Caravan Park Assessment Report

• Licence holder

• Contact person

• Assessment no

• Health premises no

• Date

  Date

• Inspection Frequency

  Select

• Prepared by

• Premises address
  Address

Licence details

• Type of licence

  Select

• Number of long stay sites on licence

• Actual number of long stay sites

• Number of short stay sites on licence

• Actual number short stay of sites

• Number of camping sites on licence

• Actual number of camping sites

• Short stay over flow sites on licence

• Actual number of short stay overflow

• Long stay overflow sites on licence

• Actual number of long stay overflow sites

• Number of camping overflow on licence

• Actual number of camping overflow sites

Duties of licence holder

• plan of facility

  Yes

  No

  N/A

• facility licence displayed

  Yes

  No

  N/A

• facility rules

  Yes

  No

  N/A

• emergency contact

  Yes

  No

  N/A

• register of occupiers

  Yes

  No

  N/A

• office hours

  Yes

  No

  N/A

Buildings on facility

• manager’s house

  Yes

  No

  N/A

• office

  Yes

  No

  N/A

• toilets, ablution blocks, laundry

  Yes

  No

  N/A

• workshop

  Yes

  No

  N/A

• other buildings (approved)

  Yes

  No

  N/A

Roads and parking

• entrance road minimum width 6m

  Compliant

  Non-Compliant

  N/A

• one way road minimum width 4m

  Compliant

  Non-Compliant

  N/A

• two way road minimum width 6m

  Compliant

  Non-Compliant

  N/A

• car parking area provided

  Compliant

  Non-Compliant

  N/A

• one parking bay per 20 caravan sites

  Compliant

  Non-Compliant

  N/A

Recreational area

• 1/10 of facility provided for recreational area

  Compliant

  Non-Compliant

  N/A

• 2/3 of recreational area in one area

  Compliant

  Non-Compliant

  N/A

• weather protected recreational area provided

  Compliant

  Non-Compliant

  N/A

• building for communal/recreational activities

  Compliant

  Non-Compliant

  N/A

Ablution and toilet facilities

• toilet and shower within 90m of each site

  Compliant

  Non-Compliant

  N/A

• shower cubicles provided with:

• • dressing area

  Compliant

  Non-Compliant

  N/A

• • lockable door that opens outwards or can be removed from the outside

  Compliant

  Non-Compliant

  N/A

• • seat

  Compliant

  Non-Compliant

  N/A

• • clothes hook

  Compliant

  Non-Compliant

  N/A

• • hot and cold water

  Compliant

  Non-Compliant

  N/A

• • ventilation

  Compliant

  Non-Compliant

  N/A

• babies bath provided with

• • 45L capacity trough, drain, plug

  Compliant

  Non-Compliant

  N/A

• • 0.45m2 bench space

  Compliant

  Non-Compliant

  N/A

• • hot and cold mixer tap (maximum temperature 38°C)

  Compliant

  Non-Compliant

  N/A

• • at least one accessible baby bath

  Compliant

  Non-Compliant

  N/A

• hand basin provided with:

• • hot and cold water

  Compliant

  Non-Compliant

  N/A

• • hooks

  Compliant

  Non-Compliant

  N/A

• • mirror

  Compliant

  Non-Compliant

  N/A

• • shelving

  Compliant

  Non-Compliant

  N/A

• • power points (1 per 4 hand basins)

  Compliant

  Non-Compliant

  N/A

• • at least one accessible hand basin

  Compliant

  Non-Compliant

  N/A

• • at least on accessible power point

  Compliant

  Non-Compliant

  N/A

• toilet cubicles provided with

• • toilet roll dispenser

  Compliant

  Non-Compliant

  N/A

• • coat hook

  Compliant

  Non-Compliant

  N/A

• • lockable door that opens outwards or can be removed from the outside

  Compliant

  Non-Compliant

  N/A

• • ventilation

  Compliant

  Non-Compliant

  N/A

• • napkin disposal unit (1 per 10 toilets)

  Compliant

  Non-Compliant

  N/A

Toilet, shower and hand basin audit

• NOTE: a site with an ensuite is not included, 2 camp sites are equal to one site

• number of sites:

MALE Toilets, Showers and Hand Basins

Male Toilet Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A
Male Shower Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A
Male Hand Basin Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A

FEMALE Toilets, Showers and Hand Basins

Female Toilet Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A
Female Shower Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A
Female Hand Basin Items

• Specify Item to be inspected

• Condition

  Compliant

  Non-Compliant

  N/A

• General Comments

Laundry facility audit

• Number of sites:

Amenity block

• Specify

Washing machines

• Specify

Troughs

• Specify

Clothes dryers (or 60m of washing line)

• Specify

• Comments

Laundry facilities

• laundry facilities provided with:

• • hot and cold water

  Compliant

  Non-Compliant

  N/A

• • slop hopper

  Compliant

  Non-Compliant

  N/A

• • bench space (0.3m2)

  Compliant

  Non-Compliant

  N/A

• • entry door type and width accessible

  Compliant

  Non-Compliant

  N/A

Washing up facilities

• one trough per 20 camp sites

  Compliant

  Non-Compliant

  N/A

• trough within 90m of each campsite

  Compliant

  Non-Compliant

  N/A

• trough provided with

• • hot and cold water

  Compliant

  Non-Compliant

  N/A

• • 45L capacity

  Compliant

  Non-Compliant

  N/A

• 0.5m2 bench

  Compliant

  Non-Compliant

  N/A

Lighting

• ablution block lighting satisfactory

  Compliant

  Non-Compliant

  N/A

• laundry facilities lighting satisfactory

  Compliant

  Non-Compliant

  N/A

• grounds lighting satisfactory

  Compliant

  Non-Compliant

  N/A

Fire fighting

• every site within reach of fire hose

  Compliant

  Non-Compliant

  N/A

• fire hose reels satisfy Australian Standard

  Compliant

  Non-Compliant

  N/A

• fire hydrants provided for park homes

  Compliant

  Non-Compliant

  N/A

• fire extinguishers (1 per 6 sites)

  Compliant

  Non-Compliant

  N/A

• fire extinguishers satisfy Australian Standard

  Compliant

  Non-Compliant

  N/A

• every site within 30m of fire extinguisher

  Compliant

  Non-Compliant

  N/A

Electricity

• caravan sites provided with electricity

  Compliant

  Non-Compliant

  N/A

• long stay sites provided with electricity meter

  Compliant

  Non-Compliant

  N/A

Water supply

• every camp site within 30m of a tap

  Compliant

  Non-Compliant

  N/A

• every short stay site within 10m of tap

  Compliant

  Non-Compliant

  N/A

• every long stay site provided with tap

  Compliant

  Non-Compliant

  N/A

• 300L water/day/site available

  Compliant

  Non-Compliant

  N/A

Wastewater, sewage and drainage

• every caravan site within 10m of sullage point

  Compliant

  Non-Compliant

  N/A

• every camp site within 30m of sullage point

  Compliant

  Non-Compliant

  N/A

• sewage connection points provided for long stay sites with ablution facilities

  Compliant

  Non-Compliant

  N/A

• communal chemical dump point provided

  Compliant

  Non-Compliant

  N/A

Rubbish

• every site within 90m of rubbish bin

  Compliant

  Non-Compliant

  N/A

• rubbish bins not less than 80L capacity

  Compliant

  Non-Compliant

  N/A

• rubbish bins emptied regularly, kept clean

  Compliant

  Non-Compliant

  N/A

Telephone

• telephone available

  Compliant

  Non-Compliant

  N/A

• long stay sites/ park homes provided with phone connection

  Compliant

  Non-Compliant

  N/A

Postal service

• long stay sites provided with mailbox

  Compliant

  Non-Compliant

  N/A

Solid fuel fires

• no solid fuel appliances in caravans

  Compliant

  Non-Compliant

  N/A

Sign Off

• Officer name and Signature

  Sign