Menacing Dog Inspection

• Inspecting Officer

• Inspection Date

  Date

• Inspection

  Scheduled

  Unscheduled
• Inspection Location
  Address

• Dog owner present

  Yes

  No

  N/A

• ID of person present

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

• Menacing Dog signs

  Yes

  No

  N/A

• Is the dog wearing a prescribed collar

  Yes

  No

  N/A

• Is the dog enclosed in a manner to restrain the dog from a child

  Yes

  No

  N/A

• Additional Photos

  Media

Officer Comments

• Notes

• Signature of Authorised Officer

  Sign