Professional Documents
Culture Documents
Name and Signature of Principal with designation Name and Signature of Inspection
rubber stamp
(1) ___________________________
Place: Date:
(2) ___________________________
2
Standard Area
PARTICULARS as per INC
YES NO REMARKS
(For 40-60 admission capacity) specified
(in sq.ft)
2. Physical Infrastructure
Library
Nursing Books (minimum 500)
Kinds of Nursing Journals 1800
Kinds of Newspapers
Kinds of Magazines
Common room
Male 1000
Female
3
(2)________________________
4
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
(2)_____________________________
5
Medicine Surgery Orthopaedic Pead. Ob/gyn EYE/ENT Oncology Iccu Psychiatric Emergency
* Name of Hospital
1 Beds
Occupancy
2 Beds
Occupancy
3 Beds
Occupancy
4 Beds
Occupancy
5 Beds
Occupancy
6 Beds
Occupancy
* Please note affiliated Hospital should not be more than 3 hospitals as per INC norms.
6
I RURAL FIELD
Name of CHC/PHC/SC
2. Municipal Corporation
3. Private
2. Municipal Corporation
3. Private
3. Both
(2) ___________________________
7
TEACHERS RECORDS: -
Signature of Principal with designation rubber stamp Name and Signature of Inspectors
(1)________________________
(2)________________________
8
IMPLEMENTATION OF SYLLABUS
A Students Records :
Procedure Book
Case Presentation
Case Studies
Daily Diary
Master File
Drug Book
HOSTEL STAFF :-
2.
House Keeper 01
4.
Peon/Ayah 02
5.
Sweeper 02
6.
Gardner 02
7.
Chowkidar 03
Signature of Inspectors
Signature of Principal with designation
(1)__________________________
rubber stamp
(2)___________________________
10
2. Principal
3. Vice Principal
8. Renewal Done
9. Smart card
(1)___________________________
(2)___________________________
11
* Teaching Faculty Profile (Full-Time) of all the nursing programmes offered by this institution
(ANM, GNM, B.Sc., P.B. B.Sc., M. Sc. and any other) All nursing teachers of all the nursing
programmes details to be given irrespective of the program being inspected. (Attach extra sheet
as needed )
Sr Designation Name Reg.no Mobile Email- Experience Subject Subject Subject Remarks
no no. id hrs hrs taken
Clinical Teaching Taught allotted
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
12
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
2) ___________________________
13
Sr.
MNC Affiliation records Yes No Remark
No.
1.
Inspection fees paid
2.
Bed affiliation Fees paid
3.
INC validity Fees paid
4.
Examination Fees paid
5.
Compliance of last
inspection submitted
6.
Obtained INC Validity
7.
Obtained University
Affiliation
8.
Any court matter
CHECK LIST
1. I have received the inspection Performa & have filled the same Yes No
3. MNC Consent /affiliation letter (relevant year) verified and annexed. Yes No
Signature of Principal with designation rubber Name and Signature of the Inspectors
stamp
1)___________________________
2) ___________________________
15
RECOMMENDATIONS
----------------------------------------------------------------------------------------------------------------------------- ---------------
-------------------------------------------------------------------------------------------------------------------- ------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
-------------------------------------------------------------------------------------------- ------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
---------------------------------------------------------------------------------------------------------------- ----------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
---------------------------------------------------------------------------------------- ----------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
--------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------
1)__________________________
2) __________________________