Indigenous Environmental Health - Healthy Homes Competition Inspection Sheet

• Document No.

• Audit Title

• Tenant Name

• Tenant Address

• Mobile phone

• Home Phone

• Work Phone

• Prepared by

• Date of Audit

  Date

• Number of adults

• Number of children

MAINTENANCE OF DWELLING

Maintained in weatherproof condition

• Roof

  Yes

  No

  N/A

• Guttering

  Yes

  No

  N/A

• Down Pipes

  Yes

  No

  N/A

Maintained in sound condition internal/external

• Footings

  Yes

  No

  N/A

• Foundations

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Stone

  Yes

  No

  N/A

• Mortar

  Yes

  No

  N/A

• Cement

  Yes

  No

  N/A

• Veranda back/front

  Yes

  No

  N/A

• Patio / Pergola

  Yes

  No

  N/A

• Roof

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Steps

  Yes

  No

  N/A

• Handrails

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Supports

  Yes

  No

  N/A

• Flashings

  Yes

  No

  N/A

• Ventilators

  Yes

  No

  N/A

• Ant caps

  Yes

  No

  N/A

Maintained with smooth unbroken surfaces

All Bedrooms

• Ceilings

  Yes

  No

  N/A

• Internal Walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Laundry

• Ceilings

  Yes

  No

  N/A

• Internal walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Bathrooms

• Ceilings

  Yes

  No

  N/A

• Internal walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Lounge room(s)

• Ceilings

  Yes

  No

  N/A

• Internal walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Dining room(s)

• Ceilings

  Yes

  No

  N/A

• Internal walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Kitchen

• Ceiling

  Yes

  No

  N/A

• Internal walls

  Yes

  No

  N/A

• Finishings

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Fixtures

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Maintained in good working order & weatherproof in all rooms

• Doors

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

Natural light

• Retain from any obstruction

  Yes

  No

  N/A

• Maintain light ratio to 10% of floor area

  Yes

  No

  N/A

Maintained to comply with Metropolitan Water Supply, Sewerage and Drainage Act 1909

• Pipes

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

Maintained to comply with Office of Energy

• Guttering

  Yes

  No

  N/A

• Down pipes

  Yes

  No

  N/A

• Drains

  Yes

  No

  N/A

SANITARY CONVENIENCES

Maintained in good condition & clean

• Sanitary convenience

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Ventilation

  Yes

  No

  N/A

Installation

• Adequate water supply

  Yes

  No

  N/A

• Drainage to public sewer or septics

  Yes

  No

  N/A

• Complies with legislation

  Yes

  No

  N/A

BATHROOMS LAUNDRY AND KITCHENS

• Adequately lined with impervious material

  Yes

  No

  N/A

• Adequate ceiling

  Yes

  No

  N/A

• Hand wash and basin facilities

  Yes

  No

  N/A

• Shower in shower recess or bath

  Yes

  No

  N/A

• In good clean condition

  Yes

  No

  N/A

• Yes

  No

  N/A