ANNEX 1 Survey Form ONLINE SURVEY ON THE EARLY PREPAREDNESS: ACTIONS FOR MAYORS OF THE OPERATION LISTO PROTOCOLS DISASTER PREPAREDNESS MANUAL FOR TYPHOON v.3. LGU Name 2 ASWQAr§ Province CES ; Date Accomplished: kY64 07% Instructions: Below are the series of codeslindicators indicating the LGUs early preparedness actions. The respondent will have to wite their corresponding answer on the box provided on the side of the codelindicator. You may respond with: 1 4-the said codefincicator is already present or already being executed in their respective levels; of ‘© Orifthe said codelindicator is yet to be executed or is not applicable in the said level. ‘Answer the unshaded codes/indicators ONLY. ‘CODE INDICATOR ANSWER] (Create and establish the following organizations in the LGU: [44 [Local Disaster Risk Reduction and Management Council (LDRRMC) TT [Pass an exo oer cresting te LORRNG 1 4.2 [Local Disaster Risk Reduction and Management Office (LORRMO) 424 |Pass an ordinance for the plantilla positions of an LDRRM officer and 3 ORRIO saf ac requred by RA. 0124 \ 73 |Ineldent Command System (ICS) 71.3.1_|Pass an executive order adapting an ICS i Pass an executive order requiring the LORRMO to assign or organize an 1.32 |Incident Management Team (IMT) withthe appropriate qualifications tohandle| | specific incidents 71.3.3 _|Pass an executive order assigning key positions in the IMT 1 1.34 | Conduct training on ICS for LDRRMC members. 14 [Community Disaster Volunteers 4141 Issue standard guidelines onthe accreditation of volunteers 1 [Pass an executive order establishing a Response Cluster System 1.5 following the Department of Social Welfare and Development (DSWD) F [Cluster System 1.5.1_[SRR- Security and Search, Rescue, and Retieval Page 1 of 8Health — with subctusters on Water, Sanitation and Hygiene (WASH); Psycho-| Socal otagraton (PS); Msp ae Sees (PS Nan coca a =e ae ‘Management reviewing the Barangay Disaster Risk Reduction and Management Plan aoe use fe custy eeurance too foe Quelty Assurance Byam |Contingency Plan (per hazard) Through an executive order, assign alam o prepare, update, and plan in the Comprehensive Land Use Plan (CLUP) and [Comprehensive Development Plan (COP) ae Dther assignments and task [Establish and designate an operation canter (OpCen) pa [Develop and disseminate a community and family guide for disaster preparedness and response (see Gabay at Mapa i annex)Sesion ot nae of aban Se nates ny eenpeey eANRONW OF RAHAT YN Tesi HMMA a ation a the Trai Management Gite (0 da tl oak ky A A AN Heantetion a on oma gos A a — [ee isk reotionschate change adaptation (0 [8.88 [Contact regular decking of canny 0) Sno a RR TTT PI [a Penis a TT — Page 8048iduct Training ORR Gf ee [DRRM Office Personnel ‘2.Bulld Competencies unum cone) INDICATOR [24 [Contact ag JDRRM Office Competency Building and Development incident Command System [LORRM Planning [LCCAP Planning [Community-Based Monitoring System /Allance Building Risk Assessment [Pre-Disaster Risk Assessment [Public Service Continuity Plan [Basic Life Suppor [Contingency Plan Formulation Hazard Mapping [Security, Law, and Order, SRR Personnel [Flood and Swift Water [Search and Rescue High Angle Search and Rescue Operation Emergency Response Law Enforcement [Mountain Search and Rescue incident Command System [Basic Life Support Health Personnel [Basic Life Suppor, First Aid Training [Advanced Life Support [Emergency Medical Technician - Basic and Advanced Training Disaster Risk Reduction and Management-Hospital Planning Health Emergency Response [Mountain Search and Rescue incident Command System Hazardous Materials Handling [Minimum Initial Service Package (MISP) for Sexual and Reproductive Health [Training (ASH in Emergencies Nutrition in Emergencies Mental Health and Psychosocial Support (MHPSS) ERT Plelel-ri-lel-} |e} -lel-l-]-l-F | FIcl-lel-l-ey-I-}-1- li ‘Coordination and Camp Management Personnel Pages of 8214.1 _ [Gender and Development Sensilive Camp and Coordination 2 Incident Command System 244.3 [Basic Lite Support 2.144 _ [Mental Health and Peychosodal Suppor [241.6 _|Personnel for Management of the Dead and Missing 2.1.5.1 Tincident Command System 21.5.2 [Management ofthe Dead and Missing 2.4.5.3 [Emergency Medical Technician [Warehouse Management Financial Management [2.1.6.3 [Logistics Management [2.4.64 [Supply Chain Management [2.1.6.5 [inventory Management lincident Command System [Communication and Public Awareness Personnel [Basic Orientation on Community-Based Disaster Risk Reduction and [Management (CBORRM) Hb b lolol, a [Climate and Disaster Risk Assessment (Hazard and Risk Assessment) [Climate and Weather Forecast [Early Waming Systems and Monitoring infrastructure Audit [Risk Communication [Media Relations [Rapid Damage Assessment and Needs Analysis [Post-Disaster [Assessment and Needs Analysis Page SofINDICATOR |ACQUIRING RESOURCES FOR SECURITY, LAW AND ORDER, SEARCH |AND RESCUE, MANAGEMENT OF THE DEAD AND MISSING, CLEARING, [Tasks the Supplies column) Instruct the LORRM office to purchase disaster response resources (refer fo Instruct the punong barangays to ensure that every household has an lemergency balde or kt (see emergency balde in annex) Direct the city o municipal socal welfare and development office (CIMSWDO) to pack relief goods and to prepare community kitchen supplies fand equipment borrowing a mobile community kitchen from organizations during or in the [aftermath of disasters Direct the administrator to coordinate with LDRRM offices in purchasing or \ \ | \ Instruct the LORRM office to prepare the needed supplies, equipment, and stockpile (efer to the Supplies column) \ (Supplies: First aid kits, medicines, vaccines [Cadaver bags - minimum of 50 pes Face masks [Gloves [Caution tape Registration logbook Pens [Sanitation kits [Cooking kits | [Cotimoxazole, amoxicilin, mefenamic acid, paracetamol, ofeso, lagundi and [skin ointment (CAMPOLAS) [Trauma kits ]WASH requirements (biohazard trash bags) [Clean delivery kits (emergency birthing kits) Dignity kits for women Page 6 of 8Backhoe, grader, Wactor, scoop Loader, bulldozer [orin [Concrete cutter [Defibriiator and nebulizer lLadders [Floodlight [Stretchers and spine boards [Siren [Megaphone Whiste Feta ee OPS ee aroha conmaneaintoo | [Ropes and throw bags [Searchlight [Protective gears: helmets and fe vests aha { fi [Bolo, shovels [8316 Rt pnp} i 6 l 1 1 { 1 T i: < 1 \ 1 T Water treatment ko unit [Baricade [Assistive materials: wheelchairs, crutches Water rescue kit: rope, floatation ring, ie jacket Reflectorized vests [Extrication kts [Standby vehicles [Megaphone [Whistle [Two-way radio and other communication equipment [Flashlight and extra batteries [Tents temporary shelters) Portable generator, solar-powered panels [Water pump [Water tank storage, bladder x [Portable water purifier \ [Stockpile [Batteries | [Potable water Portable generator, solar-powered generator, flashlights |Food packs: rice, canned goods, noodles, ready-to-eat meals (minimum of 10% of population at risk, good for 3 days) i [Tires for emergency vehicle U Fuel and gasoline (in coordination with the Bureau of Fire Fuel and gasoline |_| (in coordination with the Bureau of Fire {Clean delivery kits (emergency birthing kits) Dignity kts for women 0 Page 7of 8First aid kit, medicines = Teady-to-eat meals Hygiene kit soap, eh * Shampoo alcoho, forant ol, toothbrush, [Sanitation tig alcoho, toothbrush, Clothing jacket, 5 = ancoat, hard hat books a 1 1 To T ACQUIRING o Eg OMMUNICATION AND PUBLIC AWARENESS Instruct the LORRM off > 3244 ice, cty or municipal engineer, and administrator to cobra Necessary early waming equpmern ees nie Sumaice umn) 8221 [Rain gauge (coordinate win PAGASA) \ 8.2.2.2 [Water level marks \ 3223 |Wind vane 1 82.24 [Bells (use oflocal resources such as church bels bak) advisable) N Centralized hotine operated and monitored by the command center (must 32.26 a | use 911 as the emergency hotline number 322.6 [Satelite phones © 322.7 Vehicles \ 3.2.2.8 [Siren, batingaw \ [3.2.2.9 [Visible warning signs (color-coded flags) 8 [3.22.10 [Centralized hotline 4 82.2.1 [Centralized hotine \ [3.2.2.12 Telephone, fax machine, intemet connection [3:22.13 [Megaphone [Two-way radio, GPS device, and other Two-way radio, GPS device, and 32.214 |e. [3.2.2.48 [Flashlight and extra batteries 323.4 [Batteries [322.16 [Transistor radio al \ 32.3.2 [Potable water [3.2.3.3 [Portable generator, solar-powered generator [32.34 _ [Flashlights Remarks: Page 8 of