Title Page

  • Park name/facility name

  • Name of organisation

  • Conducted on

  • Prepared by

  • Location

General

General

  • Is there a security system installed?

  • Where is the security system control panel located?

  • Does Council hold keys for the facility?

  • Do the keys Council hold, allow access to all site infrastructure? (e.g. Clubhouse, sheds, storage. office etc)

  • If no, what areas can Council not access?

  • Is the facility connected to mains water?

  • Is the facility connected to the main sewerage line?

  • How many industrial bins on site?

  • What size is the industrial bin?

  • Are the clubs industrial bins being collected by a Council contractor?

  • How many waste bins on site?

  • Are the waste bins getting collected by Council?

  • How many recycling bins on site?

  • Are the recycling bins getting collected by Council?

  • How many gaming machines on site?

  • Is liquor sold on site? If so what licence is held?

  • Is the liquor licence current, or expired?

Statutory Items

Statutory Items

  • Is an Evacuation Plan displayed?

  • Are their Exit signs?

  • Are the Exit signs operational?

  • Are all Exits clear of debris?

  • Do any exits have padlocks on them?

  • Are all Smoke Alarms operational?

  • Is there a First Aid Kit?

  • Is there a location sign for the First Aid kit?

  • Is there an RCD (Residual Current Device) installed?

  • If there is no RCD, has all Electrical appliances been tested and tagged?

  • Is the organisation carrying out annual pest control?

  • Is the organisation carrying out annual termite inspections?

Kitchen/canteen

Kitchen/Canteen

  • Does the facility have a kitchen/canteen?

  • Is a Food License displayed?

  • What type of food is served?

  • Is there a designated hand wash sink?

  • Is there hand wash available?

  • Is there a designated food preparation sink?

  • Is there a designated waste water sink?

  • What condition are the sink units in?

  • Is there a splashback?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condition are the bench tops in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the kitchen/canteen in?

  • Are actions required by the lessee?

  • Add media

Room 1

Room 1

  • What is the room used for?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Room 2

Room 2

  • What is the room used for?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Room 3

Room 3

  • What is the room used for?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Room 4

Room 4

  • What is the room used for?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Room 5

Room 5

  • What is the room used for?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • Are all the lights working?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the cupboards/drawers in?

  • What condition is all electrical equipment in?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Male Toilets

Male Toilets

  • Are there male toilets at the facility?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the hand wash basins in?

  • What condition is the mirror in?

  • What condition is the exhaust fan in?

  • How many showers are there?

  • How many pedestals are there?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Female Toilets

Female Toilets

  • Are there female toilets at the facility?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the hand wash basins in?

  • What condition is the mirror in?

  • What condition is the exhaust fan in?

  • How many showers are there?

  • How many pedestals are there?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Disabled Toilets

Disabled Toilets

  • Does the facility have a seperate disabled toilet?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • What condition are the hand wash basins in?

  • How many pedestals are there?

  • How many showers are there?

  • Does the facility have adequate amenities to cater for people with a disability (Access, Toilet, Car parking, Connecting Pathways etc)?

  • Overall, what condition is the room in?

  • Add media

Changing Room 1

Changing room 1

  • Is there a changing room facility in the building?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition are the benches in?

  • What condition are the lockers in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the hand wash basins in?

  • What condition is the mirror in?

  • What condition is the exhaust fan in?

  • How many showers are there?

  • How many pedestals are there?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

Changing Room 2

Changing room 2

  • Is there a changing room facility in the building?

  • What condition is the door in?

  • What condition are the walls in?

  • What condition are the benches in?

  • What condition are the lockers in?

  • What condition is the floor in?

  • What condition is the ceiling in?

  • What condition are the light fittings?

  • What condition are the windows in?

  • What condition are the blinds/curtains in?

  • What condtion are the powerpoints in?

  • What condition are the hand wash basins in?

  • What condition is the mirror in?

  • What condition is the exhaust fan in?

  • How many showers are there?

  • How many pedestals are there?

  • Overall, what condition is the room in?

  • Are actions required by the lessee?

  • Add media

External Building

External Building

  • What condition are the external walls in?

  • What condition is the roof in?

  • Is there solar paneling?

  • Does the facility have water tanks?

  • What condition is the guttering in?

  • What condition are the downpipes in?

  • What condition is the external lighting in?

  • Are there security grills/screens installed on the windows?

  • What condition are the external taps in?

  • What condition is the balcony/deck/covered area in?

  • What condition is the perimeter fence in?

  • What condition are the retaining walls in?

  • What condition is the open space in? (not playing fields)

  • What condition are the gardens in?

  • Are there any overgrown trees?

  • Is there any rubbish/debris lying around?

  • Overall, what condition is the external of the building in?

  • Are actions required by the lessee?

  • Add media

External shed/storage

External shed/storage

  • How many external sheds/storage areas are there?

  • What condition are the light fittings?

  • What condtion are the powerpoints in?

  • What condition are the external walls in?

  • What condition is the roof in?

  • What condition is the guttering in?

  • What condition are the downpipes in?

  • Overall, what condition is the external shed/storage area in?

  • Are actions required by the lessee?

  • Add media

Playing surface/surrounding area

Playing surface / surrounding area

  • Does the facility have a playing surface/courts/arena?

  • Are the playing fields free of weeds?

  • Are the playing fields being irrigated and maintained to acceptable standard?

  • What condition are the field lights in?

  • What condition are the dugouts in?

  • What condition is the seating/grandstand in?

  • What condition is the field fencing in?

  • What condition is the score board in?

  • What condition is the sight screen in?

  • What condition are the shade structures in?

  • What condition are the goal posts in?

  • What condition are the practice facilities in?

  • Are actions required by the lessee?

  • Add media

Sponsorship Signage

Sponsorship Signage

  • Have the club erected any new sponsorship signs?

  • Do all signs comply with Sport & Rec guidelines?

  • Add media

Planning section (How many courts/fields)

Planning Section (How many courts/fields)

  • How many courts (e.g.netball/tennis) are there?

  • Additional comments regarding courts (if required)

  • How many junior fields are there?

  • How many senior fields are there?

  • How many courts/fields have lights?

  • Additional comments (if required)

  • Add media

Landowners Consent

Landowners Consent

  • Have the club made any alterations or improvements without Landowners consent?

  • Are actions required by the lessee?

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.