I Republic of the Philippines

City Government of Valenzuela

Metropolitan Manila

GITY EXTERNAL SERVICES OFFICE

DISASTER PREPAREDNESS OFFICE
DRILL EVALUATION FORM

Type of lncident:. Date:

Location:
Tirne Started: ,_ _ _ llme Ended:
Time Evacuation Started: Time Evacuation Ended:

Directions: Please place a check on the yes or no column depending on your observations. And kindly place your remarks. Thank
you.

Particulars Yes No Remarks

Phase I - Evaluation Process
r Warning
- Team leader reported tq ttle IC .-..+_.--
- Audible siren/alarm system
- Timely
- lmprovised
- lncorporated in the building
r Evacuation
- Team leader reported to the lC
- Evacuation Officer (visible / identifiable)
- Ensure and maintained safety ofevacuees
- Orderly
- used exit ways/routed identified in the plan
- signage used : visible, luminous, eve-level, improvised
- utilized assembly areas identified in the plan
- assembly areas suitable for the number of particioants
- established information desk
- head count done
- effective lighting system
- emergency lighting system functioned upon power
shut off
. ParticipantsBehaviour
- seflous
- not serious, describe what they are doing
- showed unfamiliarity to the alarm signal
- stayed in the'evacuation are until instructed to return
to the building
number of participants
- if earthquake incident, employed the duck, cover and
and hold procedure
- door was opened upon hearing the alarm
- door closed after leaving the room (fire scenario)
- walk faster than normal
Bgse tl - tsesponse
r Chairman / lncident Commander
- visible/identifiable
- established command post
- ICP logistics used (whiteboard, table, communication