SCHOOL EARTHQUAKE/FIRE DRILL REPORT OUTLINE

I. School Details
School ID: School Name:

School Head: School Head

Mobile Number:
Number of Male Number of
Teaching Female Teaching
Personnel: Personnel:
Number of Male Number of
Non-teaching Female Non-
personnel: teaching
personnel:
Number of Number of
Enrolled Male Enrolled Female
Students: Students:

II. Date of Earthquake Drill: ________________________________

III. Written Scenario
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

IV. School Evacuation Plan or Escape Route

V. Activities conducted prior to the conduct of Earthquake/Fire Drill

1. ______________________
2. ______________________
3. ______________________
4. ______________________
5. ______________________

VI. Total Number of Persons Participated

How many students participated?
How many non-teaching and
teaching personnel participated?
Total:
VII. Government Agencies Involved
1. _______________________
2. _______________________
3. _______________________

VIII. Strengths, Weaknesses, Recommendations, Opportunities

Strengths Weakness
1. _______________________ 1. _______________________
2. _______________________ 2. _______________________
3. _______________________ 3. _______________________
4. _______________________ 4. _______________________
5. _______________________ 5. _______________________

Recommendations (from the Opportunities (What do you have

evaluators) in your community that can help
address the recommendations?)

1. _______________________ 1. _______________________
2. _______________________ 2. _______________________
3. _______________________ 3. _______________________
4. _______________________ 4. _______________________
5. _______________________ 5. _______________________

IX. Attachments
a. Accomplished Earthquake or Fire Drill Evaluation Forms
b. RADaR Forms 1 and 2
c. Minutes During the Giving of Feedbacks (including attendance sheet
of those present during the Giving of Feedbacks)