Program Checklists - FXB USA

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Compost keeping device. Elevated ... The program vehicle must be exclusively used for professional purposes. As such, it
Program Checklists HEALTH MONITORING CHECKLIST This checklist should be used on the occasion of every home-visit. Yes Latrines Shower External kitchen Fencing Stables for livestock Compost keeping device Elevated Dish dryer Elevated Bed Impregnated mosquito net House and property well kept Presence of fruit trees Vegetable garden well kept Body hygiene: family members washed Use of potable water Water maintained in containers Manlnourished children Malnourished adults VCT : Head of household Adult dependent Children Positive status: Head of household Adult dependent Children How many? Treatment: ARV Bactrim

No

VEHICLE LOGBOOK AND MAINTENANCE BOOK The program vehicle must be exclusively used for professional purposes. As such, its utilization must be recorded; the log book must be filled each time the car is used, including odometer readings and rational for use.

Logbook Car number plate

Date

Odometer reading

Departure time

Arrival time

Purpose

Name and Signature of Driver

Vehicle maintenance book The FXB car should be well maintained, especially since it is usually a second hand car that must remain in a good state for three years. It should be regularly checked by a mechanic to ensure good functioning. Conversely, all reparations should be carried in a timely fashion. The vehicle maintenance book should be filled accordingly to facilitate monitoring of the car’s maintenance. Car number plate

Date

Maintenance

Specific repairs

Name of Garage

LIST OF FURNITURE IN COMMUNITY DROP-IN CENTER Furniture Check List Yes 2 desks 4 chairs 1 matrass (couselling) 10 benches (general assemblies) 1 filing cupboard 1 cupboard Equipment Check List 2 computers 1 printer 1 mobile phone

No

Name and Signature of Driver

FINANCIAL TRACKING FORM All expenses should be carried out in accordance to the available budget. Each team member is responsible for appropriate spending of funds as well as timely and accurate recording of expenses. The form below must be used to facilitate financial monitoring. Moreover, all expenses should be accompanied by a justification (bills, receipts, etc.). Heading

Total Budget in $ or € Equivalent in local currency

Used funds

Remaining funds

Requested funds