Scale type evaluation - belt scale form

Rev: 05/06/10

OMB No. 0648-0330; Expires 08/31/10

National Marine Fisheries Service
P.O. Box 21668
Juneau, AK 99802-1668
(907) 586-7228
FAX (907) 586-7465

Scale Type Evaluation

Belt scale

I. INFORMATION ABOUT THE SCALE TESTED
Name of Scale Manufacturer:

Name of Manufacturer's Representative:

Mailing Address of Scale Manufacturer:

Mailing Address of Representative, if different:

Model of Scale Submitted for Evaluation:

Telephone Number of Representative:

Serial Number of Scale Submitted for Evaluation:

FAX Number of Representative:

II. INFORMATION ABOUT ALL SCALES
Provide information about the scale submitted for evaluation at #1. Identify all other models of scales of the same type of scale that
will be covered by laboratory evaluation.
Model Designation
#

Value of
Scale
Divisions

Max.
Flow Rate

Min.
Flow
Rate

Min.
Totalized
Load

1
2
3
4
5
6
7
8
9

Scale Type Evaluation: Belt Scale
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Belt
Speed

Weigh
Length

Max.
Capacity

III. INFORMATION ABOUT THE CERTIFYING LABORATORY
Name of Laboratory:

Name and Address of Government Agency
Accrediting Laboratory:

Mailing Address of Laboratory:

Telephone:
FAX:
IV. CERTIFICATION OF COMPLIANCE WITH NMFS AT-SEA SCALE REQUIREMENTS
I certify that I have examined the scale or scale component described above and found it to be in compliance with the performance
and technical requirements in 50 CFR 679 (§679.28(b)(2) and Appendix A) as indicated in the attached checklist and test report
forms.
Signature of Manufacturer’s Representative:

Date

Printed Name of Manufacturer Representative:

V. LIST OF ATTACHMENTS
A. Written description and diagrams of the scale indicating primary features of the scale, how the scale operates, and how the scale
compensates for vessel motion.
B. Describe the difference between the scale submitted for laboratory evaluation and all other scales for which the laboratory
evaluation will apply.
C. Laboratory test results
D. List of adjustments included in the audit trail
E. Other (please list)

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VI. GENERAL REQUIREMENTS CHECKLIST--BELT SCALE

Appendix A
reference

Title

+

2.3.1.1

Indicators and Printers: General

2.3.1.2

Values Defined

2.3.1.3

Units

2.3.1.4

Value of the Scale Division

2.3.1.5

Range of Indication

2.3.1.6

Resettable and non-resettable values

2.3.1.7

Rate of Flow Indicator

2.3.1.8

Printed Information

2.3.1.9

Permanence of Markings

2.3.1.10

Power Loss

2.3.1.11

Adjustable Components

2.3.1.12

Audit Trail

2.3.2.1

Speed Measurement

2.3.2.2

Conveyor Belt

2.3.2.3

Overload Protection

2.3.2.4

Speed Control

2.3.2.5

Adjustable Components

2.3.2.6

Motion Compensation

2.3.4
2.3.4.1

-

Remarks

Written description must be attached

Written description must be attached

Marking
Presentation

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 190 hours 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. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division,
Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) NMFS cannot conduct or sponsor this information request, and you are
not required to respond to this information request, unless the form displays a currently valid OMB control number; 2) this
information is being used to manage the At-Sea Scales Program; 3) Federal law and regulations require and authorize NMFS to
manage commercial fishing effort; 4) Submission of this information is required for scales approved by NMFS to weigh catch at sea;
5) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act (16 U.S.C.1801, et seq.).

Scale Type Evaluation: Belt Scale
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Rev: 5/06/10

OMB No. 0648-0330; Expires 08/31/10

Instructions
Scale Type Evaluation
BELT SCALE

Block I. Information about the scale tested.
This block supplies basic background and contact information so that NMFS can maintain accurate contact
records.
Name and mailing address of scale manufacturer
Name, mailing address (if different from manufacturer), telephone and FAX number of
manufacturer’s representative
Model and serial number of scale submitted for evaluation.
Block II. Information about all scales.
More than one model of scale may be evaluated at the same time. However, the models may differ from the
model submitted for evaluation only in the elements of the scale that perform motion compensation, the size or
capacity of the scale, and the software used by the scale. If other elements differ, a separate application must be
completed.
Model Designation: Enter the model name or number that will be visible to the scale inspector and will allow
him to clearly determine that the scale he is inspecting is on the list of approved scales.
Value of Scale Divisions: Enter the smallest division displayed by the scale.
Maximum Flow Rate: Report in metric tons per hour or kilograms per hour.
Minimum Flow Rate: Report in metric tons per hour or kilograms per hour. This must not be greater than
35 percent of the maximum flow rate.
Minimum Totalized Load: Report in kilograms per hour.
Belt Speed: Report in meters per hour. This is the speed at which the belt travels when the scale is at its
maximum flow rate.
Weigh Length: Enter either the length of the weighing plate or the distance between the two imaginary lines
at the half distance between the axes of the end weighing rollers and the axes of the nearest carrying rollers.
When there is only one weighing roller, the weigh length is equal to half the distance between the axes of the
nearest carrying rollers on either side of the weighing roller.
Maximum capacity: Report in kilograms.
Block III. Information about the certifying laboratory
Information about the laboratory which performed the laboratory evaluation and type testing. The laboratory
must be accredited by the government of the country in which tests were conducted.
Name of laboratory
Mailing address, telephone and FAX of laboratory
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Name and address of government agency accrediting the laboratory
Block IV. Certification of compliance
This block is to certify that the manufacturer’s representative believes the scale or scale component is in
compliance with regulations at 50 CFR 679 as indicated in the checklist and test report forms.
Signature and printed name of representative. Enter name and signature of person responsible
for evaluation of the scale
Date of signature
Block V. List of attachments
This block is a checklist of attachments intended to help the manufacturer’s representative include the correct
documentation that NMFS needs to approve the scale. The information provided must be sufficient to allow
NMFS to judge whether the scale is appropriate for its intended use on a vessel at-sea. Requirements for motion
compensation are specifically described in Appendix A, section 2.3.2.6.
Each scale listed in Block II must be described.
Written description and diagrams of the scale indicating primary features of the scale, how the scale operates,
and how the scale compensates for vessel motion.
Describe the difference between the scale submitted for laboratory evaluation and all other scales for which
the laboratory evaluation will apply.
Laboratory test results: Verification of test results that a scale meets the laboratory evaluation and testing
requirements in appendix A to 50 CFR part 679 and each of the influence quantity and disturbance tests as
specified in the annex to appendix A that:
Led to an International Organization of Legal Metrology (OIML) certificate of conformance or
Demonstrates that the scale meets all test requirements in Appendix A or the annex to Appendix A of 50
CFR 679.28. An National Type Evaluation Program (NTEP) certificate will be accepted only for the
specific influence factor tests which were conducted to receive the NTEP certificate additional
information must be submitted to verify compliance with the laboratory tests that are not performed under
the NTEP.
List of adjustments. Enter a list of types of scale adjustments that will be recorded on the audit trail,
including the name of the adjustment as it will appear on the audit trail, and a written description of the
adjustment. An audit trail in the form of an event logger must be provided to document changes made using
adjustable components.
Other.
This should include any supporting information that will assist NMFS to determine if the scale meets the
performance and technical standards.
Block VI. General Requirements checklist
This checklist is provided for your own convenience and does not need to be submitted to NMFS. Each item on
this list is required before a scale may be approved by NMFS. For each item on the checklist, there is a reference
to a paragraph of Appendix A to 50 CFR 679.28 (attached). If the scale being evaluated meets that criterion,
place a mark in the plus column. If a scale does not meet the criterion, or you are not certain whether it meets the
criterion, place a mark in the minus column.

Scale Type Evaluation: Belt Scale Instructions
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