Republic of the Philippines

Province of Camarines Norte

MUNICIPALITY OF BASUD

MUNICIPAL DISASTER RISK REDUCTION AND MANAGEMENT OFFICE

Hotline no. 0998-540-7495/Email: mdrrmobasud@gmail.com

DUTY TASK/MONITORING CHECKLIST

Date: January___, 2019
Time of duty/Shift:___________________

EMERGENCY CHECKLIST YES NO Remarks

BEFORE EMERGENCY:
1. Prepare/Reproduce Incident Report Forms (IR)
2. Prepare/Refill Emergency Kit
 Gauze Pad
 Bandage
 Gloves
 Face Mask
 Micropore Tape
 Band aid
 Scissors
 Forceps
 Betadine
 Hydrogen Peroxide
 Cotton
 Elastic Roller Bandage
 Pulse Oximeter
 Burn Ointment
 BP apparatus
 Ambu Bag
 Nasal Cannula
 Medicine for High Blood
 Alcohol
3. Prepare Rescue Equipment
 Spine Board with Strap
 C – Collar
 Splints
 Scoop stretcher
 Kendrick’s Extrication Device
 other Emergency Equipment

1|Page
 DURING EMERGENCY:
4. Documentation
5. Accomplished Incident Report Forms
6. Perform First Aid
7. Ensure proper Transfer of Patient
8. Secure all Tools and Equipment
9. Inform Direct Supervisor
AFTER EMERGENCY:
10. Refill Emergency Kit
11. Transfer documentation to computer
12. Prepare and print out Narrative report
13. Disinfect Scissors and Forceps
14. Log book the Incident
15. Clean all Equipment before leaving-E.R
16. Clean vehicle before leaving/-DRIVER
OPERATION CENTER CHECKLIST:
LOG BOOK:
17. Log book all duty with date and time
18. Log book all visitors
 Name
 Date and Time of Appearance
 Purpose
 Action taken by duty
19. Log book Materials and Equipment Conditions
borrowed and received
20. Log book all vehicles
 Drivers name
 Requesting official name
 Passengers name
 Place to visit
 Purpose
 Time of departure and arrival
 Gasoline in tank before departure/arrival

 Travel estimated distance

21. Vehicles are properly inspected and turned
over to the next driver on duty
22. Supervise the use of office gadgets (computers,
camera, speaker, etc.) -Visitors and peers are
not allowed to use or enter in the computer
rooms without permission of the permanent.
23. Monitor the Attendance and Locator Slip.
-Accepting extra Job outside LGU – Basud
concerns are not allowed during the tour of
duty.

2|Page
 24. Report drinking of liquor or taking intoxicating
substance inside the office.

BUILDING/OFFICE:
25. Clean all rooms. Divide the tasks to E.R’s
26. Mop the floor of every room. Divide the tasks
to E.R’s
27. Clean all comfort rooms. Divide the tasks to
E.R’s
28. Clean kitchen. Divide the tasks to E.R’s
29. Clean outside surroundings. Divide the tasks to
E.R’s
30. Make sure that all keys are transferred to the
next duty team leader
31. All incident must be recorded on logbook
32. To quit post when properly relieved with date,
time and signature.

Prepared and filled up by: Accepted and Turned over to:

____________________ _____________________
Signature Over Printed Name Signature Over Printed Name
Team Leader on duty Team Leader next Shift

Time:_____________

MARLON A. JAZMIN
LDRRMA-Operation Officer

Noted by:

CARLOS C. LOMALLO
LDRRM Officer III

Note: This duty/task monitoring checklist will be checked and inspected by the
next shift team leader before the turn over. Team leaders are not excuse of the
cleaning tasks.

3|Page
4|Page