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Southcom National High School: Earthquake Drill Evaluation Form

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Vincent Librea

This document is an earthquake drill evaluation form from Southcom National High School in Zamboanga City, Philippines. It contains (1) details about the date, location, and evaluators of the drill; (2) a series of multiple choice and open-ended questions about how participants responded during different phases of the drill; and (3) spaces for observations, suggestions, and approval signatures. The form is used to assess how effectively participants practiced safety techniques and evacuation procedures during the earthquake drill.

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Download as docx, pdf, or txt

Southcom National High School: Earthquake Drill Evaluation Form

Uploaded by

Vincent Librea
20 views1 page
This document is an earthquake drill evaluation form from Southcom National High School in Zamboanga City, Philippines. It contains (1) details about the date, location, and evaluators of the drill; (2) a series of multiple choice and open-ended questions about how participants responded during different phases of the drill; and (3) spaces for observations, suggestions, and approval signatures. The form is used to assess how effectively participants practiced safety techniques and evacuation procedures during the earthquake drill.

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earthquake drill form

Original Title

Earquake Drill Form

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This document is an earthquake drill evaluation form from Southcom National High School in Zamboanga City, Philippines. It contains (1) details about the date, location, and evaluators of the drill; (2) a series of multiple choice and open-ended questions about how participants responded during different phases of the drill; and (3) spaces for observations, suggestions, and approval signatures. The form is used to assess how effectively participants practiced safety techniques and evacuation procedures during the earthquake drill.

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
20 views1 page

Southcom National High School: Earthquake Drill Evaluation Form

Uploaded by

Vincent Librea
This document is an earthquake drill evaluation form from Southcom National High School in Zamboanga City, Philippines. It contains (1) details about the date, location, and evaluators of the drill; (2) a series of multiple choice and open-ended questions about how participants responded during different phases of the drill; and (3) spaces for observations, suggestions, and approval signatures. The form is used to assess how effectively participants practiced safety techniques and evacuation procedures during the earthquake drill.

Copyright:

© All Rights Reserved
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Download as docx, pdf, or txt
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Department of Education

Region IX, Zamboanga Peninsula


Southcom National High School
DIVISION OF ZAMBOANGA CITY
Calarian, Zamboanga City

EARTHQUAKE DRILL EVALUATION FORM

Date/Time: Place of Drill:


School Name:
Location in the school during the drill:
Name of Evaluator: Signature:
The evaluator works in the Barangay Office:  YES  NO, pls. specify

A. Encircle the letter of your choice.


1. Is the siren loud enough to be heard by all the drill participants?
a. YES b. NO If NO, please elaborate:
2. Did the drill participants practice the “Duck, Cover and Hold” technique during the Alarm Phase (while the siren
is being sounded)?
a. YES b. NO If NO, please elaborate:
3. During the Alarm Phase, what did the participants do?
a. The participants evacuate while the bell is ringing.
b. The participants waited for the siren to stop before evacuating.
c. Others, please elaborate _____________________________________.
4. Did the drill participants follow their designated routes to evacuation area?
a. YES b. NO If NO, please elaborate:
5. What did the participants do during the evacuation phase?
a. The participants run.
b. The participants walk casually.
c. The participants walk faster than normal.
6. Did the drill participants bring any first aid kit or any item noticeable during the evacuation phase?
a. YES b. NO If NO, please elaborate:
7. Did the drill participants conduct the headcount during the headcount phase?
a. YES b. NO If NO, please elaborate:
8. Is the evacuation area big enough to accommodate the evacuees?
a. YES b. NO If NO, please elaborate:
9. What did the participants do while they are in the evacuation area?
a. The participants stay in the evacuation are.
b. The participants move to other place.
c. The participants go back to the building without instruction.
B. Please write down your observations in the space provided.
1. Any other problem observed during the drill that might need to be addressed?
Please elaborate:

2. How long did it take for all the drill participants to vacate the building and time to reach the designated
evacuation area?
3. Observed Number of Participants (estimates will do):
PARTICIPANTS NO. OF LEARNERS NO. OF PWDS NO. OF PERSONNEL
COUNT
C. If you have suggestions, please write them down in the space below.

*This form is based from Evaluation Form A in DepEd Order No. 48, s. 2012

VINCENT Y. LIBREA ___________________________


School DRRM Coordinator Evaluator

Approved by:

ELENA F. BALAN, Ed.D


Sec. Sch. Principal-IV

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