Hazardous Goods Carrier Vetting Form
Company Details
Company Name
Address
Contact Person
Contact Number
Email
Vehicle Details
Vehicle Type
Vehicle Registration Number
Capacity (tons)
Hazardous Materials Authorization
Classes of Hazardous Goods Authorized
License/Permit Number
License Expiry Date
Driver Details
Driver Name
Driver License Number
Driver License Expiry
Insurance Details
Insurance Company
Insurance Policy Number
Insurance Expiry Date
Safety and Compliance
ADR/HAZMAT Training Certification (Driver)
Date of Last Vehicle Inspection
Incident/Accident History (Last 3 Years)
Additional Notes