A novel method for determination of semi-macro and macro size distributions of inclusions in steel from samples in ladle, tundish and mould has been developed. The samples are worked and surface treated before inspection. Mainly immersed ultrasonic scanning is performed to determine the semi-macro and macro inclusion content. The LSHR method has been tested in several different steel plants and for different steel grades. It is concluded that new information regarding large inclusions during steelmaking can be obtained using the method.