Information
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Document No.
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Site Address
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Conducted on
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Prepared by
Exterior
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Home is clearly numered
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Entry to home is accessible, clean and uncluttered (gates/doors clear from obstructions)
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Home presents well (lawns mowed, gardens maintained)
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Are the pathways clear from overhanging trees and in good condition?
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Stair treads are in good condition
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Handrails are present, safe and secure (where required)
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Photo of property exterior
General
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Evacuation Plans are present and current?
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Are evacuation plans in correct location?
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Is the property clean & tidy?
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Are fences and walls in good state of repair?
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All doors are in good condition and in working order?
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Has the hot water system been checked to ensure it is set to a safe temperature?
Kitchen
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Drains (both floor and sink) are clear and free flowing
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Fridge is clean and in good working condition
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Microwave is clean and in good working condition
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Oven/stove is safe and clean
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Kitchen area is free from pests or evidence thereof
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Have all electrical equipment as been tested & tagged (must be current)
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Do all electrical switches/sockets appear to be in good working condition?
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Is there any fire safety equipment present in kitchen?
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Fire Blanket
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Fire Extinguisher
Laundry
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Floor area is free from water and being wet
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Washing machine clean and in good working order (no leaks)
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Is there a dryer present?
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Is the dryer filter clean and in working condition?
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All electrical equipment has been tested & tagged (must be current)
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Are all electrical switches/sockets in good working condition?
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Area/doorways are free from trip hazards
Bathroom/Toilet
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Is there adequate draining present (both in shower and floor)?
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Is the floor free from water and being wet?
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Is there adequate lighting?
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Handrails present, safe and secure (if required)
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Toilet is in good working condition? (not leaking)
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Is there a second Toilet/Bathroom?
Bathroom/Toilet
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Is there adequate draining present (both in shower and floor)?
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Is the floor free from water and being wet?
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Is there adequate lighting?
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Handrails present, safe and secure (if required)
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Toilet is in good working condition? (not leaking)
Staff Office
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Is there a WHS Lockable Cabinet present?
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Is the WHS Cabinet locked?
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Are the following present:
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Medication Roles & Dispenser?
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Fire Extinguisher?
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Fire Blanket?
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First Aid Kit?
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Smoke Alarm?
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Medication Folder for each Service User?
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Emergency Kit?
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Is there an Emergency Survival Plan available?
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Small toolbox
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Any items restricted to be used by Service Users (agreement must be in place between SU and SCSS)
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Spare Evacuation plan?
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Spare Activity Schedule?
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Communication Book?
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SCSS Laptop?
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Is there a Hard Copy ISP (Individual Support Plan) available for staff reference?
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Please take a photo
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Has the fire extinguisher been checked in the last 6 months?
Bedroom 1
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Is the bed in a safe position?
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Can staff or Service Users access both sides of bed to ensure ease of tidying?
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Is bed safe and suitable for Service User?
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Is there adequate ventilation in the room?
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Is there adequate lighting in the room?
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Is there suitable storage available for Service Users to store their belongings?
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Is there a 900mm egress from the foot of the bed?
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Is there a Second Bedroom?
Bedroom 2
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Is the bed in a safe position?
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Can staff or Service Users access both sides of bed to ensure ease of tidying?
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Is bed safe and suitable for Service User?
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Is there adequate ventilation in the room?
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Is there suitable storage available for Service Users to store their belongings?
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Is there a 900mm egress from the foot of the bed?
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Is there a Third Bedroom?
Bedroom 3
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Is the bed in a safe position?
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Can staff or Service Users access both sides of bed to ensure ease of tidying?
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Is bed safe and suitable for Service User?
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Is there adequate ventilation in the room?
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Is there suitable storage available for Service Users to store their belongings?
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Is there a 900mm egress from the foot of the bed?
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Is there a Forth Bedroom?
Bedroom 4
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Is the bed in a safe position?
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Can staff or Service Users access both sides of bed to ensure ease of tidying?
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Is bed safe and suitable for Service User?
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Is there adequate ventilation in the room?
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Is there suitable storage available for Service Users to store their belongings?
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Is there a 900mm egress from the foot of the bed?
Lounge Room/Dining Room
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Is the Lounge a safe distance from the Television?
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Are the walkways clear from obstuctions?
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Are power cords in good condition and clear from walkways?
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Is the dining table and chairs sturdy and in good working order?
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Is the dining table located in a safe position?
Outdoor Safety
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Is the washing line in good condition?
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Is the washing line located in a safe position?
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Are all overhead structures safe ad secure?
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Outdoor equipment is safe and in good condition?
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All patios/decks have safe and secure floor surfacing?
Other
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Have all risks/hazards and maintenance been adequately recorded? If not, please list here.
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