This PEPSA data collection form supports WASH assessments focused on household sanitation and toilet facility conditions. Enumerators can record community details, respondent demographics, water sources and access, defecation practices, and the state of toilet superstructures including ventilation, doors, windows, roofing, and containment. The checklist captures latrine hygiene, slab and manhole presence, waste separation, handwashing stations with water and soap, and identified issues. It also includes photo uploads and GPS location to verify findings. Use this template to standardize sanitation surveys and guide interventions that improve public health outcomes.
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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.