* This form should be filled by the School Head or the School Owner.
* Only ONE form should be filled and submitted per school.
a. Consider Level of risk associated with the stage
of community transition (e.g., spread
of confirmed cases, hospitalization
and death rates across age groups in
the location/ community).
b. Consider Number of children at risk (with underlying conditions and special needs).
c. Consider Number of staff at risk of severe disease (age-groups and underlying conditions).
d. Consider availability of public health officials in the school or communities and ability to detect and respond to new cases.
e. Consider Ability of children, girls, adolescents, and parents to report symptoms of COVID-19.
a. Consider Availability of policies for safe operations—hygiene, sanitation, and social distancing, including considerations to protect high risk Individuals.
b. Consider School infrastructure sufficient to apply NCDC two-meter social distancing rule and to ensure appropriate hygienic conditions.
c. Consider Adoption of health and safety protocols to lower risk of infection in the school.
d. Consider Adequate school funding for critical health and safety materials.
e. Consider School capacity to train school staff on safe school operations.
f. Consider Sufficient supervision of the learners to ensure adherence to recommended protocols, including during recreational time and breaks
a. Consider Satisfactory or high level of compliance with NCDC recommended measures for containment of outbreak (like social distancing, use of face mask outside home).
b. Consider Measures to enforce compliance with NCDC guideline for safe public and private transportation.
c. Consider Parents willing to keep children who are ill back at home and seek medical attention in line with NCDC recommendations.
d. Consider Parents/guardians teach and model frequent hand hygiene, cough etiquette, and face mask wearing.
Fenced-in premises with manned gates (integral to controlling alternative learning timetables and managing social distancing).
1b. Visible designated dropoff and pick-up point outside of the school entrance for parents, guardians, and visitors.
1c. Availability of schedule outlining staggered arrival and departure times of learners to avoid crowding.
2a. Availability and adequacy of classrooms and learning spaces in line with NCDC prevailing guidelines on social distancing (e.g., reduced number of learners, administrators, and other education personnel to adhere to the two-meter guideline).
3a. Plan in place and communicated to learners on the operation of alternative timetables and/or shifted classes in order to adhere to NCDC social distancing guidelines.
4a. Adequacy of learners’ and teachers’ furniture in line with NCDC two-meter guidelines for safe distancing.
5a. Adequacy of doors and windows to ensure good ventilation.
6a. Classroom, staff rooms, offices and entire premises appropriately disinfected as recommended e.g at least twice a day with suitable disinfectant as per NCDC guidelines.
6b. Schedule for disinfection is in place and aligned to shifts in class timetable in order to ensure disinfection of communalareas and surfaces.
6c. Schedule for disinfection of boarding and hostel accommodation and other sleeping areas at least once a day with a suitable disinfectant in accordance with NCDC guidelines.
7a. Availability and adequacy of recommended infrared thermometers for temperature checks at the gate upon entry.
8a. Availability and adequacy at the gate, communal areas (e.g., classrooms, staff rooms, and offices).
9a. Learners, teachers, administrators, and other education personnel wear face masks at all times while at school.
9b. School has a readily available stock of fsace masks for vulnerable learners.
9c. All disposable face masks are disposed of properly according to NCDC guidelines.
10a. Availability and adequacy of safe water supply to maintain WASH requirements, including handwashing, toileting, sanitary and waste disposal.
11a. Availability and adequacy of soap and disinfectants to support WASH requirements, including handwashing, toileting, sanitary and waste disposal.
12a. Availability and adequacy of hand washing facilities at strategic points (entry gate, outside classrooms, toilets).
13a. Availability of school clinic or other designated space for isolating sick learners, teachers, administrators, and other education personnel.
13b. Schedule in place for school clinic or other designated space is cleaned and disinfected at least twice per day.
14a. Beds are positioned at least two meters apart.
14b. Policy outlining one person occupancy per bunker bed.
14c. To the extent possible, restriction of residential learners going outside of the school.
15a. Availability of health activities and programs where all learners sensitized and trained on COVID-19 pandemic and appropriate application of preventive measures and trained on safe distancing, the use of masks, hand washing etc. as per NCDC guidelines e.g. space in timetable, health activities integrated into existing subjects, IEC displayed in strategic locations in school (main/exit points).
16a. All teachers and administrators sensitized and trained on COVID-19 pandemic and appropriate application of preventive measures and trained on safe distancing, the use of masks, handwashing etc. as per NCDC guidelines e.g staff training, plan in place for managing and isolating unwell learners, teachers and education personnel, IEC materials displayed in strategic locations in school (main/exit points), teacher monitor and track attendance, windows and doors are kept open while classes are taking place etc.
17a. All education personnel sensitized and trained on COVID-19 pandemic and appropriate application of preventive measures and trained on safe distancing, the use of masks, hand washing, etc. as per NCDC guidelines.
18a. The school community sensitized on COVID-19 pandemic and preventive measures, changes to the new normal of school attendance, rules for entry to the school, alternative timetables and any shifts in school culture, as products of the changes necessary to keep school a safe place of learning.
19a. Shifted classes and alternative timetables have been organized in order to decongest classrooms and maintain social distance.
19b. School has the capacity to implement remote learning approaches (this refers to new class modalities where shifts require that learners complement class time with at-home learning).
19c. Provisions to ensure safety/protection of online, virtual, or distance learning.
19d. Remediation, catchup and or accelerated learning curriculums and classes are available in order to address learning shortfalls due to school closure.
19e. Availability of resources in the school and/or curriculum for students (MHPSS, safety, school feeding).
19f. Continuous access to school resources (MHPSS, safety, school feeding) is made available to learners in a flexible capacity, aligned with shifted classes and alternative timetable arrangements necessary for social distancing (learner social support will continue even while learners adhere to social distancing timetable adjustment).
19g. No large gatherings (e.g., school assemblies, sporting events, PTA/SBMC meetings) where safe distancing of at least two meters cannot be maintained.