Healthy Homes Standards - current level of compliance Including smoke alarm and insurance information Address of Tenancy*Your Name*Healthy Homes From 1st December 2020 this statement must be included in a new or renewed tenancy agreement. Failure to do so carries a $500 fine. The information that landlords must include is outlined in regulations 34-39 of the Residential Tenancies (Healthy Homes Standards) Regulations 2019. https://www.legislation.govt.nz/regulation/public/2019/0088/latest/whole.html All landlords must either complete this form, Tenancy Services Healthy Homes Standards - current level of compliance form or we can arrange for a compliance company to complete this statement on your behalf. If the Landlord has requested to complete the statement themselves and has failed to complete it before the tenancy agreement is ready to be prepared HJPM will attach a Healthy Homes Statement with the information HJPM has on file and organize a professional company to carry out the compliance assessment.The Healthy Homes Compliance Date for this tenancy is* Date Format: DD slash MM slash YYYY The date will be 90 days after the commencement date of your tenancy or 1st July 2024 if your tenancy started before 1st July 2021 and is a periodicHeating Standard There must be one or more fixed heaters that can directly heat the main living room. The main living room is the largest room that is used for general, everyday living – for example a lounge, family room or dining room. Heater(s) must be fixed (not portable), and must be at least 1.5 kW in heating capacity and meet the minimum heating capacity needed for the main living room. You must calculate the required heating capacity for your rental property using one of the following 3 methods 1. Using the Heating Assessment Tool or the formula outlined in the regulations and found on https://www.tenancy.govt.nz/heating-tool/ 2 - The formula contained in schedule 2 of the Residential Tenancies (Healthy Homes Standards) Regulations 2019 3 - By hiring an experienced heating installer to calculate the requirements using one of the above two methods. Please select the Type of qualifying heater installed in the main living room and the heating capacity. If you use a heat pump or an electric heater as part of your solution to meet the healthy homes heating standard, it must have a thermostat. You can’t use an electric heater (except a heat pump) if the required heating capacity for the main living room is over 2.4 kW, unless you’re ‘topping up’ existing qualifying heating that was installed before 1 July 2019. Heating Standard - Type of Heater*HeatpumpModern Wood burnerFlued Gas HeaterOther approved form of heatingNoneHeating capacity of your heater in KW*Top Up Heating - Type of HeaterHeatpumpFlued Gas HeaterFixed Wall panelNoneHeating capacity of your heater in KWState the required heating capacity for the main living room of the rental property in KW*Heating Compliant*YesNoDon't KnowInsulation Standard Ceiling and underfloor insulation has been compulsory in all rental homes since 1 July 2019, unless an exemption applies ceiling insulation and underfloor insulation for suspended floors is required in all areas of the premises unless these areas are; Not a domestic living space The ceiling has a domestic living space directly above There is no roof cavity The floors have a domestic living space directly below Insulation requirements are measured by R-value. R-value is a measure of resistance to heat flow. The higher the R-value, the better the insulation. Auckland R-Values are 2.9 for the ceiling and 1.3 for underfloor. Insulation must be installed in accordance with New Zealand Standard 4246:2016 Does the ceiling insulation above all domestic living spaces meet the requirements of the insulation standard*Yes Entire Premises R2.9 or higher when it was installedDon't KnowExempt No Roof Cavity/habitable space aboveDate Ceiling Insulation was installed Date Format: DD slash MM slash YYYY Date Ceiling Insulation was last inspected Date Format: DD slash MM slash YYYY Type of Insulation (eg segments, loose-fill, blanket)I confirm the ceiling insulation is in reasonable condition (without any mould, dampness, damage or gaps)YesNoExemptDoes the underfloor insulation meet the requirements of the insulation standard?*Yes entire premises R1.3 or higher when originally installedNoExempt Concrete floor/habitable space belowDate Underfloor Insulation was installed Date Format: DD slash MM slash YYYY Date Underfloor Insulation was last inspected Date Format: DD slash MM slash YYYY Type of Insulation (eg segments, loose-fill, blanket)I confirm the underfloor insulation is in reasonable condition (without any mould, dampness, damage or gaps)YesNoExemptDo the walls of the premises have insulation?*Yes entire premisesYes some areas of the premisesNone of the premisesDon't knowPlease provide any other details about the type or condition of the wall insulation if known and explain why and include confirmation that you have taken all reasonable steps to find the information*Insulation Compliant*YesNoDon't KnowVentilation StandardDo all habitable rooms in the property have one or more windows, doors or skylights that open to the outside and meet the requirements*Yes - all habitable spacesYes - some habitable spacesNote - Openable windows, doors or skylights need to be able to be fixed in the open position. the combined area of openable windows, doors or skylights must be at least 5% of the floor area of each room. Habitable spaces are all livings rooms, dining rooms, bedrooms and kitchens (i.e. spaces where people spend most of their time at home)If you selected some habitable spaces please state which rooms meet the requirement and which rooms don't meet the requirements and state how the specific exemption appliesKitchen Extractor Fan From 1 July 2019 any new fan must have exhaust ducting of at least 150mm in diameter OR the fan and all exhaust ducting must have an exhaust capacity of at least 50 litres per second. The fan must vent extracted air to outdoors. Extractor fans that were installed before 1 July 2019 don't need to meet performance requirements of the ventilation standard but fans must be in good working order and ventilate to outdoors. This means that the range hood or extractor fan must not vent back into the kitchen, into a roof space or other space. Any ducting must be connected, intact (i.e. without tears or holes) and installed so that extracted air can flow freely through it (e.g. no unnecessary kinks or compressions). Any grills or filters must be unclogged. Kitchen Extractor Fan*Installed after 1st July 2019 with an exhaust ducting of at least 150mm/50 litres per secondInstalled before 1st July 2019 in good working order and ventilates to outdoorsNo Extractor Bathroom Extractor Fan From 1 July 2019 any new fan must have exhaust ducting of at least 120mm in diameter OR the fan and all exhaust ducting must have an exhaust capacity of at least 25 litres per second. The fan must vent extracted air to outdoors. Extractor fans that were installed before 1 July 2019 don't need to meet performance requirements of the ventilation standard but fans must be in good working order and ventilate to outdoors. This means that the extractor fan must not vent back into the bathroom, into a roof space or other space. Any ducting must be connected, intact (i.e. without tears or holes) and installed so that extracted air can flow freely through it (e.g. no unnecessary kinks or compressions). Any grills or filters must be unclogged. Bathroom 1 Extractor Fan*Installed after 1st July 2019 with an exhaust ducting of at least 120mm/25 LItress per secondInstalled before 1st July 2019 in good working order and ventilates to outdoorsNo ExtractorBathroom 2 Extractor FanInstalled after 1st July 2019 with an exhaust ducting of at least 120mm/25 LItress per secondInstalled before 1st July 2019 in good working order and ventilates to outdoorsNo ExtractorBathroom 3 Extractor FanInstalled after 1st July 2019 with an exhaust ducting of at least 120mm/25 LItress per secondInstalled before 1st July 2019 in good working order and ventilates to outdoorsNo ExtractorVentilation Compliant*YesNoDon't KnowMoisture and Drainage A rental property must have a drainage system that efficiently drains storm water, surface water and ground water to an appropriate outfall, and includes appropriate gutters, downpipes and drains to remove water from the roof. Rental properties with suspended floors, where the subfloor space is enclosed, must have a ground moisture barrier (unless it is not reasonably practicable to install one). Does the property have gutters and down pipes that efficiently drain storm water, surface water, and ground water to an appropriate outfall?*YesNoDon't knowAn appropriate outfall will generally be the storm water system provided by your local council. It could also be a properly working soakage system, natural watercourse, adequate water storage system or other constructed water way.Does the property have an enclosed subfloor space? The subfloor is considered to be enclosed if the airflow into and out of the space is significantly obstructed along at least 50% of the perimeter.*YesNoDon't knowIf the property has an enclosed subfloor, has a ground moisture barrier been installed that meets the requirements of the standard?YesNoDon't knowMoisture Ingress and Drainage Compliant*YesNoDon't KnowDraught Stopping Standard To meet the requirements of the draughty stopping standard the property must be free from unintentional and unreasonable gaps or holes that allow noticeable draughts in and out of the property. A common sense approach should be taken to assessing whether a draught is noticeable. The age and condition of the property must not be taken into account when assessing if a gap or hole is unreasonable. Does the property have any open fire places?*YesNoIf yes have they been blocked off?YesNoDon't KnowIs the property free from unintentional and unreasonable gaps or holes that allow noticeable draughts in or out of the building. Areas include, but are not limited to, doors, windows, walls, floors and ceilings*YesNoDon't knowDraught Stopping Compliant*YesNoDon't KnowCompliance Statement I/We the above named Landlord will comply/already comply with the healthy homes standards as required by section 45(i)(bb) of the Residential Tenancies Act*Will ComplyAlready ComplyDeclaration and submission of form By submitting this form I declare that all the information completed in this form is true and correct as at the date of submission. It is a legal requirement for the information in this form to be attached to any new tenancy agreement entered into after 1st December 2020. To Save this form and continue later please click the save and continue later button and when prompted enter your email address so the link is emailed to you. To receive a copy of this form once you submit please complete your email address below Email* I agree with all terms and conditions of this agreement:*YesNoProperty Manager*-----------Hollie JossTracy Aspey
