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Drill Evaluation Form

This document contains an evaluation form for an earthquake drill conducted in the Schools Division of Bulacan. The form collects information about the drill such as the location, date, duration, and number of participants. It then rates different parameters of the drill on a scale of 1 to 5, including how well participants followed evacuation procedures and how effectively the Disaster Control Group responded. Space is also provided for comments, recommendations, and contact information for the evaluator.

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152 views2 pages

Drill Evaluation Form

This document contains an evaluation form for an earthquake drill conducted in the Schools Division of Bulacan. The form collects information about the drill such as the location, date, duration, and number of participants. It then rates different parameters of the drill on a scale of 1 to 5, including how well participants followed evacuation procedures and how effectively the Disaster Control Group responded. Space is also provided for comments, recommendations, and contact information for the evaluator.

Uploaded by

grace
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF BULACAN

Title: (N) Quarter NSED (Year) Name of Agency/Organization/LGU:


Place of Drill: Name of DCG:
Date of Drill:
Duration of Drill:
Total Number of Participants:
Quantitative assessment of EQ drill: Rate the following parameters If you think that your
with one (1) being the lowest and five (5) being the highest. response needs to be
qualified, please fill-up the
column below.
PART I – GENERAL EVALUATION: 1 2 3 4 5 COMMENTS and
OBSERVATIONS
1. The alarm system used loud enough to
be heard by all drill participants.
2. The drill participants executed the “duck,
cover, and hold” technique during the
Alarm Phase or while the alarm system
is being sounded.
3. The drill participants waited for the alarm
system to stop before evacuating.
4. The drill participants executed the
“buddy-buddy” system during the
evacuation phase.
5. The drill participants walked faster than
normal during the evacuation phase.
6. The drill participants followed their
evacuation routes to the evacuation
area/s.
7. The drill participants covered their heads
while vacating the building.
8. The participants checked for any
sustained injury in the
evacuation/assembly area/s.
9. A headcount was conducted while in the
evacuation area.
10. The participants stayed in the
evacuation area until the drill was
terminated.
EVALUATION OF THE DISASTER CONTROL
GROUP
11. The Incident Commander established
clear leadership during the drill.
12. The First Aid/Medical Team immediately
addressed all medical needs of the
injured victims and casualties.
13. The Search and Rescue Team was
efficiently organized in responding to the
incident.
14. The Fire Safety/Brigade Team
demonstrated proper fire suppression.
15. The Evacuation Team properly executed
the evacuation procedures.

Address: Provincial Capitol Compound, Brgy. Guinhawa,


City of Malolos, Bulacan
Website: https://bulacandeped.com
Email: [email protected]
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF BULACAN

16. The Site Security Team adequately


secured the perimeter for the drill area.
17. The Maintenance Team observed
protocols in ensuring the building safety
before re-entering.
18. The Communication utilized the
equipment properly during the
coordination and execution of response
operations.
19. The Transportation team ensured the
availability of vehicles.
SUB-TOTAL
GRAND TOTAL/OVER ALL RATING
RATING SCALE
90-100 points - OUTSTANDING 70-79 points - SATISFACTORY 59 & below -
NEEDS IMPROVEMENT
80-89 points - VERY SATISFACTORY 60-69 - FAIR

PART II – RECOMMENDATIONS:

______________________ Conforme:_______________________
Evaluator Signature over Printed Name
Signature over Printed Name

Agency Represented :
Designation :
Landline and Mobile Numbers :
E-mail Address :

Address: Provincial Capitol Compound, Brgy. Guinhawa,


City of Malolos, Bulacan
Website: https://bulacandeped.com
Email: [email protected]

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