Below is the official SayPro Staff Housing Welfare Assessment Template, designed to evaluate and monitor the well-being, safety, and satisfaction of SayPro staff living in SayPro-managed or affiliated housing. This supports SayPro’s commitment to staff welfare, policy compliance, and continuous improvement under HOTTS.

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🏘️ SayPro Staff Housing Welfare Assessment Template

Form Code: SHWAT-2025
Department: SayPro Housing & Staff Welfare
Assessment Date: [DD/MM/YYYY]
Assessor Name: [Full Name]
Staff Member Name: [Full Name]
Staff ID Number: [ID]
Position / Department: [Job Title / Department]

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🏠 Section 1: Housing Details

Item	Information
Housing Type	☐ Apartment ☐ Standalone House ☐ Shared Unit ☐ Leased Property
Address	______________________________________________
Housing Unit ID / Number	_____________________________
Occupancy Start Date	_____________________________
Lease Type	☐ Rental ☐ HOTTS Transfer ☐ Temporary ☐ Other
Number of Occupants	_______
Household Includes Dependents?	☐ Yes ☐ No
If Yes, How Many?	_______

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🧾 Section 2: Physical Condition & Amenities

Facility/Condition	Rating	Comments
Structural Safety (walls, roof, doors)	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Water Supply & Plumbing	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Electricity & Lighting	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Sanitation (bathrooms, waste disposal)	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Kitchen Facilities	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Security (locks, gates, fencing)	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Cleanliness & Hygiene	☐ Excellent ☐ Good ☐ Fair ☐ Poor	__________________
Internet/Wi-Fi Access	☐ Available ☐ Not Available ☐ Intermittent	__________________

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🛠️ Section 3: Maintenance & Repair Needs

Issue Reported	Urgency	Action Taken / To Be Taken
______________________	☐ Urgent ☐ Moderate ☐ Low	_________________________
______________________	☐ Urgent ☐ Moderate ☐ Low	_________________________
______________________	☐ Urgent ☐ Moderate ☐ Low	_________________________

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😊 Section 4: Staff Satisfaction & Feedback

1. How satisfied are you with your current housing condition?
☐ Very Satisfied ☐ Satisfied ☐ Neutral ☐ Dissatisfied ☐ Very Dissatisfied

2. What challenges have you experienced in the housing unit?

3. Have you reported these issues before?
☐ Yes ☐ No
If yes, to whom and when?

4. Suggestions to improve your housing experience:

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📂 Section 5: Document & Welfare Check

Required Document	Provided? (✓/✗)	Verified
Signed Tenancy Agreement	☐	☐
Staff ID / Proof of Employment	☐	☐
Housing Allocation Record	☐	☐
Self-Assessment Form (if applicable)	☐	☐

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✅ Section 6: Assessor’s Recommendations

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☐ Recommend Immediate Repair
☐ Recommend Housing Reassignment
☐ Schedule Reinspection
☐ Refer to SayPro Welfare Office

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🖊️ Section 7: Signatures

Role	Name	Signature	Date
Staff Member	__________________	_______________	__________
Assessor	_____________________	_______________	__________
Welfare or Housing Officer	_____________________	_______________	__________

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📥 Submission Details

• Submit completed form to: staff.welfare@saypro.org
• Upload to: www.saypro.org/housing-assessments
• File format: PDF / Excel / SayPro Digital System Upload

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