Leichhardt Municipal Council Shared Accommodation Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• License Number

• Person In Charge

• ABN:

• Type of Inspection

  Routine

  Re-Inspection

  Complaint

• Phone Number

• Email

• Inspection Report Delivered Via

  Email to above address

  Post to subject premises

  Not sent

Bedroom Occupancy Requirements

• Satisfactory

  Yes

  No

  N/A

• The minimum floor area of a room or cubicle is 5.5m2 for each person sleeping long term (greater than 28days) or 2m2 for each person in all other cases.

Notices

• Display a room number to each bedroom or dorm

  Yes

  No

  N/A

• Clearly display on the door of each bedroom / dorm the maximum number of persons allowed to be accommodated in the room

  Yes

  No

  N/A

• Provide a sign to indicate the maximum length of time a person may lodge on the premises. The sign is to be visible from the outside of the premises

  Yes

  No

  N/A

• Conspicuously display on the premises a schedule showing the bedroom number and the of persons permitted to be accommodated in each of the rooms

  Yes

  No

  N/A

Accommodation Summary

• Short term accommodation - less than 28

  Yes

  No

  N/A

• Long term accommodation - more than 28 days

  Yes

  No

  N/A

• Weekly Rental Range?

• Total Number of Bedrooms

• Total Number of Occupants

Cleanliness Of Premises

• Bathroom(s)

  Yes

  No

  N/A

• Shower cubicle(s)

  Yes

  No

  N/A

• Bedroom(s)

  Yes

  No

  N/A

• Bed linen

  Yes

  No

  N/A

• Furniture and fittings

  Yes

  No

  N/A

• Kitchen ares(s) / appliances / utensils

  Yes

  No

  N/A

• Walls / floors / ceilings

  Yes

  No

  N/A

• Common areas

  Yes

  No

  N/A

• Rear yard / garbage areas

  Yes

  No

  N/A

Maintenance / Repair / Construction

• Repair damaged / missing floor and/or wall tiles

  Yes

  No

  N/A

• Repaint ceilings / walls

  Yes

  No

  N/A

• Repair flaking paint from walls / ceilings

  Yes

  No

  N/A

• Repair damaged floors / walls / ceiling

  Yes

  No

  N/A

• Provide an impervious floor surface to kitchen area(s)

  Yes

  No

  N/A

• Repair an remove mould from walls / ceilings

  Yes

  No

  N/A

Pest Control

• Evidence of pest / vermin activity

  Yes

  No

  N/A

• Seal all crack and crevices

  Yes

  No

  N/A

• Provide screens to doors/windows

  Yes

  No

  N/A

• Provide pest control report

  Yes

  No

  N/A

Comments

• Additional comments

Follow up

• Further action required

  Select Nil - Premises Satisfactory No reinspection required - Ensure all abovementioned non compliances are attended to prior to next routine inspection Reinspection 24 hours Reinspection 7 days Reinspection 14 days Reinspection 28 days Reinspection 60 days Reinspection 90 days Reinspection 180 days Warning letter Improvement Notice Prohibition Order Penalty Notice Other Pending

  • Nil - Premises Satisfactory
  • No reinspection required - Ensure all abovementioned non compliances are attended to prior to next routine inspection
  • Reinspection 24 hours
  • Reinspection 7 days
  • Reinspection 14 days
  • Reinspection 28 days
  • Reinspection 60 days
  • Reinspection 90 days
  • Reinspection 180 days
  • Warning letter
  • Improvement Notice
  • Prohibition Order
  • Penalty Notice
  • Other
  • Pending

• Owner / Employee signature

  Sign

• Authorised Officers signature

  Sign

• Authorised Officers phone number

  9367 9077

  9367 9076

  9367 9068