Information
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Inspection No.
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Inspection Title
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Inspecting Officer
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Transport Company
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Location
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Time Inspection Started
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Time Inspection Completed
Vehicle Details
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Rego no.
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State
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Markings
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Photo
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Is the vehicle transporting dangerous goods (DG)?
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Evidence of DG being transported
- Placards
- Visual check
- Transport documents
- Search
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Vehicle appropriately placarded?
Driver Details
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Driver
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D.O.B.
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Address
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Driver licence no.
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State
Load
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Bulk or package load?
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DG driver licence no.
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State
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DG licence label present?
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DG licence label current and correct for class of DG carried?
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Emergency Information Panels (EIPs) present and accurate?
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Location of EIPs?
- Front
- Side
- Rear
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Load stowed in accordance with code? (See Chapter 8.1 ADG code)
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Photo
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Load stowed in accordance with code? (See Chapter 8.1 ADG code)
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Load segregated correctly? (See segregation chart)
Goods
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Type
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Class
- 2.1 - Flammable gases
- 2.2 - Non-flammable, non-toxic gases
- 2.3 - Toxic gases
- 3 - Flammable liquids
- 4.1 - Flammable solids
- 4.2 - Substances liable to spontaneous combustion
- 4.3 - Substances which in contact with water emit flammable gases
- 5.1 - Oxidizing substances
- 5.2 - Organic peroxides
- 6.1 - Toxic substances
- 6.2 - Infectious substances
- 8 - Corrosive substances
- 9 - Miscellaneous dangerous substances and articles
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UN no.
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PG
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Quantity
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Photo
Documents
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Transport documents present?
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Transport documents comply with Chapter 11.1?
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Emergency Information Holder (EIH) fitted?
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Transport documents in EIH?
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Emergency information carried?
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Emergency information appropriate for the load?
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Emergency information in EIH?
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EIH contains only transport documents and emergency information?
Vehicle Equipment
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Vehicle equipped with three double sided reflector signals?
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Select vehicle load for appropriate fire extinguisher(s)
- Packaged dangerous goods 1. All vehicles where the only dangerous goods are: (a) articles or in packages (including those contained in large packaging's, over packs or segregation devices); or (b) in IBC's except where 3(c) below applies
- Dangerous goods in bulk 2. Vehicles transporting dangerous goods in placardable units (other than IBC's), tanks or bulk containers, except where 3 below applies
- Bulk flammables 3. Vehicles transporting flammable goods (Division 2.1, Classes 3 or 4, or having a Subsidiary risk of 2.1, 3 or 4) in: (a) tanks; (b) bulk containers; and/or (c) placardable units with a total capacity greater than 10,000kg(L)
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Packaged dangerous goods - fire extinguishers
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Dangerous goods in bulk - fire extinguishers
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Bulk flammables - fire extinguishers
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Appropriate fire extinguisher(s) present?
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Fire extinguisher(s) in working order? ("Green Zone")
Personal Protective Equipment (PPE)
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Select class(es) of DGs for appropriate PPE
- 2.1 - Flammable gases
- 2.2 - Non-flammable, non-toxic gases
- 2.3 - Toxic gases
- 3 - Flammable liquids
- 4.1 - Flammable solids
- 4.2 - Substances liable to spontaneous combustion
- 4.3 - Substances which in contact with water emit flammable gases
- 5.1 - Oxidizing substances
- 5.2 - Organic peroxides
- 6.1 - Toxic substances
- 6.2 - Infectious substances
- 8 - Corrosive substances
- 9 - Miscellaneous dangerous substances and articles
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2.1
- Gas tight goggles or full face shield (only needed if the goods are in receptacles with a capacity > 500L or the goods are cryogenic liquids). 'Gas tight goggles' means face hugging goggles with increased facial seal
- Thermally insulated gloves or gauntlets
- Electric torch complying with AS/NZS 60079.11 or other recognized code
- A vehicle transporting unodourized LP Gas must additionally be equipped with a gas detector suitable for detection of LP Gas, in accordance with AS 1596
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2.2
- Gas tight goggles or full face shield (only needed if the goods are in receptacles with a capacity > 500L or the goods are cryogenic liquids). 'Gas tight goggles' means face hugging goggles with increased facial seal
- Thermally insulated gloves or gauntlets
- Any electric torch
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2.3
- Respiratory protection equipment for escape purposes (the minimum requirement is air supplied short term breathing apparatus suitable for escape purposes, except when, even in an emergency, the dangerous goods do not give rise to harmful vapours, gasses or dust. Note that where a driver attends to the loading or transfer of goods, SCBA with a duration of greater than 15 minutes may be required by other [e.g. health and safety] legislation)
- Gas tight goggles or full face shield. 'Gas tight goggles' means face hugging goggles with increased facial seal
- Eye-wash kit (must be at least 250mI capacity, filled and ready for use)
- Thermally insulated gloves or gauntlets
- Any electric torch
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3
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use
- Chemically resistant gloves or gauntlets
- Electric torch complying with AS/NZS 60079.11 or other recognised code
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4.1
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use
- Chemically resistant gloves or gauntlets
- Electric torch complying with AS/NZS 60079.11 or other recognised code
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4.2
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use
- Chemically resistant gloves or gauntlets
- Electric torch complying with AS/NZS 60079.11 or other recognised code
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4.3
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use
- Chemically resistant gloves or gauntlets
- Electric torch complying with AS/NZS 60079.11 or other recognised code
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5.1 (Solid and liquid)
- Gas tight goggles or full face shield. 'Gas tight goggles' means face hugging goggles with increased facial seal [LIQUID ONLY]
- Eye-wash kit (must be at least 250mI capacity, filled and ready for use) [LIQUID & SOLID]
- Chemically resistant gloves or gauntlets [LIQUID & SOLID]
- Chemically resistant suit or coveralls [LIQUID ONLY]
- Chemically resistant boots [LIQUID ONLY]
- Any electric torch [LIQUID & SOLID]
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5.2
- Gas tight goggles or full face shield (only needed if the goods are in receptacles with a capacity > 500L or the goods are cryogenic liquids). 'Gas tight goggles' means face hugging goggles with increased facial seal
- Eye-wash kit (must be at least 250ml capacity, filled and ready for use)
- Chemically resistant gloves or gauntlets
- Chemically resistant suit or coveralls
- Chemically resistant boots
- Electric torch complying with AS/NZS 60079.11 or other recognized code
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6.1
- Respiratory protection equipment for escape purposes (the minimum requirement is air supplied short term breathing apparatus suitable for escape purposes, except when, even in an emergency, the dangerous goods do not give rise to harmful vapours, gasses or dust. Note that where a driver attends to the loading or transfer of goods, SCBA with a duration of greater than 15 minutes may be required by other [e.g. health and safety] legislation)
- Gas tight goggles or full face shield. 'Gas tight goggles' means face hugging goggles with increased facial seal
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use)
- Chemically resistant gloves or gauntlets
- Chemically resistant suit or coveralls
- Chemically resistant boots
- Any electric torch
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6.2
- Chemically resistant gloves or gauntlets
- Any electric torch
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8
- Respiratory protection equipment for escape purposes (the minimum requirement is air supplied short term breathing apparatus suitable for escape purposes, except when, even in an emergency, the dangerous goods do not give rise to harmful vapours, gasses or dust. Note that where a driver attends to the loading or transfer of goods, SCBA with a duration of greater than 15 minutes may be required by other [e.g. health and safety] legislation)
- Gas tight goggles or full face shield. 'Gas tight goggles' means face hugging goggles with increased facial seal
- Eye-wash kit (must be at least 250ml capacity, filled and ready to use)
- Chemically resistant gloves or gauntlets
- Chemically resistant suit or coveralls
- Chemically resistant boots
- Any electric torch
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9
- Eye-wash kit (must be at least 250mI capacity, filled and ready for use)
- Chemically resistant gloves or gauntlets
- Thermally insulated gloves or gauntlets (only if the goods are elevated temperature substances or dry ice)
- Any electric torch
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Appropriate PPE for the load?
Compliance
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Is the vehicle compliant?
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Inspecting officer initial