External

External Areas - Grounds
Draw rough plan showing house & boundaries. Indicate North

Are fences & gates in good condition

Are gardens tidy with no build up of 'fuel'

Is there evidence of termite infestation

Clothes line in good condition

Septic system in good condition and all IP's accessible

Rainwater tanks in good condition and stable

Externals - House

Building Fabrics Condition

Fibre Board

Sheet Metal

Concrete

Timber

Cages

Cage
Location

Frame & Mesh Condition

Gate

Opening Direction

Lock Type

Is inside 'opener' always set to escape

Lock Condition

Are there external GPO's

GPO's

GPO

Does the GPO comply with IP66

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

External lighting

Light
Sketch position
Type of light (eg 1200 single fluro tube)

Working

Wall Switch

Location

Working

LPG

Is there LPG

Is there a cage around the bottles

What is the condition of the cage

What is wrong

Place photo here if required

Is the cage locked

Can the bottles be put in the cage easily and without lifting

Is there any protection for the bottles

Is there easy access to the bottles

Is the gas regulator and connection hoses in good condition

Hot Water System

Type of system fitted

Is the system working well

Are there any leaks

General Areas

General Areas

Standard fire orders (RACE) sign clearly visible

Electrical equipment tested and tagged and current

Temperature is comfortable

Ventilation is adequate

Kitchen Area

Kitchen

Electrical equipment tested and tagged and current

Lighting adequate and operational

Type of lighting element
How many
Location(s)

Electrical switches in good condition

Single gang switch(s)

Location(s)

Two gang switch(s)

Location(s)

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Windows

How many windows?

Windows and fixings in good condition

Location

Comments

Photo if necessary

Drains (floor and sink) clear and free flowing. Test with a bucket of water

Taps free from drips

Fridge clean, good condition

Microwave clean and maintained

Oven/stove safe and clean

Type of oven

Area free from pests or evidence of them

Lounge / Dining Area

Lounge / Dining Area

Electrical equipment in the room tested and tagged and date current

Lighting adequate and operational

Furniture safe and undamaged

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Windows and fixings in good condition

How many windows?

Bedroom 1 - Main

Bedroom 1 - Main

Electrical equipment tested and tagged and current

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Lighting adequate and operational

Windows and fixings in good condition

How many windows?

Bedroom 2 - Small

Bedroom - Smaller

Electrical equipment tested and tagged and current

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Lighting adequate and operational

Windows and fixings in good condition

How many windows?

Bathroom & Laundry

Bathroom

Electrical equipment tested and tagged and current

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Laundry

Electrical equipment tested and tagged and current

Are there GPO's in the room

GPO's

GPO

Polarity correct

Is the GPO in good condition

Sketch location and indicate height

Type of GPO (eg. Double)

Lighting operating as designed

Floor/area free from water and being wet

Audit

Emergency

Fire fighting equipment easily accessible

Fire fighting equipment checked in last 6 months

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Other comments

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.