Information

  • Inspection No.

  • Inspection Title

  • Inspecting Officer

  • Transport Company

  • Location
  • Time Inspection Started

  • Time Inspection Completed

Vehicle Details

  • Rego no.

  • State

  • Markings

  • Photo

  • Is the vehicle transporting dangerous goods (DG)?

  • Tap to enter information
  • Evidence of DG being transported

  • Vehicle appropriately placarded?

Driver Details

  • Driver

  • D.O.B.

  • Address

  • Driver licence no.

  • State

Load

  • Bulk or package load?

  • Tap to enter information
  • DG driver licence no.

  • State

  • DG licence label present?

  • DG licence label current and correct for class of DG carried?

  • Emergency Information Panels (EIPs) present and accurate?

  • Location of EIPs?

  • Load stowed in accordance with code? (See Chapter 8.1 ADG code)

  • Photo

  • Tap to enter information
  • Load stowed in accordance with code? (See Chapter 8.1 ADG code)

  • Load segregated correctly? (See segregation chart)

Goods

  • Type

  • Class

  • UN no.

  • PG

  • Quantity

  • Photo

Documents

  • Transport documents present?

  • Transport documents comply with Chapter 11.1?

  • Emergency Information Holder (EIH) fitted?

  • Transport documents in EIH?

  • Emergency information carried?

  • Emergency information appropriate for the load?

  • Emergency information in EIH?

  • EIH contains only transport documents and emergency information?

Vehicle Equipment

  • Vehicle equipped with three double sided reflector signals?

  • Select vehicle load for appropriate fire extinguisher(s)

  • Tap to enter information
  • Packaged dangerous goods - fire extinguishers

  • Tap to enter information
  • Dangerous goods in bulk - fire extinguishers

  • Tap to enter information
  • Bulk flammables - fire extinguishers

  • Appropriate fire extinguisher(s) present?

  • Fire extinguisher(s) in working order? ("Green Zone")

Personal Protective Equipment (PPE)

  • Select class(es) of DGs for appropriate PPE

  • Tap to enter information
  • 2.1

  • Tap to enter information
  • 2.2

  • Tap to enter information
  • 2.3

  • Tap to enter information
  • 3

  • Tap to enter information
  • 4.1

  • Tap to enter information
  • 4.2

  • Tap to enter information
  • 4.3

  • Tap to enter information
  • 5.1 (Solid and liquid)

  • Tap to enter information
  • 5.2

  • Tap to enter information
  • 6.1

  • Tap to enter information
  • 6.2

  • Tap to enter information
  • 8

  • Tap to enter information
  • 9

  • Appropriate PPE for the load?

Compliance

  • Is the vehicle compliant?

  • Inspecting officer initial

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.