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Earthquake Drill Evaluation Form: Department of Education Division of Bohol

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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
DIVISION OF BOHOL
City of Tagbilaran

“ANNEX 1”
EARTHQUAKE DRILL EVALUATION FORM
Date/ Time : June 20, 2019
Place of Drill : Cantam-is Elementary School
Evaluator : ________________________
Location During the Drill: School Ground

1. Is the siren loud enough to be heard by all the drill participants?


Yes/No If no, please elaborate _____________YES______________________
2. Did the drill participants practice the “Duck, Cover and Hold” technique during the Alarm Phase
(while the siren is being sounded)? Yes/No
If NO, please elaborate _______________YES_______________________
3. Did the drill participants a.) evacuate during the Alarm Phase b.) waited for the siren to stop
before evacuating c.) others, please elaborate _________________A_________________
4. Did the drill participants follow their designated routes to evacuation area?
Yes/No If NO, please elaborate _________________YES___________________
5. Did the drill participants a.) run b.) walk casually c.) Walk faster than normal during the
evacuation phase? Please specify a, b, or c_________________C_____________________
6. Did the drill participants bring any first aid kits or any item noticeable during the evacuation phase?
Yes/No If NO, please elaborate______________YES_______________________
7. Did the drill participants conduct the headcount during the headcount phase?
Yes/No If NO, please elaborate________________YES_____________________
8. Is the evacuation area big enough to accommodate the evacuees?
Yes/No If NO, please elaborate________________YES_____________________
9. Any other problem observed during the drill that might need to be addressed?
Please elaborate: _______SOME ARE JUST PLAYING__________
10. How long did it take for all the drill participants to vacate the building and time to reach the
designated evacuation area?__________________ALMOST ONE MINUTE________________
11. Did the drill participants a.) stay in the evacuation area b.) move to other place c.) go back to the
building without instruction? Please specify a, b, or c______________A_________________
12. Observed number of drill participants (estimate will do) ____________90_(90%)_________
13. Any untoward incident observed during the drill?________________NO_________________

Reference: DepED Order No. 48, s. 2012 QUARTERLY CONDUCT OF THE NATIONAL SCHOOL-
BASED EARTHQUAKE AND FIRE DRILLS

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