It is your responsibility, to carry out the following duties during an IRS operation:

a) Household spraying record.

Region _______ Zone _________ District ____ Village _________ Spray Period______
Household No.Name of head of household or familyNo. of people in the familySprayed housing unitsNot sprayed housing unitsSpray operator numberRemark
Total

b) Village spraying report

Region ___ Zone _________ District _________ Village _________ Spray Period _____
Name of sub-villageHouseholdsHousing unitsPopulation protectedNo. of insecticide sachets usedRemark
TotalSprayedNot sprayedTotalSprayedNot sprayedNo. of people in sprayed housing unitsNo. of people in unsprayed housing units
Total