Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION

OPLAN LIGTAS NA PAMAYANAN

FIRE DRILL EVALUATION CHECKLIST
Barangay: ___________________________________ Date: _____________________
NAME OF PUROK/SITIO/
LOCATION OF DRILL
Number of Household Number of Families Number of Individuals
Participating Participating Participating
THE SCENARIO: (Discuss briefly the planned scenario for the drill)
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DRILL PHASES AND POINT CRITERIA YES NO N/A

1 INCIDENT/ ALARM PHASE
a Community leaders alarmed within 1 minute of notification of the fire.
b Fire Station Personnel Notified within within 1 minute of the fire.
c Neighbourhood alarmed immediately.
d Other law enforcing and security agency notified.
2 MOBILIZATION/RESPONSE PHASE
a Fire Command Center immediately established.
b CFAG/First responders present on the scene within 2-3 minutes.
c Fire fighting team present on the scene within 5-7 minutes.
d Traffic control mobilized and fire scene controlled.
e Tactical firefighting procedures performed.
Fire extinguished within pre-set time.
f
(The C/MFM sets the time coverage depending on the scenario)
g Responders performing opration withproper PPE and safety.
3 EVACUATION AND EMERGENCY MEDICAL OPERATION
a Evacuation clear of hazard and obstructions.
b Evacuation route properly marked and with signages.
c Evacuees able to reach the evacuation area unhurt and in order.
d Evacuees are well accounted for.
e Missing individual duly reported to IC.
f Presence of leadership and command during evacuation.
g Rescuers activated and performing.
h Proper extrication of trapped victims.
I Triaging area established and triage performed.
j Victims properly given emergency medical attention.
k Special person’s needs properly accommodated.
l Drill participants active and seriously participated in the drill.
4 DEMOBILIZATION
a Announcement of termination of drill.
b Critiquing, gaps and adjustments.

TOTAL
SCORING INTERPRETATION: 18-25 YES’s : EXCELLENT 9-17 YES’s : SATISFACTORY 0-8 YES’s : POOR
REMARKS:
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Acknowledged: Evaluator:

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Barangay Captain Evaluator/Inspector