Declaration Template: Indicator 1.

7A
Data required for Q3:

Total number of Sanitary workers i.e. workforce engaged

through/under Jaagirdari system, SHG, NGO, private agency _____
etc.

Whether personal protective equipment (PPE) have been

provided to all workers along with new uniform (proposed by Yes  No 
MoHUA)?

Whether 100% Sanitary workers completed three trainings-

Digital records of all Sanitary Workers are maintained & Yes  No 
linked with SBM Portal?

Whether linkages established with at least three eligible

Government Schemes including the mandatory linkage with
Health Scheme and Annual health Check-up and details Yes  No 
linked with SBM portal?

Whether monthly recognition of best performing workers in

each Ward has been carried out? Yes  No 

Sl. No. of Sanitary

Scheme Name
No. workers linked
Mention the name of the government schemes and number 1
of sanitary workers linked to it? 2
3
4

Documents to be submitted by the ULB for evaluation:

Photographs of any event that was carried out to award the

best performing workers in each ward on monthly basis Attached  Not Available. 

I hereby declare that the data/information provided above table, on Swachhatam portal and in the attached
documents is true to the best of my knowledge and reflects the status of the progress on ground in the ULB.

Signature & Stamp of the Nodal Officer/Head of the ULB

Name: ULB Code:
Designation: ULB Name:
Date:

Prepared by