It is your responsibility as the local member of the Health Extension Service, to carry out the following duties during an IRS operation:

Table 10.2 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

Table 10.3 Village spraying report by a Health Extension Practitioner

Region _________ Zone _________District _________Village _________Spray Period _________
Name of sub-villageHouseholdsHousing unitsPopulation protected No. of insecticide sachets usedRemark
TotalSprayedNot sprayedTotalSprayedNot sprayedNo. of people in sprayed housing unitsNo. of people in unsprayed housing units
Total