1. VDC level Initial Rapid Assessment Format- Adopted from Nepal Red Cross Society
Format No.1 (0 to 24 hrs)
VDC/Muni…….
Disaster strike date:
SN Ward Type of Population Affected Family Displaced family Damaged House Needs and Gap
disaster Dead Miss Injured Hous Pop Hou Pop Completel Partial of area
ing ehold Male female seh y ly
old
1.
2.
3.
4.
5.
A) Situation of infrastructures and services in affected area:
SN Damaged Number Extent of Damage Estimated Losses Methodology applied to collect Remarks
Completely Partially (NRs) information
1. School building
2. Bridges and roads
3. Health post
4. Community
center(VDC, Safe
shelter)
5. Paddy (hector/ropani)
6. Paddy
field(hector/ropani)
7. Pet animals
8. Small shop
9. Fish pond
10. Communication
11. Electric Supply
12. Others
B) Locally involved CBOs and Organizations in relief and response operation :
SN Type of relief Organization
assistance
Name of VDCs
Prepared by Approved by
Name: Name:
Designation: Designation:
Office Seal Office Seal