Title Page
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Audit Title
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Document No.
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Conducted on
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Prepared by
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Location
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Personnel
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Add signature
Disclaimer
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Disclaimer
The assessors believe the information contained within this risk assessment report to be correct at the time of printing. The assessors do not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made.
Information on the latest workers compensation and OHS/WHS laws can be found at the relevant State Workcover/ WorkSafe Authority. -
Confidentiality Statement
In order to maintain the integrity and credibility of the risk assessment processes and to protect the parties involved, it is understood that the assessors will not divulge to unauthorised persons any information obtained during this risk assessment unless legally compelled to do so.
Outside
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All outdoor facilities are covered in this section. This includes car parks garages, lawns and gardens
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Water source for property
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Sewerage system
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House is being run in an energy efficient way
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Additional information
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Water meter reading if required
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Outdoor facility
outdoor area
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Type eg car park, lawn, garden etc
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Size of outdoor area (in case of car park how many car spots)
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Condition report photos
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Comments
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Select if there is no damage evident.
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Photos of damage
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Description of damage
Garage
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Is there a garage on the property?
Garage
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Type of building material garage is Made out of
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Lockup?
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Number of car spaces?
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Is the property clean?
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Is the cladding ok
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Automatic/Manual garage door
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Select if damage is not evident
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Photo of damage
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Description of damage
Shed
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Is there a shed or covered area on the property?
Garage
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Type of building material the building is made out of
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Lockup?
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Is the property clean?
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Is the cladding ok
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Number of car spaces?
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Describe the entry doors
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Automatic/Manual garage door
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Select if damage is not evident
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Photo of damage
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Description of damage
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Pool or waterway
water area
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Photo of water feature
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Certificate number if required
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Type eg pool, watercourse on property or within 500 metres, pond, dam
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Select if it Does need inspecting
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Has it been inspected?
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Select if the fencing is not adequate?
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Pool fence condition
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Paths or driveways
pathway
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Description of path/driveway
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Select if path is there is no damage
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Photo of damage
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Description of damage
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External lighting
lighting
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Description of external lighting
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Photo of external lighting
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Select if there is no damage to lighting
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Photo of damage
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Description of damage
Common areas
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Hallways, foyers, lounge areas inside the house
common area
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Description of common area
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Door
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Walls
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Windows
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Screens
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Window coverings/ curtains
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Ceiling
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Light fittings
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Ceiling fans
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Heater/ Air Conditioner/ Ducted or other appliance
appliance
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Description
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Condition
- is reasonable
- is not required
- needs maintenance
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Model number
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Serial number
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Photos
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Powerpoints
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Floor coverings
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Condition of furniture / appliances/ equipment
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Other observations
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Smoke alarm
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Condition report photos
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Select if there is no damage evident.
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Photos of damage
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Description of damage
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Select if the area is clean
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Photos of damage
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Description of damage
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Select if the area doesn't need maintenance
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Photos of damage
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Description of damage
Bedrooms
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Bedrooms
bedroom
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Description of bedroom eg staff bedroom or numbered room as per the evacuation plan
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Door
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Walls
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Built in robes?
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Ensuite
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Windows
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Screens
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Window coverings/ curtains
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Ceiling
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Light fittings
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Ceiling fans
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Heater/ Air Conditioner/ Ducted or other appliance
appliance
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Description
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Condition
- is reasonable
- is not required
- needs maintenance
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Model number
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Serial number
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Photos
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Powerpoints
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TV point
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Floor coverings
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Condition of furniture / appliances / equipment
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Other observations
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Smoke alarm
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Condition report photos
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Select if there is no damage evident.
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Photos of damage
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Description of damage
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Select if the area is clean
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Photos of damage
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Description of damage
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Select if the area doesn't need maintenance
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Photos of damage
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Description of damage
Office
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Office
office area
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Description of office area
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Door
- is reasonable
- is not required
- needs maintenance
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Walls
- is reasonable
- is not required
- needs maintenance
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Built in robes?
- is reasonable
- is not required
- needs maintenance
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Ensuite
- is reasonable
- is not required
- needs maintenance
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Windows
- is reasonable
- is not required
- needs maintenance
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Screens
- is reasonable
- is not required
- needs maintenance
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Window coverings/ curtains
- is reasonable
- is not required
- needs maintenance
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Ceiling
- is reasonable
- is not required
- needs maintenance
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Light fittings
- is reasonable
- is not required
- needs maintenance
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Ceiling fans
- is reasonable
- is not required
- needs maintenance
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Heater/ Air Conditioner/ Ducted or other appliance
appliance
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Description
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Condition
- is reasonable
- is not required
- needs maintenance
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Model number
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Serial number
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Photos
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Powerpoints
- is reasonable
- is not required
- needs maintenance
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TV point
- is reasonable
- is not required
- needs maintenance
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Floor coverings
- is reasonable
- is not required
- needs maintenance
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Condition of furniture / appliances / equipment
- is reasonable
- is not required
- needs maintenance
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Other observations
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Smoke alarm
- is reasonable
- is not required
- needs maintenance
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Condition report photos
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Select if there is no damage evident.
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Photos of damage
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Description of damage
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Select if the area is clean
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Photos of damage
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Description of damage
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Select if the area doesn't need maintenance
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Photos of damage
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Description of damage
Kitchen
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Kitchen or kitchenette
kitchen
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Description of bedroom eg staff bedroom or numbered room as per the evacuation plan
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Door
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Walls
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Windows
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Screens
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Window coverings/ curtains
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Ceiling
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Light fittings
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Ceiling fans
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Oven/ Air Conditioner/ cooktop, exhaust fan, dish washer, fridge microwave or other appliance
appliance
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Description
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Condition
- is reasonable
- is not required
- needs maintenance
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Model number
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Serial number
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Photos
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Powerpoints
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Benchtop
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Cupboards
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Plates
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TV point
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Floor coverings
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Condition of furniture / appliances / equipment
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Other observations
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Smoke alarm
- is reasonable
- is not required
- needs maintenance
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Condition report photos
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Select if there is no damage evident.
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Photos of damage
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Description of damage
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Select if the area is clean
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Photos of damage
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Description of damage
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Select if the area doesn't need maintenance
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Photos of damage
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Description of damage
Bathroom
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Bathroom or separate wc
bathroom
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Description of bedroom eg staff bedroom or numbered room as per the evacuation plan
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Door
- is reasonable
- is not required
- needs maintenance
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Walls
- is reasonable
- is not required
- needs maintenance
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Windows
- is reasonable
- is not required
- needs maintenance
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Screens
- is reasonable
- is not required
- needs maintenance
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Window coverings/ curtains
- is reasonable
- is not required
- needs maintenance
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Ceiling
- is reasonable
- is not required
- needs maintenance
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Light fittings
- is reasonable
- is not required
- needs maintenance
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Ceiling fans
- is reasonable
- is not required
- needs maintenance
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Heater/ Air Conditioner/ Ducted or other appliance
appliance
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Description
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Condition
- is reasonable
- is not required
- needs maintenance
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Model number
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Serial number
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Photos
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Powerpoints
- is reasonable
- is not required
- needs maintenance
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TV point
- is reasonable
- is not required
- needs maintenance
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Floor coverings
- is reasonable
- is not required
- needs maintenance
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Condition of furniture / appliances / equipment
- is reasonable
- is not required
- needs maintenance
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Other observations
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Smoke alarm
- is reasonable
- is not required
- needs maintenance
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Condition report photos
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Select if there is no damage evident.
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Photos of damage
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Description of damage
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Select if the area is clean
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Photos of damage
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Description of damage
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Select if the area doesn't need maintenance
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Photos of damage
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Description of damage
WHS
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Evacuation plans in place
- is reasonable
- is not required
- needs maintenance
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Safety switch
- is reasonable
- is not required
- needs maintenance
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Select if there is not an extinguisher located on the property
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Date last checked
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Select if there is not an fire blanket located on the property
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Date last checked
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Select if there is not an emergency procedure displayed on the property
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Date last fire drill
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Fire drill recorded
- is reasonable
- is not required
- needs maintenance
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First aid sighted and complies with IFYS procedure
- is reasonable
- is not required
- needs maintenance
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Hazardous materials register is complete
- is reasonable
- is not required
- needs maintenance
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Dangerous materials stored appropriately
- is reasonable
- is not required
- needs maintenance