Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF PAMPANGA PROVINCE
NATIVIDAD NATIONAL HIGH SCHOOL
BRGY. NATIVIDAD, GUAGUA, PAMPANGA

Annex B.
SDO PAMPANGA FIRE SAFETY MEASURES FOR SCHOOLS
MONITORING TOOL

Name of School: ______________________________

School ID: ____________________________________
District/Cluster: _____________________________
School Head: _________________________________
Active Contact Number: ______________________

Kindly assess the extent of Fue Safety through the following measures. Put a check
mark (√ ) in the box of your choice.

Fire Safety Means of Observe Not Not Remark

Measures Verification d Observe Applicabl s
Indicators (MOVs) d e
(RM ESSD -
2024-035)
1. Formulate  Developed
Fire Escape School Fire
Plan Safety Plan
using the
prescribed
template (Refer to
Annex A)
Including Fire
Escape Plan
(Refer to Annex C)
2. Ensure the  Presence of
presence of Fire Escape
Fire Escape Routes and
Routes and Exit Paths
Exit Paths  Clearly
which the marked with
personnel readable
and signages
learners
should be
aware of.
These should
be clearly
marked with
readable
Address: Brgy. Natividad, Guagua, Pampanga
Email Address: [email protected]
Telephone No.: (045) 624-2229
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF PAMPANGA PROVINCE
NATIVIDAD NATIONAL HIGH SCHOOL
BRGY. NATIVIDAD, GUAGUA, PAMPANGA
signage.
3. Inspect  The Window
and windows panels when
of building opened, must
and ensure not
that they be an
are easy to obstruction
open along the
corridor
 There shall
be
two doors for
every
classroom
and the swing-
out should be
180 degrees
4. Ensure Free from
that obstruction
exit/escape Exit /paths
paths are
tree of
obstruction
5. Trim  Trimmed
shrubs shrubs and
and trees in trees
the in the vicinity
vicinity
6. Enforce  Proper waste
proper waste management
management
. o Waste free
Clear the o combustible
offices and waste such
grounds from as papers,
waste. wood, plastics,
Combustible paint tins,
waste such flammable
as liquids are
papers, wood not in heaps or
paint tins. in the open.
flammable
liquids should o suitable
Address: Brgy. Natividad, Guagua, Pampanga
Email Address: [email protected]
Telephone No.: (045) 624-2229
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF PAMPANGA PROVINCE
NATIVIDAD NATIONAL HIGH SCHOOL
BRGY. NATIVIDAD, GUAGUA, PAMPANGA
not be stored receptacles
in heaps or such as
in the open. litter bins,
Suitable etc. are
receptacles provided
such litter
bins, etc.
should be
provided.
7. Conduct • Monthly
regular electrical safety
electrical Inspection (Refer
safety to Annex D)
inspection (Signed by the
and School Head)
take actions
to repair or
replace
defective
wirings, light
bulbs. etc.
and
disconnect
the
electric
wirings on a
condemned
budding
8. Demand • Daily School
and Good Keeping
practice good Practice Report
office and (Refer to Annex E)
school (Signed by the
keeping School Head)
practices,
e.g.
laboratories
daily: unplug
electrical
wirings and
turn-off
Lights.
9. Formulate • Developed
Address: Brgy. Natividad, Guagua, Pampanga
Email Address: [email protected]
Telephone No.: (045) 624-2229
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF PAMPANGA PROVINCE
NATIVIDAD NATIONAL HIGH SCHOOL
BRGY. NATIVIDAD, GUAGUA, PAMPANGA
fire safety fire safety and
and control
control measures plan
measures for
contractors (Applicable to those
schools with ongoing
as construction)
they can
increase the
risk
of fire and
cause
obstruction
to
escape
routes.
10. Ensure • Provision of
the fire safety and
provision oof protection
fire equipment
safety and
protection (Not limited to fire
extinguishers)
equipment,
which should
not limited to
fire
extinguishers
.
Other
equipment
may
include pails,
hose.
11. Conduct Quarterly Fire
regular Fire Drill
Drills Accomplishmen
t
report
(Refer to Annex F)

Identified Issues and Concerns:

Address: Brgy. Natividad, Guagua, Pampanga

Email Address: [email protected]
Telephone No.: (045) 624-2229
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF PAMPANGA PROVINCE
NATIVIDAD NATIONAL HIGH SCHOOL
BRGY. NATIVIDAD, GUAGUA, PAMPANGA
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________

Recommended Solutions:
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________

Monitored by: Conforme:

_____________________________ Girly L. Pangilinan

___________________________
PSDS in-charge Principal III
(Signature over printed name) Signature over printed name)
Date: Date:

Address: Brgy. Natividad, Guagua, Pampanga

Email Address: [email protected]
Telephone No.: (045) 624-2229