EARTHQUAKE DRILL EVALUATION FORM RRMC
Title: (N) Q.uarter NSED (Year) Name of Agency/ Organization LGU
Place cf Drill Name of@CG: " ""
L.
Date of Date of Drill:
Duration of Drill:
l otal Number of Participants:
If you think that your response
Quantitative assessment of EQ drill . Rate the following parameters” with one"
needs to be qualified. please
( IQ being the lowest and five (5) being the highest.
' fill-up the column below.
COMMENTS and
y ENERAL EVALu A:n 1 2 3 4 5
OBSERVATIONS
N
1 1. The PaRT! gh to be
d
heard by all drill part\crpants_
and hold ' terf\niqtJe clr›ring the Alarm Phase or
i while the alarm s stem is being sounded
3. The drill participants waited for the alal m
system to stop before evacuating.
' buddy’ sys!ens during the e' acuation phase
5 he drill participants walked faster than nurmal
during the evacuation phase
C The drill participants followed their evacuation
rcutes to the evacuation area/s.
7 The drill participants covered their heads while
vacating the Uuilclirrg.
8. The participants checked for any sustained
l i\ jury in the evacuation/ assembly area/s
was conducted while in the
area,
taatd in the evacuation area
ur\tiT e dai ictpaner
— - —— -—
Evaluation of the Disaster Control Group
11. The“lncident Commander established
I
13 The Search ancl Rescue Team was ' """
ePiciently organized in responding to the
incident.
14. The Fire Safety/ Brigade Team
demc›nstrated proper fire suppression.
1 15 The Evacuation Team properly executed
the evacuation procedures.
16. The Site Security Team adequately
secured the perimeter for the drill areas
17.
I The Maintenance Team observed
protocols in ensuring the building safety
18 before re-entering
The Communication utilized the
equipment properly dr›ring coordination
19 and execution of response operations
The J”ransportation team ensured the
availabilit of vehicles
20 The Relief Team coordinated"with LGU I
to secure relief requirements.
GRA D%TAL/OVER ALL RATING
RATING SCALE
90-100 points OUTSTANDING 6049 points FAIR
80-89 points VERY SATISFAGTOR Y 59 & below NEEDS IMPROVEMENT
70-79 points SATISFACTOR Y
PART II- RECOMMEhIDATlOhI/S:
Conforme:
Evaluator Signature over Printed Name
Signature over Pnnted Name
Agency Represented
Designation
Landline and Mobile Numbers
E-mail Address