REMS - Field Survey

MUNS - FIELD SURVEY RECORDING INSTRUMENT

• Not all of the MUNS activities listed in this survey will apply to every community – please refer to your copy of the MUNS plan for each community.
  
  Where you have indicated an issue that needs attention under the community service plan, please provide the information requested below –
  
  Provide adequate notes detailing the issue(s).
  
  Provide photographs clearly showing the issue(s).
  
  Outline how the issue(s) should be resolved, who should resolve the issue and negotiate a time
  frame to resolve the issue with the Community Representative or Regional Service Provider.

• Survey ID

• Audit Title

Survey Officer

• Survey Officer Name

  Aaron ST JOHN CROWLEY

  Brian BURGESS

  Brett ANGUS

  Ian JORRITSMA

• Organisation : Housing Authority
  Email : Aaron.StJohnCrowley@housing.wa.gov.au
  Landline : (08) 9222 4581
  Mobile : 0419 910 831
  

• Organisation : Housing Authority
  Email : Brian.Burgess@housing.wa.gov.au
  Landline : (08) 9222 4872
  Mobile : 0427 996 101
  

• Organisation : Housing Authority
  Email : Brett.Angus@housing.wa.gov.au
  Landline : (08) 9222 8156
  Mobile : 0477 761 856

• Organisation : Housing Authority
  Email : Ian.Jorritsma@housing.wa.gov.au
  Landline : (08) 9440 2588
  Mobile : 0477 759 377

• Current Position

Community Details

• Community Name

  Select

• Is there an Indigenous Population?

  Yes

  No

• Approximate Indigenous Population ...

• Is there a Non-Indigenous Population?

  Yes

  No

• Approximate Non-Indigenous Population ...

Community Inspection conducted in conjunction with ...

• (The inspection is to be conducted with either a representative of the community where the community receive the funding directly or with a representative of the Regional Service Provider where they receive the funding)

Person

• Name

• Representative of ...

  Community

  Regional Service Provider

  Housing Authority

• Community Name

  Select

• Provider Name

  Select ESS Mamabulanjin MEEDAC Ngaanatjarraku Shire Ngaanyatjarra Council PMM Yulella

  • ESS
  • Mamabulanjin
  • MEEDAC
  • Ngaanatjarraku Shire
  • Ngaanyatjarra Council
  • PMM
  • Yulella

• Position

• Landline

• Mobile

Power

• Is power generation maintained by REMS?

  Yes

  No

Power - Outside Genset Shed

• Is there a power compound fence at the facility?

  Yes

  No

• Is power compound fence in good condition including holes where wire has been cut?

  Yes

  No

• Is vegetation cleared from the fence line and inside the compound? <br>(Vegetation should be cleared at least 5 metres away from the fence line)<br>

  Yes

  No

• Is the compound gate locked and secured?

  Yes

  No

• Are there any fire extinguishers?

  Yes

  No

• Are all fire extinguisher(s) “in date”?

  Yes

  No

• Please add each fire extinguisher below then record the date for each unit

Fire extinguisher

• (record date)

  Date

• Does the area contain any fuel tanks?

  Yes

  No

• How many fuel tanks are there?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

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  • 20

• What is their COMBINED total capacity in litres?

• Are there any other forms of power generation?

  Yes

  No

• Add each form of power generation.

Power Generation Form

• Solar

  Wind

• Is there any fuel spillage in the compound (evidence from staining on the ground)?

  Yes

  No

Power - Inside Genset Shed / Control Room

• Does the inside of the Genset Shed / Control Room look neat, tidy and well maintained?

  Yes

  No

• Are there any obvious fuel, oil or water leaks?

  Yes

  No

• How many Gensets are installed?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • 1
  • 2
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• Is a logbook used and current to record daily/weekly general maintenance schedule? <br>(Please refer to the Community Service Plan for scheduled work requirements)

  Yes

  No

• Date/Time of most recent entry

  Date

4.2.3 Powerline and Service Corridor Management

• Is Powerline and Service Corridor managed by REMS ?

  Yes

  No

• Are power poles and overhead wires free from undergrowth?<br>(Trees and bushes growing under power lines should be removed or pruned back to allow at least 5 metre clearance. Vegetation should be cleared from around the base of the poles in case of fire)<br>

  Yes

  No

• Is their clear route along the power / utilities distribution lines?

  Yes

  No

• Is the above-ground utilities lines free of small trees, branches, shrubs and large vegetation growth

  Yes

  No

• Are any overhead lines sagging, damaged or down?

  Yes

  No

• Select all applicable line issue(s)

  Select Sagging Damaged Down

  • Sagging
  • Damaged
  • Down

Water

• Is Water maintained by REMS?

  Yes

  No

Water

• Is the water storage compound clear of vegetation?

  Yes

  No

• Is there a fence around the water storage compound?

  Yes

  No

• Is the fence clear of vegetation? <br>(Vegetation should be cleared at least 5 metres away from the fence line)

  Yes

  No

• Is the fence in good condition?

  Yes

  No

• Is the water storage compound gate locked and secured?

  Yes

  No

• Are there any line leaks in the community?<br>(Any evidence of pooling or wet soggy ground)

  Yes

  No

Water Bores

• Are Water Bores maintained by REMS?

  Yes

  No

Water Bores

• Are there any bore compounds?

  Yes

  No

• How many bore compounds are there?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • 1
  • 2
  • 3
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• Are the bore compounds and outside of the fences free from vegetation? <br>(Vegetation should be cleared at least 5 metres away from the fence line)

  Yes

  No

• Are the fences in good condition?

  Yes

  No

• Are all of the bore compounds locked and secured?

  Yes

  No

• Are the bores and compound checked for leaks and levels on a regular basis?

  Yes

  No

• Is there any evidence of leaks from the overhead storage tanks, rusting steel in the framework or rotting timber on the platform?

  Yes

  No

• How many bores are there?

• Is a disinfection and/or purification system in use?

  Yes

  No

• What type of disinfection and/or purification system is in use?

  Biological Denitrification

  Chlorination

  UV

  Reverse Osmosis

• Is a logbook used and current to record daily/weekly general maintenance schedule?

  Yes

  No

• Date/Time of most recent entry

  Date

• Is a record kept for water usage readings, treatment system flow and chlorinator levels?

  Yes

  No

Sewage Transfer Plant

• Are there any Sewage Transfer Plants?

  Yes

  No

• How many Sewage Transfer Plants are there?

• Are all Sewage Transfer Plant compounds and outside of the fences free from vegetation? <br>(Vegetation should be cleared at least 5 metres away from the fence line)

  Yes

  No

• Are the fences in good condition?

  Yes

  No

• Are all Plant compounds locked and secured?

  Yes

  No

• Are all Plant compounds checked for leaks and levels on a regular basis?

  Yes

  No

• Is there any evidence of breaches or leaks from any Plant equipment?

  Yes

  No

• Are any warning lights activated?

  Yes

  No

Sewage Ponds

• Is the community on septic tanks only with no sewer ponds?

  Yes, septic tanks only

  No, there are sewer ponds

• Is the fence in good condition?

  Yes

  No

• Is the sewer pond compound locked and secured?

  Yes

  No

• Are the edges and ponds free from of long grass and weeds and reeds? <br>(Details of suitable poisons that do not affect the ponds can be sourced from your contract manager)<br>

  Yes

  No

• Is vegetation cleared from the fence line and inside the compound? <br>(Vegetation should be cleared at least 5 meters away from the fence line)

  Yes

  No

4.3.1 Management of Landfill working area - Rubbish Tip

• Is there a rubbish pit/trench at the facility?

  Yes

  No

• Is the access road free of rubbish with no hazards?

  Yes

  No

• Does the pit contain domestic rubbish only?

  Yes

  No

• What percentage of Pit/Trench has been used?

  Yes

  No

• Select from range

• What type of rubbish tip is in use?

  Pit

  Trench

• Is the Rubbish pushed-up or burnt?

  Yes

  No

• Select date

  Date

• Is rubbish dumped randomly around the rubbish tip? (Including along the access road/verge)

  Yes

  No

• Is the tip organised – Car bodies separate, white goods, metal etc?

  Yes

  No

• Is there a separate car graveyard where vehicles are stored?

  Yes

  No

• Is the tip fenced?

  Yes

  No

• Is the fence in good condition?

  Yes

  No

4.2 Rubbish Collection

• Is the rubbish collection managed by REMS ?

  Yes

  No

• Are the bins in the community overflowing?

  Yes

  No

• Are the bins in good condition?

  Yes

  No

• Is there a rubbish truck/trailer at the facility?

  Yes

  No

• Is the rubbish truck or trailer in working order?

  Yes

  No

• Is there a weekly service?

  Yes

  No

Environment Health Management

• Is there a cemetery at the facility?

  Yes

  No

• Is there a fence around the cemetery?

  Yes

  No

• Is the fence in good condition?

  Yes

  No

• Is vegetation cleared from the fence line and around the outside of the fence? <br>(Vegetation should be cleared at least 1 metre away from the fence line)

  Yes

  No

• Are there any dog control programs in place?

  Yes

  No

• What dog control programs are offered?

  Select De-sexing Education Program Relocation

  • De-sexing
  • Education Program
  • Relocation

• Does there appear to be an issue with the number of dogs in the community?

  Yes

  No

4.4.1 Settlement Clean-up/Kerbside up/Cyclone Pick up

• Is there a public area that requires Settlement Clean-up/Kerbside up/Cyclone Pick up ?

  Yes

  No

• Was the clean-up plan communicated with the community?

  Yes

  No

• what method ?

  Select Poster Council meeting Shop

  • Poster
  • Council meeting
  • Shop

• When was the last settlement Clean-up/Kerbside up/Cyclone Pick up ?

  Date

• When is the next settlement Clean-up/Kerbside up/Cyclone Pick up ?

  Date

• Is the facility in a 'cyclone' area?

  Yes

  No

4.2.4 Firebreak Management

• Is there a firebreak around the community?<br>(5 metres wide and have a minimum vertical clearance of 5 metres from overhead vegetation / tree branches)<br>

  Yes

  No

• Is there a firebreak around the perimeter of all infrastructure assets?

  Yes

  No

• Is there any vegetation in the fence lines of the infrastructure compounds?

  Yes

  No

• Are the firebreaks trafficable at a consistent speed;

  Yes

  No

Sealed Roads

• Are there any Sealed Roads relevant to this survey?

  Yes

  No

• (Any damage to roads or kerbs need to be repaired)

• The following questions will be repeated for each sealed road related to the facility. For each sealed road, enter a brief title to identify it.

Sealed Road

• Sealed Road Title

• Are there pot holes in the sealed road?

  Yes

  No

• Are there any kerbs on the sealed road?

  Yes

  No

• Are any section of the shoulders of the road in poor condition?

  Yes

  No

• Are any of the kerbs of the road in poor condition?

  Yes

  No

• Are there significant amounts of sand on the road?

  Yes

  No

• Are there any road and/or street name signs?

  Yes

  No

• Are all of the signs intact?

  Yes

  No

• How many signs are not intact?

• Yes

  No

  N/A

Unsealed Roads

• Are there any Unsealed roads relevant to this survey?

  Yes

  No

• The following questions will be repeated for each unsealed road related to the facility. For each unsealed road, enter a brief title to identify it.

Unsealed Road

• Unsealed Road Title

• Is the unsealed road free from deep sand?

  Yes

  No

• Are there any road depressions or washaways on the unsealed road?

  Yes

  No

Tracks

• Are there any Tracks relevant to this survey?

  Yes

  No

• The following questions will be repeated for each track related to the facility. For each track, enter a brief title to identify it.

Track

• What is the general condition of this track?

  Very Good

  Good

  Average

  Poor

  Very Poor

• Track Title

• Does this track need repair to allow access?

  Yes

  No

Drainage

• Is the drainage mostly the natural lay of the land or is it artificial?

  Natural lay of the land

  Artificial

• Are drainage routes free of rubbish and plant growth?

  Yes

  No

• Are the drainage routes shallow due to sand accumulation?

  Yes

  No

• Where any natural drainage occurs, does the water pool or erode the land in sections?

  Yes

  No

Airstrip

• Is there an airstrip at this facility?

  Yes

  No

• Is the airstrip compound locked and secured?

  Yes

  No

• Is the fence in good condition?

  Yes

  No

• Is the windsock and runway furniture operational and functional and correctly located?

  Yes

  No

• Is the airstrip free of vegetation?

  Yes

  No

• Are the airstrip cones free from vegetation?

  Yes

  No

• Is the windsock in good condition?

  Yes

  No

• Is the landing strip free of large rocks, stones, depressions, mounds, erosion and vegetation ? (Rocks should not be larger than a golf ball)

  Yes

  No

• Is there any airstrip lighting in place?

  Yes

  No

• generator, solar or mains ?

  Genarator Power

  Solar Power

  Mains Power

• Is the lighting working?

  Yes

  No

  Unable to Test

4.2 General Public Area

• General Public Area

  Yes

  No

• Is the public area free of litter / rubbish / vegetation?

  Yes

  No

• Is Public area grass / vegetation slashed and controlled ?<br>(Maintain grass / vegetation at maximum 100mm above ground level by mowing / slashing) <br>

  Yes

  No

4.2.1 Shrub and Vegetation Control

• Is there large trees which require lopping?

  Yes

  No

• Is service infrastructure external, boundary of houses, buildings and infrastructure compounds clear of shrubs and large vegetation growth? (minimum 5 metres clearance)

  Yes

  No

4.4.2 Abandoned Vehicles Clean-up

• Abandoned Vehicles Clean-up

  Yes

  No

• How many abandoned vehicles in the community?

• Was the collection communicated to residents?

  Select Poster Council meeting Shop

  • Poster
  • Council meeting
  • Shop

• When was the last collection of abandoned vehicles?

  Date

Play Ground

• Is there a community playground?

  Yes

  No

• Is the equipment in good condition ?

  Yes

  No

• Is the community playground free from vegetation and rubbish?

  Yes

  No

Oval

• Is there an Oval at the facility?

  Yes

  No

• Is the infrastructure (goal posts, seats, fences) in a good state of repair?

  Yes

  No

• Is the oval reticulated?

  Yes

  No

• Is there any grass on the oval?

  Yes

  No

• Is the grass mowed?

  Yes

  No

• Is the oval free of undergrowth?

  Yes

  No

• Is the area free of rubbish?

  Yes

  No

Basketball Courts

• Is there a Basketball Court at the facility?

  Yes

  No

• Is the infrastructure (pavement, rings, lighting) in a good state of repair?

  Yes

  No

• Is the area free of rubbish?

  Yes

  No

Plant and Machinery

• Is there any Plant and/or Machinery to record?

  Yes

  No

• Please add a new record for each Asset then enter the requested information (where known).

Asset

• Type of Machinery

• Year

  Known

  Not Known

• Select Year

• Brand

  Known

  Not Known

• Enter Brand

• Model

  Known

  Not Known

• Enter Model

• Rego

  Known

  Not Known

• Enter Rego

• Mileage

  Known

  Not Known

• Enter Mileage

• Condition

  Very Good

  Good

  Average

  Poor

  Very Poor

Closing Comments

• Please provide any further comments that will help assess MUNS activities

Sign-Off

• Signature (Housing Representative)

  Sign

• Signature (Community or RSP Representative)

  Sign