Audit

Inspection Details

Facility Manager

Email

Maintenance Officer

Evidence of Non Compliances closed out

Details of Non Compliance:

Non Compliance Item

Type of Non Compliance

Date Item Completed
Evidence of Item Completed
General Requirements
Date of last Accreditation /Support Visit

Any issues raised in regards with Maintenance ?

Supplier Records

Evidence of Fire Protection Certificate of Compliance

Select Certificate Type;

Expiry Date of Certificate

Select Certificate Type;

Expiry Date of Certificate
Tool
Maintenance log book

Is the log book in a good serviceable condition?

Are the jobs completed in a reasonable time?

Are completed jobs signed and dated?

Approximately how many jobs are logged daily?

Note any Maintenance requirements:

Maintenance shedule/record


Is the daily maintenance schedule up to date and signed?

Is the weekly maintenance schedule signed and up to date?

Is the monthly maintenance signed and up to date?

Is the three monthly maintenance signed and up to date?

Is the six monthly maintenance up to date?

Is the contractor log in register being completed?

Is the wheelchair maintenance book up to date?

Note any Maintenance requirements:

Maintenance Room

Room has adequate storage facilities for items?

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?

Note any Maintenance requirements:

Grounds check

Have the entry areas been swept?(daily task)

Is there any litter?

Are the lights and fittings in a good working condition

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

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

Are cobwebs present?

Note any Maintenance requirements:

Interior check

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

Does it need painting?

Does it need repairing?

Are the walls in a good condition?

Does it need painting?

Does it need repairing?

Are the floor coverings clean and in a good condition?

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

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

Note any Maintenance requirements:

Room check

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

Do the lights work correctly? Check switches

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

Do all the remotes work?

Does the nurse call work?

Does the air conditioning work correctly?

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)

Does it need painting?

Does it need repairing?

Are the walls in a good condition?

Does it need painting?

Does it need repairing?

Are the floor coverings clean and in a good condition?

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

Note any Maintenance requirements:

Bathroom check

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

Do the lights work correctly? Check switches

Does the nurse call work?

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

Does it need painting?

Does it need repairing?

Are the tiles in a good condition?

Are the walls in a good condition?

Does it need painting?

Does it need repairing?

Are the floor coverings clean and in a good condition?

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

Do the taps work correctly, hot and cold

What is the temperature?

Does the shower work correctly?

What is the temperature?

Does the toilet work correctly?

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

Are the hand rails secure?

Note any Maintenance requirements:

Chemical Storage Room

General design and construction of premises appropriate

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

Facility Manager signature
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.