Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
External
External Areas - Grounds
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Draw rough plan showing house & boundaries. Indicate North
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Are fences & gates in good condition
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Are gardens tidy with no build up of 'fuel'
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Is there evidence of termite infestation
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Clothes line in good condition
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Septic system in good condition and all IP's accessible
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Rainwater tanks in good condition and stable
Externals - House
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Building Fabrics Condition
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Fibre Board
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Sheet Metal
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Concrete
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Timber
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Cages
Cage
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Location
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Frame & Mesh Condition
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Gate
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Opening Direction
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Lock Type
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Is inside 'opener' always set to escape
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Lock Condition
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Are there external GPO's
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GPO's
GPO
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Does the GPO comply with IP66
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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External lighting
Light
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Sketch position
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Type of light (eg 1200 single fluro tube)
- 1200mm Tube
- 600mm Tube
- 200mm Circular
- 250mm Circular
- 150mm Low volt tube
- LED Flood
- Halide Flood
- Sodium Flood
- Single
- Double
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Working
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Wall Switch
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Location
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Working
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LPG
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Is there LPG
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Is there a cage around the bottles
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What is the condition of the cage
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What is wrong
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Place photo here if required
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Is the cage locked
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Can the bottles be put in the cage easily and without lifting
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Is there any protection for the bottles
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Is there easy access to the bottles
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Is the gas regulator and connection hoses in good condition
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Hot Water System
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Type of system fitted
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Is the system working well
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Are there any leaks
General Areas
General Areas
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Standard fire orders (RACE) sign clearly visible
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Electrical equipment tested and tagged and current
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Temperature is comfortable
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Ventilation is adequate
Kitchen Area
Kitchen
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Electrical equipment tested and tagged and current
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Lighting adequate and operational
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Type of lighting element
- 1200mm Tube
- 600mm Tube
- 200mm Circular
- 250mm Circular
- 150mm Low volt tube
- LED Flood
- Halide Flood
- Sodium Flood
- Single
- Double
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Location(s)
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Electrical switches in good condition
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Single gang switch(s)
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Location(s)
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Two gang switch(s)
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Location(s)
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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Windows
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Windows and fixings in good condition
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Location
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Comments
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Photo if necessary
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Drains (floor and sink) clear and free flowing. Test with a bucket of water
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Taps free from drips
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Fridge clean, good condition
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Microwave clean and maintained
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Oven/stove safe and clean
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Type of oven
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Area free from pests or evidence of them
Lounge / Dining Area
Lounge / Dining Area
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Electrical equipment in the room tested and tagged and date current
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Lighting adequate and operational
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Furniture safe and undamaged
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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Windows and fixings in good condition
Bedroom 1 - Main
Bedroom 1 - Main
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Electrical equipment tested and tagged and current
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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Lighting adequate and operational
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Windows and fixings in good condition
Bedroom 2 - Small
Bedroom - Smaller
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Electrical equipment tested and tagged and current
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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Lighting adequate and operational
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Windows and fixings in good condition
Bathroom & Laundry
Bathroom
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Electrical equipment tested and tagged and current
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
Laundry
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Electrical equipment tested and tagged and current
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Are there GPO's in the room
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GPO's
GPO
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Polarity correct
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Is the GPO in good condition
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Sketch location and indicate height
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Type of GPO (eg. Double)
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Lighting operating as designed
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Floor/area free from water and being wet
Emergency
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Fire fighting equipment easily accessible
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Fire fighting equipment checked in last 6 months
More
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Other comments
Sign Off
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On site representative
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Auditor's signature