Title Page

  • Customer Request Number

  • This Inspection is to determine if the building is a Class 1b, Class 3 or High risk. If a clear determination on the use of the building refer to the MBS or DMBS.

  • Property Address
  • Conducted on

  • Contact persons Name

  • Contact Persons Contact Number/s

  • Contact persons EMail address

  • Prepared by

  • This report/template is for City of Monash use only and no responsibility is taken for the accuracy of information contained within by the City of Monash, report/template creators or the reporting officer.

    Any use, recreation (whether in full or in part) may not be undertaken without permission from the City of Monash or the report creators.

Formal Request for Access to the building

  • Has an access letter be sent to the owner/agent and or tenant

  • Has the Section 231 "consent to entry" sheet been completed

Description of the building

  • Take photo of the front of the property

  • Type of wall construction of the building

  • If other provide details

  • Type of roof construction

  • External condition of the building

  • If Poor provide details of concern/s

  • If Poor take photo/s of concern/s

  • If Other provide details

General Information

  • Are there smoke alarms in the hallway. If so what type

  • Is there a evacuation light?

  • Is the front door keyed lock on the inside

  • Number of bedrooms

  • Do the bedrooms have smoke alarms? If yes what type

  • Are there locks on the bedroom doors on the inside

  • Is anyone sleeping in the living room/s

  • Take photos of hallways, bedrooms etc

  • Number of occupants

  • Any other information that me be applicable

Wet areas

  • Condition of the kitchen

  • Take photo

  • Condition of bathroom/s

  • Take photo of bathroom

Any other details / information

  • Any other details / information

  • Do you believe the dwelling is being used as a Class 1b

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.