FCRC Caravan Park Inspection

• Health licence #:

• Name of the Caravan Park:

• Managers/representatives:

• Register kept?

  Select yes no

  • yes
  • no

• Conducted on

  Date

• Prepared by

• Location
  Address

Caravan park information

• Number is sites (total)

• Number of sites (permanent)

• Number of sites with ensuites

• Number of On-site cabins

• Ensuites

• No ensuites

• Tent sites

• Relocatable home sites

Ablution Facilities

• Number per block

• Male toilets

• Urinals (meters)

• Hand wash basins

• Showers/baths

• Female toilets

• Showers/baths

• Hand wash basins

• Unisex disable facilities provided?

• Privacy assured?

  Select yes no

  • yes
  • no

• Hot & cold water provided

  Select yes no

  • yes
  • no

• Facilities not closer than 6m and not further than 100m to sites?

  Select yes no

  • yes
  • no

• Toilet and shower block kept in a clean and healthy condition

  Yes

  No

  N/A

• Comments

• Photos

  Media

Laundry Facilities

• Number per block

• Twin tubs

• Washing machines

• Clothes hoists

• Dryers

• Number of irons

• Number of ironing boards

• Laundry facilities maintained in a clean and healthy condition

  Yes

  No

  N/A

• Comments

• Photos

  Media

Are the site....

• Numbered?

  Yes

  No

  N/A

• At least 3 meters apart?

  Yes

  No

  N/A

• Within 100 meters of water

  Yes

  No

  N/A

• Paved?

  Yes

  No

  N/A

• Connected/ have access to sewer/sullage?

  Yes

  No

  N/A

• Close to refuse storage/bins?

  Yes

  No

  N/A

Waste

• Garbage is stored in sealed containers and disposed of weekly

  Yes

  No

  N/A

• Is there a dump point facility provided at this Park?

  Yes

  No

  N/A

• Are the facilities clean, safe and sanitary?

  Yes

  No

  N/A

• Pool provided?

swimming pool inspection form

Comments

• Signature of EHO

  Sign

• Signature of caravan park owner/ manager or person interviewed

  Sign