PBSR: COVID-19 Villages Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

Hygiene

• Are enhanced cleaning Protocols in place to ensure that high risk contact areas and touch points are being regularly disinfected? Hey

  Yes

  No

  N/A

• Are adequate hand washing and hand sanitising stations provided?

  Yes

  No

  N/A

• Check hand washing facilities are in good working order and adequately stocked (soap, water, paper towel, hand sanitiser)

• Does the Village complete regular inspections to ensure sanitising stations are stocked and workings appropriately?

  Yes

  No

  N/A

• Confirm what is missing

  Select Soap Paper Towel Water Hand Sanitiser

  • Soap
  • Paper Towel
  • Water
  • Hand Sanitiser

• Does the Village have any sneeze guards in place over the buffet style food collection points?

  Yes

  No

  N/A

Physical Distancing

• Chair spacing in dining room areas is at least 1.5 metres apart?

  Yes

  No

  N/A

• At least 1.5 metre spacing in recreational/common areas?

  Yes

  No

  N/A

• Confirm which areas are not compliant?

  Select Gym TV / Games Room Reception Laundry Admin Other

  • Gym
  • TV / Games Room
  • Reception
  • Laundry
  • Admin
  • Other

• Are there physical distancing markings in the dining room and reception where guests queue?

  Yes

  No

  N/A

• Which area is not compliant?

  Select Reception Dining Room

  • Reception
  • Dining Room

Training and Education

• Are your staff members aware of the symptoms of Covid-19 and what they need to to do in the event of symptoms?

  Yes

  No

  N/A

• Symptoms of Covid-19:
  
  The main symptoms to look out for are:
  
  1. A cough
  2. A high temperature (100.4° F or greater)
  3. A shortness of breath

• Are relevant Covid-19 updates posted on noticeboards? Or have they been provided via internal communications?

  Yes

  No

  N/A

Response Planning

• Have you provided information to staff on your COVID-19 Safety Management Procedures?

  Yes

  No

  N/A

• Does the Village have COVID-19 Management Plan for staff to reference from for potential COVID positive case?

  Yes

  No

  N/A

Comments and Sign-off

• Any comments or issues to report?

  Yes

  No

  N/A

• Add comments or issues here: