Date:
Lot #:
Inspection #:
Packer:
Screening Co.:
Ctn/can size:
Lot size:
Label Order #:
Label:
Quantity (ctn.):
Destination:
Marks:
Samples 1 through 10 - Can Code and Quantity (ctn.)
Manual Dud Detector Settings (0.001 inch)* - Canner's End: Manufacturer's End:
*attach automated Dud Detector computer printout
Checkweigher Settings (grams) - Underweight Setting: Overweight Setting:
Serious Defects
Total defects for: Abrasion, severe; Cut-over; Cut Down Flange; Cut Seam; Double End; Droop; False Seam; Fractured Bottom Profile; Fractured Seam; Knocked Down Curl; Knocked Down End; Knocked Down Flange; Metal Plate Flaw; Pin Hole; Scrap-in-die Mark; Vee
Minor Defects
Total defects for: Droop, Minor; Flipper; Overweight
Total Serious Defects
Total Minor Defects
Total Cans Screened
Total Cans Labelled
Defect Rate: /100,000 cans
Signature:
Remarks: