Kitchen Assessment - Public version

• UPRN

• Date

  Date

• Residents Name

• Surveyor

• Age of Kitchen

• Number of bed spaces

• Contacts Number(s)

• Address
  Address

Disrepair

• Is the kitchen beyond practical/economical repair?

  Yes

  No

Electrical Hazards

• Is there a socket or switch within arm's reach of sink?

  Yes

  No

• Are there any other hazards which could lead to electrocution?

  Yes

  No

Fire Hazards

• Is there a socket or switch within 150mm of cooker space?

  Yes

  No

• Is there a wall/tall unit within 150mm of cooker space?

  Yes

  No

• Is the cooker within 900mm of a window/opening?

  Yes

  No

• Is there inadequate smoke/heat detection?

  Yes

  No

• Are there any other hazards which could lead to fire or burns/scalds?

  Yes

  No

Layout Hazards

• Is there less than 500mm of worktop either side of the cooker space?

  Yes

  No

• Is there less than 400mm of worktop either side of the sink?

  Yes

  No

• Is the floor space between opposing base units less than 1200mm?

  Yes

  No

• Is there a wall unit above the sink or with no worktop below?

  Yes

  No

• Are there any other hazards caused by poor layout/design?

  Yes

  No

Ventilation

• Is there no extraction present?

  Yes

  No

• Are there any other ventilation issues?

  Yes

  No

Hygiene

• Are the worktops unsuitable for the preparation of food?

  Yes

  No

• Is there any evidence of damp (including mould growth)?

  Yes

  No

• Is there any evidence of pests/infestation?

  Yes

  No

• Are there any other Health risks from poor design/layout/condition?

  Yes

  No

Water Supply

• Is the hot water supply inadequate?

  Yes

  No

• Is the cold water supply inadequate?

  Yes

  No

• Are there any lead water pipes present?

  Yes

  No

Other Hazards

• Are there any suspected Asbestos Containing Materials present?

  Yes

  No

• Are there any trip hazards or risk of collisions?

  Yes

  No

• Is the lighting provision inadequate?

  Yes

  No

Capacity

• Is there insufficient storage? (See tables overleaf)

  Yes

  No

• Is the worktop insufficient? (1200mm for 1-2 beds, 1600mm for 3-5)

  Yes

  No

• Are there insufficient sockets? (10 is optimal where possible)

  Yes

  No

Surveyor's Recommendations

• What work is required to bring the kitchen up to a Decent Standard? i.e if you have ticked "Yes" in any of the boxes above, what work is required to rectify the problem?