To be

accomplished
by non-
teaching staff

Disaster and Emergency Prepareness Activity as ofAPRIL SY2016-2017

Task Week 1 Week 2 Week 3 Week 4
Housekeeping Person Responsible
1 Ensure that the area is clean and tidy.
Maintain the floor surfaces in a safe
3 condition and suitable for the type of
activities conducted.
Check that waste bins are emptied
4 regularly.
Check the conditions of the walls, ceilings
5 and roofs.

Confirm that doors and locks and latches

6 are in good condition and working order.

Electical Safety Week 1 Week 2 Week 3 Week 4

Check for loose sockets, broken plug and
1 other socket damages
Ensure that electrical wires and cable are
2 free from obvious damages
Report any sign of electrical and
3 equipment damages to personnel in
charge of repairs and maintenance
Unplug electical equipments before
4 leaving the office
Turn-off the lights before closing the
5 office.

Fire Safety and Emergency Response Week 1 Week 2 Week 3 Week 4

Confirm that safety rules, emergency
1 information and evacuation routes are
prominently displayed.
Keep doorways, walkways and evacuation
3 exits clear and wide.
Check if external exit doors can be opened
4 from the inside without a key and
emergency fire exits are signed.
Ensure that fire extiguishers are easily
5 accessible, signed, regularly tested and of
the appropriate type.
Ensure emergency lights are available and
6 functional.
Review the availability and content of the
7 first aid kit.
Monitored by:
Verified by:
 As designated
Head of Office
 To be accomplished by Teachers

Report for the conduct of Environmental Management Activities

in the classroom as of ________________________________

Number of
Conducted Number of
Activity Times Date/s Conducted Remark
(Check if Yes) Participants
conducted
1
2
3
4
5
6
7
8
9
10

Prepared by:
Noted:
__________________________________
CATHERINE MARIE P. BARBA Teacher
School Head
 Report for the conduct of Emergency & Disaster Preparedness Activitie
in the classroom as of SEPTEMBER FY 2021

Number of
Conducted
Activity Times Date/s Conducted
(Check if Yes)
conducted
1 Dissemination of IATF Protocols for / 1 September 13, 2021
2 the incoming Grade Four
3
4
5
6
7
8
9
10

Prepared by:
Noted:
LOUELINE B. ROMASANTA
CATHERINE MARIE P. BARBA Teacher
School Head
 To be accomplished by Teachers

ster Preparedness Activities

MBER FY 2021

Number of
Remark
Participants

14 Awareness on health
protocols of the Grade Four
pupils

OUELINE B. ROMASANTA
Teacher
 To be accomplished by Teachers

Report for the conduct of Emergency & Disaster Preparedness Activities

in the classroom as of OCTOBER FY 2022

Number of
Conducted Number of
Activity Times Date/s Conducted Remark
(Check if Yes) Participants
conducted
1 Conducted precautionary measures before / 1 October 12,2022 28 Pupils followed in conducting
2 playing,to avoid any untoward incidence precautionary measures
3
4
5
6
7
8
9
10

Prepared by:
Noted:
DIANA G.OBLEA
CATHERINE MARIE P. BARBA Teacher
School Head
 To be accomplished by Teachers

Report of Children Involved in Abusive Situations as of ________ SY______

Observations
Date & Time Type of Abuse ( Physical, (Example: Cigarette
Code Remark
Observed Psychological, Sexual, Others) burns, bruises, kiss
marks, etc.)

1
2
3
4
5

Report of Children Involved in Substance Abuse as of ________ SY______

Type of Substance (Tobacco,

Date & Time Alcoholic Beverages, Illegal
Code Place Remark
Observed Drugs, Electronic Cigarrete
[Vape])

1
2
3
4
5
Prepared by:
Noted:
_________________________
_________________________ Teacher
School Head
 To be accomplished by Teachers

Report for the conduct of Emergency & Disaster Preparedness Activities

in the classroom as of JULY FY 2021

Number of
Conducted Number of
Activity Times Date/s Conducted Remark
(Check if Yes) Participants
conducted
1 Symposium for Pupils Concerning / 1 July 5, 2021 10 Awareness on health risk
2 Health Risk Environment on environment on Covid 19
3 COVID - 19
4
5
6
7
8
9
10

Prepared by:
Noted:
______________________________
CATHERINE MARIE P. BARBA Teacher
School Head
 To be accomplished by Teachers
Enclosure 2: Monitoring Templates

Report for Utilization of LM in Teaching-Learning Process As of ___March ,2023__

Type of LM (Activity
Subject Area
Sheets, Workbook, Local Cultural
Instructional Material ( English, Science, Date Used Remark
Modules, Digital Concept Integrated
Math, Filipino etc)
Visual Aid

Video Presentation
Digital Visual Aid ARTS Valuing the March 1 ,2023 The pupils participated
GRADE VI culture and traditions in the different activities
of Lucenahins in the about arts and cultures of
Arts Month Celebration Lucenahin
Program

Prepared by:

_______DIANA G. OBLEA_________________________
Teacher
Noted:

CATHERINE MARIE P. BARBA

School Head
Enclosure 2: Monitoring Templates To be accomplished
by Teachers
Mapping of School-aged Children and Youth as of ____________________________
Name of Parent / Contact Number / Reason for Not
Name Gender Age Guardian Address Attending School Remark

3
4

5
Prepared by:

_________________________
Teacher
Noted:

CATHERINE MARIE P. BARBA

School Head