FAMILY

DISASTER
AND
EMERGENCY
PLAN
 Introduction:

This serves as a guide to help assist students to formulate a Family Emergency Disaster
Plan. This can be modified based on the logistics and location of the student who will be
formulating the Emergency Disaster Plan for their own homes.

Student Name: JAYMARK ROSALIN

Student Section: _CIV216

Note: For data privacy purposes, student can use general terms such as Mother, Father,
Sibling 1, Sibling 2, etc. for identifying each tasks of family members.

Date Submitted: ___________________

NSTP Professor: AGNES P. ROSELL

List down the different possible hazards and threats that are present within your
household. Also try to identify the disaster that you most commonly experience in your
household.

COLOR CODE GUIDE

LOW MEDIUM HIGH

IDENTIFY THE HAZARD DESCRIPTION RISK OR PROBABILITY OF

IT HAPPENING
FLOOD UNLI SWIMMING TYPHOON

HIGHEARTHQUAKE

TYPHOON

VOLCANIC ERUPTION

FIRE
DROUGHT
Considering the most hazardous disaster may happen in your community, create your
FAMILY COMMUNICATION DISASTER PREPAREDNESS PLAN. Then, discuss it with all the
members of your family for their comments and suggestions.

__________________________________FAMILY COMMUNICATION DISASTER PLAN

(Family Surname)

INSTRUCTIONS:

Please gather your family members and discuss the different possible scenarios you
might encounter in your own homes. After identifying possible hazards and threats. Try
to formulate strategies that your family can utilize for better chances of survival.

List down situations that will require contingency plans. Also gather suggestions coming
from each family members to hear their thoughts about the survival strategy and action
plan that each member should follow in case of such a situation.
 HOME EVACUATION ESCAPE PLAN:

Draw an initial draft for the escape routes that you can use if members of your family
need to evacuate during an emergency. Take note that this should be discussed with
every family member, it should also be thoroughly explained to the youngest member of
the family. It is ideal that your family conducts a yearly or quarterly evacuation exercise
to better familiarize each member of the family on what to do before, during, and after
the need for evacuation in your own homes.

NOTE: Make sure every family member understands the evacuation plan and the location
for meet up will be nearest to the area from where the youngest among the family can
easily travel by foot. It is best that you discuss this evacuation plan with each of your
family members.
LOCAL COMMUNITY EVACUATION MAP LOCATION
 HOME INVASION EMERGENCY EVACUATION ACTION PLAN

List down the possible scenario and survival strategies or things each members of the
family should do in case of a HOME INVASION:

SCENARIO:

1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________

STRATEGY AND ACTION PLAN (Steps to be taken):

 FIRE EMERGENCY EVACUATION ACTION PLAN

List down the possible scenario and survival strategies or things each members of the
family should do in case of a FIRE EMERGENCY:

SCENARIO:

1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________

STRATEGY AND ACTION PLAN (Steps to be taken):

 EARTHQUAKE EMERGENCY EVACUATION ACTION PLAN

List down the possible scenario and survival strategies or things each members of the
family should do in case of an EARTHQUAKE:

SCENARIO:

1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________

STRATEGY AND ACTION PLAN (Steps to be taken):

 TYPHOON EMERGENCY EVACUATION ACTION PLAN

List down the possible scenario and survival strategies or things each members of the
family should do in case of a TYPHOON:

SCENARIO:

1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________

STRATEGY AND ACTION PLAN (Steps to be taken):

 FIRST AID KIT AND EMERGENCY GO BAG

FIRST AID KIT ITEMS

NOTE: Please practice First In – First Out principle for consuming items that has
expiration.

ITEM DATE EXPIRATION # OF REMARKS (GENERAL

PURCHASE DATE ITEMS DESCRIPTION OF
D IN ITEMS AND
STOCK INSTRUCTION ON
HOW TO USE THEM)
Alcohol

Micropore

Povidine Iodine

Cotton Balls

Dressing(Gauze
Bandage)
Face Mask

Gloves

Band Aid

Ammonia

Oresol

GENERAL MEDICINES (Please include any possible item you may need)
Antibiotic
Ointments
Paracetamol

Aquatab (Water
Purification
Tablets)
Diatabs

SPECIAL MEDICINES (Items a member of your family may need)

 OTHER SURVIVAL ITEMS:

(Other Survival Items You May Need for Emergencies – Like Important Documents:
NOTE: Please label the following items according to their priority)

ITEMS or ITEM # PERSON REMARKS AND DETAILS

DOCUMENTS BY PRIORIT IN
PRIORITY Y CHARGE
Legal Documents
Bag RED

Cash-on-hand Bag RED

Other Certificates RED

Family Pictures RED

and Documents
Food Supply RED
 SPECIAL SURVIVAL AND RESCUE EQUIPMENT (IF ANY)

EQUIPMENT MONTHLY # OF REMARKS AND DETAILS

MAINTENANCE ITEMS
REPORT IN
DATE CHECKED STOCK
ROPE

CARABINNER

FIGURE OF
EIGHT
SAFETY
HARNESS
SLEEPING BAG

TENT

IMPACT
WEAPON

RADIO
 LIST DOWN BOTH LOCAL AND NATIONAL EMERGENCY HOTLINES:

LIST OF HOSPITALS NEAR YOU CONTACT NUMBER

CONTACT PERSON (IF ANY): _______________________________________

EMERGENCY VEHICLES (LOCAL CONTACT NUMBER

AMBULANCE)

CONTACT PERSON (IF ANY): _______________________________________

 BARANGAY HOTLINES CONTACT NUMBER

CONTACT PERSON (IF ANY): _______________________________________

FIRE STATIONS CONTACT NUMBER

CONTACT PERSON (IF ANY): _______________________________________

 POLICE STATIONS CONTACT NUMBER

CONTACT PERSON (IF ANY): _______________________________________

SPECIAL NEEDS HOTLINES CONTACT NUMBER

FAMILY DOCTOR

FAMILY LAWYER

POISON CONTROL
 MEAL MENU SYSTEM
Monthly Food Budget Plan:
MONTHS BUDGET NOTES
REMARKS
Jan

Feb

March

April

May

June

July

August

September

October

November

December
 DAILY FOOD SUPPLY

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

 FINAL DOCUMENTATION:

Please attach a photo of you and your family conducting the Family Emergency Plan
Meeting and Activities.

INSERT PHOTO HERE

Family motto for survival:

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
INSERT PHOTO HERE

INSERT PHOTO HERE