Annex 2.

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

TEMPLATE 3: HISTORICAL DATA ON DISASTERS

School Name: BANISILON CENTRAL ELEMENTARY SCHOOL

School ID:127051

EFFECTS ON:
AFFECTED POPULATION
INFRASTRUCTURE
Incident Name
Date of No. of Non-
Type of Incident No. of Instructional
Occurence Instructional No. WASH Facilities
No. of Learners No. of Personnel Classrooms
Classrooms

Minor Major Totally Minor Major Totally Minor Major

0 0

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.

Note: Dili ta mag declare sa dili property sa DepEd / government like makeshift
Kung atong area dili ka abot sa required area atong 2 storey building
Human induced like Bombing katy terrorism,
Gang , fraternity , robbingpeace and order

1
 Annex 2.1: Contingency Plan Template for School Version: 2 Date: 27 August 2019

EFFECTS ON:
NON-INFRASTRUCTURE

No. of Damaged Estimated Total

No. of Damaged No. of Damaged Other effects/damages
. WASH Facilities DepEd Cost of Damage
School Learning
Computerization
Furniture Resources
Project (DCP)
Totally
0 0 0 1000 50,000 Perimeter Fence