Information

  • Health licence #:

  • Name of the Caravan Park:

  • Managers/representatives:

  • Register kept?

  • Conducted on

  • Prepared by

  • Location

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?

  • Hot & cold water provided

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

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

  • Comments

  • Photos

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

  • Comments

  • Photos

Are the site....

  • Numbered?

  • At least 3 meters apart?

  • Within 100 meters of water

  • Paved?

  • Connected/ have access to sewer/sullage?

  • Close to refuse storage/bins?

Waste

  • Garbage is stored in sealed containers and disposed of weekly

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

  • Are the facilities clean, safe and sanitary?

  • Pool provided?

  • swimming pool inspection form

Comments

  • Signature of EHO

  • Signature of caravan park owner/ manager or person interviewed

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