Information

  • Evac centre report ref #:

  • Name of the Evacuation Centre/ Temporary Relocation Centre

  • Facility representatives:

  • Email address of Evacuation Centre / Temporary Relocation Centre

  • Telephone number of Evacuation Centre / Temporary Relocation Centre

  • Conducted on

  • Inspected by Environmental Health Officer

  • Location

Evacuation Centre/Temporary Relocation Centre Information

Capacity of facility - people

  • Number of beds that can be placed in facility (beds only)

  • Number of chairs that can be placed in facility (with no beds placed in facility)

  • Number of people that can be placed in facility as standing room only with no beds or chairs placed in the area

  • Comments

  • What are the dimensions in metres for the rooms where the evacuees will be housed? Eg. Room is 20m by 20 metres

  • Photos - take photos of the rooms in the building so this can be used for planning and response

Power Supply

  • What power sources are available?

  • Comments

  • Photos - take photos of the area so it can be viewed for planning and response purposes

Communications Systems and Technology

  • What communication systems are in place?

  • Television capabilities?

  • Comments

  • Photos - take photos of the area so it can be viewed for planning and response purposes

Water Supply

  • What water sources are supplied at the facility?

  • Is there an adequate and continuous supply of hot and cold water to all toilet, bathroom, kitchen, laundry and drinking water facilities that form part of the operation of the accommodation park?

  • Is the water supply outlet for non-potable water predominantly and permanently labelled with the words "Not fit for human consumption"?

  • Comments

  • Photos - take photos of the area so it can be viewed for planning and response purposes

Ablution Facilities

  • Male toilets (excluding disabled)

  • Male disabled toilets

  • Urinals (metres)

  • Male hand wash basins

  • Male showers

  • Male baths

  • Female toilets (excluding disabled)

  • Female disabled toilets

  • Female showers

  • Female baths

  • Female hand wash basins

  • Unisex disabled facilities

  • Are individual toilets, showers or baths adequately screened for privacy?

  • Is hot water provided to all shower cubicles and hand basins?

  • Toilet and shower block kept in a clean and healthy condition?

  • Comments

  • Photos

Laundry Facilities

  • Washing machines

  • Clothes hoists

  • Dryers

  • Laundry facilities maintained in a clean and healthy condition

  • Comments

  • Photos

Is the facility.......

  • Numbered and easily identifiable with directional signage around the facility and good signage at the facility?

  • Comments

  • Photos

  • Well drained?

  • If the facility has sealed areas where are they and how much area is sealed?

  • If the facility has sealed areas where are they and how much area is sealed?

  • Connected/ have access to sewer/sullage?

General upkeep of the Facility

Waste and pest management

  • What garbage storage bins are located on site and in what quantities?

  • Is there a dump point facility provided at this facility?

  • All facilities, fixtures, fittings, equipment and furniture being maintained in good working order, and in clean , tidy, sanitary and hygienic condition?

  • The grounds being maintained at all times?

Domestic Animals and Livestock

  • What are the dimensions in metres for the animals and livestock where the evacuees will be housed? Eg. Open space is 20m by 20 metres

  • Comments

  • Photos - take photos of the potential area for keeping domestic animals and livestock so this can be used for planning and response

Comments

  • Signature of Environmental Health Officer (sign and hit save)

  • Signature of accommodation park owner/ manager or person interviewed (sign and hit save)

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