SURVEY FOR IDENTIFICATION OF MANUAL SCAVENGERS & INSANITARY LATRINESCHECKLIST FOR URBAN LOCAL BODY (ULB)

Name of ULB: Reporting Date:

Pre-enumeration phase (period before 08/04/2013)

(A)

1. a)The ULB has identified the Nodal Officer for the survey : <write Yes or No>

<If yes, then details of the Nodal Officer>

Name / Designation / Contact Mobile No. / Fax No. / Email ID

2. The ‘Town Level Survey Committee’ has been constituted:<write Yes or No>

3. The ‘Town Level Survey Committee’ has, among others, representation from local NGO and the women from the community: <write Yes or No>

<If yes, write down the constitution of the Committee with names and designation of the members>

4. The ‘Town Level Survey Committee’ has convened its first meeting. <write Yes or No>. <If Yes, write the date of the first meeting>

(B)

5. Officials from ULB including the Nodal Officer have attended the training programme at ILGUS. <write Yes or No>

If Yes, write down the names and designation of the trainees.

6. The trainees have received the following items during training from ILGUS.

(a) List of ward wise/ULB wise list of households with insanitary latrines, as prepared from the House List of Census of India, 2011: <write Yes or No>

(b) The CD containing the software for survey MIS during training:<write Yes or No>

(c) The publicity material including handbill and posters: <write Yes or No>

(d) The publicity material for use in local cable T.V. network:<write Yes or No>

7. The ‘Town Level Survey Committee’ has been oriented about the survey: <write Yes or No>. < If Yes, write down the date of such orientation>

8.All the Councillors and relevant officers/staffs of the ULB have been oriented about the survey: <write Yes or No>. < If Yes, write down the date of such orientation>

9. The ULB has identified Nodal Officer(s) for the ‘self -declaration centre(s): <writeYes or No>

<If yes, then provide the information as below>

Name of the Nodal Officer(s) at the self-declaration centre(s) / ID No, if any, assigned by the ULB / Contact Mobile No.

10. The ULB has identified the enumerator(s), supervisor(s) and data entry operator(s) for the survey: <write Yes or No> <Provide the information as per the table below>

Category / Name / ID No assigned by the ULB
1 / Data Entry Operator (s)
2 / Enumerator(s)
3 / Supervisor(s)

11. The ULB has offered formal appointment letter(s) to the enumerator(s), supervisor(s) and data entry operator(s) for the survey: <write Yes or No>

12. The ULB has offered identity card(s) to the enumerator(s), supervisor(s) and data entry operator(s) for the survey: <write Yes or No>

13. The ULB has arranged for a ‘one-day’ training program for the enumerator(s), supervisor(s) and data entry operator(s): <write Yes or No>

< If Yes, write down the date of such training>

(C)

14. The Publicity materials (ie. Handbill and Poster) have been widely circulated: <write Yes or No>

15. Publicity has been also done through local cable TV network and local newspaper :<write Yes or No>

16. Whether any other means of publicity utilised for the same? <write Yes or No>

< If Yes, write down the tool of publicity and frequency of usage of such tool>

17.The ‘self-declaration centre(s)’ has/have been designated: <write Yes or No>

< If Yes, write down the number and location(s) and code(s) of such centre(s

18. Necessary/requisite provisions like computer/printer/camera/ups/stamp pad in the self-declaration centre(s) have been made: <write Yes or No>