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MINISTRY OF HEALTH AND

WELLNESS

SCHOOL’s COVID 19
COMPLIANCE CHECKLISTS

COVID - 19 COMPLIANCE CHECKLIST

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SCHOOL CHECKLIST

Town/Village ______________________

Name of school: ________________________________ Date inspected: ____________________

SHE/School Health YES NO COMMENTS

Availability of SHE representative

Availability of functional SHE/School health committee

Composition of the committee as per the guideline

Availability of minutes of last sitting


Other comments:

Cleaning, Sanitizing & Sanitation YES NO COMMENTS

Number of functional toilets

Availability of hand wash basins / sekupu

Availability of water in the toilets

Availability of toilet paper

Availability of cleaning staff

Availability of cleaning detergents

Availability of cleaning & sanitization Log

Availability of suitable PPE

Other Comments:

WATER YES NO COMMENTS

COVID - 19 COMPLIANCE CHECKLIST


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Availability of potable water in the school

Availability of temporary water storage

Other Comments:

Hand Hygiene YES COMMENTS

Availability of hand washing stations with water and soap in strategic places

Availability of paper towel for drying hands

Availability of alcohol based hand sanitizers/wet wipes for staff      

Other comments:

Screening YES NO COMMENTS

Availability of non-contact infrared thermometer

Availability of a register

Availability of a completed register (for staff, students & visitors)

SOCIAL DISTANCING YES NO COMMENTS

Size of the classroom

Adherence to minimum number of students allowed at a given time


Are there any social distancing initiatives in place? Please list them

Other comments:

RESPIRATORY HYGIENE YES NO COMMENTS

Are all staff and students wearing face mask

WASTE MANAGEMENT YES NO COMMENTS

Waste receptacles provided for different types of waste generated      

Is there provision for disposal of the different types of waste generated      


Other comments:

COVID - 19 COMPLIANCE CHECKLIST


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INFORMATION EDUCATION & COMMUNICATION YES NO COMMENTS

Different COVID 19 poster      

Display of hand hygiene posters

Display of posters on the use of mask, cough and sneezing etiquette

Emergency phone numbers (COVID-19 call center, police, fire, SHE rep,etc)      

Other comments:

ISOLATION ROOM YES NO COMMENTS

Availability of isolation room (good ventilation)      

Availability of a register
Other comments:

DISINFECTION YES NO COMMENTS


Disinfection when there is reported positive case of COVID-19 on frequently
touched surfaces      

Name of disinfectant used

A safety data sheet (SDS) for disinfectant is available and accessible      

Adequate ventilation of where chemicals/ hazardous substances are stored      

Restricted access to stored chemicals


Other comments:

Name of Inspector(s): _________________________________ Signature: ____________________________

Contact numbers: _________________________________

COVID - 19 COMPLIANCE CHECKLIST


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