Monthly Dangerous Goods Audit

• Site conducted

  Select

• Conducted on

  Date

• DGSA completing the audit

• Location
  Address

Identification of DG shipment

• Consignor:

• Consignee:

• Despatching branch office:

• UN number, label number(s) packaging group:

Documents

• 01 Transport document: content correct and complete? (ADR 5.4.1)

  Yes

  No

  N/A

• 02 Instructions in writing: correct & in the language of the driver(s)? (ADR 5.4.3)

  Yes

  No

  N/A

• 03 If multimodal road & sea: CTU packing certificate: content correct & complete? (ADR 5.4.2)

  Yes

  No

  N/A

Packaging

• 04 if the packaging need an UN NUMBER approval on the packaging? (ADR 4.1.1.3. 6.1.3.1 (a)(i))

  Yes

  No

  N/A

• 05 If UN NUMBER 1H, 3H or 31H: not older than 5 years (resp.2 years if UN 1790 PG I and UN 2031 (if>55%) Only) (ADR 4.1.1.15)

  Yes

  No

  N/A

• 06 If UN NUMBER 11A, 11H, 21A, 21H, 31A or 31H: last inspection not older than 2.5 year? (ADR 4.1.2.2, 6.5.4.4.1.(b), 6.5.4.4.2 (b))

  Yes

  No

  N/A

• 07 Does the packaging bear the necessary mark(s) and/or label(s)? (ADR 3.3.3 SPXXX, 3.4. resp. 3.4.8, 3.5.4, 5.1, 5.2)

  Yes

  No

  N/A

• 08 Is the packaging damaged or defective, esp leakproof, and are there no leakages or the possibility of leakages of the dangerous substance?

  Yes

  No

  N/A

• 09 Is the packaging closed in accordance with the information provided by the manufacturer? ( 4.1.1.1 4th sentence)

  Yes

  No

  N/A

• 10 Is the outside of the packaging free from dangerous residues? (4.1.1.1 5th sentence)

  Yes

  No

  N/A

Vehicle/container, equipment & driver:

• 11. If the transport is above the limits prescribed in subsection 1.1.3.6: has the subsequent checklist been completed correctly? (ADR 7.5.1.2)

• 12. Is the load in the vehicle/container secured properly? (ADR 7.54.7.1)

  Yes

  No

  N/A

• 13. If container: Is the placarding correct and complete? (ADR5.3.1.2)

  Yes

  No

  N/A

• 14.If multimodal road or sea: Is the placarding correct & complete?

  Yes

  No

  N/A

• IF ANSWERING "NO"TO ANY QUESTIONS DO NOT SHIP!

  Yes

  No

  N/A

Sign off

• NAME of DGSA

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