NSED Evaluation Form: Responses Yes No

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NSED Evaluation Form

SCHOOL
Date/Time:
Place of Drill:
Evaluator:
Location during the Drill:
Responses Yes No
1. Is the siren loud enough to be heard by all the drill participants?
If NO, please elaborate _________________________________
2. Did the drill participants practice the “Duck, Cover and Hold” technique during the Alarm
Phase (while the siren is being sounded)?
If NO, please elaborate _____________________________________
3. Did the drill participants
a. Evacuate during the Alarm Phase
b. Waited for the siren to stop before evacuating
c. Others, please specify ___________________________________
4. Did the drill participants, follow their designated routes to evacuation area?
If NO, please elaborate _____________________________________
5. Did the drill participants
a. Run
b. Walk casually
c. Walk faster than normal during the evacuation phase
6. Did the drill participants bring any first aid kit or any item noticeable during the
evacuation phase?
If NO, please specify ______________________________
7. Did the drill participants conduct the headcount phase?
If NO, please specify _______________________________________
8. Is the evacuation area big enough to accommodate the evacuees?
If No, please specify _______________________________________
9. Any other problem observed during the drill that might need to be addressed?
Please specify ____________________
10. How long did it take for all the drill participants to vacate the building and time to reach
the designated evacuation area? _______________________________________
11. Did the drill participants
a. Stay in the evacuation area
b. Move to other place
c. Go back to the building without instruction
d. Others, please specify _________________________________
12. Observed number of drill participants (estimate will do) ___________________
13. Any untoward incident observed during the drill?
_________________________________________________________________________
14. Have coordinated with the Local Disaster Risk Reduction and Management
Council?
15. Have conducted orientation on earthquake and discussed preparedness measures prior
to the actual conduct of NSED?
16. Have mapped-out personnel and/or learners information and contact numbers?
17. Have conducted post-evaluation of the drill?

Prepared by: Noted by:

____________________________________ ________________________________
School DRRM Coordinator School Head

Note:
 Have this report signed, scanned and send via email to [email protected] together
with some pictures

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