National Council of Educational Research and Training (NCERT), New Delhi
Department of
Education of Groups with Special Needs(DEGSN)
Reasonable Accommodation for Children
with Disabilities in Schools
SCHOOL INFORMATION AND
OBSERVATION SHEET
Date : …..../…..…/…........
Place:…………………….
Observer………………….
Instructions: Followings are a few items for getting information about your school. Please do ‘Tick’ (√) whichever is applicable in the optional items, more than one option may be chosen. Please fill up the blank areas with the relevant information. This information will be used for research purpose only. Complete confidentiality will be maintained for your responses.
1. ZONE
|
North |
1 |
|
South |
2 |
|
East |
3 |
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West |
4 |
|
Northeast |
5 |
2. STATE: ……………………………………………………………………………………………
3. DISTRICT:………………………………………………………………………………………...
4. BLOCK/TEHSIL: …………………………………………………………………………………
5. TOWN/VILLAGE: ………………………………………………………………………………..
6. Name of the SCHOOL:……………………………………………………………………….
7. POSTAL ADDRESS: ……………………………………………………………………………
…………………………………………………………………………………………………….
…………………………………………………………………………………………………….
8. (i) Name of the Respondent:……………………………………………………………
(ii) AGE:……..(in
years) (iii)
GENDER: MALE 1 FEMALE 2 OTHER 3
(iv) Educational qualifications:…………………… (v) Teaching experiences (in years)………
(vi) Contact number………………… (vii) email ID………………………………………….
9. LOCALITY:
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Urban |
1 |
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Rural |
2 |
10. SCHOOL MANAGEMENT
|
Government |
1 |
Central |
State |
Local…………… |
|
Government Aided |
2 |
Central |
State |
Local…………… |
11. Nature of School:
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Boys |
1 |
|
Girls |
2 |
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Co-educational |
3 |
12. TYPES of School:
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Day School |
1 |
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Residential School |
2 |
13. STAGES OF SCHOOL
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UPTO PREPARATORY STAGE (Class I to V) |
1 |
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UPTO MIDDLE STAGE (Class I to VIII) |
2 |
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UPTO SECONDARY STAGE -I |
3 |
CLASS I TO X |
CLASS VI TO X |
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UPTO SECONDARY STAGE -II |
4 |
CLASS I TO XII |
CLASS VI TO XII |
CLASS XI TO XII |
|
14. AFFILITATION TO BOARD
|
State |
1 |
|
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CBSE |
2 |
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Any Other |
3 |
………………………………………….. |
15. MEDIUM OF INSTRUCTION:
|
Hindi |
1 |
|
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English |
2 |
|
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Urdu |
3 |
|
|
Regional Language |
4 |
…………………………………………Language |
16. FACILITIES AVAILABLE IN THE SCHOOL:
- School Building :
|
Kaccha |
1 |
Observation (accessibility, no. of floors, no. of
classrooms etc.): …………………………………………………………… …………………………………………………………… …………………………………………………………… |
|
Pucca |
2 |
|
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Open space |
3 |
|
|
Others(Specify) |
4 |
- Accessible infrastructure:
|
Not accessible |
1 |
Observation (accessibility): …………………………………………………………… …………………………………………………………… …………………………………………………………… …………………………………………………………… …………………………………………………………… …………………………………………………………… …………………………………………………………… |
|
Accessible approaching road |
2 |
|
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Accessible entrance |
3 |
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Ramp |
4 |
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Railing |
5 |
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Accessible corridor with marking titles |
4 |
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Accessible office |
5 |
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Accessible website |
6 |
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Accessible transport |
7 |
|
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Any other |
8 |
- Classrooms:
|
Multigrade |
1 |
Observation (accessibility): …………………………………………………………… …………………………………………………………… |
|
Graded |
2 |
- Seating Arrangement :
|
Tat-patti |
1 |
Observation (accessibility and seating arrangement wrt
gender, CwD, social category): …………………………………………………………… …………………………………………………………… |
|
Bench-Desk |
2 |
|
|
Chair-table |
3 |
|
|
Others….. |
4 |
- School uniform
|
Yes |
1 |
Observation (comfortable/adaptability for CwD ): …………………………………………………………… …………………………………………………………… |
|
No |
2 |
- Electricity connection:
|
Not available |
1 |
Observation (accessibility of switches) …………………………………………………………… …………………………………………………………… …………………………………………………………… |
|
Available |
2 |
|
|
Electricity backup |
3 |
- Drinking water
|
Not available |
1 |
Observation (accessibility): ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… |
|
Available |
2 |
|
|
Open access to drinking water |
3 |
- Toilet facility:
|
Not available/unusable |
1 |
Observation (accessibility): ………..................................................................................................................
………………………………………………………………………………….. ……………………………………………………………… |
|
Common |
2 |
|
|
Separate for girls & boys |
3 |
|
|
Accessible toilet |
4 |
- Play ground:
|
Not available |
1 |
Observation (accessibility) ……………………………………………………………………. ……………………………………………………………………. ……………………………………………………………………. |
|
Adequate |
2 |
|
|
Inadequate |
3 |
- Sports Materials
i. Indoor
|
Not available |
1 |
Observation (accessibility) ……………………………………………………………………. ……………………………………………………………………. ……………………………………………………………………. |
|
Adequate |
2 |
|
|
Inadequate |
3 |
ii. Outdoor
|
Not available |
1 |
Observation (accessibility) ……………………………………………………………………. ……………………………………………………………………. ……………………………………………………………………. |
|
Adequate |
2 |
|
|
Inadequate |
3 |
- Library:
|
Not available |
1 |
Observation (accessibility, separate
section for CwD)
…………………………………………………………………. …………………………………………………………………. …………………………………………………………………. …………………………………………………………………. …………………………………………………………………. |
|
Library in almirah |
2 |
|
|
Library in room |
3 |
|
|
Library with separate reading room |
4 |
|
|
Library audio-visual-tactile books |
5 |
|
|
Provision of library periods |
6 |
- Availability
of specific TLMs/equipment/aids and appliances/devices
(i)
Visual Impairment:
|
Braille
Slate, Braille paper & stylus |
1 |
|
Abacus |
2 |
|
Taylor
frame |
3 |
|
Geometrical
devices |
4 |
|
Mathematical
devices/arithmetic frames |
5 |
|
Science
learning equipments talking balances, talking thermometers etc |
6 |
|
Tactual/raised
maps, globes |
7 |
|
Measuring
equipments tape measures, micrometers |
8 |
|
Braillers |
9 |
|
Talking
calculators |
10 |
|
Long/folding
cane |
11 |
|
Other
tactual teaching aids |
12 |
|
Magnifiers
|
13 |
|
Spectacles |
14 |
|
Tape
recorder |
15 |
|
Braille
attachment for computers |
16 |
|
|
|
|
|
|
|
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|
(ii)
Hearing Impairment
|
Individual
Hearing aids |
1 |
|
Group
Hearing aids |
2 |
|
Audiometer |
3 |
|
Puzzle
boards |
4 |
|
Training
Mirror |
5 |
|
Speech
Trainer |
6 |
|
Loop Induction
system |
7 |
|
Ear
mould |
8 |
|
Flash
cards |
9 |
|
Story
cards |
10 |
|
Picture
books |
11 |
|
Tape
recorder |
12 |
|
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|
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|
(iii)
Locomotor impairment
|
Wheel
chair |
1 |
|
Special/adjustable
furniture(corner chair, CP-chair) |
2 |
|
Walking
sticks |
3 |
|
Crutches |
4 |
|
Walking
frames/rolators |
5 |
|
Communication
board |
6 |
|
Wedges |
7 |
|
Wooden
scooter |
8 |
|
Adapted
writing devices |
9 |
|
Adapted
ADL-devices |
10 |
|
Calipers |
11 |
|
Braces |
12 |
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- Computer/Computer with internet facilities :
|
Not available |
1 |
Observation (accessibility) ………………………………………………………………. ………………………………………………………………. |
|
Office use |
2 |
|
|
Computer classes |
3 |
|
|
Across classes |
4 |
- Television:
|
Not available |
1 |
Observation (accessibility) ……………………………………………………………………. ……………………………………………………………………. |
|
Adequate |
2 |
|
|
Inadequate |
3 |
- Audiovisual Aids:
|
Not available |
1 |
Observation (accessibility) ……………………………………………………………………. ……………………………………………………………………. |
|
Adequate |
2 |
|
|
Inadequate |
3 |
- Practical Laboratory/resource/activity room :
|
Not available |
1 |
Observation (accessibility) ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… ………………………………………………………………… |
|
Resource room |
2 |
|
|
Physics Lab |
3 |
|
|
Biology Lab |
4 |
|
|
Chemistry Lab |
5 |
|
|
Social Science Lab |
6 |
|
|
Music room |
7 |
|
|
Yoga room |
8 |
|
|
Any other |
9 |
- Number of teachers:
i. Total teachers: …………
|
Sanctioned |
….. |
Remarks ……………………………………………………………… ……………………………………………………………… |
|
Posted |
….. |
ii. Number of Male teachers: …………….
|
General |
…… |
Remarks ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… |
|
OBCs |
…… |
|
|
SCs |
…… |
|
|
STs |
…… |
|
|
Minorities |
…… |
|
|
disabilities |
…… |
iii. Number of Female teachers: ………….
|
General |
…….. |
Remarks ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… |
|
OBCs |
…….. |
|
|
SCs |
…….. |
|
|
STs |
…….. |
|
|
Minorities |
……. |
|
|
disabilities |
…….. |
iv. Number of Special Education Teachers………
|
Regular posted |
1 |
Remarks ……………………………………………………………… ……………………………………………………………… |
|
Visiting |
2 |
v. Teacher : Pupil ratio:
|
1:35 |
1 |
Remarks ……………………………………………………………… ……………………………………………………………… |
|
1: <35 |
2 |
|
|
1: >35 |
3 |
vi. Total Number of students: …………………
Non-disabled
children: ……………
(in case of transgender children mark
‘T’ in the class column with exact number )
|
|
Non-disabled children |
Total |
||||||||||
|
Classes |
Gen.
M F |
OBC
M F |
SCs
M F |
STs
M F |
Minorities
M F |
Male |
Female |
|||||
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I |
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II |
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III |
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IV |
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V |
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VI |
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VII |
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VIII |
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IX |
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X |
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XI |
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XII |
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Total |
|
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|
i. Children with Disabilities :………………………
Code:
Sex: Male -1, Female -2, Transgender -3;
Disability Group: Locomotor
disability -1, leprosy
cured person -2, cerebral palsy -3, dwarfism -4, muscular dystrophy -5, acid attack victims -6, blindness -7, low-vision -8, deafness -9, hard of hearing -10,
speech & language disability -11, intellectual disability -12, specific learning
disabilities -13, autism spectrum disorder -14, mental illness -15, multiple sclerosis -16,
parkinson’s disease -17, haemophilia -18, thalassemia -19, sickle cell disease -20, multiple disabilities -21 and deaf-blindness -22.
Degree/severity of Disability= <40% - 1, 40%-79% 2, 80%-100% - 3, Not known – 4
Social category: General -1, OBC -2, SC -3, ST -4, Minority -5
Academic Performances: Below Average -1, Average -2, Above average -3;
|
S.No. |
Name |
Sex |
Age |
Nature of disability |
Severity |
Social Category |
Class |
Academic performances |
|
1 |
|
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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vii. Transport facilities provided by the school: Yes 1 / No 2
If yes, whether accessible and used by CwD……………………………………….
viii. Recreational facilities: Yes 1 / No 2
If yes, whether accessible and used by CwD ………………………............................
……………………………………………………………………………………..…..
ix. Provisions of free books, uniform, scholarships etc. for CwD and others : ………………………………………............................................................................
x. Facilities for girls and transgender: …………………………………………………………………………………………
xi. Facilities for health, safety and security
Health…………………………………………………………………………………
Safety & security………………………………………………………………………
xii. Residential facilities
|
Rooms/dormitory |
1 |
Observation (accessibility)
……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. ……………………………………………………………. |
|
Washroom |
2 |
|
|
Dining Area |
3 |
|
|
Drinking water & storage |
4 |
|
|
Cleaning area |
5 |
|
|
Play area |
6 |
|
|
Recreation area |
7 |
|
|
Yoga, sports, game |
8 |
|
|
Health & safety |
9 |
|
|
Electricity & electricity backup |
10 |
|
|
Internet/wi-fi |
11 |
|
|
Transport |
12 |
|
|
Emergency |
13 |
xiii. Any other (Specify):
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
…………………………………………………………………………………………
Thanking
you for your valuable time, efforts and suggestions for providing information
about your school to furnish this information and observation schedule.
Department of Education of
Groups with Special Needs (DEGSN)
National Council of
Educational Research and Training (NCERT),
New Delhi-110016
Email: vinay.singh303@yahoo.com
Whatsapp:9654319691
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