Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

Sample information

  • Stack information (eg: OBH02)

  • Sample type

Sample results

  • Grain Type

  • Hectolitre (grams)

  • stack average Hectolitre (grams)

  • Screenings (grams)

  • Stack average Screenings (grams)

  • Protein (%)

  • Stack average protein (%)

  • Moisture (%)

  • Stack average Moisture (%)

  • Sprouted

  • Falling number results

  • Gluten

  • Starch

  • Sprouted

  • Type 1

  • Type 3a

  • Type 3b

  • Type 3c

  • Type 4

  • Type 5

  • Type 5

  • Type 6

  • Type 7a

  • Type b

  • Stones

  • Whole snail shells

  • Field fungi /black field fungi

  • Ryegrass ergot

  • Wheat ergot

  • Loose smut

  • Earcockle

  • Small insects dead or alive

  • Small foreign seeds (grams)

  • Unmillable material (grams)

  • Pink grains

  • Stained grain

  • Headscab/White grain disorder

  • Dry green / sappy

  • Frost distorted

  • Insect damaged

  • Hectolitre (grams)

  • stack average Hectolitre (grams)

  • Screenings (grams)

  • Stack average Screenings (grams)

  • Protein (%)

  • Stack average protein (%)

  • Moisture (%)

  • Stack average Moisture (%)

  • Colour

  • Stack average Colour

  • Radish pods

  • Unmillable material (grams)

  • Type 1

  • Type 2

  • Type 3

  • Type 4

  • Type 5

  • Type 6

  • Type 7a

  • Type 7b

  • Snail shells

  • Dry green barley

  • Field insects

  • Mould affected

  • Germ end stained

  • Ryegrass ergot

  • Small foreign seeds (grams)

  • Skinned

  • Distorted

  • Cleaved

  • Large Admix (grams)

  • stack average Admix (grams)

  • small Admix (grams)

  • Stack average small Admix (grams)

  • Oil (%)

  • Stack average Oil (%)

  • Moisture (%)

  • Stack average Moisture (%)

  • heated seeds test result

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.