WASH BLANK FORMS AND TOOLS

F-10

F-100/2015a UNHCR WASH Safety and Security Checklist (UNHCR, 2015)


This document has been designed to help UNHCR and WASH actors assess potential WASH related safety and security issues related to trip, crush, pinch, pierce, cut, splinter, burn, poison, electrocution, road traffic accident, drowning, and gender based violence.


WASH Assessment Primer Questions (UNHCR, 2015)

F-900/2015a UNHCR WASH Assessment Primer Questions (UNHCR, 2015)


These WASH related primer questions have been designed to assist UNHCR and WASH actors collect data from key informants and focus groups during WASH assessments. The list of questions is not exhaustive and is merely intended as a conversation primer (aide memoire).


Excreta Management Assessment Tool (UNHCR, 2015)

F-901/2015a UNHCR Excreta Management Assessment Tool (UNHCR, 2015)


This assessment tool has been designed to assist UNHCR and WASH actors collect data on excreta management during a needs assessment. The main purpose of this tool is to identify problems related to excreta management and identify actions to bring conditions to UNHCR standards.


Toilet Infrastructure Sanitary Survey Form (UNHCR, 2015)

F-400/2015a Toilet Infrastructure Sanitary Survey Form (UNHCR, 2015)


This sanitary survey form can be used to monitor and evaluate the condition of communal and public toilet blocks in a refugee setting. The main purpose of this tool is to rapidly identify public health and protection related risks. The tool can also be used in the medium term to monitor trends in the condition of toilet infrastructure.


Drilling Log (UNHCR, 2015)

F-300/2015a Borehole Drilling Log and Pump Test Template (UNHCR, 2015)


This is the standard UNHCR borehole drilling log and pump test template available in PDF and MSWord formats. WASH actors should ensure that a drilling log, development log, constant discharge pump test, and step drawdown pump test are completed for every borehole installed. Copies should be kept by the drilling agency, the WASH actor, national regulatory authorities, and UNHCR.