WASH BLANK FORMS AND TOOLS

F-106/2015a UNHCR WASH Related Environmental Impact Assessment Template (UNHCR, 2015)


Where required, UNHCR and WASH actors should prepare a WASH related environmental impact assessment. This template should be used to assist in the process.


F-104/2015a UNHCR Site Level Refugee WASH Strategy Template (UNHCR, 2015)


Where required, UNHCR and WASH actors should work together to develop a site level refugee WASH strategy document that clearly describes the refugee context, the baseline WASH situation, WASH coverage, WASH gaps, along with short (6 months), medium (6 months – 5 years) and long-term (>5 years) strategies for each of the WASH sub-sectors and the twelve (12) WASH principles. This template can be used to help produce the site level WASH Strategy.


    F-102/2015a UNHCR WASH Organisational Capacity Assessment (UNHCR, 2015)


    This tool has been designed to help obtain a snapshot capacity of national public, private, or refugee-based WASH service providers and understand the type of interventions that can be carried out to build capacity.


    F-101/2015a UNHCR WASH Universal Access Checklist (UNHCR, 2015)


    This document has been designed to help UNHCR and WASH actors assess WASH infrastructure for potential access from the individual perspective of each type of vulnerable user in particular persons with disabilities, women, children, and the elderly.


    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.


    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).


    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.


    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.


    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.