Receiving Dangerous Goods Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by:

• Location
  Address

Type of Inspection

• ADR Documentation Compliance Audit

• ADR Shipment Compliance Audit

Previous Audit

• Have all deviations from the previous audits been addressed and closed out?

  Yes

  No

  N/A

• Give Details of Any Outstanding Issues.

ADR Delivery Compliance Audit - CHECKS PRIOR TO UNLOADING - Loader -ADR 1.4.3.7

• Are the goods received subject to ADR

  Yes

  No

  N/A

• Give Details of UN No.'s

• Give Name of Tranport Company.

• Give Name Of Vehicle Driver.

• Does the Driver have an ADR Licence (VTC) - Is it Suitable for goods being carried.

  Yes

  No

  N/A

• Add media

  Media

• Are Orange Couloured Plates Displayed on the Vehicle - ADR 5.3.2.1

  Yes

  No

  N/A

• Is the Vehicle Placarded? ADR 5.3.1

  Yes

  No

  N/A

• Add media

  Media

• Give Registration Details of Vehicle.

• Check exterior of Trailer - ADR 7.5.1

  Yes

  No

  N/A

• Give Detials of any Defficiences

• Check Interior (so as to not affect integrity of packages) - ADR 7.5.1

  Yes

  No

  N/A

• Give Detials of any Defficiences

• Add media

  Media

ADR Delivery Compliance Audit - VEHICLE EQUIPMENT / SAFETY EQUIPMENT

• Sufficient Fire Extinguishers for size of Vehicle / Load - ADR 8.1.4

  Yes

  No

  N/A

• Extinguishers Seal Intact, Next Inspection Date, Guauge - ADR 8.1.4

  Yes

  No

  N/A

• What is the next Inspection Date

  Date

• Wheel chock(s) - ADR 8.1.5

  Yes

  No

  N/A

• Two self-standing warning signs (lamp, triangle, cones) - ADR 8.1.5

  Yes

  No

  N/A

• Portable lighting apparatus - ADR 8.1.5

  Yes

  No

  N/A

• Shovel (solids & liquids with danger label 3, 4.1, 4.3, 8 or 9) - ADR 8.1.5

  Yes

  No

  N/A

• Drain seal (solids & liquids with danger label 3, 4.1, 4.3, 8 or 9) - ADR 8.1.5

  Yes

  No

  N/A

• Plastic collecting container, (as for danger labels above) - ADR 8.1.5

  Yes

  No

  N/A

• Add media

  Media

ADR Delivery Compliance Audit - PERSONAL PROTECTIVE EQUIPMENT

• Eye rinsing liquid - ADR 8.1.5

  Yes

  No

  N/A

• What is the Expiration Date

  Date

• A warning vest - ADR 8.1.5

  Yes

  No

  N/A

• A pair of protective gloves - ADR 8.1.5

  Yes

  No

  N/A

• Eye protection ( protective goggles) - ADR 8.1.5

  Yes

  No

  N/A

• Emergency escape mask for each member (labels 2.3 or 6.1) - ADR 8.1.5

  Yes

  No

  N/A

ADR Delivery Compliance Audit - CHECKS After Unloading

• If Vehicle is empty, have all Placards & Orange Coloured Plates been removed

  Yes

  No

  N/A

• Is There a Transort Document with the Shipment.

  Yes

  No

  N/A

• Give Details of Delivery Dockets Involved.

• Have the Correct Goods been identified and unloaded - Compare relevant information on the Transport Document with the information on the packages.

  Yes

  No

  N/A

• Before and During Unloading all Packagings used to contain Dangerous Goods are checked for any damage. If damaged then additional measures need to be taken prior to unloading.

  Yes

  No

  N/A

• Add media

  Media

• All relevant requirements concerning unloading have been complied with.

  Yes

  No

  N/A

• Are Packages marked and Labelled as required (UN No. & Hazard Label) - ADR 5.2.1 - 5.2.2

  Yes

  No

  N/A

• Do the Packagings bear the Correct UN Markings? - ADR 6.1.3

  Yes

  No

  N/A

Sign-Off Section

• Checklist Completed By

  Sign

• Unloader

  Sign

• Auditor

  Sign