Checkweigher and Barcode Inspection Log Form
Log inspection results for checkweigher and barcode verification processes.
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Operator Name
*
First Name
Last Name
Line or Equipment Identifier
*
Please Select
Line 1
Line 2
Line 3
Line 4
Other
Product Identification (SKU/Batch)
*
Checkweigher Status
*
Pass
Fail - Overweight
Fail - Underweight
Barcode Inspection Result
*
Pass
Fail - No Read
Fail - Incorrect Code
Defect or Mismatch Details
Corrective Action Taken
Additional Notes
Final Sign-Off (Supervisor/Lead Name)
*
First Name
Last Name
Submit Inspection Log
Should be Empty: