<NAME OF AGENCY/ORGANIZATION>

Contingency Plan for

<HAZARD>
As of <DATE>

1
 CHAPTER I. BACKGROUND

A. Introduction

<Sample introduction>
Municipality X is one of the 17 municipalities that comprise the Province Y. It has a land area of
6,731 hectares comprising 3.63% of the land area of the province. It is approximately 76 road
kilometers from Municipality Z, the capital town of Province Y, 237 road kilometers from City V, 12
hours sea travel and 45 minutes air travel from Metropolis and other prime cities in the country.

Classified as 1st class and basically a tourism municipality, Municipality X is where the world-
famous Island Bae is located. It became a municipality on December X, 19XX by virtue of Republic
Act XXXX. It is comprised of 14 barangays where 3 of which are located in Island Bae.

Of the 14 barangays of the municipality, the three (3) most populated barangays are: Barangay A
with a population of 12,526 followed by Barangay B with 11,076 people and Barangay C with a
6,593 people.

The projected population of Municipality X for 20XX is at 60,000 with 15,000 households. Its
population density is 720 persons/square kilometer on average. Island Bae has higher density of
2,836 persons/square kilometer. Municipality X has a diverse culture, religion and dialect brought
about by its popular tourism industry patronized by varied provinces and foreign countries. The
population growth rate of Municipality X is at 6.45% per annum, the highest in the region.
Indigenous people are comprised of the Local Ati.

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B. Hazard Analysis

CP Form 1: Hazard Analysis

HAZARD PROBABILITY IMPACT AVERAGE RANK

PROBABILITY + IMPACT
RATE REMARKS RATE REMARKS 2

<Describe the results of the accomplished form.>

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C. Hazard to Plan for: <Insert hazard that ranked as number one in CP Form 1>

CP Form 2: Anatomy of the Hazard

HAZARD TO PLAN FOR

EXISTING
ROOT CAUSES EARLY WARNING SIGNS TRIGGERING FACTORS
MITIGATING MEASURES

<Describe the results of the accomplished form.>

4
D. Scenario

CP Form 3A: Scenario Generation for Natural Hazard

PARTICULARS BAD WORSE WORST

(CAN BE CUSTOMIZED)

General Description of Event

No. of Affected Individuals

No. of Dead
No. of Injured
No. of Missing
EFFECTS
Communication
Power/ Electricity
Transportation
Environment
Response Capabilities
Government Trust
Others_________
Others_________
Others_________

<Describe the results of the accomplished form.>

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 CP Form 3B: Scenario Generation for Human-Induced Hazard

PARTICULARS MOST LIKELY BEST WORST

(CAN BE CUSTOMIZED) (NORMAL ACTIVITIES) (WITH COUNTER-MEASURES)

General Description of Event

No. of Affected Individuals

No. of Dead
No. of Injured
No. of Missing
EFFECTS
Communication
Power/ Electricity
Transportation
Environment
Response Capabilities
Government Trust
Others_________
Others_________
Others_________

<Describe the results of the accomplished form.>

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 CP Form 4A: Affected Population

DISPLACED POPULATION
NO. OF INDIVIDUALS (FOR LOCAL GOVERNMENT UNITS ONLY)
AREA/ LOCATION
AFFECTED NO. OF INDIVIDUALS INSIDE NO. OF INDIVIDUALS OUTSIDE REASONS FOR
EVACUATION CENTERS EVACUATION CENTERS DISPLACEMENT

TOTAL

<Describe the results of the accomplished form.>

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 CP Form 4B: Breakdown of Affected Population

BREAKDOWN
NO. OF (FILL-UP ONLY WHEN APPROPRIATE)
AREA/ INDIVIDUALS CHILDREN ELDERLY PERSONS WITH WITH PREGNANT OTHERS
INFANT ADULT
AFFECTED (0-11 MONTHS)
(17 YO &
(18-59 YO)
(60 YO & DISABILITY SICKNESS WOMAN
LOCATION BELOW) ABOVE) (PWD)
M F M F M F M F M F M F M F

TOTAL

<Describe the results of the accomplished form.>

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 CHAPTER II. GOALS AND OBJECTIVES

A. Goal

<Sample goal statement>

The goal of the contingency plan is to provide effective, efficient, timely and well-coordinated
response mechanisms in the event of the occurrence of typhoon in Municipality X. Such
mechanisms shall help to protect lives, properties and the environment, and restore the immediate
needs of the affected communities.

B. General Objective(s)

<Sample objectives>
The general objectives of the contingency plan are as follows:
1. To ensure the protection of lives and properties in the event of typhoon in Municipality X;
2. To determine the immediate needs and the resources that will meet the needs in the event
of typhoon;
3. To establish coordination and linkages between and among the stakeholders of Municipality
X in the event of the typhoon.

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 CHAPTER III. RESPONSE ARRANGEMENTS

A. Response Clusters

CP Form 5: Cluster Identification

AGENCIES/OFFICES INVOLVED
(NUMBER OF FIELDS CAN BE INCREASED OR REDUCED)
RESPONSE CLUSTER LEAD AGENCY/OFFICE

10
<Summarize the results of CP Form 5 here>

RESPONSE CLUSTER LEAD AGENCY/ OFFICE MEMBER AGENCIES/OFFICES

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 RESPONSE CLUSTER _______
IMPLEMENTATION PLAN

<One Implementation Plan per Response Cluster>

Lead:

Members:

Scenario:

<Sample scenario: Search, Rescue and Retrieval Cluster >

Typhoon makes landfall in Municipality X, Province Y. This leads to the occurrence of flooding,
landslides and storm surges in the municipality. The strong winds uproot trees and topple down
electric posts and telecommunications facilities. Roads and bridges are rendered impassable for
a certain period of time. There are projected 400 deaths, 10,000 injuries and 500 missing persons.
Some are reported to be trapped in their respective homes due to the flooding. Furthermore, a lot
of families need to be transported to evacuation centers. While the local responders are already
deployed, majority of them and their families are victims themselves. Furthermore, debris is all
over the area making SRR operations difficult to perform.

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Objectives:

<Sample Objectives: Search, Rescue and Retrieval Cluster >

1. To ensure the safety and security of the response teams deployed by the SRR cluster;
2. To ensure timely, effective and efficient conduct of SRR operations;
3. To facilitate and assist in the retrieval, identification and proper management of human
remains

Roles and Responsibilities:

<Sample roles and responsibilities: Search, Rescue and Retrieval Cluster>

1. Organize and deploy self-sufficient and capable response teams to conduct SRR;
2. Provide resource augmentation, to include manpower and equipment, to other areas as
needed;
3. Coordinate with the other clusters for the resource needs of the SRR teams;
4. Consolidate all the activities made by the response teams into one cluster report

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Response Activities

CP Form 6: Response Activities

RESPONSE CLUSTER

TIMEFRAME RESPONSE ACTIVITIES RESPONSIBLE AGENCIES/OFFICES

D_____

D_____

D_____

D_____

D_____

D_____

D_____

<Describe the results of the accomplished form.>

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Resource Inventory

CP Form 7: Resource Inventory

RESPONSE CLUSTER
AGENCY/OFFICE RESOURCE QUANTITY REMARKS

<Describe the results of the accomplished form.>

15
Resource Projection

CP Form 8: Resource Projection

RESPONSE
CLUSTER
GAPS ACTIVITIES/ SOURCES COST ESTIMATES SOURCE OF FUNDS
RESOURCE NEED HAVE (FILL-UP ONLY WHEN (FILL-UP ONLY WHEN
(NEED – HAVE) TO FILL THE GAPS APPROPRIATE) APPROPRIATE)

TOTAL

<Describe the results of the accomplished form.>

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Resource Gap Summary

CP Form 9: Resource Gap Summary

RESPONSE CLUSTER TOTAL RESOURCE GAPS TOTAL COST ESTIMATES

TOTAL

<Describe the results of the accomplished form.>

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B. Emergency Operations Center

CP Form 10: Emergency Operations Center

LOCATION
CONTACT INFORMATION
Primary Alternate
Landline: Satellite Phone:

Mobile: Radio Frequency:

Email Address: Others:

Social Media:

Others:
EOC MANAGEMENT TEAM
POSITION NAMES AND AGENCY/ CONTACT INFORMATION
(CUSTOMIZE AS APPROPRIATE) OFFICE/ ORGANIZATION (PRIMARY AND ALTERNATE)
(PRIMARY AND ALTERNATE)
EOC Manager

Operations Coordinator

Planning Coordinator

Logistics Coordinator

Finance/ Admin
Coordinator

Others___________
Others___________
Others___________

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C. Incident Command System

CP Form 11: Incident Command System

ICS FACILITIES
FACILITIES LOCATIONS
(CUSTOMIZE AS APPROPRIATE)
Incident Command Post
Staging Area
Base
Camp
Helispot
Helibase
Others___________
Others___________
Others___________
INCIDENT MANAGEMENT TEAM
POSITION NAMES AND AGENCY/ CONTACT INFORMATION
(CUSTOMIZE AS APPROPRIATE) OFFICE/ ORGANIZATION (PRIMARY AND ALTERNATE)
(PRIMARY AND ALTERNATE)
Incident Commander

Public Information Officer

Liaison Officer

Safety Officer

Operations Section Chief

Planning Section Chief

Logistics Section Chief

Finance/Admin Section
Chief

<Describe the results of the accomplished form.>

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D. Interoperability

<Sample flow chart for interoperability of Response Clusters, EOC and ICS>

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 CHAPTER IV. ACTIVATION

<Use flow chart to describe CP activation and deactivation>

Non-Activation

<Indicate if the CP will be maintained as a continuing plan or will be integrated in the overall DRRM
plan when not used.>

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 Sample CP Activation Flow Chart for Typhoon

START

PAGASA
forecasts
Typhoon

DRRMC
conducts
PDRA

Typhoon makes
landfall. DRRMC
conducts RDANA
1
2

EOC on red Yes Activate No EOC on blue

alert status contingency
alert status
plan?

RO convenes Responders
the clusters at conduct normal
the EOC 3
operations using
ICS

RO mobilizes and
deploys IMT Clusters provide
continuous support
to responders
Clusters and IMT
operate based on
contingency plan No
Situation
3
normalize
No d?
Situation
improved? 1 Yes

IC recommends
Yes demobilization

IMT recommends
deactivation of RO approves recommendation
contingency plan for demobilization

RO directs deactivation Responders and clusters demobilize.

of contingency plan Clusters for early recovery operate.

2 EOC returns to white

status

END

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Sample CP Activation Flor Chart for Planned Event

START

DRRMC activates
contingency plan

EOC on red alert

status

RO convenes the
clusters at EOC

RO mobilizes and
deploys IMT

Clusters and IMT

operate based on
contingency plan

No
Planned
event
ended?
Yes

IMT recommends
deactivation of
contingency plan

RO directs deactivation
of contingency plan

IMT, responders and

clusters demobilize

OpCen on white
alert status

END

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 ANNEXES

Working Group

Purpose:

<Sample purpose statement>

The Working Group will be responsible for the refinement, finalization, testing, evaluation,
packaging, updating and improvement of the CP.

Duties and Responsibilities:

<Sample duties and responsibilities>

1. Facilitate the refinement and finalization of the CP to include testing, evaluation, packaging,
updating and improvement;
2. Develop work plan for the completion and updating of the CP;
3. Organize consultation meetings with the planners and relevant technical experts regarding
the development of the CP; and
4. Facilitate the presentation and endorsement of the CP to the authorities for comments and
approval.

Members:

Head :

Facilitator :

Secretariat :

Cluster Representatives :

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