Uploaded by Rocky De Pedro

Output 2 Family-Preparedness-Emergency-Plan-Template (1) (1)

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PAMANTASAN NG LUNGSOD NG MAYNILA
(University of the City of Manila)
General Luna St., cor. Muralla St. Intramuros, Manila, Philippines
OFFICE OF THE NATIONAL SERVICE TRAINING PROGRAM
Civic Welfare Training Service
Tel. 8643 – 2563
nstp@plm.edu.ph
NSTP-CWTS Output
Number 3
Name: Lyka De Pedro
De Pedro
NSTP01 – Sec.: 59
Family Preparedness Emergency Plan (FPEP)
(Family Surname)
I.
Address: Sitio Balon Brgy. Mambugan, Antipolo City, Rizal
II. Family Members (include in the remarks whether Adult, Minor, Child, Senior Citizen, PWD,
and others, include pets)
NAME
Contact Number
Remarks
1. Welmer De Pedro
09177361172
Adult
2. Arlyn De Pedro
09098422406
Adult
3. Lyka De Pedro
09192663595
Adult
4. Laurence De Pedro
None
Minor
5. Bella
N/A
Pet
6. Rocky
N/A
Pet
7. Muning
N/A
Pet
III.
Disasters Most Likely To Occur in our Household: Fire
Justify:
Fire is the calamity that will most likely occur in our household or community
because
the distance between each house is so close. As a result, once a fire breaks out, it will
quickly spread throughout the houses. Aside from the distance, another reason for the
rapid spread of fire in our community is the light materials utilized in the construction of
the dwellings.
IV.
Cite at least two (2) Escape Routes from your House (be specific as possible):
1. Main Gate - It is the simplest way out of a fire, as it leads directly to a walkway
or an open space with access to the outside.
2. Terrace - Our house is not particularly tall, and using our terrace as an escape route
in the event of a fire is also an easy way. It will take us immediately to a walkway or
an open area with external access, much like our front door.
V.
If separated during an emergency, cite two (2) meeting places outside your residence.
Consider safety, proximity and familiarity of the place to all the members of the family.
You may cite designated evacuation place by your local community officials, but include
a more specific location within the vicinity.
1. Main gate of Lumang Bayan Village
2. In front of SM Cherry
VI.
In the event that the household members are separated and due to some reasons unable
to meet in the designated meeting places and unable to communicate with each other,
determine an emergency contact person or agency which is NOT a member of your
household.
Name: Analyn Acosta
Address/Location: Upper Antipolo
Contact Number: 09976402839
VII.
Include Plans in Case of Evacuation of Household Members with Special Need (Senior
Citizen, Children, Persons with Disability, Persons with Special Needs, Pregnant Women,
and others, include Pets)
Name
Plan
Rocky
Will be assisted by Lyka De Pedro during the escape.
Muning
Will be assisted by Laurence De Pedro during the escape.
Bella
Will be assisted by Welmer De Pedro during the escape.
VIII.
Specific Task for Family Members:
Name of Person Responsible
(you may write more than one name)
Preparation
and
Storage
of
Disaster Welmer De Pedro
Preparedness Kit (Go Bag) – Stock the disaster
kit and take during evacuation if necessary,
ensure that Go Bag contents are complete and
updated.
Household Members Medical Information – Arlyn De Pedro
familiarity with the medical information
including medications and other requirements
of ALL members of the household
Be Informed and Updated – maintain access to Lyka De Pedro
disaster related information via Early Warning
Systems, SMS Messages, Radio or Television
information during times of disaster and
calamities.
Financial Information and other important Arlyn De Pedro
documents – store and obtain copies of Welmer De Pedro
financial and bank statements and cash in the
event ATMs and credit cards do not work.
Safekeeping of important documents like Land
Titles, Car and other Assets Certificates and
Documents, making sure they are placed in a
water-proof casing.
Sharing the information and Maintaining the Lyka De Pedro
Plan – Share the completed plan to others who
may need to know. Set meeting with household
members at least every six (6) months or as
need arises to update and change the plan.
Nature of Task
1.
2.
3.
4.
5.
IX.
Emergency Preparedness Kit (Go Bag) Checklist:
Make sure that the Family Emergency Preparedness Kit (Go Bag) is stored properly and always
ready to be brought in case of emergency and evacuation if necessary.
Item Description
Check if Present
Water – 1 Gal of water per person per day for at least 3 days
�
Food – chocolate, power bars, noodles, ready to eat and easy to open
�
canned goods, biscuits
First Aid Kit – absorbent compress dressings, adhesive bandages, adhesive
�
cloth tape, antiseptic, cold/hot compress, latex gloves, bandages and pads.
Medicines – Prescription medicines, maintenance medicines and other OTC
�
Medicines
Bleach in case of water purification – 5 drops per 1 L of water
✕
Blanket and Extra Clothes
Hygiene Kit – Toothbrush, toothpaste, soap, insect repellant, baby wipes,
alcohol, sanitary napkins
Poncho or Raincoat
Special Needs for babies, pregnant women, and elderly
�
�
Flashlight or rechargeable lamp
Batteries, charger, power bank
Transistor Radio
�
�
Swiss Knife or multi-purpose tool
✕
Black Bag and Re-sealable plastic bag
✕
Duc Tape, Rubber Bands, Sewing Kit
Matchsticks, lighter, candles
Mirror
Paracord (at least 5 meters long)
�
�
�
Marker and pen
Extra Cash
�
�
X.
�
✕
✕
✕
Pledge and Conforme to the De Pedro Family Preparedness Emergency Plan
We hereby conforme to the development of our Family Preparedness Emergency Plan (FPEP)
and pledge to follow the plan in case of disaster and emergencies.
Name and Signature of All Adult Members of the Household
NAME
Signature
1. Arlyn De Pedro
2. Welmer De Pedro
3. Lyka De Pedro
XI.
Attach two (2) photos:
1. Family Preparedness Emergency Kit (Go Bag)
2. Household Members with the Signed Family Preparedness Emergency Plan (FPEP)
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