Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF TALISAY CITY
J.P. Rizal St., Poblacion, City of Talisay, Cebu
Email: talisaycity.division@deped.gov.ph
Facebook Page: Deped Talisay

EARTHQUAKE PREPAREDNESS DRILL EVALUATION FORM

Date/Time of Drill :
Place of Drill :
Evaluator's Name/Agency :
Actual Location During the Drill :

I. DRILL EXECUTION (Alarm Phase)

1. Was the alarm to signify an earthquake audible enough to be heard by the participants? If not nudible,
please elaborate: _______________________________________________________________________
2. Did the participants execute the "DROP, COVER, HOLD" position during the alarm phase YES/NO?
If NO, please elaborate: __________________________________________________________________

II. DRILL EVACUATION PHASE:

1. When did the participants evacuate?
(a.) During the alarm phase (b.)Waited for the alarm to stop, after 1 minute
(c.) Others, please specify: ________________________________________________________________
2. Did the drill participants follow their designated evacuation routes with assistance of the building/floor
marshals? _____________________________________________________________________________
3. Did the participants (a.) RUN (b.) WALK CASUALLY (c.) WALKED IN DOUBLE TIME MANNER ____
4. Was the first aid kit available and being brought by respective medical teams? Please elaborate:
______________________________________________________________________________________
5. Are the designated evacuation areas safe from debris and large enough to accommodate the number of
evacuees? ____________________________________________________________________________
6. Was a head count conducted by the marshals at the evacuation areas? _____________________________
7. How long did take for the participants to evacuate the building(s)? _________________________________
8. Did the drill participants remain in the evacuation areas until instructions were given either to go back to the
buildings or go home? ___________________________________________________________________
9. Estimated number of participants: __________________________________________________________

III RESPONSE PHASE:

1. Does the establishment/building have an organized Disaster Management Group or Emergency Response
Team? _______________________________________________________________________________
2. Did the establishment perform initial response and established the Incident Command System?
_____________________________________________________________________________________
3. What facilities were established under the ICS concept (ICP, Treatment, Staging, etc...)?
_____________________________________________________________________________________
_____________________________________________________________________________________
4. Was the Incident Command Post established in a safe area but visible to the incident? YES/NO, if NO,
please elaborate: _______________________________________________________________________
______________________________________________________________________________________
5. Was command-presence of the Incident Commander felt at the ICP, YES/NO? if NO please elaborate:
______________________________________________________________________________________
6. Were extrication, triage, treatment and transport performed to manage Mass Casualties? YES/NO, if NO,
please elaborate: _______________________________________________________________________
______________________________________________________________________________________
7. Any untoward incident observed during the drill? _______________________________________________

IV RECOMMENDATIONS:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

“EFA 2015: Karapatan ng Lahat, Pananagutan ng Lahat!” yeojs_09052018

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