Annex 2.

1: Contingency Plan Template for School Version: 2Date: 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.

1
Annex 2.1: Contingency Plan Template for School Version: 2Date: 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: 2Date: 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.
Revised Scenario: Classes were opened on August 24, 2020. Following the "new normal", different blended learning
arrangements were adapted by the schools. Your school operations went smoothly until one teacher or non-teaching personnel
or leaner was detected to have been infected by COVID-19. In another school in the SDO, the same thing happened.
Following the standards by the IATF, your school was ordered lockdown.

Assumption and Instructions: Using the summary of your inputs in the online Contingency Planning we've earlier
undertaken, draft your school's Contingency Plan. I have incorporated my ideas in the summary. If it is possible,
present this to your respective school heads before sending me a copy either through email at
raul.sarmiento@deped.gov.ph or messenger (PM). If it is not, you can propose this as your school's ConPlan once
classes are opened.

School ID: ____________________________

School Name: ____________________________________________________
School Head: _____________________________________________

TIMELINE RESPONSE ACTIONS

Before

During

0 - 24 hours

24 - 48 hours

3rd day - until lifting

of emergency
3rd day - until lifting
of emergency

After

Prepared by: Approved by:

Name Name
School DRRM Coordinators School Head

Copy Furnished: Division DRRM Coordinator