Title Page
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Conducted on
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Property Name
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Prepared by
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Location
Outside of Property
Outside of Property
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Lawn - good condition and recently mown<br>
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Gardens - not overgrown and clear of weeds<br>
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Paths, Parking & Driveways - not broken, no uneven surface, clear of weeds<br>
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Front Door and Entry - door/entry opens and locks
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Any other comments
Bedroom / Single Room Accommodation
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Add a new section for each bedroom or single room accommodation unit located at the property. Name each room to make it easier to identify.
Bedroom / Single Room Accommodation
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Room Name
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Windows <br>(glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Airconditioner/Heater/Fan<br>Not working, missing remote<br>
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Smoke Alarm and/or Fire Extinguisher<br>Removed, not working
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Beds <br>Broken, bunk not secure
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Storage<br>Missing, broken drawers, broken door<br>
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TV<br>Broken, not secure, missing remote
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Bathroom
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Add a new section for each Bathroom located at the property. Name each room to make it easier to identify.
Bathroom
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Shared or Single Person?
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Room Name
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Windows <br>Glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Exhaust / Fan<br>Not working, signs it's not being used (mould)
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Vanity Unit / Basin<br>Condition, doors / drawers broken, hot/cold taps working
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Shower<br>Shower head working, hot and cold taps working, shower relatively clean and free from mould
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Toilet<br>Flushing, functioning
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Kitchen
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Add a new section for each Kitchen area located at the property. Name each room to make it easier to identify.
Kitchen
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Shared or Single Person?
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Room Name
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Windows <br>Glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Smoke Alarm and/or Fire Extinguisher and/or Fire Blanket<br>Removed, not working
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Cupboards<br>Broken doors/drawers, missing
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Oven and Stove<br>Broken, not cleaned
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Microwave<br>Broken, not cleaned
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Fridge<br>Broken, full, not cleaned, leaking
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Sink<br>Hot/Cold taps work, clean, functioning
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Cookware and Cutlery<br>Enough cutlery, cookware, plates, etc, for people
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Food storage<br>Food being stored safely and away from pests
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Exhaust / Fan<br>Not working, signs it's not being used (mould)
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Lounge Room / Recreation Room
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Add a new section for each Lounge/Recreation area located at the property. Name each room to make it easier to identify.
Lounge Room / Recreation Room
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Room Name
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Windows <br>(glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Airconditioner/Heater/Fan<br>Not working, missing remote<br>
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Smoke Alarm and/or Fire Extinguisher<br>Removed, not working
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TV<br>Broken, not secure, missing remote
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Lounge<br>Broken, missing cushions, dirty not sufficient for workers
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Furniture<br>Missing, broken drawers, broken door<br>
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Dining Area
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Add a new section for each Lounge/Recreation area located at the property. Name each room to make it easier to identify.
Dining Area
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Room Name
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Windows <br>(glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Airconditioner/Heater/Fan<br>Not working, missing remote<br>
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Smoke Alarm and/or Fire Extinguisher<br>Removed, not working
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Table<br>Broken, missing, not big enough
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Chairs<br>Broken, missing, dirty, not enough for number of workers living there
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Furniture<br>Missing, broken drawers, broken door<br>
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
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Laundry
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Add a new section for each Laundry located at the property. Name each room to make it easier to identify.
Laundry
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Room Name
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Windows <br>Glass broken not opening or closing, missing handle, no locks.<br>
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Blinds / Curtains <br>Not on window, not able to open/close, broken, ripped, torn
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Doors<br>Not opening/closing, broken glass/wood/etc, no able to lock, handle broken
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Flyscreens<br>Holes, not opening/closing, missing
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Walls<br>Holes, new stains, mould, marks
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Washing Machine<br>Working, not mouldy, electrical connections safe
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Dryer <br>Working, not mouldy, electrical connections safe
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Clothes Line<br>Functioning
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Other
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Add sections as appropriate
BBQ Area
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Workers only or Public Area
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Room Name
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Lighting<br>Working, sufficient for room
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Smoke Alarm and/or Fire Extinguisher and/or Fire Blanket<br>Removed, not working
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BBQ<br>Broken, not cleaned
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Gas bottle<br>Switched off when not used, safely stored
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
Outdoor Patio
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Room Name
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Flooring<br>Holes, torn, new stains, broken tiles, uneven surface
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Ceiling<br>Holes, stains, mould
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Lighting<br>Working, sufficient for room
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Table<br>Broken, missing, not big enough
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Chairs<br>Broken, missing, dirty, not enough for number of workers living there
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Electrical<br>All cords have been tested and tagged within timeframe, cords are free from damage and safe
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Cleanliness, Hygiene, Rubbish<br>Relatively clean and tidy, no rubbish or uncovered food left out
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Safety <br>Any other matters that may present an unsafe condition for workers<br>
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Comments
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