National Disaster Response Plan (NDRP) March 2010 - NDMA
National Disaster Response Plan (NDRP) March 2010 - NDMA
National Disaster Response Plan (NDRP) March 2010 - NDMA
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165<br />
Annex H<br />
To <strong>National</strong> <strong>Disaster</strong> <strong>Response</strong> <strong>Plan</strong>-<strong>March</strong> <strong>2010</strong><br />
DAMAGE AND LOSS ASSESSMENT REPORT FORMAT<br />
1. Situation Report: District Government: District <strong>Disaster</strong> Management Authority (Weekly)<br />
Nature of <strong>Disaster</strong>: ------------------ District ----------------- Report--------------- Date----------------<br />
Reported By: ------------------ Telephone ------------------ Time ------------------------<br />
Affected Area: # of families ------- # of Villages --------- # UCs ---------- # of Tehsils/Taluka -----<br />
1. Overall Emergencies Condition N/A --------- Minor --------- Significant ----------- Major ------<br />
2. Casualties (Provide latest Cumulative figures) Fatalities --------- Injuries --------- Missing ----<br />
3. EOC Activation Closed -------------- Alert Stage --------------- Fully Activated-----------------<br />
4. Emergency Orders (Emergency Declared, Evacuation Ordered, Relief Camp set up etc)<br />
_____________________________________________________________________<br />
5. Any support received from:<br />
Police ------------CD ------------- Health ------------ PHE------------PWD ------------ Others -----------<br />
(Describe): ------------------------------------------------------------------------------------------------------------<br />
6. Relief Camp Status: Name/location # of Families Managed by<br />
DDMA/PRCS<br />
Open/Closed<br />
7. Roads/Bridges Status: Blocked ---------- Washed out ---------- Flooded ---------- Closed ------<br />
Give location: --------------------------------------------------------------------------------------------------------<br />
8. Damage Report Minor* # Significant* # Major* #<br />
Houses<br />
Public Buildings<br />
Private Buildings<br />
Water supply<br />
Drainage/Sewerage<br />
Electricity Outages<br />
Telephone Outages<br />
Food Storage<br />
Irrigation Infrastructure<br />
Agriculture Crop Damaged: Type of Crop Damaged --------------- # of Acres ---------------------<br />
Type of Crop Damaged -------------- # of Acres ---------------------<br />
Livestock: # Animals Injured ------------------ # of Animal Died -----------------------------<br />
9. Any Other Vital Information:<br />
10. Specify Immediate Needs: (In Quantity)<br />
Food: ------------------ Medical Supplies: ---------------------------------- Tents -----------------------