Information
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HFSC - Document No:
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Audit Title (surname)
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Conducted on
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Prepared by
Instructions
Audit process instructions
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HFSC Process for Tablet Based use of iAuditor
Please enter information into the audit in the following format.
Information Section
1. Audit Title: Surname of the Occupant
Contact Information
1. Name: Format: “ MR B. BLOGGS”
2. Address: Use GPS to locate to the address, if the address is slightly different, select the closest one then amend manually. It is also possible to enter the address manually. (3G enabled tablet will locate for you, press the” locate me” button when at the desired address)
3. Phone: Format includes area code please.
Checklists
Please note, the questions are all asked in a manner that has yes being a positive answer (No further action required) and no being a fault or something that is a negative. A No answer will require some comments and a comments field will appear if no is selected. Please enter some meaning descriptive comment for the home owner
Demographic (optional)
This section is a series of check boxes designed to help NZFS staff complete the associated SMS tasks (Home Safety Visit task)
Additional Information (optional)
This section is another data collection section that will allow the NZFS to analyse how we are delivering services to our communities.
Sign Off Staff member completing the form to enter name
Sign off with initials or signature (Touch the “Sign “Box)
Contact Information
Visit Information
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Visit Date:
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Station:
- Rotorua
- Taupo
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Watch:
- GREEN
- BLUE
- RED
- BROWN
Partnership information
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Select Partner
- Salvation Army
- professionals real estate
Contact Information
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Name: [Mr, Mrs, Miss, Ms], [Initial], [Surname]
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Address: (use GPS or enter manually)
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Telephone:
Checklist
HALLWAY
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WORKING SMOKE ALARM FITTED ON CEILING - INSTALL LONG LIFE
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ESCAPE ROUTE CLEAR
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KEYS KEPT IN DEADLOCK AT NIGHT
LIVING ROOM
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WORKING SMOKE ALARM(S) FITTED ON CEILING - RECOMMEND PHOTOELECTRIC
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CANDLES KEPT AWAY FROM CURTIANS AND IN PROPER HOLDER.
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ASHTRAYS EMPTIED CORRECTLY
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MATCHES AND LIGHTERS KEPT AWAY FROM CHILDREN
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SPARKGUARD AROUND OPEN FIRE
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CHIMNEY SWEPT ANNUALLY
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HOT ASHES REMOVED IN A METAL CONTAINER
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CLOTHING, BEDDING AND FURNITURE KEPT A METRE FROM THE HEATER
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APPLIANCES WITH REMOTES SHOULD BE SWITCHED OFF AT THE APPLIANCE BEFORE BED OR WORK.
KITCHEN
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UNDERSTANDS LEAVING COOKING UNATTENDED IS DANGEROUS
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KNOW WHAT TO DO IF A FRYPAN CATCHES FIRE
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UNDERSTANDS THE DANGERS OF DRINKING AND FRYING
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NON-ESSENTIAL ELECTRICAL APPLIANCES TURNED OFF BEFORE BED OR WORK
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POWERBOARDS OR MULTIBOARDS NOT OVERLOADED
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UNDERSTANDS THE BENEFITS OF EXTINGUISHERS AND FIRE BLANKETS
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AWARE OF THE DANGERS OF CHILDREN BEING IN THE KITCHEN WHILE COOKING
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SAUCEPAN HANDLES TURNED TOWARDS THE BACK OF THE STOVE
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JUG CORDS KEPT AWAY FROM THE EDGE OF THE BENCH
BEDROOM
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WORKING SMOKE ALARM(S) FITTED ON CEILING - RECOMMEND PHOTOELECTRIC
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CANDLES KEPT AWAY FROM CURTIANS AND IN PROPER HOLDER.
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UNDERSTANDS NEVER TO HAVE CANDLES IN A CHILDS BEDROOM
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KNOWS ELECTRIC BLANKETS TO BE TURNED OFF BEFORE GOING TO BED
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CLOTHING, BEDDING AND FURNITURE KEPT A METRE FROM THE HEATER
FAMILY
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CARRY OUT NIGHT TIME SAFETY CHECK
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CLOSE DOORS BEFORE GOING TO BED
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REGULARLY TEST SMOKE ALARMS TO ENSURE THEY WORK
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PRACTICE ESCAPE PLAN
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KNOW WHERE THE SAFE MEETING PLACE IS
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KNOW TO CALL 111 IN AN EMERGENCY
Sign Off
ADDITIONAL INFORMATION (OPTIONAL)
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Does the home owner have an e-mail address?
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Enter e-mail address
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Post form to street address.
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Have you lived at this address for more than 2 years?
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Has the New Zealand Fire Service visted you at this address before?<br><br><br><br>
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When did the Fire Service vist last?
SIGN OFF
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Officer completing check to sign