Department of Education Document Code:SDO-QF-SGOD-DRRM-007

Region III Revision: 00

DIVISION OF MABALACAT CITY Effectivity date: 07-28-2018
GENERAL QUALITY FORM -
Name of Office:
QUARTERLY EARTHQUAKE DRILLS
SGOD – DRRM
EVALUATION FORM
Control No.: ________
Date: ______________
Division: MABALACAT CITY________________________ Date: _____________________

Schools: PILA ELEMENTARY SCHOOL

Name of School Heads: JEFFREY T. DE LEON Date Conducted: ________________________

QUESTIONS ANSWERS
Did the schools coordinate with the Local Government Unit? YES, Barangay Council
Please specify the agencies.
Is there an orientation and discussion on preparedness YES
measures prior to the actual conduct of NSED
Did the school conduct post-evaluation of the drill? YES
How long did it takes to evacuate from the school up to the 2 minutes and 23 seconds
evacuation area? Counting should be on the last persons
evacuated. Minutes? Seconds?
Common issues and concerns encountered during the actual Open space is not large enough to
conduct of the drill (enumerate as many as possible) accommodate all pupils.

Were there any untoward incident that happened during the NO

conduct of the NSED? Please enumerate.
Did the schools mapped –out personnel and/or learners Yes
information and contact numbers?
Total no. of Non-Teaching Personnel 1
Total no. of Teaching Personnel 14
Total no. of Learners 443

Prepared by:

Name: WINSTON E. GAVILAGA

Designation: SDRRM Coordinator

Approved by:

Name: JEFFREY T. DE LEON_____________________________________

Designation: School Head

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