Supervision checklist: Bole International Airport

Date:(DD/MM/YYYY)___________________ Shifts ☐ Day ☐ Mid night ☐ Night Name :____________________________Sig:_________

S.No Major activity Sub-activities Yes/Done No/missi Remark/measur

ng es taken
1 Primary Is every thermo scanner point having two screeners assigned? ☐ ☐
screening
2 Primary Is existing thermo scanners functioning properly ☐ ☐
screening
3 Primary Is paper with the information about instrument’s calibration posted on spot? ☐ ☐
screening
4 Primary Is exit screening done on the site for flight indicated? ☐ ☐
screening
5 Primary Is the screening done immediately after de-embarking for indicated flight ☐ ☐
screening
6 Primary Is the passengers passing through the lane during the passport checking or ☐ ☐
screening screening?
7 Primary Is health declaration form filled on board for indicated flight? ☐ ☐
screening
8 Primary Is the declaration form under use for on board filling the most updated version? ☐ ☐
screening
9 Primary Is stamped verification paper provided for all of the passengers from affected ☐ ☐
screening countries?
10 Primary Is the data entry done and sent to EOC in less than six hours of arrival of ☐ ☐
screening passengers?
11 Primary Is the filled health declaration forms bear the signature of the screeners? ☐ ☐
screening
12 Primary Is passport checking underway for all the passengers? ☐ ☐
screening
13 PPE For the indicated flight, is face mask given for the passengers? ☐ ☐
14 PPE Are all the staffs wearing the gown and recommended PPE as per the protocols ☐ ☐
15 PPE Is hand sanitizer available in sufficient number on spot ☐ ☐
16 HR Is all the staffs on his/her duty station? ☐ ☐
17 Logistics Is face mask available in sufficient number at passport checking sites and screening ☐ ☐
sites
18 Logistics Is face mask sufficient for 2-3 days available in mini store? ☐ ☐
19 Logistics Is gloves sufficient for 2-3 days available in mini store? ☐ ☐
20 Logistics Is hand sanitizer sufficient for 2-3 days available in mini store? ☐ ☐
21 Logistics Is printout of health declaration sufficient for 2-3 days available on the table ☐ ☐
22 Logistics Is the printed key message sufficient for 2-3 days available on the table ☐ ☐
23 Logistics Is the disinfection chemicals readily available in sufficient amount ☐ ☐
24 Logistics Is the TIU equipped with the necessary equipment and supplies ☐ ☐
25 Logistics Is the evaluation form filled by the physician for the suspect/alert admitted to TIU ☐ ☐
& sent
26 Communication Is the information of the passengers from immigration and airport available on the ☐ ☐
table
27 Communication Is debriefing made between the two consecutive shifts? ☐ ☐
28 Communication Is the immigration officer have the printout list of the affected countries at the ☐ ☐
counter
29 TIU Is the admitted suspect/alert evaluated by physician at TIU? ☐ ☐
30 Screening Is all the protocols delivered to the airport from EOC readily available on spot ☐ ☐
31 TIU Is the progress note recorded for suspect/alert admitted to the TIU ☐ ☐