Street name and number
1.1 - Is there a known alert placed on the property, individual or other inhabitants of the property?
Detail the nature of the alert and the source
2.1 Does the site have NO mobile phone coverage (Optus)?
Yes = the site has no / limited mobile phone coverage
2.2 Does the site have NO landline which is connected and operational?
Yes = the site has NO 'phone
3.1 - Are there any dogs or pets that may present a risk to staff members?
Detail the animal and safety concerns
3.2 - Are there NO means of controlling the animal(s) if required during the duration of the visit?
4.1 - Street parking is NOT available
4.2 - Parking is NOT secure?
5.1 - There is reduced access to the property
5.2 - Entry and walkways DO NOT provide safe access
5.3 - Entry and Walkways DO NOT allow safe transportation of equipment
6.1 - Site is NOT powered
6.2 - Structural condition of premises
6.3 - Hygiene
6.4 - Infestation
6.5 - Squalor
6.6 - Hoarding
7.1 - Gas
Is there NO safety switch
8.2 - Allergies
Provide details including management plan
8.3 - Multi Resistant Organism(s)
Provide details including type of MRO(s) and management plan(s)
8.4 - Adverse drug reactions()
Provide details including drug name, reaction and management plan
8.5 - Serious medical condition(s)
Detail condition(s) and any management plans
8.6 - Drug seeking behaviours
9.1 - Level of consent provided
Provide details including any special conditions
Firearms / weapons
10.1 - Smokers on premises
10.2 - Hazardous substances on site