Title Page
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Site conducted
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Prepared by
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Date & time conducted
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Location (if not in system)
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Business Name (if not in system)
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Risk Level
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Reason for assessment
- Routine Public Building Assessment
- Follow Up Public Building Assessment
- Complaint Public Building Assessment
- New/Transfer Public Building Assessment
- Section 39 Public Building Assessment
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Proprietor/manager on site at time of assessment
Checklist
Certification and Documentation
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Certificate of Approval on premises and displayed
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Exit sign and emergency lighting log book on site
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Air handling system maintenance record kept onsite (for evaporative systems)
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Evacuation plan available and signage displayed
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Pest control program in place and records kept onsite (where applicable)
General Provisions and Maintenance
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Refuse area well maintained and in a clean condition
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Exterior building condition satisfactory
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Interior building condition satisfactory
Exit and Egress
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Exit doors easily opened
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Approved latches and locks
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Exit paths clear and unobstructed, exit to open space
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Exit signs provided on all designated exits
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Exit signs clearly visible and illuminated
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No escape signs where required
Electrical Meter/Switch
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No public access to switch board
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Emergency lighting test facility provided
Ventilation and Heating
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Ceiling Fans - Fixed/guarded and 2.4m above floor
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Heaters - 2.1m above floor and 600mm from roof
Sanitary Facilities
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Facilities in good repair/ hygiene and easily accessible
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Sanitary disposal provided in female and unisex facilities
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Lighting sufficient for building use and cleaning
Fire Safety
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Fire equipment serviced 6 monthly
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Curtains and decorative treatments fire retardant
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Flammable liquids stored properly
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Open fires guarded/approved
Seating, Stairs, Aisles and Landings
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Fixed seating secured to floor or grouped in 4's
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Rows less than 42 seats
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Aisles at end of seat rows clear to exits
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Raised areas provided with guard rails
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Stairs provided with 2 hand rails
General comments
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Further comments (if applicable)
Further Action
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Follow-up assessment fee for unsatisfactory work: Proprietor to be charged relevant fee for this assessment
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Further Action
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Next Assessment Date (assessment may not be on this day)
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Authorised Officer Signature
