Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date *Company *All Civil SolutionsBTSORISIUltimate HaulageDMSLoad and Go/WallyHaines BrosAttcallOther(Other) Company *Full Name *Please SelectGeorge GEORGAMLISDemi GEORGAMLISKonstantinos NIKOLAOUGeorge SARRISElias SARRISSteven AYERSMilad AOUNMichael GEORGAMLISRonald HENRYOtherFull Name (other) *Have you completed your Pre-Start? *YesNoHave you completed a fit for duty? *YesNoHow stressed are you? Selected Value: 1 1 not stressed at all and 10 being highly stressedHow tired are you? Selected Value: 1 1 = Not at all and 10 = extremely tiredAny symptoms of illness? Selected Value: 1 1 = none at all and 10 = extremely sick How fit are you for duty? Selected Value: 1 1 = being the best and 10 = being the worstDoes this need to be IWTS Tracked? *YesNoTruck RegistrationPlease SelectACS601ACS605ACS608ACS609ACS244ACS247XO18JGXO43XLCI39FVXN44BDOtherTruck Registration (Other) *Configuration *Truck and Dog (3 Axle Trailer)Truck and Quad (4 Axle Trailer)Semi TrailerBogiePick Up Address *BlakehurstAZTECH – Devon St EppingEdmondson ParkCrown Street, WollongongKemps CreekRandwickColongraHeathcoate RoadOtherPickup Address *Delivery Address *Richmond LowlandsBringellyCobbityCleanaway (Erskine Park)SCE RecylcingCleanaway (Kemps Creek)MET Recycling (Silverwater)Holts (Kurnell)Breen (Kurnell)Breen (Cecil Hills)Boral (Widemere)Boral (Emu Plains)Bingo (Orchid Hills)Bingo (Alexandria)Bingo (Eastern Creek)Bingo (Artarmon)Bingo (Revesby)Concrete Recyclers (Camellia)Concrete Recyclers (Minto)ECCOR (Wetherill Park)AWJ Eastern CreekBenedict (Belrose)KimbrikiOtherDelivery Address *MaterialAsbestos SheetingContaminated Soils (ACM)GSW – A (Absestos)Asbestos DemoGSW – R (Recyclable)R44 RockfillSandstoneClayDemolition WasteConcreteConcrete (Oversized)BricksDGBDGB 40Crusher DustSandBlue Metal 10mmBlue Metal 20mmOther(Other) Material *Rate *Is it Tonnage?Is it hourly?Is it load rate?Start time *Finish Time *Travel Time *No1 Hour Travel Time2 Hour Travel TimeTotal Hours (Including Travel Time) *Did this trip include tolls? *YesNoTolls * Visual Code How many loads? *123456789101112131415 5 Number Weights 1 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 2 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weightbridge *YesNoGross Weight *Docket Number * Weights 3 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 4 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 5 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 6 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 7 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 8 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoNet Weight *Docket Number * Weights 9 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 10 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoNet Weight * Weights 11 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 12 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 13 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 14 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number * Weights 15 Steer Weight *Drive Weight *Trailer Front Weight *Trailer Rear Weight *Net Weight *Click YES if verified against weight-bridge *YesNoGross Weight *Docket Number *Docket Upload * Drag & Drop Files, Choose Files to Upload You can upload up to 30 files. Please upload a photo of the docketSubmit
