You are on page 1of 5

EARTHQUAKE DRILL EVALUATION FORM

THIRD QUARTER

Date/Time: AUGUST 16, 2018/ 2:00 P.M. Place of Drill: ALICIA NORTH DISTRICT

RIZAL
SAN SAN SAN STO
AMISTAD LINGLINGAY MATAAS SALVACION SAN JUAN REGION
ANCS RIZAL ES FRANCISCO PABLO PEDRO DOMINGO
ES ES NK ES ES ES NATIONAL
ES ES ES ES
HS
1. Is the siren
loud enough to
be heard by all YES YES YES YES YES YES YES YES YES YES YES YES
the drill
participants?
YES/NO If No,
please elaborate

2. Did the drill YES YES YES YES YES YES YES YES YES YES YES YES
participants
practice " Duck,
Cover and Hold"
technique
during the Alarm
Phase
(while the siren
is being
sounded) ?
YES/NO
If No, please
elaborate

3. Did the drill


participants a)
evacute during B B B B B B B B B B A
the Alarm Phase
b) waited for the B
siren to stop for
evacuating c)
others, please
elaborate
YES YES YES YES YES YES YES YES YES YES YES
4. Did the drill
participants YES
follow their
designated
routes to
evacuate area?
YES/NO If No,
please elaborate

5. Did the drill


participants a)
run b) walk A C B C B C C C B B A C
casually or c)
walk faster than
normal during
the evacuation
phase?
Please specify a,
b, or c

6. Did the drill


participants YES YES YES YES YES YES YES YES YES YES NO YES
bring any first It is an
aid kit or any emergency
item noticeable call
during the
evacuation
phase?YES/NO
If No,
please elaborate

7. Did the drill


participants
conduct the YES YES YES YES YES YES YES YES YES YES YES YES
headcount
during the
headcount
phase? YES/NO
If No, please
elaborate

8. Is the
evacuation area
big enough to YES YES YES YES YES YES YES YES YES YES YES YES
accommodate
the evacuees?
YES/NO If No,
please elaborate
9. Any other
problem NONE NONE NONE NONE NONE NONE NONE They are NONE NONE NONE NONE
observed during not
the drill that seriously
might need to participated
be addressed? in the drill
please elaborate activity.

10. How long did


it take for all the
drill participants
to vacate the 1 2 1 2 90 2 MIN. & 1 2 2 90 1 2
building and MINUTE MINUTES MINUTE MINUTES SECONDS 30 SEC. MINUTE MINUTES MINUTES SECONDS MINUTE MINUTES
time to reach & 24 sec
the designated
evacuation
area?
11. Did the drill
participants a)
stay in the
evacuation area A A A A A A A A A A A A
b)move to other
place c) go back
to the building
without
instruction?
Please specify a,
b, or c

12. Observed
number of drill 900 280 198 118 470 237 120 242 155 295 171 412
participants
(estimate will
do)
13.Any
untoward
incident NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
observed during
the drill.

PREPARED BY: Noted:

EDWIN G. DELA PENA SUSANA G. LORENZO


District DRRM Coordinator Public Schools District Supervisor

You might also like