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    1.All learners under facilitator's care left before facilitator’s time of departure?

    If no, identify learners present at time of departure in the space given bellow:

    2.Were all learners present in school?

    If no, identify absent learner(s) in the space provided bellow and reason(s) for his/her absence.

    3.Did all learners have their lunch?

    If no, identify the learners in the space given bellow and give reason(s) why.

    4.Where there any damages to school properties?

    If yes, indicate the damaged property, the person responsible and an account of what transpired in the space given bellow:

    5.Did a learner sustain an injury or fall sick?
    YesNo
    If yes, identify the learner(s) and give an explanation as to what happened in the space provided bellow:

    6.Facilitator ensured classroom was tidy and in order at time of departure?

    If no, give reason(s) in the space provided bellow: