• Inspecting Officer

  • Inspection Date

  • Declared

  • Date Declared

  • Inspection

  • Inspection Location
  • Property

  • Dog owner present

  • Dog Owner

  • Others present at inspection


Description of Dog

  • Breed

  • Microchip

  • Colour

  • Sex

  • Dog Registered

  • Dog Desexed

General Requirements

  • Condition of Dog Lead

  • Condition of Muzzle

  • Was dog inside the enclosure?

  • If yes, was the enclosure locked?

Warning Signs

  • Number of signs

  • Are the signs square (40cm x 40cm)

  • Are the signs made of a durable material

  • Does the door have a clear legible sign saying "DANGEROUS DOG"?

  • Warning Sign Photos

  • Is there a "DANGEROUS DOG" sign on all entrances to property

  • Photos of "DANGEROUS DOG" signs on property entrances

Prescribed Collar

  • Is the dog wearing a prescribed collar?

  • Collar Photo




  • Is the enclosure fully enclosed?

  • Is the enclosure childproof

  • Is the area situated so as not to require a person to pass through it to gain access to other parts of the property

  • Is the door self closing and latching

  • All gates to the enclosure have a lock which enables the enclosure to be securely locked

  • Is the door sufficient to prevent any dog escaping

  • Photo of self closing and latching door

  • Is there a weatherproof sleeping area?

  • Floor made from sealed concrete

  • Floor graded to fall to a drain for removal of effluent

  • Walls, roof and gate construction material

  • Wall Construction

  • Roof Construction

  • Gate Construction


  • Is there chain mesh used in the construction

  • If yes, What is the mesh used in construction


  • Is the enclosure at least 1.8m in height

  • Is the enclosure at least 1.8m in width

  • Is the enclosure at least 10 square metres in area

Enclosure Photos

  • Photos

Officer Comments

Officer Comments

  • Does the enclosure meet the requirements under section 58C of the Companion Animal Act 1998

  • Notes

  • Additional Photos

  • Officers Name and Signature

Questions for the Owner

Questions for the dog owner

  • Is the owner/person in charge aware that the dog must not at any time be in the sole charge of a person under the age of 18 years ?

  • Comments

  • Is the owner/person in charge aware of the enclosure requirements while the dog is on the property where it is ordinarily kept, and the enclosure must comply with the prescribed regulations ?

  • Comments

  • Is the owner/person in charge aware that whenever the dog is outside its enclosure the dog must be under effective control of some competent person (over 18 years) with an adequate chain, chord, leash that is attached to the dog and held by the person?

  • Comments

  • Is the owner/person in charge aware the dog must be muzzled at all times outside of the enclosure in a manner to prevent it butting any person or animal?

  • Comments

  • Is the owner/person in charge aware that the dog is considered not to be under effective control if the person has more than 2 dogs (one of which is a dangerous/restricted dog) under their control at the one time?

  • Comments

  • Is the owner/person in charge aware that they have to notify council of the following changes<br>- That the dog has attacked or injured a person or animal ( notify council within 24 hr)<br>- That the dog can not be found (notify council within 24 hr dog is first noticed absent)<br>- That the dog is no longer ordinarily kept in the council area (notify council as soon as practicable)<br>- That the dog is being kept at a different location in the council area (notify council as soon as practible)

  • Comments

  • Is the owner/person in charge aware that if the owner intends to keep a dog in the area of a council that is not the area in which the dog was ordinarily kept when the declaration was made, the owner must notify the council of the area in which the dog is intended to be ordinarily kept of their intentions ?

  • Comments

  • Is the owner/ person in charge aware that if they fail to comply with any of the requirements of a dangerous/restricted dog they are guilty of an offence?

  • Comments

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.