Annex A

FAMILY
EMERGENCY
AND
DISASTER
PLAN
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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:

Student Number:

Student Section:

Home Address:

Date Submitted:

NSTP Professor:
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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 DESCRIPTION RISK OR PROBABILITY OF

HAZARD/THREATS IT HAPPENING

HOME INV LOW

TYPHOON HIGH

FIRE (BURN)
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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.

PAGLINAWAN 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 members should follow in case of such a situation.
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LOCAL COMMUNITY EVACUATION MAP LOCATION

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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.
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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:

SCENARIOS:

1. The robber will break the doors/ windows and take all the
significant things. After that the robber will run away.
2. The robber will try to harm any of the family members after getting
all the necessary things.

SURVIVAL STRATEGIES AND ACTION PLAN (Steps to be taken):

BEFORE THE HOME INVASION:

1.

2.

3.

4.

5.

DURING THE HOME INVASION:

1.

2.

3.

4.

5.
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AFTER THE HOME INVASION:

1.

2.

3.

4.

5.
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HOME INVASION EMERGENCY ESCAPE FLOOR PLAN

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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:

SCENARIOS:

1. One family member walks into the kitchen and sees smoke and
flames coming from the microwave oven.
2. A fire started due to an electrical short.

SURVIVAL STRATEGIES AND ACTION PLAN (Steps to be taken):

BEFORE THE FIRE:

1.

2.

3.

4.

5.

DURING THE FIRE:

1.

2.

3.

4.

5.
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AFTER THE FIRE:

1.

2.

3.

4.

5.
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FIRE EMERGENCY ESCAPE FLOOR PLAN

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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 DISASTER:

SCENARIOS:

1. Everyone is at the living room and suddenly an earthquake occurs.

2. All of your family members are working, and you are alone at your home.
Suddenly an earthquake occurs.

SURVIVAL STRATEGIES AND ACTION PLAN (Steps to be taken):

BEFORE THE EARTHQUAKE:

1.

2.

3.

4.

5.

DURING THE EARTHQUAKE:

1.

2.

3.

4.

5.
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AFTER THE EARTHQUAKE:

1.

2.

3.

4.

5.
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EARTHQUAKE EMERGENCY ESCAPE FLOOR PLAN

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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:

SCENARIOS:

1. Based on the weather news forecast, your province will soon

be experiencing heavy rainfalls and destructive winds due
to the approaching typhoon.
2. Based on the weather news forecast, your province will be
experiencing low to moderate rainfalls. And the typhoon
would not be able to landfall on your province.

SURVIVAL STRATEGIES AND ACTION PLAN (Steps to be taken):

BEFORE THE TYPHOON:

1.

2.

3.

4.

5.

DURING THE TYPHOON:

1.

2.

3.

4.

5.
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AFTER THE TYPHOON:

1.

2.

3.

4.

5.
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TYPHOON EMERGENCY ESCAPE FLOOR PLAN

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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 SELFIE DATE EXPIRATION # OF REMARKS (GENERAL

NAME IMAGE PURCHASED DATE ITEMS DESCRIPTION OF
IN ITEMS AND
STOCK INSTRUCTION ON
HOW TO USE THEM)
Alcohol
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GENERAL MEDICINES (Please include any possible item you may need)
ITEM SELFIE IMAGE DATE EXPIRATION # OF REMARKS (GENERAL
NAME PURCHASED DATE ITEMS DESCRIPTION OF ITEMS
IN AND INSTRUCTION ON
STOCK HOW TO USE THEM)
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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 SELFIE ITEM # PERSON REMARKS AND DETAILS

DOCUMENTS IMAGE PRIORITY IN
BY PRIORITY CHARGE

FOOD Vicky ca

WATER Malou

DOCU Cecil
(sister)
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SPECIAL SURVIVAL AND RESCUE EQUIPMENT (IF ANY)

EQUIPMENT SELFIE MONTHLY PERSON IN REMARKS

NAME IMAGE MAINTENANCE CHARGE AND
REPORT DETAILS
DATE CHECKED

Tent
9-8-23

Car

Radio

Chainsaw
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SELFIE WITH THE EMERGENCY GOBAG

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LIST DOWN BOTH LOCAL AND NATIONAL EMERGENCY HOTLINES:

LIST OF HOSPITALS NEAR CONTACT PERSON CONTACT NUMBER

YOU

EMERGENCY VEHICLES CONTACT PERSON CONTACT NUMBER

(LOCAL AMBULANCE)

BARANGAY HOTLINES CONTACT PERSON CONTACT NUMBER

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FIRE STATIONS CONTACT PERSON CONTACT NUMBER

POLICE STATIONS CONTACT PERSON CONTACT NUMBER

SPECIAL NEEDS HOTLINES CONTACT PERSON CONTACT NUMBER