District

VDC

Ward No

Name of School

Number of Students Male Female

Number of Teachers Male Female

A. Assessment of the condition of latrines

Water facility available in school?

Number of Latrines For Girls For Boys For Teacher

Number of Hand Basin

Number of Toilet Brushs

Number of Taps

Number of Plastic Buckets present

Is there an effect of the earthquake on latrines?

B. Conceptual design and detailed drawings

Is there is a need to build new latrines?

Carried out estimates of the latrine/s

Is there a need to dismantle the existing latrine/s?

C. Construction

Site clearance and layout Start Date Is the site clearance and layout complete?

Excavation Start Date Is the site excavation complete?

Foundation work Start Date Is foundation work complete? Yes

Brickwork Start Date Is brickwork complete?

Plastering work Start Date Is plastering complete?

Pipe fittings Start Date Is pipe fitting complete?

Roofing truss Start Date Is roofing truss complete?

D. Post construction phase

Training to the care taker Date Trainer

School Sanitation Program Date Trainer

Handover to the School Management Committee Date

Images