Required Information

  • Document Sender:

  • Project Manager's Name:

  • Household Name:

  • Number of household members:

  • Location
  • Upload Images

  • Date:

  • Note:

Supervisor

  • SN:

  • State:

  • LGA:

  • Ward:

  • Community

  • Type of facility:

  • Location (Urban, Small-Town or Rural)

  • Copies of community selection criteria documentation

  • Contract award letters and acceptance documents from contractors

  • Technical design documents and plans

  • E & S assessment reports

  • Is there a functional toilet facility?

  • Is there a functional hand washing facility with water and soap?

  • Have the containment structure safely leaching into the ground and/or secure to prevent any<br>leaking or overflowing toilets.

  • Have a superstructure that is safe and secure for users.

  • Hygienically separate excreta from any contact (human, pets, pest) with an unbroken pan and<br>all holes sealed to prevent any transmission of pathogens.

  • Quality of Construction and evidence of a technical design that is resilient?

  • Work Completed?

Secondary Location

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.