Annex 2.

1: Contingency Plan Template for School Version: 2

Date: 27 August 2019

TEMPLATE 1: BASELINE DATA ON INFRASTRUCTURE AND NON-INFRASTRUCTURE

School Name:_ BACULOD ELEMENTARY SCHOOL

School ID: 103198

INFRASTRUCTURE NON-INFRASTRUCTURE
No. of Classrooms
No. of Furniture
No. of DepEd
Type of Building Year Current Status of No. of No. of Learning
Source of Funding Computerization
Constructed Building Instructional rooms Non-instructional Blackboards Teacher’s Resources
Package (DCP) Arm Chair Desk Chair Teacher’s Table
(Acad/Non-acad) rooms Chair
Canteen 2011 DepEd Need minor repair 1
PTA Building DepEd Need minor repair 1
Bagong Lipunan 1975 DepEd condemned 2 2 59 3 2
Gazebo DepEd Good 1
DPWH Building 2002 DepEd Need minor repair 1 1 9 20 1 1
Communal Comfort Room DepEd Need major repair 2
Make Shift Building 2006 LGU Need minor repair 1 1 37 1 1
Gazebo DepEd Good 1
SEF, LGU Building LGU Need minor repair 1 1 39 1 1
Gazebo DepEd Good 1
DY Building 2003 LGU Need minor repair 2 2 56 4 3
FFCCII Building 2006 PRIVATE SECTOR Need minor repair 1 2 1 38 2 2
Gazebo PTA FUNDS Need minor repair 1
Good 1
TOTAL

Prepared by: Noted by:

SHELLA MAY A. DELA PENA ERNESTO M. APOSTOL
DRRM COORDINATOR School Head

Instructions:
This template should be filled-out by the Property Custodian.
Type of Building - include all types of builing like Marcos Type, Bagong Lipunan School Building (BLSB), Gabaldon, JICA Building, PPP Building, etc.
Year Constructed - specific year when the building was constructed
Source of Funding - includes all sources of funds (e.g. DepEd, LGU, Private Donors, others - specify)
Current Status of building - includes dilapidated, for repair, for demolition, etc.

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Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019

TEMPLATE 2A: BASELINE DATA ON LEARNERS

School Name:PINOMA ELEMENTARY SCHOOL

School ID:___103239

Number of Learners
(As of September 10, 2020 )

Grade Level Number of Learner with Disability

Male Female Total
Others
Visually Hearing Learnng Intellectual
(Please
Impaired Impaired Disability Disability
specify)
KINDER 46 32 78 0 0 0 0 0
GRADE 1 46 29 75 0 0 0 0 0
GRADE 2 48 40 88 0 0 0 0 0
GRADE 3 49 48 97 0 0 0 0 0
GRADE 4 37 36 73 0 0 0 0 0
GRADE 5 34 39 78 0 0 0 0 0
GRADE 6 37 43 80 0 0 0 0 0
GRAND TOTAL 302 267 569 0 0 0 0 0

Prepared by: Noted by:

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Leaners - It should be based on the current enrollment of the school of the current year.
Number of learner with disability - Add more column depending on the data of disability of the school.
Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019
TEMPLATE 2B: BASELINE DATA ON PERSONNEL

School Name:PINOMA ELEMENTARY SCHOOL

School ID:103239

Number of Personnel
(As of S.Y. 2019-2020)

Teaching Personnel Non-Teaching Personnel

No. of Person with Disability No. of Person with Disability

Male Female Total Male Female Total
Others Others
Visually Hearing Visually Hearing Others Others
(Please (Please
Impaired Impaired Impaired Impaired (Please specify) (Please specify)
specify) specify)
3 15 18 0 0 0 0 0 0 0 0 0 0 0

Prepared by: Noted by:

VALENTIN C. CERENO JR. REAYNALDO A. SIMPLE

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Personnel - It should be based on the current enrollment of the school of the current year.
Number of person with disability - Add more column depending on the data of disability of the school.
Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019
TEMPLATE 3: HISTORICAL DATA ON DISASTERS

School Name:PINOMA ELEMENTARY SCHOOL

School ID:103239

EFFECTS ON:
AFFECTED POPULATION
INFRASTRUCTURE NON-INFRASTRUCTURE
Incident Name
Date of No. of Non- No. of Damaged Estimated Total
Type of Incident No. of Instructional No. of Damaged No. of Damaged Other effects/damages
Occurence Instructional No. WASH Facilities DepEd Cost of Damage
No. of Learners No. of Personnel Classrooms School Learning
Classrooms Computerization
Furniture Resources
Project (DCP)
Minor Major Totally Minor Major Totally Minor Major Totally
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE

Remarks: Data is based on historical RADaR reports and other official documents

Prepared by: Noted by:

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM Coordinator School Head

Instructions:
This template should be accomplished by the SDRRM Team and School Head.
Incident Name - specific name of the hazard or disaster (e.g. TY Ompong, TD Ineng, Magnitude 6.5 Earthquake in San Julian, Eastern Samar).
Type of Incident - choose among the following: Tropical Cyclone, Armed Conflict, Fire, Landslides, Earthquake, Volcano Eruption, Others (please specify).
Date of Occurrence - specific date when the incident happen.
Affected Population - based on the existing or historical record of the school visa via the date of occurrence of the incident.
Infrastructure ad Non Infrastructure - quantity of damage per incident.
Instructional classrooms - includes all academic rooms used by the learners.
Non-instructional classrooms - includes all non-academic rooms like Canteen, Library, Faculty Room, etc.
DCP - it should be per computer set (if possible).
Estimated Total Cost of Damage - based on the existing and historical record of the school.

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 Version: 2
Annex 2.1: Contingency Plan Template for School Date: 27 August 2019

TEMPLATE 4: HAZARD PRIORITIZATION

School Name: PINOMA ELEMENTARY SCHOOL

School ID:103239

Probability Impact Average

Hazard Rank
Rate Remarks Rate Remarks (P+I)/2
TROPICAL CYCLONE 5 likely 4 MINOR 4.5 1
EARTHQUAKE 3 unlikely 2 negligible 2.5 2

Prepared by: Noted by:

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM Coordinator School Head

Instructions:
This template should be accomplished by the SDRRM Team with the School Head.
Hazard - List all the possible hazards that may affect your schools and divisions. (e.g. flood, tropical cyclone, armed conflict, fire, earthquake, etc.)
Rate the probability using the below scale. Indicate the important details on hazard occurrence in the Remarks Column.

Rate the Impact column based on the possible scale below. Indicate important details in the Remarks column.

Average - calculate by adding probability and impact and divide by two.

Rank - rank the hazards with the highest average as 1, the second highest average as 2, and so on. The highest average will be the priority for Contingency Planning.
 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019

TEMPLATE 5: SCENARIO BUILDING

School Name: PINOMA ELEMENTARY SCHOOL

School ID: 103239
Hazard: TROPICAL CYCLONE

SITUATION BAD WORSE WORST

DESCRIPTION OF EVENT

damaged of facilities
IMPACT ON HUMAN LIVES
No. of Death/s 2 5 8
No. of Injury/ies 3 5 8
Percentage of Displacement/s 2% 5% 8%
AFFECTED POPULATION
No. of Learners 567 567 567
No. of Teaching Personnel 18 18 18
No. of Non-teaching Personnel 0 0 0
EFFECTS ON
Learners 5% 8% 10%
Teachers 5% 8% 10%
Educational Continuity 5 10 15
Instructional Classrooms 5 10 15
Non-instructional Classrooms 5 10 15
WaSH Facilities 5 10 15
Perimeter Fence and Gate 3 5 8
School Furniture 5% 10% 15%
Books and Instructional Resources 5% 10% 15%
DepEd Computerization Packages 5% 10% 15%
Power Lines 5% 10% 15%
Water Utilities 5% 10% 15%
Roads and Bridges 5% 10% 15%

Prepared by: Noted by

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM COORDINATOR PRINCIPAL III

Instructions:
This template should be accomplished by SDRRM Team with the School Head.
Description of the Event - provide brief descirption of the hazard. (How it will occur?).
Impact on human lives - Based on the capacity of the school, the team should estimate
the number or percentage of the death, injury and displacements. It can also based
from the LGU Contingency Plan.
Affected population - Based on the current data or existing records of the school.
Effects on - Based on the capacity of the school, the team should provide brief
statements of the following items (answerable by what). It can also based from the
LGU Contingency Plan.
Annex 2.1: Contingency Plan Template for School Version: 2
Date: 27 August 2019
TEMPLATE 6: CAPACITIES AND VULNERABILITIES

School Name:PINOMA ELEMENTARY SCHOOL

School ID: 103239

Key Areas for

Details Capacities Gaps Vulnerabilities
Preparedness
Risk Understanding 1. Understanding of Hazards and its
characteristics
2. Conduct of Risk Assessment
physical planning,
Emergency LACK OF SEMINARS lack of Implementation
3. Planning and undertaking actions based on preparedness
risk assessment results

Contingency Plan and 1. Contingency Plan

Dissemination

IMPLEMENT
2. IEC PREPAREDNESS LACK OF FUND Lack of Planning
ACTION

EARLY WARNINGS
Communication 1. Understanding of advisory including warning
COORDINATION AND
signals
INFORMATION
2. Understanding and implementation of DO 21 MANAGEMENT LACK OF FUND
s.2015 PROTOCOL, through
3. Equipment Cellphone
Coordination 1. Division Office
PROVIDE GUIDANCE
2. P/M/CDRRMC FROM DIVISION AND
3. LGUs CAPACITATE THE LACK OF FUND
4. Partners DRRMO
5. DepEd CO COORDINATORS
Monitoring 1. Monitoring of ESTABLISHED
preparedness/contingency PREPAREDNESS
plan of school DURING DISASTER

LACK OF FUND
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Annex 2.1: Contingency Plan Template for School
Monitoring Version: 2
Key Areas for Date: 27 August 2019
Details Capacities Gaps Vulnerabilities
Preparedness
2. Monitoring of hazard
situation, including
communicating with
CONTINGENCY
school officials, district/division office and LGU
PLANNING AT THE
LOCAL LACK OF FUND
3. Monitoring RADaR
completion, validation and
submission to Central COMMUNICATION
Office PLAN
4. Monitoring of
implementation of support PLAN FOR RISK
for learning continuity REDUCTION

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Annex 2.1: Contingency Plan Template for School Version: 2
Key Areas for Date: 27 August 2019
Details Capacities Gaps Vulnerabilities
Preparedness
5. Tracking of Learners and personnel
COMMUNICATION
6. Transportation PLAN

Convergence 1. Interface among offices within the school

2. Existence of DRRM Team

COMMUNICATION
LACK OF FUND
3. Command System PLAN

4. Twinning with other divisions

Support for Learning 1. Implement and monitor Temporary Learning

Continuity Spaces (TLS) LACK OF FUND
2. Buffer stocks for learning materials
3. Alternative Delivery Modes Lack of proper
NONE LACK OF FUND
4. Psychosocial Support implementation
5. Emergency School Feeding
6. Learner's Kits

the school has water

7. Teacher's Kits sanitation, and LACK OF FUND
8. Hygiene kits learning materials
9. Provision of Water Sanitation and Hygiene
services
10. Updated disaggregated data on learners and
master list of students in school and alternative Learners profile are
learning schools (ALS) available LACK OF FUND
11. Clean up drives
PARENTS, BARANGAY
OFFICIALS LACK OF FUND
12. Signed memorandum of agreement (MOA)
with private enterprises for emergency purchase

NONE LACK OF FUND

Support for Schools 1. Signed memorandum of agreement (MOA)
used as Evacuation between LGU and school on the use of schools as
Centers evacuation center including the roles and
responsibilities of both institutions;
NONE LACK OF FUND

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Support for Schools
used as Evacuation
Centers 2.1: Contingency Plan Template for School
Annex Version: 2
Key Areas for Date: 27 August 2019
Details Capacities Gaps Vulnerabilities
Preparedness
2. Repair, maintenance and replacement of
schools identified as evacuation center by the
LGU AVAILABLE LACK OF FUND

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Support for Schools
used as Evacuation
Centers

Annex 2.1: Contingency Plan Template for School Version: 2

Key Areas for Date: 27 August 2019
Details Capacities Gaps Vulnerabilities
Preparedness
3. Resumption Strategies including assessment
of readiness of the schools LACK OF FUND
4. Establish functional referral pathways to
respond to child protection concerns using the
existing PNP and DSWD operational guidelines
LACK OF FUND
8. Feedback mechanism to report gaps in the
delivery of services, grievances and other needs
to improve education interventions
LACK OF FUND
9. Twinning of schools for teacher-volunteers for
deployment in the affected schools that need
additional volunteers LACK OF FUND
10. LGUs preposition additional Temporary
Learning Spaces (TLS) LACK OF FUND
Drills 1. Regular conduct of drills
QUARTERLY
EARTHQUAKE DRILL LACK OF FUND
2. Existence of protocols – command system, COORDINATE THE
evacuation route, safe place, family reunification ALLOCATION OF
EVACUATION
CENTER LACK OF FUND
3. Coordination with and participation of
parents, relevant agencies and partners during COORDINATE WITH THE LGU
drills LACK OF FUND
Fund Sources the school collect
donations from
stakeholders LACK OF FUND

Prepared by: Noted by

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM COORDINATOR PRINCIPAL III
Instructions:
This template should be accomplished by SDRRM Team with the School Head.
Each item should include brief explanation of the school current activities or programs.
Capacities - include the strengths, attributes and resources available within school to manage and reduce disaster risks and strengthen resilience.
Gaps - challenges and/or problems incounter by the school that affects the capacity to respond during emergencies.
Vulnerabilities - it can be determined by physical, social, economic and environmental factors or processes which increase the susceptibility of an individual, a community, assets or systems to the impacts o

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 Version: 2
Annex 2.1: Contingency Plan Template for School Date: 27 August 2019

TEMPLATE 6.2: CONFLICT ANALYSIS: STAKEHOLDER ANALYSIS – POSITIONS, INTERESTS, NEEDS

School Name: _______________

School ID: _______________________

Actors Positions Interests Needs Means of Influence/Power Willingness to Negotiate

Remarks: Fill-up only when the top priority hazard is armed conflict.

Prepared by: Noted by

________________________________ __________________________________
School Head

Instructions:
This template should be accomplished by SDRRM Team with the School Head.
Actor - groups involved in the armed conflict (e.g. AFP/PNP, NPA, BIFF), which include groups which are secondary and tertiary players in the
conflict (i.e. not directly involved, but affected by the conflict like learners and school personnel)
Positions - what the actors say they want
Interests - what the actors really want
Needs - what the actors must have
Means of Influence/Power - sources of power and influence (e.g. resources like money, land, arms, networks, political power) that the actor has and uses in the
conflict to attain their positions, interests, and needs
Willingness to Negotiate - openness of the actor to talk, settle the conflict, and reach an agreement
 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019
TEMPLATE 7: RESOURCE INVENTORY AND NEEDS PROJECTION

School Name: PINOMA ELEMENTARY SCHOOL

School ID: 103239
Hazard: Tropical Cyclone

A. Human Resources
Projected Needs
(e.g. training needs) Possible sources
Write N/A if not needed of funding
No. of
Capacity (MOOE, SEF,
Human Resources staff/persons Timeline
(certifications, skills, etc.) Local DRRM
available No. of staff
Cost for Fund, Partners,
needing
Training etc)
training

Internal
(e.g. GCs, Teachers, Staff, etc.) certification, skill 15 15 15,000 school canteen 2019-2020
Teachers
DRRM Coordinator

External Resources
(e.g. Partners, PNP, BFA etc.) skills, training, experience 30 30 25,000 IRA 2019-2020
Parents and Learners

B. Equipment
Projected Needs
Possible sources
of funding
Equipment/Supplies Condition
(MOOE, SEF,
(e.g. fire extinguishers, body board, (e.g.fully functional, Units available Timeline
Units Needed Unit Cost Local DRRM
siren, comms radio) nearing expiry, etc.)
Fund, Partners,
etc)

NONE NONE NONE NONE NONE NONE NONE

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 Version: 2
Annex 2.1: Contingency Plan Template for School
Date: 27 August 2019

C. Learning Resources
Available Needed
Grade Level Title Language Quantity Quantity
KINDERGARTEN NONE none none none
GRADE I ENGLISH 1 ENGLISH ACTIVITY SHEET 50 25
GRADE II ENGLISH 2 lets get better in English 68 20
GRADE III ENGLISH 3 lets get better in English 70 27
GRADE IV ENGLISH 4 english for you and me 60 13
GRADE V ENGLISH 5 joy in learning english 50 38
GRADE VI A & B NONE NONE 50 30

Prepared by: Noted by

VALENTIN C. CERENO JR. REYNALDO A. SIMPLE

SDRRM COORDINATOR School Head

Instructions:
This template should be accomplished by SDRRM Team with the School Head based from the current records.

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TEMPLATE 9: Response Actions

School: Pinoma Elementary School

Hazard: Tropical Cyclone

Timeline Response Actions

Before Coordinate with the Barangay officials, prepare first aid kit (get council permission).
During Keep listening to the radio for cyclone updates, stay inside the house
After Conduct inspection in the school, becareful around debris and safety hazzard
0-24 hours inspection of damages like facilities in the school, cleaning around the school and classroom
24-48 hours Reporting of damages (RADAR REPORTING)
72 hours Coordinate with the barangay officials and stakeholders for school restoration
96 hours Preparation of Classroom for the learners back to school
5-10 days Resumption of classes

During:
1. Analyze/prioritize top hazards based on your historical and baseline data. Notes on Before: - Entrance of Tropical Cyclone in After:
2. Cluster hazards that connect with each other identifying - Tropical Cyclone PAR - After Tropical Cyclone
Guide: (e.g. typhoon + flooding + landslides; earthquakes + landslide + fires + tsunami) hazard- before entering PAR - When updates from HRW and exits local area
3. Do this worksheet for each clustered hazards, prioritizing the one that school specific - When HRW, GFA, and/or GFA are issued and/or when - 24 hours after onset
is at most risk of. timing: Yellow Alerts are issued Orange and Red Alerts are of floods
issued

Prepared by:

VALENTIN C. CERENO JR.