Checklist of Tools, equipment, supplies and materials, and facilities
Name of Assessment Center FJA INTEGRATED SCHOOL, INC
Qualification Hilot (Wellness) Massage NC II
Item Specification Quantity Quantity Differ- Inspectors’ Quantity on Site Quantity on
Required on Site ence Remarks during Site during
Compliance Compliance
(3) (4) (6) Audit Audit
(1) (2) Year 1 Year 2
(5)
(7) (7)
TOOLS
Thermometer Locally made 10 pcs 10 pcs
Sphygmomanometer Locally made 5 pcs 5 pcs
Stethoscope Locally made 5 pcs 5 pcs
EQUIPMENT
CD/ DVD Player (CD/
220 V 1 unit 1 unit
DVD)
TV Flat screen 1 unit 1 unit
OHP Epson 1 unit 1 unit
Whiteboard Improvised 1 unit 1 unit
Stools Locally made 10 pcs. 10 pcs.
Trolley Fabricated 2 pcs. 2 pcs.
Massage Table Fabricated 3 pcs. 5 pcs.
SUPPLIES AND MATERIALS
Coconut oil 5 bottles 5
bottles
Banana Leaf strips and 10 pcs 10 pcs
other leaves
Bath towels Locally made 10 pcs 10 pcs
Face towel/ hand towel Locally made 30 pcs 30 pcs
Bed sheets Locally made 10 pcs 10 pcs
Bowls glass 10 pcs 10 pcs
Shorts Locally made 10 pcs 10 pcs
Pillows cotton 6 pcs 6 pcs
Smock gowns/ bath Locally made 10 pcs 10 pcs
robes/ Malongs
Gauze masks Locally made 10 pcs 10 pcs
Pillow cases Locally made 10 pcs. 10 pcs
Alcohol/ Hand sanitizer Ethyl 5 bottles 5
bottles
Basins Locally made 5 units 5 units
Couch roll Disposable 5 pcs. 5 pcs.
paper
FACILITIES
Laboratory Area 20 sq.m. 1 1
Learning Resource Area 6 sq.m. 1 1
Wash Area/ Comfort 10 sq.m.
Room
Male 1 1
Female 1 2
Admin and Staff Room 20 sq.m. 1 1
Circulation Area 16 sq.m. 1 1
NOTE: Columns 1-4 to be filled out by the Assessment Center, Columns 5-6 to be filled out by the Inspectors; Column 7 to be filled out by the
Compliance Auditors (additional sheets may be used)
Submitted by:
___ ____________________
______________________
AC Manager Date
Inspected by:
____ _______________ _____ ____ _________________
Leader, Inspection Team Date
___ ____________________ _____________________
Member, Inspection Team Date
___ _______________________ ____________________
Member, Inspection Team Date
(For Compliance Audit use only)
YEAR 1
Audited by:
__________________________ ______________________
Lead Auditor Date
__________________________ ______________________
Auditor Date
__________________________ ______________________
Auditor Date
YEAR 2
Audited by:
__________________________ ______________________
Lead Auditor Date
__________________________ ______________________
Auditor Date
__________________________ ______________________
Auditor Date