CLASSIFICATION: C1 - CONTROLLED
PROCEDURE FOR SAFETY INSPECTION IN MESAIEED INDUSTRIAL
CITY
DOC NO: IMM-SAF-PRC-043 REV. 00
APPENDIX G: TRANSPORTATION OF DANGEROUS GOODS & HAZARDOUS
MATERIALS BY ROAD CHECKLIST
Location Date: Time:
Vehicle Mark and Registration Number:
Trailer/Semi-Trailer Mark and Registration
Number:
Driver Name and ID Number:
Consignor Name and Address:
Consignee Name and Address:
Total Quantity of Dangerous Goods per
Transport Unit:
Mode of Transport (Tick on appropriate box) In Bulk: Package: Tank:
Description Yes No N/A
Instructions in writing
Certificate of Approval for Vehicles
Driver’s / Crew Members Training Certificate
Risk Assessment
Goods Authorized for Transport
Vehicles Authorized for Goods Carried
Mixed Loading Prohibition
Loading, Securing of the Load and Handling
Leakage of Goods or Damage to Packages
Package Marking (eg. UN No.) and Labelling
Tank / Vehicle Placarding
Mandatory Safety Equipment Specified
Equipment According to the Goods Carried
Other Equipment Specified in the Instructions in Writing
Fire Extinguisher(s)
Remarks / Actions:
Name of Inspector: Signature:
IMM-SAF-PRC-043-G Page 24 of 35
