Primary ( ) Secondary ( ) Tertiary ( ) I Public School ( ) Private School ( )

District: I School ID: �����������

Instruction:

Put check(../) to the column if the maximum point reach, if not, put a score that
corresponds for your observation base on the range scale.

Monitoring Scale:

INTERPRETATION INDICATORS
Very high Extent Outstanding Extent. Comprehensive content, scope and relevance of the
(VHE) indicators were functionally evident in schools
RATING Very Satisfactory Extent. Excellent content, scope and relevance of the
High Extent (HE)
SCALE indicators were functionally evident in schools
Low Extent (LE) Satisfactory Extent. Standard content, scope and relevance of the
indicators were functionally evident in schools
Very low Extent Unsatisfactory Extent. Poor content, scope and relevance of the
(VLE) indicators were not functionally evident in schools

I. SAFETY CHECK ON EDUCATIONAL FACILITIES

STANDARDS/ VHE HE LE VLE

1. SCHOOL BUILDING
REMARKS 1 0.75 0.5 0.25

Building or Room
a. Wall Finish
b. Floorina
c. Ceilina
d. Window/ Ventilations
e. Roofina
f. Corridor
g. 2 doors per classroom
h. Railings/ Handrails/ Ramp
i. Standard room dimensions
j. Presence/ Availability of elevated Fire
Extinguisher and proper labels
k. Visible/ Presence of Emergency exits or
signages
SUB-TOTAL (11)
2. ANCILLARY FACILITIES VHE HE LE VLE
1 0.75 0.5 0.25
Provision/ Presence
a. School Health Clinic
b. Guidance and Counseling Office
c. School Canteen
d. Industrial Arts Area/ Room
e. Home Economics Area/ Room
f. Science Laboratory Building/ Room
SUB-TOTAL (6)
3. OTHER FACILITIES VHE HE LE VLE
1 0.75 0.5 0.25
a. Sports/ Recreational Facilities: Gym,
Basketball, Volleyball, Tennis Courts, and the
Mandaluyong City Disaster Risk Reduction and Management Office and SDO Mandaluyong DRRMO i
 likes
b. Emergency Exit Gate/s with proper labels
c. Waiting shed/s within the school premises
d. Complete perimeter fence
e. Staqe and Open qrounds
f. Covered pathwalks
suB-ToTAL (6)
4. WATER, SANITATION, AND HYGIENE (WASH)
VHE HE LE VLE
FACIL]TlES
1 0.75 0.5 0.25
Adequate numbsr and ,unctional WASH facllities
a. Water source
b. Handwashing facilities with soap
c. Safe drinkinq facilities
d. Toilets with water supply
e. WASH for physically impaired
suB-ToTAL (5)
5. POWER AND TELECOMMUNICATION VHE HE LE VLE
1 0.75 0.5 0.2s
a. Poweri Electrical connections
b. Proper electrical wiring system and
connections []
c. Altemative power supply
SUB-TOTAL (3} I_____l
II, SAFEW CHECK ON HEALTH ANO ENVTRONMENT
1. SCHOOL SAFEW AND SECURIW VHE HE LE VLE
1 0.75 0.5 0.25
Safety I

Pr€sence/ Visibility of Waming Signs I

a. Pedestrian lanes/ markingsi humps

b. Loading/ Unloading signs
c. Stop and Go signs
d. Signs for the physically impaired
SUB.TOTAL (4)
Security VHE HE LE VLE
1 0.75 0.5 0.25
a. Presence of identification Cards for students,
parents/ guardian and school security
b. Proper coordination with the barangay officials/ Proof showing
nearest police stations coordination to
Baranqay/ Police
c. Presence of telephone hotlines (Directory) in a
conspicuous place in the school premises
d. Absence of cockpits, video gaming stations, Vvithin 30 meters
bars and gambling places or where nocturnal radius
activities happen within the 30 meter radius
e. Absence of electrical post or other hazardous
structures or facilities inside the school premises
suB-ToTAL (s)
2. HEALTH ANO ENVIRONiITENTAL SAFETY VHE HE LE VLE
,|
0.75 0.5 0.25
a. Waste Segregation/ Regular schedule for trash
disposal
b. No possible areas /places for mosquitoes
breeding, bats and presence of stray animals
c. School first aid kits are available , accessible
and adequate
d. With clear and strict regulations on drugs,
ciqarettes, alcohol and vandalism in school

Mandaluyong aty Disaster Risk Reduction and Managemant Otrtc€ and SDO Mandaluyong DRRMO 3
 e. Water source ,WASH facilities and sanitation
facilities are properly located
f. lmplement safety measures during school
activities, sports, laboratory experiments etc.
g. Have transportation means during emergency
cases
SUB.TOTAL (7)
lmplementing hoalth proiecb and programs VHE HE LE VLE
1 0.75 0.5 0.25
a. School feedinq proqram
b- Health advocacy/ Campaiqn
c. Conducting WASH and health activities Handwashing,
Toothbrushinq, etc
suB-ToTAL (3)

III. DISASTER PREPAREDNESS

1, REGULAR CONDUGT OF DRILLS VHE HE LE VLE
2 1.5 1 0.5
Drillg
a. Earthquake and Fire drills
b. Other appropriate drills Flood drill, bomb drill,
ltt
etc.
suB-ToTAL (4)
2. SCHOOL PREPAREONESS VHE HE LE VLE
2 1.5 1 0.s
Plan6
a. School lmprovement Plen (SlP)
b. SDRRM Plan
---r-- I

c. Action Plan
d. Evacuation and Management Plan
e. Contingency Plan
f. Communicetion Plan
g. Early Waming Plan
h. Family Reuniftcation Plan L
i. Hazard Maps (Barangay level) Community maDs
suB-ToTAL (18)
School-based DRRM VHE HE LE VLE
1 0.75 0.5 0.25
a. Capacity and Risk Assessment
b. Early waming system
c. Education in Emergencies Schools used as
evacuation
(Temporary Learning
Areas)
SUB.TOTAL (3}
DRRII Organization and Facilities VHE HE LE VLE
I 0.75 0.5 0.25
a. School DRRM Oroanizational Structure
b. SDRRM Committee
c. Batang Emerqency Response Team (BERT)
d. Material Recovery System
e. SDRRM Otflce/ Room/ Area
f. DRRMO Bulletin board
SUB.TOTAL (6)
DRRIU Supplios and Equipments VHE HE LE VLE
1 0.75 0.5 0.25
a. Early waminq devices
b. First Aid Kits
c. Emerqency iump kits
d. Spine board/ lmprovised board

Mandaluyong City Disaster Risk Reduction and Management Office and SDO Mandaluyong DRRMO 4
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e. Personal Protective Eauioment/ Gear

f. Communication devices
a. Emergency waminQ sionaaes
SUB-TOTAL (7)

IV. SUBMITTED FILES

Plans VHE HE LE VLE

2 1.5 1 0
1. SDRRM Plan
2. Evacuation Manaaement Plan To be submitted Thirty
(30) days after the
3. Communication Plan
evaluation of the
4. Inventory of all resources with Pictures
team.
5. Oraanizational Structure Date Submitted:
6. List of all NGO's, Volunteers, organizations actively
particioatinQ school activities/ oroarams
SUB-TOTAL (12)
TOTAL (100)

OBSERVATIONS:

RECOMMENDATIONS:

PRESENTED BY:

PrincipaU School Head

Rating 100 °/o

SDRRMC Coordinator
Rating Description Range

Outstanding 91-100%
Support Staff
Excellent 81-90%

EVALUATED BY: Good 71-80%

Needs Improvement 50-70%

NAME:

POSITION:

ABRA DE ILOG Disaster Risk Reduction and Management Office and ABRA D E ILOG LGU - DRRMO