Audit

Facility Personnel

Facility Manager

Email

Maintenance Officer

Accreditation Details
Date of last Accreditation /Support Visit

Any issues raised in regards with Maintenance ?

External contractor Records

Current Fire Protection Certificate of Compliance sighted

Select Certificate Type;

Expiry Date of Certificate

Select Certificate Type;

Expiry Date of Certificate
Maintenance Job Log Book

Is the log book in a good condition?

As per the logbook , The jobs been completed are in a reasonable time?

Has the completed jobs been signed and dated ?

How many jobs are recorded in a day ( average ) ?

Additional Information

Maintenance Records

Daily maintenance schedule signed and is up to date ?

Weekly maintenance schedule signed and up to date?

Monthly maintenance schedule signed and up to date ?

Quarterly maintenance schedule signed and up to date?

Half yearly maintenance up to date?

Is the contractor log in register being completed?

Is the wheelchair maintenance book up to date?

Additional Information

Maintenance Room

Room has adequate storage facilities ?

Room has sufficient lighting?

Floors are able to be effectively cleaned?

Adequate ventilation provided within the room?

Room is clean, neat and hazard free?

Maintenance room is locked when not attended?

Additional Information

Grounds check

Is the Facility entrances clean ? ( this is a daily task )

Is the entrance clean with no litter around ?

The lights and light fittings are in a good working condition?

Is the paint work clean and in a good condition on walls, ceilings and other visible areas ?

Are the windows and fly screen are clean and in a good condition?

Facility's external high cleaning is clean ? ( Including no Cobwebs )

Additional Information

Interior check

Is the wood work in a good condition? ( skirting,sills, door frame etc )

Are the walls in a good condition?

Are the floor coverings clean and in good condition?

Are the lights working and light fittings are in good condition?

Are the high areas clean and in good condition? (Vents, air con units, etc )

Additional Information

Resident Rooms
Room

Name of the Wing

Room Number

Type of Care

Is the door clean with no damage and in good condition ?

The door knob or handles are in a good condition?

All lights are in good working condition ?

All lights fittings are clean and in good condition ?

Does all the electrical equipment work properly ? (TV,digital etc )

Do all the remotes work and are in good condition ?

Is the call bell working and the cords are in good condition ?

Does the air conditioning work efficiently ?

Do the bed work correctly , check up and down motion and check the cable is in a good condition ?

Are the electrical equipment tested and tagged?

Is the wood work in a good condition? ( skirting,sills, door frame ect)

Are the walls in a good condition ?

Are the floor coverings clean and in a good condition?

Are the high areas clean and in good condition? (Vents, air con units, etc )

Additional Information

Type of Bathroom

Enter Bathroom Location

The door knob or handles are in a good condition?

All lights are in good working condition ?

All lights fittings are clean and in good condition ?

Is the call bell working and the cords are in good condition ?

Is the wood work in a good condition? ( skirting,sills, door frame ect)

Are the tiles in a good condition with no cracks and chipped tiles ?

Are the walls in a good condition?

Are the floor coverings clean and in a good condition?

Are the high areas clean and in good condition? (Vents, air con units, etc )

No leakage from taps and the taps are in good condition ?

The hot water temperature is
The cold water temperature is

Does the shower head in good condition and works correctly?

The hot water temperature is
The cold water temperature is

Does the toilet system work correctly?

Is the toilet in a good condition with no cracks and secure ?

Are the hand rails secure and in good condition ?

Additional Information

Chemical Storage Room

Premise has adequate storage facilities for storage of chemicals

Premises has sufficient lighting

Floors are able to be effectively cleaned

Walls and ceilings are able to be effectively cleaned

Adequate ventilation provided within the room

MSDS Register is available within the room?

PPE available in the room?

Chemical room is lockable and locked when not attended?

Fire extinguisher is located close by and in date?

Note any Maintenance requirements:

Waste Management

Waste area has adequate storage facilities for number of bins?

Floors are able to be effectively cleaned?

Adequate ventilation provided within the room?

Room is clean, neat and hazard free?

Have waste bins been kept clean by regular washing?

Area is odour free?

Waste bins are numbered?

Waste bins are filled by number order?

Correct bins are used for appropriate waste?

Cardboard boxes are flatten before placing in bin?

Note any Maintenance requirements:

Additional Information

Additional Notes/Comments

Action Required

Re-inspection Required

Time before next inspection

DECLARATION: I have read this report and understand the contents

Central Office signature

NOTE: assessment report contains findings from date/time of inspection only

Contact Details

Aegis Aged Care Group

Address: 90 Goodwood Pde Burswood Perth WA 6103

Telephone: (08) 6254 8200

Fax: (08) 6254 8299

Email: operations@aegiscare.com.au

Web: www.aegiscare.com.au


www.aegiscare.com.au

ABN: 97 377 986 723

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.