Annex 2.

1: Contingency Plan Template for School Version: 2

Date: 27 August 2019

TEMPLATE 1: BASELINE DATA ON INFRASTRUCTURE AND NON-INFRASTRUCTURE

School Name:___________________

School ID:______________________

INFRASTRUCTURE NON-INFRASTRUCTURE

No. of Classrooms
No. of Furniture

No. of DepEd
Type of Building Current Status of No. of No. of Learning
Year Constructed Source of Funding Computerization
Building Blackboards Resources
Package (DCP)
Instructional rooms Non-instructional Teacher’s
Arm Chair Desk Chair Teacher’s Table
(Acad/Non-acad) rooms Chair

TOTAL

Prepared by: Noted by:

Property Custodian School Head

Instructions:
This template should be filled-out by the Property Custodian.
Type of Building - include all types of builing like Marcos Type, Bagong Lipunan School Building (BLSB), Gabaldon, JICA Building, PPP Building, etc.
Year Constructed - specific year when the building was constructed
Source of Funding - includes all sources of funds (e.g. DepEd, LGU, Private Donors, others - specify)
Current Status of building - includes dilapidated, for repair, for demolition, etc.

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Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019

TEMPLATE 2A: BASELINE DATA ON LEARNERS

School Name:___________________

School ID:______________________

Number of Learners
(As of________________ )

Grade
Level Number of Learner with Disability
Male Female Total
Others
Visually Hearing Learnng Intellectual
(Please
Impaired Impaired Disability Disability
specify)

GRAND
TOTAL

Prepared by: Noted by:

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Leaners - It should be based on the current enrollment of the school of the current year.
Number of learner with disability - Add more column depending on the data of disability of the school.
Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019
TEMPLATE 2B: BASELINE DATA ON PERSONNEL

School Name:___________________

School ID:______________________

Number of Personnel
(As of _________________ )

Teaching Personnel Non-Teaching Personnel

No. of Person with Disability No. of Person with Disability

Male Female Total Male Female Total
Others Others
Visually Hearing Visually Hearing Others Others
(Please (Please
Impaired Impaired Impaired Impaired (Please specify) (Please specify)
specify) specify)

Prepared by: Noted by:

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Personnel - It should be based on the current enrollment of the school of the current year.
Number of person with disability - Add more column depending on the data of disability of the school.
Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019
TEMPLATE 3: HISTORICAL DATA ON DISASTERS

School Name:___________________
School ID:______________________

EFFECTS ON:
AFFECTED POPULATION
INFRASTRUCTURE NON-INFRASTRUCTURE
Incident Name
Date of No. of Non- No. of Damaged Estimated Total
Type of Incident No. of Instructional No. of Damaged No. of Damaged Other effects/damages
Occurence Instructional No. WASH Facilities DepEd Cost of Damage
No. of Learners No. of Personnel Classrooms School Learning
Classrooms Computerization
Furniture Resources
Project (DCP)
Minor Major Totally Minor Major Totally Minor Major Totally

Remarks: Data is based on historical RADaR reports and other official documents

Prepared by: Noted by:

School Head

Instructions:
This template should be accomplished by the SDRRM Team and School Head.
Incident Name - specific name of the hazard or disaster (e.g. TY Ompong, TD Ineng, Magnitude 6.5 Earthquake in San Julian, Eastern Samar).
Type of Incident - choose among the following: Tropical Cyclone, Armed Conflict, Fire, Landslides, Earthquake, Volcano Eruption, Others (please specify).
Date of Occurrence - specific date when the incident happen.
Affected Population - based on the existing or historical record of the school visa via the date of occurrence of the incident.
Infrastructure ad Non Infrastructure - quantity of damage per incident.
Instructional classrooms - includes all academic rooms used by the learners.
Non-instructional classrooms - includes all non-academic rooms like Canteen, Library, Faculty Room, etc.
DCP - it should be per computer set (if possible).
Estimated Total Cost of Damage - based on the existing and historical record of the school.

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 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019

TEMPLATE 6.1 : ANATOMY OF THE HAZARD

School Name: _______________

School ID: _______________________
Hazard: _____________________________

Existing Mitigating
Root Causes Early Warning Signs Triggering Factors
Measures

Prepared by: Noted by

________________________________ __________________________________
School Head

Instructions:
This tempalte should be accomplished by the SDRRM Team with the School Head.
Hazard - it should be the Rank No. 1 in the Template 5.
Root Causes - describe the root causes of hazard.
Early Warning Signs - describe the indicators to initiate action.
Triggering Factors - describe the factors that turn the hazard into a disaster or crisis.
Existing Mitigating Measures - describe the mitigating measures of the school to address the hazard.
 Version: 2
Annex 2.1: Contingency Plan Template for School Date: 27 August 2019

TEMPLATE 6.2: CONFLICT ANALYSIS: STAKEHOLDER ANALYSIS – POSITIONS, INTERESTS, NEEDS

School Name: _______________

School ID: _______________________

Actors Positions Interests Needs Means of Influence/Power Willingness to Negotiate

Remarks: Fill-up only when the top priority hazard is armed conflict.

Prepared by: Noted by

________________________________ __________________________________
School Head

Instructions:
This template should be accomplished by SDRRM Team with the School Head.
Actor - groups involved in the armed conflict (e.g. AFP/PNP, NPA, BIFF), which include groups which are secondary and tertiary players in the
conflict (i.e. not directly involved, but affected by the conflict like learners and school personnel)
Positions - what the actors say they want
Interests - what the actors really want
Needs - what the actors must have
Means of Influence/Power - sources of power and influence (e.g. resources like money, land, arms, networks, political power) that the actor has and uses in the
conflict to attain their positions, interests, and needs
Willingness to Negotiate - openness of the actor to talk, settle the conflict, and reach an agreement
 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019

TEMPLATE 7: SCENARIO BUILDING

School Name: SDO RIZAL

School ID: _______________________
Hazard: ARMED CONFLICT

SITUATION BAD WORSE WORST

DESCRIPTION OF EVENT

IMPACT ON HUMAN LIVES

No. of Death/s
No. of Injury/ies
Percentage of Displacement/s
AFFECTED POPULATION
No. of Learners
No. of Teaching Personnel
No. of Non-teaching Personnel
EFFECTS ON
Learners
Teachers
Educational Continuity
Instructional Classrooms
Non-instructional Classrooms
WaSH Facilities
Perimeter Fence and Gate
School Furniture
Books and Instructional Resources
DepEd Computerization Packages
Power Lines
Water Utilities
Roads and Bridges

Prepared by: Noted by

_______________________ __________________________
School Head

Instructions:
This template should be accomplished by SDRRM Team with the School Head.
Description of the Event - provide brief descirption of the hazard. (How it will occur?).
Impact on human lives - Based on the capacity of the school, the team should estimate
the number or percentage of the death, injury and displacements. It can also based
from the LGU Contingency Plan.
Affected population - Based on the current data or existing records of the school.
Effects on - Based on the capacity of the school, the team should provide brief
statements of the following items (answerable by what). It can also based from the
LGU Contingency Plan.
 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019
TEMPLATE 8: RESOURCE INVENTORY AND NEEDS PROJECTION

School Name: ________________________

School ID: _______________________
Hazard: _____________________________

A. Human Resources
Projected Needs
(e.g. training needs) Possible sources
Write N/A if not needed of funding
No. of
Capacity (MOOE, SEF,
Human Resources staff/persons Timeline
(certifications, skills, etc.) Local DRRM
available No. of staff
Cost for Fund, Partners,
needing
Training etc)
training

Internal
(e.g. GCs, Teachers, Staff, etc.)

External Resources
(e.g. Partners, PNP, BFA etc.)

B. Equipment
Projected Needs
Possible sources
of funding
Equipment/Supplies Condition
(MOOE, SEF,
(e.g. fire extinguishers, body board, (e.g.fully functional, Units available Timeline
Units Needed Unit Cost Local DRRM
siren, comms radio) nearing expiry, etc.)
Fund, Partners,
etc)

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 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019

C. Learning Resources
Available Needed
Grade Level Title Language Quantity Quantity

Prepared by: Noted by

_______________________ __________________________
School Head

Instructions:
This template should be accomplished by SDRRM Team with the School Head based from the current records.