U.S. DOD Form dod-dd-1237
SHELL EGG INSPECTION
1. DATE OF REPORT
3. CONTRACT NUMBER
2. SHIPMENT ARRIVAL
a. DATE
4. INSPECTION POINT
b. TIME
5. INSPECTION ACTIVITY
6. SHIPPED TO
a. NAME
b. ADDRESS
a. NAME
b. ADDRESS
(Street, City, State and Zip Code)
(Street, City, State and Zip Code)
7. CONTRACTOR DATA
8. PLANT DATA
a. NAME
b. ADDRESS
a. NAME
b. ADDRESS
(Street, City, State and Zip Code)
(Street, City, State and Zip Code)
c. ESTABLISHMENT NUMBER
9. PRODUCT DESCRIPTION
a. NSN
e. PACK PER CASE
10. CONVEYANCE NUMBER
14. TEMPERATURES
a. OPENING
f. LOT SIZE (DZ)
b. GRADE
c. WEIGHT CLASS
g. DATE OF PACK
h. USDA CERTIFICATE NUMBER(S)
11. SEAL NUMBERS
b. CLOSING
19. QUALITY ASSURANCE REPRESENTATIVE
a. TYPED OR PRINTED NAME (Last, First, Middle Initial)
DD Form 1237, APR 85 (EG)
13. DATE OF STAMP (Julian)
12. STAMP NUMBER
c. STORAGE
d. INDIVIDUAL INTERNAL EGG
15. NUMBER OF SAMPLE CASES INSPECTED
17. EGG BREAKDOWN
a. LOT AVERAGE TOLERANCES
(1) MIN (2) MAX
%
(a) AA
A
%
Q B
%
U Check
%
A Dirty
L
Leaker
%
I
Loss (LS only)
T
LS Loss
%
Y
Other Loss
%
B*
%
(b) Shortage
%
(c) Individual Underweights
%
(d) Net Weight
18. REMARKS
d. CONDITION
e. AVERAGE INTERNAL EGG
16. TOTAL NUMBER OF CASES IN SHIPMENT
(3) ACTUAL
-
b. INDIVIDUAL CASE TOLERANCES
(1) UNDER
(2)
%
(3) QUALITY
%
%
%
%
%
%
%
%
%
%
%
%
b. RANK/GRADE
(4) OVER
(5)
%
(6) QUALITY
(7) OVER
(8)
%
(9) CHECK QUALITY
(10) UNDER
(11) NET
(12) OVER
(13)
%
(14) UNDERWEIGHTS
c. OTHER LOSS BREAKDOWN
c. SIGNATURE
Previous editions are obsolete.
d. DATE SIGNED
Designed using Perform Pro, WHS/DIOR, Aug 97
INSPECTION WORKSHEET FOR INDIVIDUAL SAMPLE CASES OF SHELL EGGS
EGG QUALITY (100 INDIVIDUAL EGG SAMPLE)
Case
No.
A
B
Check
Dirty
Leaker
Loss
LS Only
ADDITIONAL TOLERANCES
Loss
Other
Dirty
Leaker
Loss (LS)
B*
Shortage
Indiv.
Underwt.
Case Net
Wt.
1
2
3
4
5
Case
Avg.
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
TOTAL
TOTAL
Case
Avg.
LOSS SYMBOLS
MIXED ROT
SOUR ROT
BLACK ROT
GREEN WHITE
-
MR
SF
BLRT
GW
BLOOD RING
BLOODY WHITE
LARGE BLOOD SPOT
LARGE MEAT SPOT
-
BR
BW
LS
LS
STUCK YOLK
MOLDY
COOKED
FROZEN
REMARKS
*THE TOTAL NUMBER OF B* QUALITY EGGS MUST BE INCLUDED WITH THE FINAL TOTAL OF B QUALITY EGGS.
DD Form 1237 Reverse, APR 85
-
SY
MLDY
CE
FZ
Internal
Temp.