LOAD RISK ASSESSEMENT FORM

HSE
DEPARTMENT
Date ___/___/___ Vehicle Reg # Site Loaded.
Site Ofoading Client
Load Assessor/Driver Signature
Y N
!s the truc"/trailer driver #earing correct $$%
& !s the truc"/trailer correctl' (ositioned and level
) Are truc" choc"s in (lace and the truc" *ade +unda*entall' sta,le
- !s there an' da*age to the truc"/trailer
. Are the a((ro(riate (eo(le and e/ui(*ent availa,le +or loading/unloading
0 Are there an' ite*s that re/uire s(ecial li+ts or a crane to handle the*.
Loading
Y N
!s the 1ight to ,e dis(atched clean2 #ell (ac"ed and secured in cartons or
a((ro(riate (ac"aging
& !s the docu*entation 3Con. Notes/4ani+est5 +or all the ite*s dis(atched
) Are dangerous goods ,eing dis(atched
Are the a((ro(riate 4SDS acco*(an'ing docu*entation
Are the dangerous goods (ac"ed in a((roved (ac"aging
Are the containers in the u(6right (osition
Are the (ac"aging containers correctl' la,eled
7ave D8 4ani+ests (re(ared
Does the truc" have the correct Dangerous good (lacarding
!s additional $$% re/uired
!+ it9s re/uired is it availa,le +or use:
- Are there an' ite*s that *a' have stored energ'; eg 7'draulic units2 s(ring
under tension <tted #ith #arning la,els
. !s the load restraint %/ui(*ent suita,le to sa+el' restrain the load
0 Does the =otal #eight o+ the load e>ceed the truc"s carr'ing ca(acit' or a>le
loadings
? !s the load (laced in the sta,le (osition and its suita,ilit' restrained
@
!s the chosen dis(atch truc" a((ro(riate +or the load 3sha(e2 siAe and #eight5
Ofoading
Y N
7as an' +reight *oved in transit
& Are all the ite*s eBectivel' secured to the trailer2 (allet2 or on the loc"s
) Are the to( loaded ite*s sta,le
- Could an' +reight *ove2 or ,eco*e unsta,le2 i+ the load restraint devices #ere
re*oved
. !s there an' s(illage o+ an' "ind +ro* the cargo
0 Does the truc" *ani+est indicate it is carr'ing Dangerous 8oods 3D85
!s the truc" a((ro(riatel' (lacarded
Are the' still (ac"aged correctl' 3i+ readil' identi<a,le5
Are the' la,eled correctl'
!s additional $$% re/uired to ofoad the*
Are the relevant 4SDS readil' availa,le
All ris"s associated #ith the load have ,een identi<ed and eBective controls (ut
in (lace
O4L Su(/Re( Na*eC DDDDDDDDDDDDDDDDDDDDSignature DDDDDDDD
O4L67S%6E46)FF@
7S% D%$AR=4%N=
R%V!S!ON NO. F
DA=% OE !SSG%C F
=7
HAN &F-
$age o+ )
LOAD RISK ASSESSEMENT FORM
HSE
DEPARTMENT
Clients Re( Na*e DDDDDDDDDDDDDDDDDDDD.. Signatue DDDDDDDD.
IDENTIFIED RISKS CORECTIVE ACTION/CONTROLS
O4L67S%6E46)FF@
7S% D%$AR=4%N=
R%V!S!ON NO. F
DA=% OE !SSG%C F
=7
HAN &F-
$age & o+ )
LOAD RISK ASSESSEMENT FORM
HSE
DEPARTMENT
O4L67S%6E46)FF@
7S% D%$AR=4%N=
R%V!S!ON NO. F
DA=% OE !SSG%C F
=7
HAN &F-
$age ) o+ )