrected.
7. Destination country or territory (ex. Puerto Rico) for the grain/commodity. The information in this block
should reflect load order.
8. Name of the vessel or barge identification number/name.
9. Dates the loading of the barge/vessel, unit train, container booking started and completed.
10. Sublot Number or Carrier Identification (e.g., container, railcar, or truck). List individual carrier IDs
separately in the space provided on front of form. If the number of sublots or carrier ID’s exceed the
available spaces, then use the front of another form for the remainder of sub lots or carrier ID’s. Use
the back of the form for unit trains to list the railcar ID’s associated with the sublot listed on front of the
form.”
11. Applicable for containers only. Date the grain/commodity was loaded and examined for insects.
12. Stowage (Hold Nos.), location where the grain/commodity for that particular sublot is stowed.
13. Enter the approximate quantity (pounds) of the grain/commodity in the bargelot or sublot. For railcars
and containers, use the actual weight of the lot or use the appropriate carrier terms (e.g., hopper,
carlot, unit train, and container).
14. Number of live insects found in the corresponding sublot or carrier (if any).
15. Check the box if the grain/commodity examined meets the FGIS criteria for “Infested” or “Sample
Grade” (SG) because of live insect infestation. Mark this column only as it applies to insects, not
any other SG condition.
Note: The FGIS designation “Sample Grade” is applicable to beans, lentils, peas, and rice when
infested with live weevils or other live insects injurious to stored grain. Sample Grade is also
applicable to lots of milled rice that contain dead insects. Do not report milled rice lots that are
“Sample Grade” due to dead insects. The FGIS designation of “Infested” is applied to the grains,
barley, canola, corn, flaxseed, mixed grain, oats, rye sorghum, soybeans, sunflower seed, triticale,
and wheat when they are infested with live weevils or other live insects injurious to stored grain.
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16. Name of any insect found in the corresponding sublot or carrier. Identify by using the insect’s common
name (e.g., Rice Weevil, Red Flour Beetle). DO NOT USE THE TERMS “BRAN BUG” OR “OLI.”
17. Place any remarks, if needed, in this section. The reverse of the form may be used if additional space
is needed.
18. Name of inspector completing this form along with the name of the official service provider or the
official service provider’s alpha identifier.
Note Section 19 -27: Complete these sections for fumigation of vessels where official personnel are
present to witness the application of the fumigant. For containers or railcars that are fumigated when
official personnel are not physically present to witness the fumigation, the required fumigation
documentation may be attached to the form.
19. Date that the grain/commodity in the noted sublot/barge/railcar/container was fumigated.
20. Fumigation method used to treat the grain/commodity. (Leave this space blank)
21. The stowage space (e.g., hold numbers, container number, rail car number) that was fumigated.
22. Type of chemical used to fumigate the grain/commodity.
23. The concentration level of the fumigant used.
24. Length of time the stowage area (e.g., vessel holds, railcar, container, and barge) needs to be
secured for a proper treatment of the grain/commodity.
25. The commodity temperature at the time of fumigation. This should reflect the temperature that is
provided by the licensed fumigator.
26. Total quantity of grain/commodity fumigated expressed in metric tons, if known. For railcars and
containers, use the actual weight or use the appropriate carrier terms (e.g., hopper, carlot, unit train,
and container).
27. Name of the inspector who verified the fumigation process. Complete this block only if official
personnel were present to observe the fumigation.
CONTACT INFORMATION:
Contact the field office responsible for the geographic area in which the service will be provided.
For further information on the Inspection Report - Insects in Grain:
Robert J. Dorman
Policies, Procedures Market Analysis Branch
Field Management Division
[email protected]

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