Annual Report Form (Local Authorities) Regulations


11/Nov/1998 - Current (at 31 Dec 2005)
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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
NameAddress
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.


Note: This is not an authorised version. The only authorised version is the hardcopy (printed) version published under authority of the Government Printer, available from the State Law Publisher, 10 William St Perth W.A. 6000.