Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
Regional Office – IV-A
Laguna Provincial Office
Siniloan Fire Station
Siniloan, Laguna
Tel. Nos. (049) 501-5230/572-0002
Cellphone No. (0930) 710-7167
Email: siniloanfs_laguna@yahoo.com

EVALUATION SHEET OF FIRE/EARTHQUAKE DRILL

________________________

Date of Drill:__________________

I. Quantitative Parameters

Alarm Time:
Time Evacuation Started:

Time Evacuation Completed:

Other Observations:

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I. Quantitative Parameters
AREAS OF CONCERN YES NO REMARKS
 Was the alarm audible?
 Did the participants perform the “Drop, Cover and Hold” Procedures?
 Was sense of urgency observed among drill participants?
 Did the evacuees refrain from texting, chatting or giggling while evacuating?
 Were clients advised to participate in the drill activity?
 Did the evacuees proceed directly to the designated evacuation area?
 Did the participants follow evacuation route?
 Were drill participants complete in the evacuation site?
 Was safe keeping of important documents done?
 Was First Aid Kit available/complete?
 Were flashlights with batteries still functional?
 Were emergency lights functional?
 Did the BERT give 100% participation?
 Did the BERT respond immediately after hearing the sound of alarm
 Did the BERT wear their corresponding color-coded hats during the drill?
 Did the Search Team take the logbook with them to account for the
evacuees?
 Did the Communication Team member call the Fire Department?
 Was the Evacuation Team the “First and Last Man” during the drill?
 Was the Search Team the “Last Man “during the drill?
 Did the First Aid Team bring with them the First Aid Kit, stretcher, blankets
and whistle?
 Did the Team ensure availability of first aid supplies?
 Did the Evacuation Team gather and prepare employees for smooth
evacuation on through line formation going to fire exits?
 Did the team set-up an emergency command post immediately at the
evacuation site
 Did the BERT made sure that all employees were accounted for?
Other Observations:
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SFO4 Luis P Andya, BFP

Officer-in-Charge