Horsham Rural City Council Prescribed Accommodation Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

GENERAL INFORMATION

• Date and Time audit began

  Date

• Premises Number

• Name of Premises

• Address of Premises

• Phone Number

• Name of Proprietor or staff in attendance

• Name of Officer

  Select Luke Mitton Helene Wortley

  • Luke Mitton
  • Helene Wortley

OVERCROWDING

• Accommodation for a period of more than 31 days<br>Maximum Number of persons permitted to occupy bedroom<br>Less than 12 m2. 1<br>12m2 or more 2<br>Additional persons for every 4m2 of floor that exceeds 12m2<br><br>Rooms are not permitted to used as a bedroom if it has a floor area less then 7.5m2.<br><br><br>

  Yes

  No

  N/A

• Accommodation for a period of 31 days or less<br>Maximum Number of persons permitted to occupy bedroom<br>Less than 10m2 2 <br>10m2 or more 3<br>Additional persons for every 4m2 of floor that exceeds 10m2<br><br>Rooms are not permitted to used as a bedroom if it has a floor area less then 7.5m2

  Yes

  No

  N/A

CLEANING AND MAINTENANCE

• Rooms<br>In a clean, sanitary and hygienic condition<br>In a good state of repair

  Yes

  No

  N/A

• Toilets and Shower Facilities <br>In a clean, sanitary and hygienic condition<br>In a good state of working order

  Yes

  No

  N/A

• One toilet, one bath/shower and one hand wash basin with hot and cold water is to be accessible for every 10 persons<br>Number of:<br>WC:<br>Basins:<br>Bath/Shower:

  Yes

  No

  N/A

• Living Rooms and Kitchen<br>In a clean, sanitary and hygienic condition<br>In a good state of repair

  Yes

  No

  N/A

• Soiled Linen <br>Soiled linen is laundered or washed in hot water<br>Linen is changed between occupants and/or at least on weekly basis <br>Suitable storage facilities provided for dirty linen

  Yes

  No

  N/A

• Cleaning of Premises<br>Cleaning schedule provided for the premises<br>Cleaning equipment is maintained and stored safely

  Yes

  No

  N/A

PEST CONTROL

• Evidence of pest harbourage<br>

  Yes

  No

  N/A

• Measures taken to prevent the entry and harbourage of pests

  Yes

  No

  N/A

WASTE DISPOSAL

• Sufficient vermin-proof receptacles for the collection & storage of putrescible waste <br>Refuse area maintained in a clean condition <br>Refuse regularly removed and disposed of<br>Sewage and waste water appropriately discharged

  Yes

  No

  N/A

WATER SUPPLY

• Drinking water is fit for human consumption

  Yes

  No

  N/A

• Continuous and adequate supply of water to :-<br>All toilets, bathing, drinking and washing facilities

  Yes

  No

  N/A

• Continuous and adequate supply of hot water to :-<br>All kitchen, bathing and laundry facilities

  Yes

  No

  N/A

REGISTER

• Register kept of all names and addresses of persons occupying the accommodation and dates of their arrival and departure

  Yes

  No

  N/A

FURTHER ACTIONS

• Further Action?

  Nil

  Reinspection

  Letter

  Order/Notice

  Expiation Notice

REINSPECTION DATE

• Select date

  Date

SIGNATURE

• Signature of Officer

  Sign