Poultry X-Ray Inspection Checklist Form

Poultry X-Ray Inspection Checklist Form
Complete this checklist to document the results of a poultry X-ray inspection. Select the appropriate assessment for each item below.
Date of Inspection
MonthDayYear
Date
Inspector Name
Equipment Operational Status
Image Quality Assessment

1
2
3
4
5
1 is Poor, 5 is Excellent
Calibration Check
Foreign Object Detection
Corrective Actions Required
Inspection Points Assessment
Rows Pass Fail N/A
Shielding in place
Warning signs posted
System interlocks functional
Additional Comments
Should be Empty:

Select theme:

Rows	Pass	Fail	N/A
Shielding in place
Warning signs posted
System interlocks functional