UNHCR WASH BLANK FORMS FOR REFUGEE SETTINGS

These WASH blank forms form part of UNHCR’s series of Standardized Tools and Guidelines for Refugee Settings which are the result of an extensive review process with WASH actors who have active programmes supporting refugees. It is recognized that the WASH blank forms will require continuous review and amendment in response to changes in best-practice and feedback from the field. Therefore further review will be managed by a Technical Committee which will discuss issues related to the use of the forms and an annual update will be reported back to the WASH community. More urgent amendments will be reported as, and when, required. Note that many of these forms are based on tools shared by active refugee-focused WASH agencies and credit has given when a particular agency’s tool has been used or adapted.

Note that these designs can also be viewed by filtering the WASH Resources Database for “WASH Forms”.
They may also be found by filtering the archives for documents with the metatag “WASH Forms” HERE
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1. WASH PRINCIPLES
F-100/2015a WASH Programme Safety and Security Checklist
F-101/2015a WASH Programme Universal Access Checklist
F-102/2015a WASH Organisational Capacity Assessment Tool
F-103/2015a Country Level Refugee WASH Strategy Template
F-104/2015a Site Level Refugee WASH Strategy Template
F-105/2015a Site Level Refugee WASH Operational Plan Template
F-106/2015a WASH Environmental Impact Assessment Template

2. PUBLIC HEALTH
F-200/2015a Summary Sheet of Important WASH Related Diseases in Refugee Settings with Recommended Control Measures
F-201/2015a Sample WASH Outbreak Preparedness and Response Plan for a Diarrhoeal Disease Outbreak in a Refugee Setting – COMING SOON!

3. WATER SUPPLY
F-300/2017a Borehole Drilling Log and Pump-Testing Template
F-301/2017a Sample Drilling Contract and Specification for Refugee Settings Template
F-302/2015a Well Cleaning and Chlorination Log Sheet Template
F-303/2015a Sample ToRs Template for Hydrogeological Surveying
F-304/2015a Water Safety Plan Template – COMING SOON!

4. EXCRETA MANAGEMENT
F-400/2015a Communal Toilet Infrastructure Sanitary Survey Form
F-401/2016a Septic Tank Sizing Spreadsheet
F-402/2016a Septic Tank Drain Field Sizing Spreadsheet

5. SOLID WASTE MANAGEMENT
F-500/2015a Solid Waste Composition Assessment Template
F-501/2015a Landfill Sanitary Survey Assessment Form
F-502/2015a Solid Waste Action Plan Template
F-503/2015a Landfill Waste Register Template

8. WASH PROGRAMME MANAGEMENT
F-800/2015a Sample WASH Staffing Structure for Camp Based Setting of 20,000 People – Post Emergency Phase
F-801/2015a Toilet Block Management Sample Community Agreement Template
F-802/2015a Emergency WASH 3W (WHO, WHAT, WHERE) Template – COMING SOON!

9. WASH ASSESSMENTS
F-900/2015a Key Informant Interview / Focus Group Primer Questions
F-901/2015a Excreta Management Infrastructure Assessment Tool
F-902/2015a WASH Rapid Assessment Forms

Note that these designs can also be viewed by filtering the WASH Resources Database for “WASH Forms”.
They may also be found by filtering the archives for documents with the metatag “WASH Forms” HERE
.