Professional Documents
Culture Documents
DASMA - SURVEY FORM ANNEX 1-Edited
DASMA - SURVEY FORM ANNEX 1-Edited
Survey Form
======================================================================
Instructions:
Below are the series of codes/indicators indicating the LGUs early preparedness actions. The
repondent will have to write their corresponding answer on the box provided on the side of th
code/indicator. You may respond with:
Page 1 of 9
Pass an executive order establishing a Response Cluster System
1.5 following the Department of Social Welfare and Development (DSWD)
Cluster System
1.5.1 SRR - Security and Search, Rescue, and Retrieval 0
Health – with subclusters on Water, Sanitation and Hygiene (WASH);
PsychoSocial Integration (PSI); Municipal Public Health Services (MPHS);
1.5.2 Nutrition,
Sexual and Reproductive Health, and Medical; Camp Coordination and Camp
Management (CCCM) 0
1.5.3 MDM - Management of the Dead and Missing 0
1.5.4 LOG - Logistics 0
1.5.5 F/NFi - Food and Non-Food Items 0
1.6 Through an executive order, assign teams led by the LDRRM officer to
conduct a risk assessment as part of preparing the following plans:
1.9.1.2 Coordinate with the LDRRM office to create and designate public weather
bulletin boards and an area for press conferences and briefings 0
Prepare the following templates: Announcement and subsequent
1.9.1.3
cancellation of:
1.9.1.3.1 Travel advisories 0
Page 2 of 9
1.9.1.3.2 Suspension of classes 0
1.9.1.3.3 Suspension of work 0
1.9.1.3.4 Prohibition of water-related activities 0
1.9.1.3.5 Prohibition of sea voyage 0
1.9.1.4 Implementation of preemptive or mandatory evacuation 1
1.9.1.5 Declaration of state of calamity 0
1.9.1.6 Post-disaster plan: 0
1.9.1.7 Temporary closure of tourist spots 0
1.9.1.8 Temporary suspension of mining operations 0
1.9.2 City or Municipal Engineer
Coordinate with LDRRM office about the strategic locations where directional
1.9.2.1
signs to evacuation centers will be mounted
Put up landslide, storm surge signages (see guidelines on the installation of
1.9.2.2
signages in annex)
Coordinate with the local Philippine National Police (PNP) in setting up
1.9.2.3
security posts
1.9.2.4 Designate shelter for livestock and animal relief park
1.9.2.5 Designate a boat garage for coastal communities
1.9.2.6 Designate an evacuation center for prisoners in high risk areas
Coordinate with the LDRRM office and the Traffic Management Office (or
1.9.2.7 similar office) in designating a network of entry points and staging areas for
supplies and experts
1.9.2.8 Conduct infrastructure audit
1.9.3 Punong Barangay
Create and strengthen the Barangay Disaster Risk Reduction and
1.9.3.1
Management Council (BDRRMC)
Formulate and implement the BDRRMP. Use the BDRRMP template and
1.9.3.2
quality assurance tool (see Quality Assurance System in annex)
1.9.3.3 Formulate a contingency plan for each hazard
Create and enact barangay ordinances on disaster risk ordinances on
1.9.3.4
disaster risk reduction-climate change adaptation (DRR-CCA)
1.9.3.5 Conduct regular declogging of canals
Page 3 of 9
1.10.1.9 Faith-based organizations with structures
1.10.1.10 Funeral parlor and mortuary associations
1.10.1.11 Neighboring LGUs
1.10.1.12 Local chambers of commerce, business groups
1.10.1.13 Gas stations
1.10.1.14 Academic institutions, learning research institute (LRIs)
2. Build Competencies
Code Indicator Answer
2.1 Conduct Training
2.1.1 DRRM Office Personnel
2.1.1.1 DRRM Office Competency Building and Development
2.1.1.2 Incident Command System 1
2.1.1.3 LDRRM Planning 1
2.1.1.4 LCCAP Planning 1
2.1.1.5 Community-Based Monitoring System 1
2.1.1.6 Alliance Building
2.1.1.7 Risk Assessment
2.1.1.8 Pre-Disaster Risk Assessment 1
2.1.1.9 Public Service Continuity Plan 1
2.1.1.10 Basic Life Support 1
2.1.1.11 Contingency Plan Formulation 1
2.1.1.12 Hazard Mapping 1
2.1.2 Security, Law, and Order, SRR Personnel
2.1.2.1 Flood and Swift Water 1
2.1.2.2 Search and Rescue 1
2.1.2.3 High Angle Search and Rescue Operation 1
2.1.2.4 Emergency Response 1
2.1.2.5 Law Enforcement 1
2.1.2.6 Mountain Search and Rescue 0
2.1.2.7 Incident Command System 1
2.1.2.8 Basic Life Support 1
2.1.3 Health Personnel
2.1.3.1 Basic Life Support, First Aid Training 1
2.1.3.2 Advanced Life Support 1
2.1.3.3 Emergency Medical Technician - Basic and Advanced Training 0
2.1.3.4 Disaster Risk Reduction and Management-Hospital Planning 0
2.1.3.5 Health Emergency Response 1
2.1.3.6 Mountain Search and Rescue 0
2.1.3.7 Incident Command System 1
2.1.3.8 Hazardous Materials Handling 0
Minimum Initial Service Package (MISP) for Sexual and Reproductive Health
2.1.3.9
Training 0
Page 4 of 9
2.1.3.10 WASH in Emergencies 0
2.1.3.11 Nutrition in Emergencies 0
2.1.3.12 Mental Health and Psychosocial Support (MHPSS) 0
2.1.4 Camp Coordination and Camp Management Personnel
2.1.4.1 Gender and Development Sensitive Camp and Coordination 1
2.1.4.2 Incident Command System 1
2.1.4.3 Basic Life Support 1
2.1.4.4 Mental Health and Psychosocial Support 1
2.1.5 Personnel for Management of the Dead and Missing
2.1.5.1 Incident Command System 1
2.1.5.2 Management of the Dead and Missing 0
2.1.5.3 Emergency Medical Technician 0
2.1.5.4 Psychological First Aid 0
2.1.6 Logistics Personnel
2.1.6.1 Warehouse Management 0
2.1.6.2 Financial Management 0
2.1.6.3 Logistics Management 0
2.1.6.4 Supply Chain Management 0
2.1.6.5 Inventory Management 0
2.1.6.6 Incident Command System 1
2.1.7 Communication and Public Awareness Personnel
Basic Orientation on Community-Based Disaster Risk Reduction and
2.1.7.1
Management (CBDRRM) 0
2.1.7.2 Climate and Disaster Risk Assessment (Hazard and Risk Assessment) 0
2.1.7.3 Climate and Weather Forecast 0
2.1.7.4 Early Warning Systems and Monitoring 0
2.1.7.5 Infrastructure Audit 1
2.1.7.6 Risk Communication 0
2.1.7.7 Media Relations 0
2.1.7.8 ICS 0
2.1.8 Post-Disaster Response
2.1.8.1 Post-Disaster Livelihood Recovery
2.1.8.2 Rapid Damage Assessment and Needs Analysis 0
2.1.8.3 Post-Disaster 0
2.1.8.4 Assessment and Needs Analysis 0
2.1.8.5 Emergency Response 1
2.1.8.6 Incident Command System 1
2.1.8.7 Basic Life Support 1
2.1.9 Food and Non-Food Item Personnel
2.1.9.1 Relief Goods Management 0
2.1.9.2 Incident Command System 1
2.1.9.3 Nutrition in Emergencies 0
Page 5 of 9
3. Mobilize Resources
Code Indicator Answer
Page 6 of 9
3.1.3.6 Defibrillator and nebulizer 1
3.1.3.7 Ladders 1
3.1.3.8 Floodlight 1
3.1.3.9 Stretchers and spine boards 1
3.1.3.10 Siren 1
3.1.3.11 Megaphone 1
3.1.3.12 Whistle 1
3.1.3.13 Two-way radio, GPS device, and other communication tools 1
3.1.3.14 Ropes and throw bags 1
3.1.3.15 Searchlight 1
3.1.3.16 Protective gears: helmets and life vests 1
3.1.3.17 Bolo, shovels 1
3.1.3.18 Water pump 0
3.1.3.19 Water treatment 0
3.1.3.20 K9 unit 0
3.1.3.21 Barricade 1
3.1.3.22 Assistive materials: wheelchairs, crutches 1
3.1.3.23 Water rescue kit: rope, floatation ring, life jacket 1
3.1.3.24 Reflectorized vests 1
3.1.3.25 Extrication kits 1
3.1.3.26 Standby vehicles 1
3.1.3.27 Megaphone 1
3.1.3.28 Whistle 1
3.1.3.29 Two-way radio and other communication equipment 1
3.1.3.30 Flashlight and extra batteries 1
3.1.3.31 Tents (temporary shelters) 1
3.1.3.32 Portable generator, solar-powered panels 1
3.1.3.33 Water pump 1
3.1.3.34 Water tank storage, bladder 1
3.1.3.35 Portable water purifier 0
3.1.4 Stockpile
3.1.4.1 Batteries 0
3.1.4.2 Potable water 1
3.1.4.3 Portable generator, solar-powered generator, flashlights 1
Food packs: rice, canned goods, noodles, ready-to-eat meals (minimum of
3.1.4.4
10% of population at risk, good for 3 days) 1
3.1.4.5 Tires for emergency vehicle 0
Fuel and gasoline (in coordination with the Bureau of Fire Fuel and gasoline
3.1.4.6
(in coordination with the Bureau of Fire
3.1.4.7 Clean delivery kits (emergency birthing kits) 0
3.1.4.8 Dignity kits for women 1
3.1.4.9 First aid kit, medicines 1
3.1.4.10 Food packs: rice, canned goods, noodles, ready-to-eat meals 1
Page 7 of 9
3.1.4.11 Potable water 1
Hygiene kit: soap, shampoo alcohol, toothbrush, alcohol, toothbrush,
3.1.4.12
deodorant 1
3.1.4.13 Sanitation kits 1
3.1.4.14 Clothing: jacket, raincoat, hard hat, boots 1
3.1.4.15 Gasoline and extra batteries 1
3.1.4.16 Beds and beddings 1
3.1.4.17 Portable toilets 1
3.1.4.18 Mosquito nets
3.1.4.19 Clean delivery kits
3.2
ACQUIRING COMMUNICATION AND PUBLIC AWARENESS RESOURCES
3.2.1 Tasking
Remarks:
Page 8 of 9
Accomplished by:
Reynor S. Calzado
OIC- CDRRMO
Page 9 of 9