Dangerous / Restricted Dog Inspection

• Inspecting Officer

• Inspection Date

  Date

• Inspection

  Select Scheduled Unscheduled

  • Scheduled
  • Unscheduled
• Inspection Location
  Address

• Dog owner present

  Yes

  No

  N/A

• ID of person present

  Media

Dog

• Microchip

• Desexed

  Yes

  No

  N/A

• Registered

  Yes

  No

  N/A

• Photo of Dog

  Media

Requirements

• Condition of dog lead

  Good

  Poor

  Not Present

• Condition of muzzle

  Good

  Poor

  Not Present

• Dangerous Dog signs

  Yes

  No

  N/A

• Is the dog wearing a prescribed collar?

  Yes

  No

  N/A

Enclosure

Construction

• Photo of enclosure

  Media

• Is the enclosure fully enclosed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do all gates to the enclosure swing closed and lock

  Yes

  No

  N/A

• Is there a weatherproof sleeping area

  Yes

  No

  N/A

• Floor made from sealed concrete

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Walls, roof and gate construction material

  Select a) brick, timber, iron or similar solid material b) compliant mesh both a) and b) other material (non compliment)

  • a) brick, timber, iron or similar solid material
  • b) compliant mesh
  • both a) and b)
  • other material (non compliment)

• Is there chain mesh used in the construction

  Yes

  No

  N/A

• If yes, What is the mesh used in construction

  Select chain mesh manufactured from 3.15mm wire to form a uniform 50mm mesh weldmesh manufactured from 4mm wire with a maximum mesh spacing of 50mm other (non compliant)

  • chain mesh manufactured from 3.15mm wire to form a uniform 50mm mesh
  • weldmesh manufactured from 4mm wire with a maximum mesh spacing of 50mm
  • other (non compliant)

• Photo of mesh

  Media

• Is the enclosure at least 1.8m in height

  Yes

  No

  N/A

• Is the enclosure at least 1.8m in width

  Yes

  No

  N/A

• Is the enclosure at least 10 square metres in area

  Yes

  No

  N/A

• Additional Photos

  Media

Officer Comments

• Notes

• Signature of Authorised Officer

  Sign