P1 Inspection of Parish Properties and Risk Assessment Declaration

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Diocesan Office Use Only Fwd to Property Dept For The Year Ended 30 April 2016 PARISH/WORSHIPPING COMMUNITY OF:... PLEASE NOTE: Section 60.2 of The Ordering of Worshipping Communities Statute 2007 requires that the Rector and Wardens in each Parish must send to The Perth Diocesan Trustees each year during the month of May a report of the condition of all parish property. Section 60.3 of that Statute states that the report shall be on the form provided by the Trustees for the purpose and shall contain full answers to the particulars required by the Trustees. Please check the following documents are included in your Annual Property Return: o P1 Inspection of Parish Properties and Risk Assessment Declaration (below) o P2 Risk Assessment Check List o P3 Parish Church and Hall Inspection Report(s) o P4 Parish Rectory Inspection Report When completed and signed, retain one copy for parish records and return one copy to: Diocesan Secretary Anglican Diocese of Perth GPO Box W2067 PERTH WA 6846 Or electronically to: diocese@perth.anglican.org Please ensure that the Annual Property Return is returned to this office no later than 31 May 2016. P1 Inspection of Parish Properties and Risk Assessment Declaration We, the Rector and Wardens of the Parish/Worshipping Community of... confirm that the parish properties have been inspected, and that an assessment of risk has been made using the attached checklists (P2, P3 and P4). RECTOR:...... DATE:... /... /2016 Name Signature WARDEN 1:...... DATE:... /... /2016 Name Signature WARDEN 2:...... DATE:... /... /2016 Name Signature

P2 Diocesan Office Use Only Fwd to Property Dept Risk Assessment Check List (Churches, Halls and Public Facilities only) PREAMBLE: It is important for Parishes to assess the risks in and around church properties in order to minimise the risk of harm to individuals and prevent the deterioration of church assets. We aim for the highest standards in risk management to support and enhance the activities in all areas of Diocesan operations. We will ensure risk management is an integral part of all our decision making processes (Risk Management Policy 39). The checklist has been compiled in response to the Ordering of Worshipping Communities Statute 2007 Section 63.1(d), Risk Management Policy 39, and Identification of Hazards Policy 36. Worshipping Community:... Church/Hall Street address:... Checklist Items Yes/No Comments Floors, Aisles, Stairs & Landings All aisles are clear Aisles are free of slip, trip and fall hazards Stairs are free of worn or broken treads Handrails are in good repair Freestanding chairs have the ability to be locked together Floor coverings are in good repair Storage No storage in traffic areas Stacks stable with good bases No rubbish or unwanted material Flammable items correctly stored Electrical Power Plugs, sockets & switches in good order All areas are free of frayed or defective leads All areas are free of double adaptors or piggy-back plugs All lights are adequate and operational Residual Current Devices installed & maintained Switchboard has safety switches Computer equipment Computers are regularly backed up Backups are stored off site First Aid First Aid kits are clearly identified and appropriately stocked Names of qualified first aiders are prominently displayed

Checklist Items Yes/No Comments Emergency Response/Fire Protection Evacuation Procedures clearly displayed Fire extinguishers appropriate type Extinguishers readily available and properly mounted and signed Fire blanket in the kitchen Exits and exit signs adequate as appropriate Exits & fire doors in good repair and unobstructed, internally and externally Security Premises in good repair to resist unauthorised entry or break-in All external doors are fitted with compliant locks and bolts If there is a safe, the keys are kept off site Valuable equipment locked away after use Person(s) nominated as responsible for security (ensuring premises locked at conclusion of activities) Car Park/Outdoor Areas Clean and free from rubbish Even surfaces no holes Free of grease and oil Vehicle traffic ways clearly marked and lit Free of dense shrubbery obstructing vision Playground equipment in good working order Equipment Office chairs suitable and in good condition Work station ergonomically designed Ladders serviceable, no broken rungs/defects Metal ladders not used for electrical work OH&S polices & procedures appropriately displayed Safety signs clearly displayed where necessary Kitchen appliances properly maintained Name of Warden with oversight:... Signed:... ******** RISK MANAGEMENT PLAN Reducing harm to people and damage to property To assist with the requirement that an appropriate risk management plan for the Worshipping Community is in place in accordance with Section 63.1(d) of the Ordering of Worshipping Communities Statute 2007, a simple step-wise plan is suggested below: 1. Appoint a leader (warden) to oversee Risk Management 2. Do a risk assessment (see above) 3. Set priorities 4. Take appropriate action

P3 Diocesan Office Use Only Fwd to Property Dept Parish CHURCH/HALL Inspection Report *Please complete a separate P3 for each building Parish:... Address:...... Use:... (Specify if the use is a Church, Hall or Church and Hall are one building) Date:... Inspection completed by:... WALLS COMMENT CONDITION (Please circle one) ROOFING FLOOR COVERINGS FENCING ARE THE GUTTERS/DOWNPIPES INTACT OR RUSTED? ARE GUTTERS CLEANED ANNUALLY? DATE LAST CLEANED IS THERE ANY EVIDENCE OF DAMP OR WATER INGRESS? IF YES, WHERE? IS THERE ANY VISABLE CRACKING TO THE WALLS? IF YES, SPECIFY LOCATION WHEN WAS THE HEATING AND/OR COOLING SYSTEM LAST SERVICED/INSPECTED? IS THERE A FIRST AID BOX ON SITE? 1 P a g e

COMMENT/DATE CONDITION WHAT DATE WERE THE ELECTRICS LAST CHECKED BY A LICENSED ELECTRICIAN? WHAT DATE WHERE THE FIRE EXTINGUISHERS LAST CHECKED? WHAT DATE WERE THE EXIT SIGNS TESTED - WITH POWER DOWN? ARE THERE SMOKE ALARMS INSTALLED? IF SO, WHAT DATE WERE THEY LAST CHECKED? IS THERE ASBESTOS PRESENT? IF ASBESTOS IS PRESENT - HAS A PROFESSIONAL REPORT BEEN CARRIED OUT? IF SO, WHEN? SPECIFY THE DATE THE ASBESTOS REPORT WAS CARRIED OUT ARE THERE TWO RCD S INSTALLED IN THE METER BOX? Yes/No WHAT DATE WERE THE RCD S LAST CHECKED? WHAT WAS THE DATE OF THE LAST WHITE ANT INSPECTION? WHAT WAS THE DATE OF LAST WHITE ANT TREATMENT? IS THERE ANY EVIDENCE OF WHITE ANT INFESTATION? (LIVE OR DEAD) PROVIDE DETAILS IF GAS HEATERS ARE PRESENT WHAT DATE WERE THEY LAST PROFESSIONALLY CHECKED? COMMENTS:......... 2 P a g e

P4 Diocesan Office Use Only Fwd to Property Dept Parish RECTORY Inspection Report Parish:... Rectory Address:...... Number of bedrooms & bathrooms:... GENERAL INFORMATION Date:... Inspection completed by:... CONDITION/COMMENTS Is asbestos present at the property? If YES provide details Are RCD s installed? If so, how many? Are hard wired smoke alarms installed? Date installed (10 year life) Date of last termite inspection? Date of last termite treatment? What is the general appearance of the property (Roof/gutters/ paint work/gardens)? Are dead locks or lockable security screens fitted to all main external doors? Are all windows fitted with a lock that prevents opening from outside? Is an electrical light installed at or near the main entry, that is capable of illuminating the main entry and is operable from inside? Is there air conditioning/ heating? When last serviced? Is there any evidence of damp or water ingress? What maintenance is currently required at the rectory?