MUNICIPAL DISASTER RISK REDUCTION MANAGEMENT COUNCIL
MUNICIPALITY OF BARCELONA
Barangay: _________________________
DAMAGE ASSESSMENT REPORT
A. Profile of Disaster
1. Type of disaster/emergency:
2. Date and time of Occurrence:
3. Source of report:
4. Date and time of report:
B. Total Population
Total Household Total Families Total Individual Total Male Total Female
C. Summary of the Effects (as of reporting time)
1. Total number of evacuees (cumulative total)
Families Individual Male Female
0
AGE BRACKET
0-11mos 1-12 y/o 13-18 y/o 19-59 y/o 60 & above
2. Casualties (cumulative total)
Dead: ____
Injured: ____
Missing: ____
3. Status of roads, electric power supply, water and network
Roads Passable/ Not Passable Date and Time
reported
1.
2.
3.
Electric Power Supply Operational/Non Date and Time of
Operational report
1.
Water Supply Operational/Not Date and Time of
Operational report
1.
2.
Network Status With Signal/Without Date and Time of
Signal report
1.Smart
2 Globe
4. Damaged to infrastructure
Damage No. of Totally No. of Partially Est. Damage Cost
Houses
Description of Damage
Public & Private
Schools
1.
2.
Government and
institutional Buildings
1.
2.
Street lights
Electric post
Water facility
distribution line
Seawall
Bridges
Other Damage to
Infrastructure
TOTAL
5. Damage to Agriculture
Damaged to Crops
Crops No. of affected Areas Damaged Est. Cost of
Farmers (per Hectares) Damage
Rice
Corn
Vegetables
Root Crops
Banana
Coconut
Pili
Abaca
Cacao
Other crops;
Damaged to Fisheries
Fishing Boat/Gear No. of Totally Partially Missing Est. Cost of
affected Damage
fisherfolks
Motorized
Non-motorized
Fishing Gear
No. of Areas Damaged Est. Cost of
affected (per Hectares) Damage
fisherfolks
Fishpond
Other damage to
fisheries;
Damaged to Livestock & Poultry
No. of Number of Head Est. Cost of
affected Damage
farmer
Livestock
Cattle
Carabao
Swine
Other livestock;
Poultry
Chicken
Duck
Other poultry;
TOTAL
D. Related Incident Monitored:
Description
Purok Date occurred Time occurred (height, depth, road
obstruction)
Landslide:
Flooding:
Storm Surge:
E. Local Actions of Barangay DRRM Council
1. _______________________________________________________
2. _______________________________________________________
3. _______________________________________________________
4. _______________________________________________________
5._______________________________________________________
1. Emergency responders involved:___________________
2. Assets deployed _________________________
Prepared by: ________________________
Designation:
Noted by: ____________________________
Punong Barangay
