Information
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Audit title
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Client / Site
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Conducted on
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Prepared by
- Megan Davenport
- Nerisha James
- Charlee Law
- Angela Rose
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Personnel
Risk Assessment
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Required Personal Protective Equipment (PPE) for this activity is available and will be used
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NOTE: Do not undertake activity if the required PPE equipment is not available for use - Discuss with your supervisor.
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Risk assessment for this type of activity has been read and understood
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Are there any specific risks identified with the property?
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If yes, list the risk/s and what action will be taken to eliminate/control the risk
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NOTE: If the risk cannot be eliminated/controlled and/or is unsafe, DO NOT undertake the activity - Discuss with your supervisor.
If during the activity risks are identified and it is unsafe to continue, abandon the activity - Discuss with your supervisor.
Boarding house details
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Trading name
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Proprietor name
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ABN
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Person interviewed
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Contact number
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Email address
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Type of accomodation
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Total number of bedrooms
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Total number of beds
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Total number of occupants
Local Government (General) Regulation 2005 Schedule 2 Part 1 Standards of shared accommodation
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Maximum number of occupants does not exceed maximum number determined by Council in each room and in the whole premises
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Sleeping accommodation complies with minimum floor area requirements under the Public Health Regulation 2012 (Reg 46)
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For long term accommodation the room has a floor area of 5.5sqm or more for each person, for short term accommodation the room has a floor area of 2sqm or more for each person
Notices
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A sign indicating the permissible maximum length of time a person May board or lodge in the premises is displayed to public view outside the premises
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A schedule is displayed showing the numeral designated to each room and the number of persons permitted to be accommodated in each room
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Select date
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Each room is numbered and the maximum number of persons allowed is displayed clearly on the door of each bedroom
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Select date
Lighting and ventilation
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Adequate light and ventilation is maintained in the premises
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Select date
Kitchen facilities
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Facilities for the storage and preparation of food are kept in a clean and healthy condition, in good repair, free from odours, dust, flies, insect and vermin
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Select date
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The floor of the kitchen has an approved impervious surface
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Select date
General cleanliness
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The premises, including furniture, fittings, bedsteads, beds and bed linen is kept in a clean and healthy condition and free from vermin
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Select date
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Receptacles and other waste storage devices are kept covered and all waste is deposited in appropriate receptacles or other waste storage devices
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Select date
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Pest control undertaken
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Select date
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Procedure in place for bed bugs
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Select date
Furniture and fittings
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Appropriate furniture and fittings are provided and maintained in good repair
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Select date
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For lodging of 7 days or longer, adequate number of beds, each provided with a mattress, pillow and supply of clean blankets or bed clothing is provided
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Select date
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For lodging of 7 days or longer, adequate storage space and blinds, curtains or similar to screen bedroom windows for privacy is supplied to occupants
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Select date
Inspection findings
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General comments
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Inspection rating
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Further action required
- Nil
- Warning letter
- Improvement Notice
- Prohibition Order
- Penalty Notice
- Other
- Pending
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Reinspection required
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Documents to be submitted to Council
- Pest control
- Schedule
Council details
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Name of officer
- Megan Davenport
- Nerisha James
- Charlee Law
- Angela Rose
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Phone: (02) 9911 6555 Fax: (02) 9911 6550 Email: council@canadabay.nsw.gov.au
