• Inspecting Officer

  • Inspection Date

  • Inspection

  • Inspection Location
  • Property

  • Dog owner present

  • Dog Owner

  • Others present at inspection


Description of Dog

  • Breed

  • Colour

  • Sex

General Requirements

  • Microchip

  • 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 metal

  • Warning Sign Photos

Prescribed Collar

  • Is the dog wearing a prescribed collar?

  • Council registration tag on collar

  • Collar Photo




  • Is the enclosure fully enclosed?

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

  • 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


  • 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

  • Notes

  • Additional Photos

  • Signature of Authorised Officer

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.