Title Page

  • Site conducted

  • Type of facility

  • Business name

  • Manager/proprietor

  • Telephone number

  • Email address

  • Premises address
  • Conducted on

  • Prepared by


    1. Answer the questions below by selecting the most appropriate response.
    2. Add photos and notes as necessary evidences
    3. To add a corrective measure, click ""Add Action"", provide a description, assign to a member, set priority, and due date
    4. Complete the audit by providing a digital signature

1. Management

  • Name of licence holder

  • Name of manager

  • Address of licence holder

  • Office hours displayed

  • Register of occupiers maintained (including name, address, site, number plates and dates)

2. Numbers and types of licenced sites

  • Describe long stay sites

  • Number occupied/unoccupied

  • Describe short stay sites

  • Number occupied/unoccupied

  • Describe camping sites

  • Number occupied/unoccupied

  • Describe overflow sites (if any)

  • Number occupied/unoccupied

3. Communications

  • One telephone available at all times

  • Postal service including lockable boxes for long stay sites

4. Electricity

  • All caravan sites supplied with electricity

  • Separate meter at long stay sites

5. Roads

  • Speed limit 8km/h

  • Facility entrance road minimum 6m wide

  • Facility 1 way road minimum 4m wide

  • Facility 2 way road minimum 6m wide

6. Lighting

  • Ablutions light intensity not less than 100 lumens per square meter

  • Laundry light intensity not less than 160 lumens per square meter

  • Park area lit so occupants have sufficient visibility to go to and from amenities safely

7. Parking

  • Visitors Parking - 1 space per 20 caravan sites (min. 4 spaces)

  • Parking on sites - 1 space per site for vehicle (hard stand required for long stay)

8. On-site caravans and park homes

  • Wheels attached

  • One per site

  • Safe condition

  • Cyclone tie down points

9. Annexes (attached to caravan or single park home only)

  • Less than 300mm higher than caravan

  • Less than 3.6m wide

  • Not longer than the caravan

  • Rigid annexe approved (e.g. prefab, modular panels)

10. Fences

  • Less than 1.2m high

  • Constructed of lightweight material or mesh

11. Storage shed (light construction)

  • Less than 6 square meters in area

  • Less than 2.1m high

12. Setbacks for caravans, annexes and camps

  • 3m from caravan, camp, annexe

  • 3m from buildings (excluding ensuite)

  • 1m from open sided carport

  • 2m from closed sided carport

  • 1m from facility road

  • 6m from outside road

  • 1m from boundary

  • 2m from storage shed

13. Recreational area

  • Communal activity building

  • 10% of total park

  • Two thirds in the one area of the park

  • Protected child recreational area

14. Fire equipment

  • Adequate supply of water to fire hose reel

  • If water supply is not adequate, one fire extinguisher for every six sites within 30m of all sites

  • Equipment tested and tagged within last 6 months

  • Equipment easily accessible

  • Equipment clearly visible

15. Number of ablution facilities (within 90m of all sites)

  • Briefly describe male facilities (e.g. blocks 1, 2, 3/A, B, C/left and right etc)

  • Number of WCs

  • Length of urinal (mm)

  • Number of showers

  • Number of hand basins

  • Breifly describe female facilities (e.g. blocks 1, 2, 3/A, B, C/left and right etc)

  • Number of WCs

  • Number of showers

  • Number of hand basins

16. Showers

  • Area for dressing available

  • Lockable door that opens outwards or is removable

  • Permanently affixed seat available

  • Clothes hook available

  • Soap holder available

  • Supplied with hot and cold water

  • Sufficiently ventilated

17. Hand basins

  • Drain plug provided at every hand basin

  • Supplied with hot and cold water

  • Towel rails or hooks provided near hand basins

  • Mirror provided near hand basins

  • Shelving provided near hand basins

  • At least one hand basin accessible to a male or female person in a wheelchair

  • One powerpoint for each group of four hand basins

  • At least one powerpoint accessible to a male or female person in a wheelchair

18. Babies bath

  • Capacity of at least 45L

  • Constructed of stainless steel or other suitable material

  • Drain plug provided

  • Water proof bench at least 0.45 meters square and 450mm wide

  • Hot and cold water supplied through a mixing device

  • At least one babies bath accessible to a male or female person in a wheelchair

19. Ablutions

  • Toilet roll dispenser available

  • Clothes hook available

  • Sufficiently ventilated

  • Lockable door that opens outwards or is removable

  • Urinal attached to floor or wall of the building

20. Sanitary disposal units

  • One sanitary disposal unit for each group of ten toilets

  • Sanitary disposal unit in baby changing area

21. Laundry facilities

  • Briefly describe laundry facilities (e.g. blocks 1, 2, 3/A, B, C/left and right etc)

  • Number of washing machines

  • Number of laundry troughs

  • Drain plug provided

  • Supplied with hot and cold water

  • Bench at least 0.3 meters square with access to a powerpoint

  • One electric clothes drier or 60m of washing line

  • Slop hopper available

22. Washing up facilities (within 90m of all camp sites)

  • Number of washing up troughs (one for each 20 camp sites)

  • Trough constructed of stainless steel

  • Drain plug provided

  • Supplied with hot and cold water

  • Capacity of at least 45L

  • Waterproof bench at least 0.5 meters square

23. Waste water disposal

  • Caravan site no more than 10m from sullage point

  • Camp site no more than 30m from sullage point

  • Long stay site with ablution, toilet or laundry facilities connected to sewer/septic

  • Readily accessible communal chemical soil waste dump point

24. Potable water supply

  • Breifly describe source of potable water

  • Camp sites within 30m of tap

  • Short stay sites within 10m of a tap

  • Long stay sites provided with a tap

25. Animal management

  • Breifly describe animals permitted (if any)

  • Policy or rules for the control of animals available

  • Animals prohibited from on-site caravans

26. Rubbish

  • Breifly describe the rubbish collection service including contractor and frequency

  • At least one rubbish bin not less than 80L capacity within 90m of each site

  • Rubbish bins water and vermin proof

  • Rubbish bins in clean and hygienic condition

27. Solid fuel fires

  • Approved location designated by licence holder

  • If yes, breifly describe the approved location

28. Cyclone

  • Anchor points available for cyclone tie down

  • Confirm that cyclone managment plan is current

  • Other comments

  • Please attend to any outstanding items by the due date. For enquiries contact the officer on the number below.

  • Reinspection date

  • I have read and I understand the contents of this assessment. Proprietor/staff name and signature

  • Officer name and signature

  • Officer contact number

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.