Caravan Park Approval to Operate Inspection

• COM Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Inspection details

• Inspection Type

  Routine

  Re-inspection

  Complaint

• Premises name

• Email

• Manager Name

• ABN

• Phone Number

• Inspection date

  Date

Park details

• Total number of sites

• Number of long term sites

• Number of short term sites

• Number of camp sites

Administration and Park Information

• Register of site owners maintained

  Yes

  No

  N/A

• Community map (site layout) on display

  Yes

  No

  N/A

• Community map on display & provided to Council

  Yes

  No

  N/A

• Approval to Operate valid

  Yes

  No

  N/A

• Information sheets for occupiers

  Yes

  No

  N/A

• Adequate visitor parking

  Yes

  No

  N/A

• Adequate wash bay area; no run off to river

  Yes

  No

  N/A

Emergency Management and Site Safety

• Emergency Management Plan; including evacuation site

  Yes

  No

  N/A

• Speed limit signage clearly visible <15kph

  Yes

  No

  N/A

• Appropriate road surfacing

  Yes

  No

  N/A

• Firefighting equipment<br>Hydrants<br>Hose reels<br>Extinguishers<br>Other appliances

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• Fire equipment annual certification

  Yes

  No

  N/A

Drinking water supply, On-site Sewage Management and Waste (Subdivision 4)

• Adequate areas for waste storage

  Yes

  No

  N/A

• Satisfactory waste removal methods

  Yes

  No

  N/A

• Approval issued for OSSM

  Yes

  No

  N/A

• OSSM disposal area satisfactory

  Yes

  No

  N/A

• Adequate stormwater drainage

  Yes

  No

  N/A

Amenities (Toilets, shower rooms and laundry)

• Toilets clean and sanitary.<br><br>Number available

  Yes

  No

  N/A

• Showers clean and sanitary. <br><br>Number available

  Yes

  No

  N/A

• Disabled facilities provided.<br><br>Number available

  Yes

  No

  N/A

• Laundry clean and sanitary.<br><br>Number available

  Yes

  No

  N/A

• Washing machine available.<br><br>Number available

  Yes

  No

  N/A

• Adequate clothes dryers

  Yes

  No

  N/A

• Adequate clothes drying areas (outdoor) (min. 50m)

  Yes

  No

  N/A

• Adequate electrical ports for ironing

  Yes

  No

  N/A

• Hot water available

  Yes

  No

  N/A

• Mirrors in good working order

  Yes

  No

  N/A

• Hand basins in good working order

  Yes

  No

  N/A

Caravan site information

• Site identification clearly visible

  Yes

  No

  N/A

• Site boundary delineation visible

  Yes

  No

  N/A

• Adequate width of road (4m single/6m dual lane)

  Yes

  No

  N/A

• Adequate vehicle/boat parking

  Yes

  No

  N/A

• Adequate visitor parking

  Yes

  No

  N/A

• Adequate site separation distance (2.5m)

  Yes

  No

  N/A

• Adequate setbacks (1m to road; 2m to boundary)

  Yes

  No

  N/A

• Site coverage under 2/3 of site

  Yes

  No

  N/A

• Structures have appropriate compliance plate

  Yes

  No

  N/A

• Caravans have running gear in good working order

  Yes

  No

  N/A

Sites requiring attention

• Comments

• Site diagram (if required)

  Drawing

Result

• Inspection result

  Pass

  Fail

• Action Required

  Warning letter

  Re-inspection

  Order

• Manager's signature

  Sign