Form P&SP-4400 Expires 11-30-2017 Page 1 of 2 

 OMB Control No. 0580-0015 

U.S. DEPARTMENT OF AGRICULTURE

GRAIN INSPECTION, PACKERS AND 

STOCKYARDS ADMINISTRATION

PACKERS AND STOCKYARDS PROGRAM

VEHICLE SCALE TEST REPORT

1 Page No.

2 Date 

3 Test Agency (Name, address, city, state, zip code, phone number, and 

e-mail address)

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 

7 Make of Scale 8 Scale Capacity 

Lbs. 

9 Kind of Indicator 10 Serial Number 11 Minimum Division 12 Balance Indicator 

(Make)

13 Platform Size 

X Ft.

14 Balance Condition on 

Arrival 

Lbs. 

15 Type of Levers 16 Pit Depth 

Ft.

17 Last Date Tested 18 Year Installed 

Test Results 

Increasing Load Test of Each Section 

Test Weights 21 Scale 

Indication 22 Error Test Weights 21 Scale Indication 22 Error 19 Position 20 Pounds 19 Position 20 Pounds 

Balance 0 

Strain-Load Test

Left to Right Right to Left 

Section 1 Section 2 Section 3 Section 4 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 Expires 11-30-2017 Page 2 of 2 

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) 720-

6382 (TDD). USDA is an equal opportunity provider and employer.