Load Details

Load Supplied By

Load Weight (kilograms)

State

Description of Load

Contamination Level - PVC

Contamination Level - Film

Contamination Level - Organics

Contamination Level - Paper/Card

Contamination Level - Moisture

Contamination Level - PVC

Contamination Level - Organics

Contamination Level - Paper/Card

Contamination Level - Moisture

Contamination Level - PVC

Contamination Level - Film

Contamination Level - Organics

Contamination Level - Paper/Card

Contamination Level - Moisture

Contamination Level - PVC

Contamination Level - Film

Contamination Level - Organics

Contamination Level - Paper/Card

Contamination Level - Moisture

Photos of Inbound Load

Declaration

Load Accepted / Rejected

Signed
Select date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.