Sanitary Inspection: Deep Borehole with Mechanised Pumping Mobile App

Included Fields

Customize to add, remove, or edit any of the fields below.

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  1. General Information

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  Zone:

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  Area:

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  Location GPS

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  2. Code Number

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  3. Date of Visit

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  Water samples taken?

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  Sample Nos.

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  FC/100ml

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  (please indicate at which sample sites the risk was identified)

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  Risk

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  Sample No

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  Note Risks

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  The following important points of risk were noted:

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  Signature of Health Inspector/Assistant:

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  Date:

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  Comments:

• ...and More!