ANNEX B

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REPORT ON THE CONDUCT OF QUARTERY
NATIONWIDE SIMULTANEOUS EARTHQUAKE
DRILL

DATE CONDUCTED:
TIME STARTED:
TIME ENDED:

REGION
DIVISION
NAME OF SCHOOL

Pre-Drill Yes No
With available Go Bags?
With updated preparedness, evacuation, and
response plans?
With updated contingency plan?
With available early warning system?
With available emergency and rescue equipment?
With available First Aid Kits?
With available communication equipment (internet,
cellphone, two-way radio, etc.)?
With sufficient space in school/classrooms to
conduct the "Duck, Cover, and Hold"
Conducted coordination/preparatory meeting with
LDRRMO/BDRRMCs?
Conducted an orientation to learners and school
personnel on earthquake preparedness measures and
the conduct of earthquake and fire drills?
Conducted an orientation to parents on earthquake
preparedness measures and the conduct of
earthquake and fire drills?
Learners have accomplished the Family Earthquake
Preparedness Homework?

Conducted alternative activities and/or Information,

Education and Communication (IEC) campaigns on
earthquake preparedness and fire prevention?
Additional Remarks

Actual Drill Yes No

Conducted "DUCK, COVER, and HOLD"?
Conducted evacuation drill?
Additional Remarks
 No. of Personnel Male Female Total
No. of Teaching Personnel
No. of Non-Teaching Personnel
Grand Total
No. of Learners No. of Learners Male Female Total
(Excluding IP, Muslim and Learners with Disability)
No. of IP Learners
No. of Muslim Learners
No. of Learners with Disability
Grand Total
Post-Drill Yes No
Conduct of post-activity exercises tabletop and
functional exercises
Additional Remarks

Common issues and concerns encountered during the actual conduct of drill
1
2
3
4
5 [Add additional item/s when necessary]

Prepared by: Noted by:

[School DRRM Coordinator] [School Head]

Date: Date:
 insert region logo here

PRE-DRILL

With available With sufficient

communication space in
With available
With updated With available equipment school/classroo
With available emergency and With available
No. SCHOOL ID SCHOOL NAME contingency early warning (internet, ms to conduct
Go Bags? rescue First Aid Kits?
plan? system? cellphone, two- the "Duck,
equipment?
way radio, Cover, and
etc.)? Hold"

Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
 16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
TOTAL
 DIVISION CONSOLIDATED REPORT O

LL

Conducted
Conducted an alternative
orientation to Conducted an activities
learners and orientation to and/or
Conducted Learners have
school parents on Information,
coordination/p accomplished Conducted
personnel on earthquake Education and Conducted
reparatory the Family "DUCK,
earthquake preparedness Communicatio Additional evacuation Additional
meeting with Earthquake COVER, and
preparedness measures and n (IEC) Remarks drill? Remarks
LDRRMO/BDR Preparedness HOLD"?
measures and the conduct of campaigns on
RMCs? Homework?
the conduct of earthquake and earthquake
earthquake and fire drills? preparedness
fire drills? and fire
prevention?

Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
ATED REPORT ON THE CONDUCT OF QUARTERY NATIONWIDE SIMULTANEOUS EARTHQUAKE DRILL
(DepEd Order No. 53, s. 2022)
ACTUAL DRILL

No. of Personnel

Total No. of Teaching Personnel

Male Female Total

ILIPPINES
EDUCATION
TERY NATIONWIDE SIMULTANEOUS EARTHQUAKE DRILL
53, s. 2022)
ACTUAL DRILL

No. of Personnel

Total Number of Learners

Total No. of Non-Teaching Personnel (Excluding IP, Muslim and Learners with Total No. of IP Learners
Grand Total
Disability)

Male Female Total Male Female Total Male Female

 POST-DRILL

No. of Learners

Conduct of
post-activity
exercises
tabletop and
functional
Learners Total No. of Muslim Learners Total Number of Learners with Disability exercises
Grand Total

Total Male Female Total Male Female Total Yes/No

OST-DRILL

Common
issues and
concerns
encountered
Additional
during the
Remarks
actual
conduct of
drill
 insert region
logo here

PRE-DRILL

With available With sufficient

Conducted
communication space in
With available coordination/p
With updated With available equipment school/classroo
With available emergency and With available reparatory
No. OFFICE contingency early warning (internet, ms to conduct
Go Bags? rescue First Aid Kits? meeting with
plan? system? cellphone, two- the "Duck,
equipment? LDRRMO/BDR
way radio, Cover, and
RMCs?
etc.)? Hold"

Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

1 Region Office
2 Division Office
3 Division Office
4 Division Office
5 Division Office
6 Division Office
7 Division Office
8 Division Office
9 Division Office
10 Division Office
11 Division Office
12 Division Office
13 Division Office
14 Division Office
15 Division Office
 16 Division Office
17 Division Office
18 Division Office
19 Division Office
20 Division Office
21 Division Office
22 Division Office
23 Division Office
TOTAL
 R
DEPA
REGIONAL CONSOLIDATED REPORT ON THE COND

Conducted
Conducted an alternative
orientation to Conducted an activities
learners and orientation to and/or
Learners have
school parents on Information,
accomplished Conducted
personnel on earthquake Education and Conducted
the Family "DUCK,
earthquake preparedness Communicatio Additional evacuation Additional
Earthquake COVER, and
preparedness measures and n (IEC) Remarks drill? Remarks
Preparedness HOLD"?
measures and the conduct of campaigns on
Homework? Total No. of Teaching
the conduct of earthquake and earthquake
earthquake and fire drills? preparedness
fire drills? and fire
prevention?

Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Male

 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
T ON THE CONDUCT OF QUARTERY NATIONWIDE SIMULTANEOUS EARTHQUAKE DRILL

ACTUAL DRILL

No. of Personnel

No. of Teaching Personnel

Female Total
ILIPPINES
EDUCATION
TERY NATIONWIDE SIMULTANEOUS EARTHQUAKE DRILL

ACTUAL DRILL

No. of Personnel

Total Number of Learners

Total No. of Non-Teaching Personnel (Excluding IP, Muslim and Learners with Total No. of IP Learners
Grand Total
Disability)

Male Female Total Male Female Total Male Female

 POST-DRILL

No. of Learners

Conduct of
post-activity
exercises
tabletop and
functional
Learners Total No. of Muslim Learners Total Number of Learners with Disability exercises
Grand Total

Total Male Female Total Male Female Total Yes/No

OST-DRILL

Common
issues and
concerns
encountered
Additional
during the
Remarks
actual
conduct of
drill