Aegis Aged Care - Maintenance Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Conducted on

  Date

Inspection Details

• Facility Manager

• Email

• Maintenance Officer

• Evidence of Non Compliances closed out

  Yes

  No

  N/A

• Details of Non Compliance:

Non Compliance Item

• Type of Non Compliance

• Date Item Completed

  Date

• Evidence of Item Completed

  Media

General Requirements

• Date of last Accreditation /Support Visit

  Date

• Any issues raised in regards with Maintenance ?

  Yes

  No

  N/A

Supplier Records

• Evidence of Fire Protection Certificate of Compliance

  Yes

  No

  N/A

• Select Certificate Type;

  Exit & Emergency Lights

  Portable Fire Equipment

• Expiry Date of Certificate

  Date

• Select Certificate Type;

  Exit & Emergency Lights

  Portable Fire Equipment

• Expiry Date of Certificate

  Date
Tool

Maintenance log book

• Is the log book in a good serviceable condition?

  Yes

  No

  N/A

• Are the jobs completed in a reasonable time?

  Yes

  No

  N/A

• Are completed jobs signed and dated?

  Yes

  No

  N/A

• Approximately how many jobs are logged daily?

• Note any Maintenance requirements:

Maintenance shedule/record

• Is the daily maintenance schedule up to date and signed?

  Yes

  No

  N/A

• Is the weekly maintenance schedule signed and up to date?

  Yes

  No

  N/A

• Is the monthly maintenance signed and up to date?

  Yes

  No

  N/A

• Is the three monthly maintenance signed and up to date?

  Yes

  No

  N/A

• Is the six monthly maintenance up to date?

  Yes

  No

  N/A

• Is the contractor log in register being completed?

  Yes

  No

  N/A

• Is the wheelchair maintenance book up to date?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Maintenance Room

• Room has adequate storage facilities for items?

  Yes

  No

  N/A

• Room has sufficient lighting?

  Yes

  No

  N/A

• Floors are able to be effectively cleaned?

  Yes

  No

  N/A

• Adequate ventilation provided within the room?

  Yes

  No

  N/A

• Room is clean, neat and hazard free?

  Yes

  No

  N/A

• Maintenance room is locked when not attended?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Grounds check

• Have the entry areas been swept?(daily task)

  Yes

  No

  N/A

• Is there any litter?

  Yes

  No

  N/A

• Are the lights and fittings in a good working condition

  Yes

  No

  N/A

• Is the wall paint work clean and in a good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are cobwebs present?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Interior check

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

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the walls in a good condition?

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the floor coverings clean and in a good condition?

  Yes

  No

  N/A

• Are the lights and fittings working and in a good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Note any Maintenance requirements:

Room check

• Do the door handles work and are in a good condition? (Main door, bathroom door and outside door)

  Yes

  No

  N/A

• Do the lights work correctly? Check switches

  Yes

  No

  N/A

• Do the electrical equipment work correctly? (TV,digital ect)

  Yes

  No

  N/A

• Do all the remotes work?

  Yes

  No

  N/A

• Does the nurse call work?

  Yes

  No

  N/A

• Does the air conditioning work correctly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are the electrical equipment tested and tagged?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the walls in a good condition?

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the floor coverings clean and in a good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Note any Maintenance requirements:

Bathroom check

• Do the door handles work and are in a good condition? (Main door, bathroom door and outside door)

  Yes

  No

  N/A

• Do the lights work correctly? Check switches

  Yes

  No

  N/A

• Does the nurse call work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the tiles in a good condition?

  Yes

  No

  N/A

• Are the walls in a good condition?

  Yes

  No

  N/A

• Does it need painting?

  Yes

  No

  N/A

• Does it need repairing?

  Yes

  No

  N/A

• Are the floor coverings clean and in a good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do the taps work correctly, hot and cold

  Yes

  No

  N/A

• What is the temperature?

• Does the shower work correctly?

  Yes

  No

  N/A

• What is the temperature?

• Does the toilet work correctly?

  Yes

  No

  N/A

• Is the toilet in a good condition, not cracked and secure

  Yes

  No

  N/A

• Are the hand rails secure?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Chemical Storage Room

• General design and construction of premises appropriate

  Yes

  No

  N/A

• Premise has adequate storage facilities for storage of chemicals

  Yes

  No

  N/A

• Premises has sufficient lighting

  Yes

  No

  N/A

• Floors are able to be effectively cleaned

  Yes

  No

  N/A

• Walls and ceilings are able to be effectively cleaned

  Yes

  No

  N/A

• Adequate ventilation provided within the room

  Yes

  No

  N/A

• MSDS Register is available within the room?

  Yes

  No

  N/A

• PPE available in the room?

  Yes

  No

  N/A

• Chemical room is lockable and locked when not attended?

  Yes

  No

  N/A

• Fire extinguisher is located close by and in date?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Waste Management

• Waste area has adequate storage facilities for number of bins?

  Yes

  No

  N/A

• Floors are able to be effectively cleaned?

  Yes

  No

  N/A

• Adequate ventilation provided within the room?

  Yes

  No

  N/A

• Room is clean, neat and hazard free?

  Yes

  No

  N/A

• Have waste bins been kept clean by regular washing?

  Yes

  No

  N/A

• Area is odour free?

  Yes

  No

  N/A

• Waste bins are numbered?

  Yes

  No

  N/A

• Waste bins are filled by number order?

  Yes

  No

  N/A

• Correct bins are used for appropriate waste?

  Yes

  No

  N/A

• Cardboard boxes are flatten before placing in bin?

  Yes

  No

  N/A

• Note any Maintenance requirements:

Additional Information

• Additional Notes/Comments

• Action Required

  Select None Correction Action Record Record of Conversation Warning Letter

  • None
  • Correction Action Record
  • Record of Conversation
  • Warning Letter

• Re-inspection Required

  Yes

  No

  N/A

• Time before next inspection

  Week

  Fortnight

  1 Month

  3 Months

  6 Months

• DECLARATION: I have read this report and understand the contents

• Facility Manager signature

  Sign

• Central Office signature

  Sign

• 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