ANNUAL REPORT FORM (LOCAL AUTHORITIES) REGULATIONS

Western Australian Consolidated Regulations

[Index] [Table] [Search] [Search this Regulation] [Notes] [Noteup] [Previous] [Download] [Help]

ANNUAL REPORT FORM (LOCAL AUTHORITIES) REGULATIONS - SCHEDULE

The Executive Director, Public Health
and Scientific Support Services

Sir,

On behalf of the …………………………………………………. Local Health Authority I herewith forward Annual Report for 19 , in the form of the Schedule prescribed under the provisions of “ The Health Act 1911 .”

I have the honour to be, Sir,
Your obedient servant,

……………………………………………….

_______________

…………………………… LOCAL HEALTH AUTHORITY

ANNUAL REPORT FOR YEAR 19. . . .

The Local Authority —
Number of members of Local Authority ………………………………
Number of meetings held during year, …………………………………
average attendance …………………………………

Number of orders: —
(a) Made by Local Authority number ………………………….. complied with
(b) Made by the Medical Officer or Inspector …………………., number complied with ……………….

The District —
The area of the district ………………………. acres
The estimated population ……………………………
The number of tenements …………………………….

Sanitary Services —
System of nightsoil disposal ………………………………………….
If pan services, number of pans dealt with weekly ………………….
Sanitary Depot: Reserve No. . . . . . . . . . , Area ………………………
System of rubbish collection and disposal ………………………………

Infectious Diseases —
Cases notified during year:
Diptheria ………………………. ……………………………………
Scarlet Fever ………………….. ……………………………………
Typhoid or Enteric Fever ……… ……………………………………
Tuberculosis (phthisis) ………… ……………………………………
…………………………………. ……………………………………

Inspection —

System of house- to-house inspection adopted: Give details and approximate total number of inspections made……………………..

…………………………………………………………………………..

Food Inspection —

System of inspection adopted ………………………………………….

…………………………………………………………………………..

Number of samples taken during year, and classification:

Milk ………………. Butter ………………. Cheese …………..

Bread ……………… Water ………………. Vinegar ………….

Coffee …………….. ……………… …………

……………. ……………... …………

Food seized under Section 163 …………………………………………………..

……………………………………………………………………………..

Prosecutions —

Statement of cases in which convictions were secured:

Defendant

Charge

Fine

Costs

£ s. d.

£ s. d.

Dwelling Houses —

Cases of overcrowding discovered ……………………………………….

………………………………………………………………………..

HOUSES CONDEMNED AS UNFIT FOR HABITATION
(SEC. 116)

Dairies and Milk Vendors registered —

Name

Address

No. of
Cows
(if any)

Date last
Inspection

Sanitary
Condition
of
Premises

Offensive Trades Registered —

Name

Address

Nature
of
Trade

Date last
Inspection

Sanitary
Condition
of
Premises

Boarding and Lodging Houses registered —

Name

Address

No.
of
Beds

Date last
Inspection

Sanitary
Condition
of
Premises

Private Hospitals Registered —

Name

Address

No.
of
Beds

Date last
Inspection

Sanitary
Condition
of
Premises

Morgues Registered —

Name

Address

Date
last
Inspection

Sanitary
Condition
of
Premises

Itinerant Vendors of Food (Sec, 167 (7)) —

Number registered ………………………………………………………

Manufacturers of Ice Cream, Aerated Waters, etc.

(Sec 167 (8)) —

The following are Registered:

Name

Address

Trade

Date last
Inspection

Sanitary
Condition
of
Premises

Note any other special work done or action taken during the year, e.g. : —

Rights of way formed or made.

Water Supply.

Infectious disease control.

Re-arrangement or increase of staff.

Extension of district.

Making of By-laws.

Etc., etc.

Note any legal difficulties or points which have arisen.

Attach copies of any new forms or pamphlets, etc., which have been printed.

AustLII: Copyright Policy | Disclaimers | Privacy Policy | Feedback

Name	Address	Nature of Trade	Date last Inspection	Sanitary Condition of Premises

Name	Address	No. of Beds	Date last Inspection	Sanitary Condition of Premises

Name	Address	Date last Inspection	Sanitary Condition of Premises

Name	Address	Trade	Date last Inspection	Sanitary Condition of Premises