Recreation Area - Hazard & Service Level Audit

• Work Order No.

• Site Name

• Conducted on

  Date

• Prepared by

• Personnel

Infrastructure

• Rate condition of access roads.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of parking areas.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of stairs, paths and railings.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of fences.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of gates.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of locks.

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of park furniture (tables/chairs/benches).

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Rate condition of waste facilities (bins, etc).

  As new condition

  Good

  Fair

  Poor

  Unserviceable

• Are bubblers and taps working?

  Yes

  No

  N/A

• Do electric BBQ's operate correctly?

  Yes

  No

  N/A

• Do electric BBQ's shut off correctly?

  Yes

  No

  N/A

• Does boiling water unit operate correctly?

  Yes

  No

  N/A

• Is information signage visible and secure?

  Yes

  No

  N/A

• Is safety signage visible and secure?

  Yes

  No

  N/A

• Are effluent systems operating correctly?

  Yes

  No

  N/A

• Are septic tank lids secure?

  Yes

  No

  N/A

• Does level indicator show volume above 70%?

  Yes

  No

• If level is above 70%, arrange for pump out service?

Level of service

• Please rate the general appearance of the site.

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Has grass maintenance been undertaken to specification?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Has litter and debris been removed to service specification?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Are gardens maintained to specification?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Is park furniture serviced to specification?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Are areas outside of fence lines free of litter and rubbish?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Are garbage bins serviced to specifications?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Are toilets serviced to contract specification?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Do toilets have adequate toilet paper?

  Yes

  No

  N/A

• Are shelter sheds clean and tidy?

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• Are walls and equipment free of graffiti?

  Yes

  No

  N/A

• Are shelter sheds, chairs, and tables safe?

  Yes

  No

  N/A

• Are traffic barriers safe and secure?

  Yes

  No

  N/A

• Is the area free of dangerous overhanging trees?

  Yes

  No

  N/A

• Please rate the overall safety of the site.

  Exceeds expectation

  Meets expectation

  Minor deficiencies

  Does not meet expectation

  Not Applicable

• We're any WHS hazards identified?

  Yes

  No
Hazard

• Hazard identified by:

• Where is the hazard located?

• Describe the hazard.

• Has anything been done about the hazard?

  Yes

  No

• What corrective action was taken?

• Signature

  Sign

• Complete hazard export form 0901.