We Care Solar | Jan 2019
Installation Documentation
Installation Tracking Sheet
39
For each clinic where you install a Solar Suitcase, you need to record the following information:
• Solar Suitcase serial number (found on a small silver sticker affixed to the Solar Suitcase)
• Date of installation
• Name of the health facility, district, and region
• Health facility main contact name and phone number
• Catchment population
• # of health facility staff trained on Solar Suitcase use and maintenance
• # of deliveries in the past month
All of this information should be recorded on an Installation Tracking Sheet (template provided by
We Care Solar) for every installation. When completed for all installations, it should be sent to We
Care Solar by email.
Other Documents
You may need to fill out other document such as a baseline survey or clinic certificate. If
so, you will have already discussed with We Care Solar prior to installation and been given
the required documents. Make sure to complete them before leaving the health facility.
Number Solar Suitcase Serial
Number
Date of Installation
Region
District
Health Facility Name
Health Facility Main
Contact Name
Health Facility Contact
Mobile Number
Catchment
Population
Number of Health
Facility Staff
Trained on Solar
Suitcase
Number of
Deliveries in Past
Month
Notes
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Number of Staff from Partner Organization Trained on Installation and Maintenance:
Number of Staff from MOH Trained on Installation and Maintenance:
Project Coordinator Name:
Country:
Name of Partner Organization:
