Chain of Responsibility Checklist Template
Template for Chain of Responsibility Checklist. Customize this template for your specific needs.
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Document: Chain of Responsibility Checklist
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Version 1 • Last updated 7/29/2026
Chain of Responsibility Checklist
Business Name: [BUSINESS NAME] ABN: [ABN NUMBER] Date: [DATE] Location: [SITE ADDRESS]
1. Task Details
| Field | Details |
|---|---|
| Job/Reference Number | [JOB NUMBER] |
| Transport Company Name | [TRANSPORT COMPANY] |
| Vehicle Registration | [REGO PLATE] |
| Driver Name | [DRIVER NAME] |
| Consignor (Sender) | [SENDER NAME] |
| Consignee (Receiver) | [RECEIVER NAME] |
2. Scheduling and Routing
Did you check the following before setting the schedule?
- Realistic Timeframes: Have we allowed enough time for the journey considering traffic, road works and rest breaks?
- Fatigue Management: Does the schedule require the driver to exceed their allowed work hours?
- Route Suitability: Is the route suitable for the vehicle size and weight (e.g. bridges, height limits)?
- Communication: Have we provided accurate contact details and delivery instructions?
Comments: [COMMENTS ON SCHEDULE]
3. Loading and Unloading
Did the person in charge of loading verify the following?
- Weight Limits: Is the total load weight within the vehicle's Gross Vehicle Mass (GVM) and axle limits?
- Load Restraint: Is the load secured according to the Load Restraint Guide (performance standards)?
- Distribution: Is the weight distributed evenly to prevent instability?
- Compatibility: Are mixed loads separated to prevent damage or shifting (e.g. liquid vs solid)?
- Access: Is the loading area safe and clear of obstructions for pedestrians and machinery?
Comments: [COMMENTS ON LOADING]
4. Packaging and Labelling
Have you checked the goods themselves?
- Integrity: Are all pallets and packages in good condition with no broken strapping or wrapping?
- Labelling: Are hazardous materials (if applicable) correctly labelled and documented with MSDS?
- Stacking: Are heavier items placed at the bottom of the stack?
Comments: [COMMENTS ON PACKAGING]
5. Premises and Management
Is the site safe for heavy vehicles?
- Manoeuvring Space: Is there enough room for the truck to turn and reverse safely?
- Surface Condition: Is the ground firm and level to prevent tipping during loading?
- Overhead Hazards: Are there clear height markings and no powerline risks?
- Supervision: Is a responsible person present to assist with loading/unloading?
Comments: [COMMENTS ON PREMISES]
6. Verification and Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Loading Supervisor | [NAME] | [SIGN] | [DATE] |
| Driver | [NAME] | [SIGN] | [DATE] |
| Consignor/Receiver | [NAME] | [SIGN] | [DATE] |
7. Hazard Report
Were any hazards identified during this process?
- No
- Yes (Describe below)
Description of Hazard: [HAZARD DETAILS]
Action Taken: [ACTION TAKEN TO FIX HAZARD]
About this Template
Part of the Chain of Responsibility Checklist document collection
Document Type
Chain of Responsibility Checklist
A practical tool to help businesses in the heavy vehicle supply chain identify and manage safety risks under Australian law.