Information

  • Premises name

  • Address
  • Proprietor

  • Conducted on

  • Prepared by

  • Personnel

  • Does the use of the premises have a valid development consent?

Local government (General) Regulation 2005 - Part 1 - Standards for places of shared accommodation

  • Maximum number of boarders and lodgers
    (1) The number of occupants (not including children under the age of 5 years) must not exceed the maximum number of persons determined by the council to be accommodated in each bedroom or dormitory and in the whole premises.
    (2) The maximum number of persons accommodated in a bedroom, or in a cubicle of a dormitory, must not exceed the number determined by allowing a minimum floor area within the bedroom or cubicle in accordance with the relevant provisions under the Public Health Act 1991 for each person.
    Note: On the commencement of this Regulation, the relevant provision was clause 22 of the Public Health (General) Regulation 2002 ..

  • Number of rooms

  • What is the current occupancy rate

  • Comments

  • Notices
    1) A sign indicating the permissible maximum length of time during which a person may board or lodge in the premises must be conspicuously displayed to public view outside the premises.
    (2) A schedule showing the numeral designating each bedroom and dormitory and the number of persons permitted to be accommodated in each must be conspicuously displayed on the premises.
    (3) Each bedroom must be numbered in accordance with the schedule and there must be displayed clearly on the door of or in each bedroom the maximum number of persons allowed to be accommodated in the bedroom

  • Does the signage at the premises meet this requirement

  • Lighting and ventilation
    (1) Adequate light and ventilation must be maintained in the premises.
    (2) All partitions forming cubicles in a dormitory must be adequately constructed and provide adequate ventilation

  • Is the premises provided with sufficient lighting

  • Is the premises provided with sufficient ventilation

  • Kitchens Facilities
    (1) Any kitchen facilities and utensils for the storage or preparation of food must be kept in a clean and healthy condition, in good repair, free from foul odours and, as far as practicable, free from dust, flies, insects and vermin.
    (2) The floor of any kitchen must have an approved impervious surface

  • Is the premises provided with adequate kitchen facilities

  • General cleanliness
    (1) All parts of the premises and all appurtenances (including furniture, fittings, bedsteads, beds and bed linen) must be kept in a clean and healthy condition, and free from vermin.
    (2) Pans, receptacles or other waste storage devices must be kept covered and all waste must be deposited in appropriate pans, receptacles or other waste storage devices

  • Is the premises is in a clean and healthy condition

  • Is the premises provided with suitable waste management facilities and procedures

  • Furniture and fittings
    Appropriate furniture and fittings must be provided and maintained in good repair

  • Is the premises is provided with Appropriate furniture and fitting that is maintained in good repair

  • Long term residences
    If the place is one in which persons may board or lodge for 7 days or longer, an adequate number of beds (each provided with a mattress and pillow and an adequate supply of clean blankets or equivalent bed clothing), adequate storage space and blinds, curtains or similar devices to screen bedroom and dormitory windows for privacy must be provided for the occupants

  • The premises is used for long term residences

  • Sufficient fixtures and fittings provided as per above

Environmental Planning and Assessment Act - fire safety

  • Has an Annual fire safety statement been submitted

  • Exit signs provided

  • Emergency lighting provided

  • Fire exits provided and signed appropriately

  • Smoke detection system installed

  • Fire hose reels provided

  • Fire hose hydrant provided

  • Fire evacuation plan

  • Comments

General comments and information

  • Add media

  • Owner/operator

  • Environmental Health Officer

  • Fire Safety Officer

Council's Contact Details

  • Auburn City Council Telephone: (02) 97351222. Email: auburn.council@auburn.nsw.gov.au

  • 1 Susan street Fax: 02 9634 1120 Web: www.auburn.nsw.gov.au

  • Auburn NSW 2144 PO Box 118 Auburn NSW 1835

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.