Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
OAS NORTH DISTRICT
TABLON ELEMENTARY SCHOOL
Tablon, Oas, Albay
INCIDENT REPORT FORM
TYPE OF INCIDENT Damage to School Property (Smashing of Window
Jalousie) and Trespassing
INCLUSIVE DATE AND TIME April 10, 2023 / 12: 30 PM
OF INCIDENT
EXACT LOCATION OF School Head’s Office, Tablon Elementary School, Tablon,
INCIDENT: (room, building, area, Oas, Albay
school, sitio, barangay, municipality, etc.)
INVOLVED PERSONS & Edgardo Moreno Jr., 22 years old, of Tablon, Oas, Albay
SPECIFIC PARTICIPATION:
(Full name, age, gender,
position/designation/grade level,
involvement in the incident. Use back
page if needed)
DESCRIPTIVE/DETAILS OF The witness claims that on April 10, 2023, around 12:30 in the
THE INCIDENT (Describe how the afternoon, while some parents were working in their gardens,
incident happened, scene of incident,
physical and emotional state of involved
this JR MORENO, who was intoxicated, entered the school
persons, description of injuries/damages to while carrying an "itak." He was reported to be searching for
properties, impact to Venancio, which angered him. When the parents noticed him,
class/school/community, etc. Use back
page if needed.) they ran into the office and hid. JR MORENO persisted in
breaking the office's windows. The broken glass fragments
caused some people to get cuts. Venancio, he believed, was
present in the workspace. The parents rush to the neighboring
residence to ask for assistance when they believe JR
MORENO is gone, not realizing that the office is not close.
The intruder went inside the office, kicked the table, and threw
away the office's papers. After being locked inside with her
son Gian, Ate Marivic begged JR MORENO not to harm her.
His mother arrived, and the commotion continues outside the
school grounds.
ACTION TAKEN: (State the The School OIC Ma’am Jessica Riparip together with Sir Ruel
responses/initial action, decisions made or I. Regalario went to the Baragay Hall to file a blotter regarding
implemented by the school authorities or
immediate supervisors) this matter.
FOLLOW UP Ask the LGU to tighten the security in the school even on
RECOMMNEDATIONS (state weekends to ensure and maintain the safety and
suggestions that other concerned DepEd conduciveness inside the school.
Officials/Offices must consider or must do
Tablon, Elementary School One School, Serving All, Shaping the Future!
0945-4499-479 “ARANGKADA TABLON!!!”
111923@deped.gov.ph
Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
OAS NORTH DISTRICT
TABLON ELEMENTARY SCHOOL
Tablon, Oas, Albay
to fully respond to the situation) Hold school-preparedness drills to pupils and other
stakeholders.
Always close the gate and monitor school guests.
PREPARED BY:
JESSICA R. RIPARIP
Teacher I / Officer-In-Charge
DATE PREPARED April 11, 2023
RECEIVED & REVIEWED BY
(Should be the Designated Information
Officer)
DATE/TIME RECEIVED
NOTED BY
MARICHU M. JARLEGO
School Head
Tablon, Elementary School One School, Serving All, Shaping the Future!
0945-4499-479 “ARANGKADA TABLON!!!”
111923@deped.gov.ph
Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
OAS NORTH DISTRICT
TABLON ELEMENTARY SCHOOL
Tablon, Oas, Albay
Tablon, Elementary School One School, Serving All, Shaping the Future!
0945-4499-479 “ARANGKADA TABLON!!!”
111923@deped.gov.ph
