• Audit title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Risk Assessment

  • Required Personal Protective Equipment (PPE) for this activity is available and will be used

  • NOTE: Do not undertake activity if the required PPE equipment is not available for use - Discuss with your supervisor.

  • Risk assessment for this type of activity has been read and understood

  • Are there any specific risks identified with the property?

  • If yes, list the risk/s and what action will be taken to eliminate/control the risk

  • 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

  • Trading name

  • Proprietor name

  • ABN

  • Person interviewed

  • Contact number

  • Email address

  • Type of accomodation

  • Total number of bedrooms

  • Total number of beds

  • Total number of occupants

Local Government (General) Regulation 2005 Schedule 2 Part 1 Standards of shared accommodation

  • Maximum number of occupants does not exceed maximum number determined by Council in each room and in the whole premises

  • Sleeping accommodation complies with minimum floor area requirements under the Public Health Regulation 2012 (Reg 46)

  • 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


  • 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

  • A schedule is displayed showing the numeral designated to each room and the number of persons permitted to be accommodated in each room

  • Select date

  • Each room is numbered and the maximum number of persons allowed is displayed clearly on the door of each bedroom

  • Select date

Lighting and ventilation

  • Adequate light and ventilation is maintained in the premises

  • Select date

Kitchen facilities

  • 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

  • Select date

  • The floor of the kitchen has an approved impervious surface

  • Select date

General cleanliness

  • The premises, including furniture, fittings, bedsteads, beds and bed linen is kept in a clean and healthy condition and free from vermin

  • Select date

  • Receptacles and other waste storage devices are kept covered and all waste is deposited in appropriate receptacles or other waste storage devices

  • Select date

  • Pest control undertaken

  • Select date

  • Procedure in place for bed bugs

  • Select date

Furniture and fittings

  • Appropriate furniture and fittings are provided and maintained in good repair

  • Select date

  • 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

  • Select date

  • 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

  • Select date

Inspection findings

  • General comments

  • Inspection rating

  • Further action required

  • Reinspection required

  • Documents to be submitted to Council

Council details

  • Name of officer

  • Phone: (02) 9911 6555 Fax: (02) 9911 6550 Email:

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.