Inspection proforma for GNM Course Name.. Inspection Proforma for GNM Course. Committee members for inspection. Place

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1 Inspection Proforma for Committee s for inspection Sr.. Committee Members 1. SDM of the respective District Date Place Names of the corresponding officials 2. of the respective District 3. Tehsildar from Revenue Department 4. Representative from Department of Town and Country Planning 5. Representative from Pollution Control Board 6. Representative from Department of Public Health 7. Representative from Department Urban Local Bodies 8. Representative to District Education Officer 9. Representative from Department of Power 10. Representative from Department of PWD(B&R) 11. Representative of Department of Architecture 12. Representative from Fire & Safety Department 13. Accounts Officer from any of the above Department to be nominated by the Deputy Commissioner. 14. Any other

2 Inspection proforma for 1. LAND i) land documents in original showing in the name of TrustSociety in the form of Registered sale Deed Irrevocable Gift Deed (Registered) Irrevocable Government lease (in original) for a minimum period of 30 years by the concered authority of Government There should be at least 3 acres Land in a compact single Patch for MPHW, GNM post Baisc, B.Sc. Nursing and M.Sc Nursing each. For the Annual capacity of 60 students the consturcted area of the school should be 1200 sq. ft There should be at least 3 Acre of land in a compact single block for MPHW (ANM), GNM, Post Basic (B.Sc.) Nursing and M.Sc. Nursing for the school of nursingcollege of Nursing if these courses are started individually. In case more than one course is started within the same campus under the same name and same TrustScoeity then the requirement of the land will be 4 acres The appplication should have at least 4 acre of land at one place land fragmen ted in more than one SDMTehsildar

3 2014 Up to 02 nursing courses- Exclusively earmarked unfragmented-02 acres of land. For more than 02 nursing coursesexclusively earmarked unfragmented 04 acres of land. Applicant should either own or should be in permission thereof as a lease for a period of 33 years ii) The land is in one chunk and exclusively earmarked for Nursing college (certificate of contiguity required). iii) The land should be free from all encumbrances. (except for the purpose of development of institute) iv) Aks Sizra of the site is attached SDMTehsildar SDMTehsildar SDMTehsildar v) It has proper approach roadconnectivity. vi) Khasra Plan (Master Plan) to show that the land is contiguous is attached vii) Village Map Location MapIndex Topographic sketchcity Road Map for easy locationidentification of land building viii) The change of land used required is obtained by the applicant at his own level and a copy of CLU granted by the competent authority is attached 2.BUILDING:- i) The building must conform to the SDMDTP PWD (B&R) Tehsildar TehsildarDTP Tehsildar ULB Architecture

4 ii) Environment Clearance from competent authority (if applicable or non-applicability certificate attached) iii)the building should be planned, designed and constructed as earthquake resistant structure and it should be energy efficient green building (structural stability certificate attached). Fire-clearance iv) Fire safety certificate issued from the Competent Authority is attached. v) Clearance from the pollution Board is attached. vi) Site Plan, Building Plan in the name of the proposed institution prepared by a registered Architect and duly approved by the Competent Plan Sanctioning Authority of the concerned State is attached. vii) Copy of occupation certificate from the competent authority is attached Pollution Control Board Architecture DTPULBMC Fire safety officer Pollution control Board SDMTehsildar Architecture DTPMCULB Regd. Architect (only in areas beyond jurisdiction of controlled area under CTP Act or beyond MC area 3.PHYSICAL INFRASTRUCTURE (40-60 seats) 1. Lecture Hall 1080 = (i) Nursing foundation lab (ii) CHN 900

5 3. Multipurpose Hall Common Room (Male & Female) Staff Room Principal Room Vice Principal Room Library A.V. Aids Room One room for each Head of 11. Faculty Room Provisions for Toilets Total Sqr. Ft. 13. Record Room 14. Store Room 15. Garage Garage should accommodate a 50 seater vehicle 16. Playground Playground should be spacious for outdoor sports like Volleyball, football, badminton and for Athletics 17. Creche There should be a crèche in the college campus bedded Parent (Own) hospital. i. Distribution of beds in different areas Medical 30 Surgical 30 Obst. & Gynaecology 30 Pediatrics 20 Ortho 10

6 required are as follows: Major OT Minor OT Dental EyeENT Burns and Plastic Neonatology with nursery Communicable disease Candiology Oncology NeurologyNeuro-Surgery Nephrology etc. ICUICCU iv. The Nursing Staffing norms in the affiliated Hospital is as per the INC norms v. Affiliated hospitals should be in the radius of 15-30kms v. 1:3 student patient ratio to be maintained. 5. Hostel Block (60 Students) i.single Room Double Room sq.ft ii.sanitary (one latrine & one bathroom for 5 students) 500 sq.ft iii.visitor room 500 sq. ft. iv.reading Room 250 Sq. ft. v.store 500 sq. ft. vi.recreation Room 500sq. ft vii.dining Hall 3000 sq. ft. viii.kitchen & Store 1500 sq. ft. Total sq.ft The hostel has a hygienic Public Health

7 B.Sc. Nursing (Basic)Post Basic with 5 years of teaching experience ii) Vice Principal (1) M.Sc. Nursing(N) or B.Sc Nursing (Basic)Post Basic with 3 years of teaching experience iii) Tutor (10) M.Sc. Nursing or B.Sc. Nursing (BasicPost Basic) or Diploma in Nursing Education & Administration with two years professional experience. iv) External Faculty- Nursing Experts Medical Faculty and scientists, teaching experts in English, Computer education, Physical EducationYoga, Psychologists, sociologists, Hospital Dieticians, nursing service personnel like Nursing superintendent, Ward in Charge or Ward Sister, Health EconomistStatistician etc. working in or outside the institutions V) Additional staff for school of Nursing StenographerPersonal Assistant (01) Senior Clerk cum Cashier Accountant (01) Junior Clerk cum Typist(01) Librarian (01) Laboratory Attendant (01) Chowkidar Watchman (02) Driver (one of each vehicle)

8 vi) Copy of advertisement issued by the institutes for recruitment of the facultystaff vii) Details of the interview proceedings interview etc viii) Copy of the appointment letters issued to the recruited facultystaff ix) Biometric Attendance inclusive Iris (Eyes) of staff and students x) Copies of the Attendance register of the facultystudents. xi) Proof of the salary given to the recruited staff 7. Documents submitted with the application (to be verified by original) i) Details of the Applicant along with a copy of the constitution, Memorandum of Association of the organization. ii) Society registered under Haryana Societies Registration Act, 2012 iii) Copy of registrylease deedgift of land documents in the name of the applicant iv)copy of resolution of the Applicant SocietyTrust earmarking land and building thereon for the proposed M.Sc. Nursing College. Accounts Officer SDMTehsildar SDMTehsildar SDMTehsildar SDMTehsildar v) Detail of Latest FDRs Accounts Officers 8. Detail Project Report (DPR) should spell out, among other things the : a) Background of TrustSociety with SDMTehsildar

9 promoters including their background; its activities in the social, charitable and educational spheres since its inception; its mission and vision. b) Individual details of all s SDMTehsildar c) Resource projections and its utilization schedule. d) Sources of financing of capital and operating expenditure, besides assessment of annual funds likely to be granted through student fees etc. e) Plan with regards to faculty recruitment alongwith the organization chart of the institution. f) Architectural master plan indicating the land use pattern for the proposed institution. 9. A copy of the proposal submitted to Director, MER, Haryana Accounts Officer Accounts Officer DTP Architecture 10. Society Trust Company registration documents, detail of s Directors and its objectives. (including Societies Registration Act) 11. Architectural drawing of building construction duly prepared by an Architect and approved by the concerned statutory authority. Status of Boundary wall.. Master Plan of the campus for the PWD SDMTehsildar PWD Architecture Tehsildar

10 14. Fund position Original FDR and bank CertificatesStatements. Accounts Officer 15. Cash Book of the Organization Accounts Officer 16. Cash flow statement alongwith the source for the next two years for the proposed institution showing projected expenses and source of funds, as indicated in DPR. 17. Audited statement of accounts of the organization for last three years 18. Photographs (color) of the building attested by applicant (Stamped on the back). 19. The institute shall also open a website in which details about institution its Governing Structure, Faculties, Fee and other facilities etc. would be displayed. The website should be completely ready at the time of inspection or before admission 20. Transport:- Proof of transport facility in the form of vehicle registration certificate. 21. Arrangement of Electric Supply (sufficient sanctioned load) Accounts Officer Accounts Officer Civil Surgeon Civil Surgeon SDM Power 22. Arrangement of power backup Power

11 25. Any other

12 Specific recommendations of the Inspection Committee a. Whether the Institute is fit to run as per existing infrastructure, faculty and other facilities and requirements. b. Institute requires deficiencies to be removed to continue... (Add additional sheet, if required) c. Whether the Institute is not fit to continue and case is recommended for withdrawal of NOC. SDM Tehsildar from Revenue Department Accounts officer Representative from Dept. of Town & Country Planning Representative from Pollution Control Board Representative from Dept. Public Health Representative from Dept. of Urban and Local Bodies Representative from Education Department Representative from Dept. of Power Representative from Dept. of Representative from Dept. of Architecture

13 Instructions for the Inspection Committee:- 1. The attendance sheet along with name and designation of officers in the inspection should be attached with the Inspection Proforma. 2. All the columns should be filled the concerned officer. 3. The s should be numbered, flagged and attached with the Inspection Proforma. 4. The Photographs should be attached in a print form if possible or a CD along with at least 2 pen drivers (with videography) should be submitted with the Inspection Proforma. 5. The Inspection Committee should give clear cut reference of all the deficiencies found during inspection and accordingly recommend or propose the withdrawal of NOC of the concerned college. 6. School and College of nursing can share laboratories, if they are in same campus under same name and under same trust, that is the institution is one but offering different nursing programmes. However they should have equipments and articles proportionate to the strength of admission. And the class rooms should be available as per the requirement stipulated by Indian Nursing Council of each programme.

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