School Safety Assessment Tool (SSAT) 2022

for the Progressive Expansion of the Face-to-Face Learning Modality

School Name: Division: ANTIQUE

School ID: Contact No.: District:
School General Classification: □ Public □ Private
SCHOOL COMMUNITY COORDINATION
INDICATORS YES NO POSSIBLE MOVs
Main Indicator:
1. The school has developed a plan for the coordination with the Coordination letter
Barangay Local Government Unit (BLGU) or the Barangay Note: Coordination must be reflected in the
Health Emergency Response Team (BHERT) in ensuring that contingency plan as well
protocols are observed properly.
Required Sub-indicator:
a. Operationalization of the Preventative Alert System in Schools School Memo on the Operationalization of PASS
(PASS) for COVID-19 (per DepEd Memorandum No. l5, s. 2020)
Optional Sub-indicator:
b. The school has identified a designated waiting area with proper if available, picture of designated waiting area
ventilation and strict observation of physical distancing for with label
parents/guardians/chaperones
Main Indicator:
2. The school has coordinated with their respective local government Coordination letter
units the implementation of routine school-based Communication Plan/flow for routine SBI
immunization (SBI) and other school health-related services, referral and other school health-related
such as but not limited to deworming and weekly iron-foliate services
acid (WIFA) supplementation.
Main Indicator:
picture of health campaign activitities,
3. In collaboration with their local health offices, the school has
attendance (if available), matrix (if available)
developed intensive health promotion campaign activities/
letters/memo (if available)
supportive-policies to maintain optimal health seeking members.

Prepared by: Validated by:

_____________________________ _____________________________
Date: ___________________ Date: ___________________