MID-DAY MEAL INDICATORS

Total Student Present on the day of visit

Total Student Availed MDM on the day of visit

Good In Progress Not Started Dilapidated

Piped Water Bore Well Open Well Not Available

Model Hand wash

station with Multi

tap and Multi cap

Ordinary Multi

tap & Multi capTube well No Facility

Yes No

ON-LINE MID-DAY MEAL INSPECTION REPORTING FORMAT-ODISHA

Use (P) Mark

Yes No

District Name:

Block Name:

School Name:

Date of inspection:

School DISE Code:

Inspected By:

Hygienic Unhygienic

Yes No

Yes No

All the fields are Mandatory

Hand wash Facility

Drinking Water Facility

Kitchen shed

Fund availability for next one month

Food Grains availability for next one month

Storage of Mid-Day Meal Ingredients

Management Of Gunny Bags at School Level

Maintenance of MDM Consumption Register

Maintenance of MDM Stock Register

Yes No

Maintenance of MDM Observation Register

Maintenance of MDM Resolution Register

Yes No

Yes No

SCHOOL HEALTH PROGRAMME

Regular Irregular

Regular Irregular

Regular Irregular

Place:

Date:

Remarks:

Yes No

Yes No

Yes No

Name & Designation of the

Visiting Officer

All the fields are Mandatory

Not Started

Maintenance of MDM Food Testing Register

Maintenance of Cash Book

Reconciliation Of MDM PASS BOOK with Bank

Maintenance of IFA Tablet Register

Yes No

Distribution of De-worming Tablet

Student Health Check-up

Submission of MIS Report up to the Month

Availability Of Toilet Facility

Consumption of IFA Tablet

Not Started

Yes No

Not Started

Year Month

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← ‐ C10 bcalhost90,

District Wise ln‐spectlon Reporti May,2017

| . 1 1 ‐ . | |

OI,I-LINE INSPECTION REPORT, MID DAY MEAL SCHEII,IE . ODISHA €'

| |

‐ |・ ■| |‐ ‐

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D crR-MDM,sorsHA

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Kendrapara Districtinspection Report:Apri17 201 7

2017 ' I Apri: 1翁

Export To Excel

～lARSHAGHAl KtlMBHAR PARA PS 2198ア 654378 29‐Apr-2017 OT14[RS

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ON‐LINE INSPECT10N REPO通、MID DAY MEAL SCHEME‐ ODiSHA く壼)

Block Name School Name 彙hoo:U‐OiSE Code lnspection Date lnspected Byぶ

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,^\ oN-LINE INSPECTION

Oistrict Name:

Block Name:

Name Of the School:

lnspected By:

Msitor Name:

Msitor Mobile No:

Msitor Degination & Office Address:

School DISE code:

lnspected Date:

MID.DAY MEAL INDICATORS

Total Student Present on the dav of visit:

Total Student Availed MDM on the day of visit:

Fund availability for next one month:

Food Grains availability for next one month:

Kitchen shed:

Storege of Mid-Day Mea! lngredients:

Drinking Water Facility:

Hand wash Facility:

Toilet Facility:

Management Of Gunny Bags ln School Level:

Maintenance of MDM Consumption Register

Maintenance of MDM Stock Register

Maintenance of MDM Observation Registen

Maintenance of MDM Resolution Register

Maintenance of MOM Food Testing Register

Maintenance of Cash Book:

Reconcilation Of MDM PASS BOOK Wth Bank:

Maintenance of IFA Tablet Registen

Submission of MIS Report up to the Month:

SCHOOL HEALTH PROGRAMME

Consumption of IFA Tablet:

Distribution of De-wo]ming Tablet:

Student Health Check-up:

Remad(:

REPORI MID DAY MEAL SCHEME‐ ODiSHA

KENDRAPARA

MARSHAGHAI

KUMBHAR PARA PS

OTHERS

SAN」 IB KUMAR BARIK

9853423321

SPMU SRC BUILDING BHUBANESヽ V́AR-0187

21987654378

29-Aor‐2017

56

Yes

No

Dilapidated

Unhygienic

Not Available

Model Hand \ hsh station with Multi Tap & Multi Cap

Yes

Yes

Yes

No

Yes

No

No

Yes

Yes

No

MARCH , 2017

l「regular

Regular

Not Started

NEED TO BE PROGRESSIN K!TCHEN SHED

⌒ ON“LINE:NSPEC丁:ON REPORI MID DAY MEAL SCHEME‐ ODiSHA

DistHct Name: KENDRAPARA

Block Name: MARSHAGHAI

Name Ofthe School: KUMBHAR PARA PS

inspected By: oTHERS

Msitor Name: sAN」 IB KUMAR BARIK

Ⅵsたor Mobile No: 9853423321

Msitor Degination&Office Address: sPMU SRC BU:LDING BHUBANESWAR-0187

Schoo:DiSE code: 21987654378

1nspected Date: 29-Ao「 2017

MID口DAY MEALiNDICATORS

Total Student Present on the day of visit: 87

Total Student Ava‖ ed MDM on the day of visit: 56

Food Grains avai:ability for next one month: No

Kitchen shed: D‖ apidated

storage of Mid‐ Day Mealingredients: unhygienic

D"nking Water Faci:ity: Not Ava‖ able

Maintenance of MDM Stock Register No

Maintenance of MDM Resolution Register No

Maintenance of MDM Food Testing Register No

Maintenance ofiFA Tab:et Register No

SCH00L HEALTH PROGRAMME

Consumption ofiFA Tablet: |「 regular

Student Health Check‐ up: Not Started

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