Visual Inspection 2.0

• Organisation name

• Facility/park name

• Name of club member/s at inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

Keys

• Does Council hold keys for the facility?

  Yes

  No

• Does Council have access to the main entrance gate?

  Yes

  No

• Does the keys Council hold, allow access to all areas of the facility? (every room, shed, canteen etc)

  Yes

  No

• Were the keys tested at the inspection?

  Yes

  No

Security systems

• Is there a security alarm system installed?

  Yes

  No

• Does Council have the current security code?

  Yes

  No

• Where is the main panel located?

Fire safety

• Is there an evacuation plan displayed?

  Yes

  No

• Are there exit signs?

  Yes

  No

• Are the exit signs working?

  Yes

  No

• Are all exits clear of debris?

  Yes

  No

• Do any exits have padlocks on them?

  Yes

  No

• Are there smoke alarms installed at the facility?

  Yes

  No

• Are there fire extinguisher installed at the facility?

  Yes

  No

Pest control

• Is the organisation carrying out annual pest control?

  Yes

  No

  Unknown

• Is the organisation carrying out annual termite inspections?

  Yes

  No

  Unknown

First Aid

• Is there a first aid box at the facility?

  Yes

  No

• Is there a location sign for the first aid box?

  Yes

  No

Water supply

• Is the facility connected to mains water?

  Yes

  No

  N/A

• Is the facility connected to water tanks?

  Yes

  No

  N/A

• How many water tanks at the facility?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• What do the tanks service?

  Select Site infrastructure Field irrigation Canteen Toilets

  • Site infrastructure
  • Field irrigation
  • Canteen
  • Toilets

Sewerage

• Is the facility connected to the main sewerage line?

  Yes

  No

  N/A

• Is there a HSTP at the facility?

  Yes

  No

  N/A

Industrial bin

• Is there an industrial bin located at the facility?

  Yes

  No

• How many industrial bins are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
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  • 20

• What size is the industrial bin?

  Size 1 (1000L)

  Size 2 (1500L)

  Size 3 (2000L)

  Size 4 (3000L)

• Who pays for the service of the industrial bin?

  Council

  Club

  Unknown

Standard service bins

• How many standard waste bins are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many standard recycling bins are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Do the standard bins get put out for collection?

  Yes

  No

External clubhouse/main building

• Does the facility have solar panels installed?

  No

  Yes - Solar (no battery)

  Yes - Solar with battery

• Are there security grills/screens installed on the windows?

  Yes

  No

• Are the gutters on clubhouse/main building clean, and free from debris?

  Yes

  No

• Are actions required of the lessee for the external of the clubhouse/main building?

  Yes

  No

Facility grounds/surroundings

• Is there any rubbish/debris lying around?

  Yes

  No

• Are there any tree's that are dead, or pose a safety risk?

  Yes

  No

• Are the gardens being well maintained?

  Yes

  No

• Is the open space being well maintained?

  Yes

  No

Room 1

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 1?

  Yes

  No

Room 2

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 2?

  Yes

  No

Room 3

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 3?

  Yes

  No

Room 4

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 4?

  Yes

  No

Room 5

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 5?

  Yes

  No

Room 6

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 6?

  Yes

  No

Room 7

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 7?

  Yes

  No

Room 8

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 8?

  Yes

  No

Room 9

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 9?

  Yes

  No

Room 10

• What is the usage of this room?

  Select First Aid Function room Lounge room/chill out area Main hall Meeting/training room Office Other Play area Reception Storage

  • First Aid
  • Function room
  • Lounge room/chill out area
  • Main hall
  • Meeting/training room
  • Office
  • Other
  • Play area
  • Reception
  • Storage

• Are actions required of the lessee in room 10?

  Yes

  No

Kitchen/Canteen

• Does the facility have a kitchen/canteen?

  Yes

  No

• Is a food licence required for the facility?

  Yes

  No

• Is the food licence current, or expired?

  Current

  Expired

  Unknown

  N/A

• Is alcohol sold at the facility?

  Yes

  No

• Is the liquor licence current, or expired?

  Current

  Expired

  Unknown

  N/A

• Are their gaming machines located at the facility?

  Yes

  No

• How many gaming machines are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many sinks does the canteen have?

  Select Hand wash sink Waste water sink Designated food preparation sink

  • Hand wash sink
  • Waste water sink
  • Designated food preparation sink

• Is hand wash available?

  Yes

  No

• Are actions required of the lessee in the kitchen/canteen?

  Yes

  No

Accessible toilet

• Does the facility have an accessible toilet?

  Yes

  No

• Is the accessible toilet separate, or located within another designated toilet area?

  Select Separate Located in male toilet Located in female toilet

  • Separate
  • Located in male toilet
  • Located in female toilet

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Does the accessible toilet have a shower?

  Yes

  No

• Does the facility have adequate amenities to cater for persons with accessibility requirements?

  Yes

  No

• Are actions required of the lessee in the accessible toilet?

  Yes

  No

Toilet 1

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 1?

  Yes

  No

Toilet 2

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 2?

  Yes

  No

Toilet 3

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 3?

  Yes

  No

Toilet 4

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 4?

  Yes

  No

Toilet 5

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 5?

  Yes

  No

Toilet 6

• Designated use of toilet

  Male

  Female

  Unisex

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in toilet 6?

  Yes

  No

Change Room 1

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 1?

  Yes

  No

Change Room 2

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 2?

  Yes

  No

Change Room 3

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 3?

  Yes

  No

Change Room 4

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 4?

  Yes

  No

Change Room 5

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 5?

  Yes

  No

Change Room 6

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 6?

  Yes

  No

Change Room 7

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 7?

  Yes

  No

Change Room 8

• What is the usage of this room?

  Home team

  Away team

  Referees room

  First Aid room

  Not designated

• How many pedestals are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• How many showers are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Are actions required of the lessee in change room 8?

  Yes

  No

Shed 1

• Does the facility have a shed? (Shed 1)

  Yes

  No

• What is the shed used for?

• Does the shed have power connected to it?

  Yes

  No

• Are any of the following items stored in shed 1?

  Select Fuel containers Oils Machinery Wood / Paper / Plastic Switch board

  • Fuel containers
  • Oils
  • Machinery
  • Wood / Paper / Plastic
  • Switch board

• Is there a fire extinguisher in shed 1?

  Yes

  No

  Not required

• Are the gutters on shed 1 clean, and free from debris?

  Yes

  No

• Are actions required of the lessee in shed 1?

  Yes

  No

Shed 2

• Does the facility have a shed? (Shed 2)

  Yes

  No

• What is the shed used for?

• Does the shed have power connected to it?

  Yes

  No

• Are any of the following items stored in shed 2?

  Select Fuel containers Oils Machinery Wood / Paper / Plastic Switch board

  • Fuel containers
  • Oils
  • Machinery
  • Wood / Paper / Plastic
  • Switch board

• Is there a fire extinguisher in shed 2?

  Yes

  No

  Not required

• Are the gutters on shed 2 clean, and free from debris?

  Yes

  No

• Are actions required of the lessee in shed 2?

  Yes

  No

Shed 3

• Does the facility have a shed? (Shed 3)

  Yes

  No

• What is the shed used for?

• Does the shed have power connected to it?

  Yes

  No

• Are any of the following items stored in shed 3?

  Select Fuel containers Oils Machinery Wood / Paper / Plastic Switch board

  • Fuel containers
  • Oils
  • Machinery
  • Wood / Paper / Plastic
  • Switch board

• Is there a fire extinguisher in shed 3?

  Yes

  No

  Not required

• Are the gutters on shed 3 clean, and free from debris?

  Yes

  No

• Are actions required of the lessee in shed 3?

  Yes

  No

Shed 4

• Does the facility have a shed? (Shed 4)

  Yes

  No

• What is the shed used for?

• Does the shed have power connected to it?

  Yes

  No

• Are any of the following items stored in shed 4?

  Select Fuel containers Oils Machinery Wood / Paper / Plastic Switch board

  • Fuel containers
  • Oils
  • Machinery
  • Wood / Paper / Plastic
  • Switch board

• Is there a fire extinguisher in shed 4?

  Yes

  No

  Not required

• Are the gutters on shed 4 clean, and free from debris?

  Yes

  No

• Are actions required of the lessee in shed 4?

  Yes

  No

Shed 5

• Does the facility have a shed? (Shed 5)

  Yes

  No

• What is the shed used for?

• Does the shed have power connected to it?

  Yes

  No

• Are any of the following items stored in shed 5?

  Select Fuel containers Oils Machinery Wood / Paper / Plastic Switch board

  • Fuel containers
  • Oils
  • Machinery
  • Wood / Paper / Plastic
  • Switch board

• Is there a fire extinguisher in shed 5?

  Yes

  No

  Not required

• Are the gutters on shed 5 clean, and free from debris?

  Yes

  No

• Are actions required of the lessee in shed 5?

  Yes

  No

Junior playing surfaces/fields

• How many junior playing surfaces/fields are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Is there lights on the junior playing areas?

  Yes

  No

Senior playing surfaces/fields

• How many senior playing surfaces/fields are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Is there lights on the senior playing areas?

  Yes

  No

Courts

• How many playing courts are there?

  Select N/A None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • N/A
  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Is there lights on the courts?

  Yes

  No

Irrigation

• Do the playing fields have irrigation?

  Yes

  No

• Which fields can be irrigated?

  Select All Main field Field 2 Field 3 Field 4 Field 5 Field 6 Unknown

  • All
  • Main field
  • Field 2
  • Field 3
  • Field 4
  • Field 5
  • Field 6
  • Unknown

• Is the irrigation connected to mains water or water tanks?

  Mains

  Water tank fed by mains water

  Tank water only

• Is the club watering the playing field sufficiently?

  Yes

  No

Maintenance

• Are the playing fields free of weeds?

  Yes

  No

Site infrastructure

• What infrastructure is at the facility?

  Select Balcony/deck Dugouts Fencing (boundary) Fencing (field) Goal posts Grandstand Retaining wall Scoreboard Seating Shade structures Shipping container Sight Screens Playground Practise facilities

  • Balcony/deck
  • Dugouts
  • Fencing (boundary)
  • Fencing (field)
  • Goal posts
  • Grandstand
  • Retaining wall
  • Scoreboard
  • Seating
  • Shade structures
  • Shipping container
  • Sight Screens
  • Playground
  • Practise facilities

• Are actions required of the lessee for site infrastructure?

  Yes

  No

Signage

• Has the organisation installed any new signs without Council consent?

  Yes

  No

Landowners Consent

• Has the organisation made any alterations or improvements without prior consent from Council?

  Yes

  No