QA - 1015-004 Warrina RC

• Site conducted

  Select

• Inspection Number (do not fill)

• Prepared by

• Conducted on

  Date

• The score given for a service item is to be agreed by Anglicare and Challenger and be based on an objective assessment of the service item at the time of the audit against the contracted scope and quality standards.

• 

Building Entrances & Foyers

• Inspected

  Yes

  No

  N/A
Building Entrance & Foyers

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

BOH - Admin Offices/Reception/Meeting Rooms

• Inspected

  Yes

  No

  N/A
BOH - Admin Offices/Reception/Meeting Rooms

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Upholstery

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Corridors/Breezeways & General Stairwells

• Inspected

  Yes

  No

  N/A
Corridors/Breezeways & General Stairwells

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Basins

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Upholstery

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Indoor Common Areas

• Inspected

  Yes

  No

  N/A
Indoor Common Areas

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Upholstery

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Outdoor Common Areas

• Inspected

  Yes

  No

  N/A
Outdoor Common Areas

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces (Glass only)

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces (Handrails only)

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Communal Bathrooms

• Inspected

  Yes

  No

  N/A
Communal Bathrooms

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Toilet

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Basin/Mirror

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Replenish Toiletries

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Lifts & Foyers

• Inspected

  Yes

  No

  N/A
Lifts & Foyers

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Common Area Balconies

• Inspected

  Yes

  No

  N/A
Common Area Balconies

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Dining Rooms

• Inspected

  Yes

  No

  N/A
Dining Rooms

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Cafe Kitchen

• Inspected

  Yes

  No

  N/A
Cafe Kitchen

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Cafe Dining Space

• Inspected

  Yes

  No

  N/A
Cafe Dining Space

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Main Kitchen

• Inspected

  Yes

  No

  N/A
Main Kitchen

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Servery

• Inspected

  Yes

  No

  N/A
Servery

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Communal Kitchenettes

• Inspected

  Yes

  No

  N/A
Communal Kitchenettes

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Resident Rooms

• Inspected

  Yes

  No

  N/A
Resident Room

• Is the Anglicare Representative present?

  Yes

  No

• Room Number

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Upholstery

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Resident Bathroom

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Basin/Mirror

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Toilet

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Shower

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Replenish Toiletries

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Resident Laundries/Drying Areas

• Inspected

  Yes

  No

  N/A
Resident Laundries/Drying Areas

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Nursing Stations

• Inspected

  Yes

  No

  N/A
Nursing Station

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Physio/Waiting/Wellness/Clinic/Consult Rooms

• Inspected

  Yes

  No

  N/A
Physio/Waiting/Wellness/Clinic/Consult Rooms

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Upholstery

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Pan Room/Utility Room/Linen Walk In/Store Room

• Inspected

  Yes

  No

  N/A
Pan Room/Utility Room/Linen Walk In/Store Room

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cupboards

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Fire Stairs

• Inspected

  Yes

  No

  N/A
Fire Stairs

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces (Handrails Only)

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces (Glass only)

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Staff/Locker Room

• Inspected

  Yes

  No

  N/A
BOH Staff Amenities

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Lockers

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Replenish Toiletries

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

BBQ Areas Inc Playground

• Inspected

  Yes

  No

  N/A
BBQ Areas Inc Playground

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Swimming Pool

• Inspected

  Yes

  No

  N/A
Swimming Pool

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Floor Mats

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Hand Towels/Hand Soap have been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Hairdresser

• Inspected

  Yes

  No

  N/A
Hairdresser

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Salon Chairs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Letterboxes

• Inspected

  Yes

  No

  N/A
Letterboxes

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Letterbox has been wiped down

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Carpark/Basement/Loading Area

• Inspected

  Yes

  No

  N/A
Carpark/Basement/Loading Area

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Furniture

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Walkways Outside Building

• Inspected

  Yes

  No

  N/A
Walkways Outside Building

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Vertical Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Horizontal Surfaces

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Bus Shelters

• Inspected

  Yes

  No

  N/A
Bus Shelters

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Bins are Empty

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Garbage Rooms/Bays

• Inspected

  Yes

  No

  N/A
Garbage Rooms/Bays

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Central Waste

• Inspected

  Yes

  No

  N/A
Central Waste

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Floors

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Garbage Chutes

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Smoking Area

• Inspected

  Yes

  No

  N/A
Smoking Area

• Is the Anglicare Representative present?

  Yes

  No

• Location

• Cobwebs

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Ashtrays

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

• Loose litter has been collected

  Select Scope Met/Completed Minor Items Identified Scope Not Delivered in Full Major Items Identified - Require Immediate Attention Scope Not Delivered N/A

  • Scope Met/Completed
  • Minor Items Identified
  • Scope Not Delivered in Full
  • Major Items Identified - Require Immediate Attention
  • Scope Not Delivered
  • N/A

Disputed Items

• Are there any disputed items?

  Yes

  No
Item/Area

• Describe Item/Area in dispute - Explanation required

Operations Manager Sign Off

• Name & Signature

  Sign

Anglicare Representative Sign Off

• Name & Signature

  Sign

• Please provide reason as to why the Anglicare Representative did not Sign Off?

  On Leave

  Is Sick

  Attended Part of the Audit

  Other

• Please provide reason:

• What percentage of the Audit did they attend?

  1%-25%

  26%-50%

  51%-75%

  76%-99%

• Was there any other attendees at the Audit?

  Yes

  No

• Please provide name: