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CHECKLIST

Best Government Emergency Response Management (GEM)


Province/Municipality/Barangay
24th Gawad KALASAG CY 2024

I. Identifying Information

Name of Nominee – GEM: __________________________________________________________________________________


Category: __ Basic __ Advance | LGU Classification: _____________________________________________________________
Region: _________________________________________________________________________________________________

II. Assessment
Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
1. EXISTENCE OF EQUIPPED AND FUNCTIONAL OPERATIONS CENTER (22)
A. Functional and Equipped Operations Center (OpCen)

`
Office of the Administrator, Office of Civil Defense
Email: www.ocd.gov.ph Website: www.ndrrmc.gov.ph
Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
A.1 Organizational structure Approved Organizational Accomplished organizational 2
Structure and Staffing chart with names, positions,
Pattern with roles and and functions, specifically for
responsibilities/functions, personnel involved in
specifically for the disaster/emergency
operations and warning operations
office or similar office that
handles Internal documents citing the
disaster/emergency Job Description corresponding
operations to Organizational Structure
citing the position
A.2 Operations Center Facility Presence of 24/7 Disaster 24/7 OpCen facility (duty 2
Risk Reduction and details entailing list of
24/7 Operations Center with Management Operations personnel align with SOP
equipage Center to facilitate Guidelines)
monitoring and Policy/Protocols on 2
emergency response communication (internal and
external) mechanisms such as
the Communication Flow
Chart/s

(include the diagram with its


description)
MOU/ MOA for alternate EOC 1
site / Public Service Continuity
Plan (PSCP)/ or any issuance
Communication Room / Basic Information and 1
Dispatch Room / Call Communication Technologies
Center (ICT) equipment
Base of Operation 1
Communication
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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
Warning System / CCTV CCTV / Weather Stations / 2
Cameras / Local Weather Early Warning System
Stations / Public Address 1
PA system
(PA) system
Facility Readiness Approved Public Service 2
Continuity Plan
1
Compliance to certifications
include GSIS insurance
B. Institutionalized Standard Operational Procedures (SOP), protocol, and Operational Guidelines
B.1 Established and Written and agreed 4 pts - Ordinance 4
Institutionalized Incident Command procedures with ICS insitutionalizing the ICS
System (ICS) application and
Emergency Operations 2 pts - EO / resolutions and
Center (EOC) integration other approved procedures
institutionalizing ICS
● By Executive Ordinance, EO, resolutions
Order (EO) or Ordinance and other approved
● Operations Manual procedures institutionalizing
ICS
issued to each team
member
● Application of ICS
features and principles to
the SOPs (as applied in
actual response
operations)

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions aboutprovides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
B.2 Emergency/Disaster Response Interoperability Emergency/ Disaster Manual/ 2
Manual and/or Contingency Plans mechanism or SOP
(CP) coordination system
Presence of Response
The manual and plans
cover a wide range of Manual or Contingency Plan
potential emergencies and
disasters that could affect 2 pts - Updated Manual/CP
the agency, including within the last three (3) year
natural disasters,
technological accidents, 1 pt - Existing / Not Updated
and human-induced Manual/CP
incidents
0 - No Manual/CP
Approved Contingency Plan of 1
at least top two (2) hazards
(human-induced / natural
hazards)
2. RESPONSE CAPABILITY (39)
A. Hazards present within Hazard assessments, Updated Risk Assessment
Area of Responsibility (AOR) and historical data of including but not limited to
ability to respond according to disasters, and Community Risk Assessment;
mandate human-induced accidents Database of Hazard and Risk 2
Maps, Trends Chart,
Research Publication
Organized, trained, Resolution / EO establishing
equipped, and functional the Emergency Response
1
Emergency Response Team
Teams (ERT) Statement of Duties / Order /
or relevant issuances of 1
Emergency Response Team
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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
Inventory of Resources
(personnel, equipment, 1
vehicles)
B. Ability to respond outside Capable ERT in
AOR responding to incidents or After Activity Report with
supporting response photo documentation
operations (as 2
augmentation team)
C. Adequate ratio of responder Number of emergency 4 pts - 1:500
and population responders per population 3 pts - 1:1000 4
2 pts - 1:2000
1 pt - 1:3000
Gender Inclusive Gender representations in the
Organizations organization (as seen in the 1
organizational structure)
D. Resources
D.1.1 Fund allocations Regular programming of
funds for DRRM activities Annual Investment Program
1
and Fund Utilization Report

D.1.2 Basic Equipage Availability of resources Capable and/or modern


(equipage) equipment and competent to 2
use
D.2.1. Personal Protective Equivalent number of
Equipment (PPEs) PPEs to the number of Duly signed list of Inventory 1
Rescuers/ Personnel Report

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
D.2.2 SRR Equipment or
Inventory report / list (WASAR,
indigenous materials
MOSAR, CSSR, EMS, FIRE,
2
Road Crash, Etc.), as
applicable
D.2 Mobility asset/s
Inventory report of mobility
1
asset/s

D.3 Responder/vehicle Ration Duty details including vehicle


assignment
1
Duly signed or certified list of
Inventory of vehicles with
corresponding crew and driver
D.4 Mobilization of Inventory/ List of volunteers
1
Accredited/Recognized Disaster with contract and or
2
Volunteers commitment to mobilize
With policy and receipt of 1
***Note: Starting CY 2025, payment of Insurance 2
Accredited Community Disaster Mobilization Plan and Photo
Guidelines (ACDV) must be in Documentation during 1
accordance Response
E. DRRM Skills Training (availed by the group, with certificates)
E.1 Basic Response training/license/accreditation
E.1.1 Basic / Advanced Search and Must show training
Basic 1
Rescue competency certificates
for the frontline
responders. (USAR Cert,
Advanced / Specialized 1
WOSAR Cert, CSSR Cert,
etc.)
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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
E.1.2 Emergency Medical Certification of completion Basic (EMT, Basic Life
1
Response Trainings (BLS/ MFR/ and/or competency for Support etc)
CFR/ First aid/ EMR and the like) (Advanced Life Support
(ALS), EMT, EMR, Advanced Cardiac Life
1
Midwifery, Physicians and Support (ACLS)
the like
E.1.3 Vehicle Operator (Ambulance Vehicle operator must
and Fire/Rescue Truck Drivers) have License / NC2 for Fire/ Rescue Truck/ Vehicle 1
specialized vehicle such
as advanced Ambulance
and Fire/ Rescue Truck) Ambulances / PTV 1

E.1.4 Basic Response Training and With Integrated training Certification 1


Ladderized ICS team sanctioned or
accredited by line Updated Capacity and
agencies (BFP, DOH, Red Capability Building may
2
Cross) include refresher course,
training demonstrations, etc
Personnel holding Basic ICS 1
supervisory or managerial AHIMT 1
positions must undergo an
Others
ICS ladderized course
(AHIMT Certified) 1
*Unit team leader should have
Basic ICS
E.1.5 EOC Training With EOC Management
EOC Training Certificate 1
Training
E.1.6 Exercise Design Course With EDC Training EDC Training Certificate
1

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or
(A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about
provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
3. BENEFITS/INCENTIVES/WELLNESS OF PERSONNEL AND RESCUE TEAMS (8)
A. Insurance Coverage Supported with insurance
policy per personnel or Insurance policy and/or proof 2
group of receipt of payment

B. Wellness Program Personnel are provided an After-Activity report with


activity for their well-being Attendance sheet of
2
through wellness activity participants and photo
to boost morale documentation
C. Skills Enhancement Personnel are provided Training Needs Analysis 1
Program/Activities with opportunities (i.e (TNA)
trainings) to enhance their
skills
After Activity Report with
Semestral skills auditing photo documentation 1
(either internal or external
skill auditors)
D. Stress Debriefing/ Personnel are provided
After Activity Report which
Psychosocial with appropriate
includes recommendations 2
psychosocial intervention
from trained professional
4. DISASTER RESPONSE (12)
(Natural or human-induced disaster/complex emergency)
A. Disaster Response Conducted effective Run Sheets/ PCR 1
Operations Conducted emergency response
management Incident report 1
Photo documentation of actual
1
response operations

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or (A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
Post-Incident
Evaluation/After-Operation 2
Report
Operations Logbook/sheets 2
IPCR/Performance Rating 1
Form/ Monthly Performance
Rating
Client Satisfaction Survey/ 2
Feedback (i.e social media
feedback)
B. Complex Emergencies Capability in responding
Response Conducted to emergencies involving
properties and the
environment

Documentations
responding to properties
and environment such as List of capabilities involved in
fire and rescue Response dates, after activity
operations. report, and pictures.
2
After Activity Report with
photo documentation

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or
(A measurable or (The methods, tools, or Point or
requirements used to judge, observable factor that processes used to confirm or Score Score
evaluate, or make decisions about
provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
5. CONDUCT AND PARTICIPATION IN DRRM ACTIVITIES (14
pts)
A. Drills and exercises Conduct of drills and Exercise Program, Schedule,
demonstrating skills exercises demonstrating pictures, assessment form,
skills complete with and reference materials of
evaluation from experts skills audit and evaluation.
from agencies/partners (may include Exercises/ Skills
(BFP, DOH, TESDA Audit/ Equipment/ 1
Accredited Partners etc.) Communication Test not only 0
during NSED)

2pts - per exercise or testing


Activity with documentation
(Maximum of 10 pts)
B. Other external DRRM Participation in other Certification of participation 4
activities external DRRM activities and pictures of activities
set by higher related to the DRRM event.
DRRMCs/NGAs
1pt – per DRRM activity with
documentation (Max of 4 pts)

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Criteria Indicator Means of Verification Max Validat Remark
(A set of standards, principles, or
(A measurable or (The methods, tools, or Point or
requirements used to judge,observable factor that processes used to confirm or Score Score
evaluate, or make decisions about
provides insight, signals a validate information, data, or
something) condition, or represents a claims)
particular aspect within a
system or context.)
6. RECOGNITION FROM STAKEHOLDERS OR ANY ORGANIZATION; OR ACCREDITATION (5)
FROM OTHER SEARCH AND RESCUE ORGANIZATION
A. Recognition related to Plaques, Certificates,
International recognition (e.g.
advancing and promoting effective, Trophies, Letter of 1
INSARAG, AHA Center)
and systematic Emergency commendations etc.
Management from the community National recognition (e.g.
or any organization such as LGUs, Gawad KALASAG (GK) and 1
CSOs, Private sector, Academic NGAs)
sector, among others. Regional recognition (e.g. GK
1
and other NGAs
Accreditation or membership with Provincial level recognition 1
other International Search and Municipal or City level
Rescue organizations, etc. recognition
(Within the last 3 years) 1

TOTAL 100

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Summary Sheet
Max. Actual
Criteria for Checking Remarks, Recommendations and Suggestions
Score Score
I.EXISTENCE OF OPERATIONAL, EQUIPPED, AND
22
FUNCTIONAL OPERATIONS CENTER
II. RESPONSE CAPABILITY 39
III. BENEFITS/INCENTIVES/WELLNESS OF PERSONNEL
8
AND RESCUE TEAMS
IV. DISASTER RESPONSE OPERATIONS CONDUCTED 12
V. CONDUCT AND PARTICIPATION IN DRRM ACTIVITIES 14
VI. RECOGNITION FROM STAKEHOLDERS OR ANY
ORGANIZATION; OR ACCREDITATION FROM OTHER 5
SEARCH AND RESCUE ORGANIZATION
TOTAL 100

Adjectival Rating Percentage


Excellent 91-100%
Very Good 81-90%
Good 71-80%
Needs Improvement 61-70%

Validated by:

Name:
Position:
Agency:
Date:

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