Form P&SP-4300 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

MONORAIL SCALE TEST REPORT 1 Page No.

2 Test Agency (Name, address, city, state, zip code) 3 Scale Owner 

4 Address 

5 City 6 County 7 State 

8 Scale Manufacturer 

(Indicator)

9 Model Number 10 Serial Number 11 Class of Scale 

 Marked III  Not Marked 

12 Type Indicator  Printer 

 Beam  Dial  Digital 

13 Scale Location 

 Kill Floor 

 Shipping  Cooler 

14 Scale Capacity 

Lbs. 

15 Scale Division (d)

Lbs.

16 Minimum Tare Division 

Lbs.

17 Tare Setting 

 (As found) 

Lbs. 

18 Type of Weighing 

 Static  Dynamic 

19 Type of Livestock Weighed 20.How is Tare Deducted?  Tare Bar & Poise  Tare Module  In Accounting 

 Push Button Zero  Zero Knob or Screw`  Balance Ball  By Computer 

21.Weighing Speed (head per

hour) 

/Hour

22 Test Weights Used:  Service Company  Feed Company  Weights And Measures 23 Date Test Weights Were Last Verified 

24 Test Date 

(mm/dd/yyyy) 

25 Last Test Date 

(mm/dd/yyyy) 

26 Times and Days When Scale is Not in Use and Available for 

Testing: 27 Test Results 

 Approved  Condemned

 Rejected  Other_________ 

Test Data 

28 Type of Test 

 Static  Dynamic 

29 SR (Sensitivity Response) Or Discrimination 

Test 

Zero Load = __________ Lbs. Maximum Load = __________ Lbs. 

30 Motion Detection 

Range = ______________ Lbs. 

31 AZSM (auto zero setting mech.) 

 Range = ______________ Lbs. 

32 Test Weights 

Indicating 

Element 

(32c) 

Error 

(Pounds) 

(32d) 

32 Test Weights 

Indicating 

Element 

(32c) 

Error 

(Pounds) 

(32d) 

32 Test Weights 

Indicating 

Element 

(32c) 

Error 

(Pounds) 

(32d) 

Position 

(32a) 

Pounds 

(32b) 

Position 

(32a) 

Pounds 

(32b) 

Position 

(32a) 

Pounds 

(32b) 

33 Decreasing Load Test (Dial and Digital Only)

Balance 

34 Remarks

35 Receipt of Report Acknowledged (Signature): 36 Scale Inspector (Signature): 

Response is required in order to assure that tests and inspections have been made on scales to show their accuracy so that livestock carcasses 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-4300 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.