This damage assessment PDF supports preliminary damage assessment (PDA) operations conducted by emergency management personnel, CERT teams, and state and local response agencies in the hours following a disaster declaration. Completed PDAs are submitted to state emergency management offices and federal authorities to request public assistance programs from FEMA.
The hazard and structural assessment section records the type and severity of conditions at each affected location. Personnel document gas leaks, water leaks, electrical faults, chemical spills, and fire damage. Structural categories range from heavy damage to light damage, with notes on whether a building is accessible, restricted, or completely evacuated. Human impact data includes injuries, individuals trapped, and any fatalities, as well as an estimate of displaced residents needing temporary housing.
The task assignment and tracking section is used by incident command to log which response teams have been assigned to each location, their current status, and the completion time for each assignment. This running log gives the emergency operations center a real-time picture of resource deployment and progress across an incident scene.
Key details recorded at the top of the PDF include the incident date and time, the address or GPS coordinates of the affected site, the reporting personnel name, and the receiving official. The PDF contains 117 fillable fields and takes an average of 24 minutes to complete.
| Question | Answer |
|---|---|
| Form Name | Damage Assessment Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 117 |
| Avg. time to fill out | 23 min 39 sec |
| Other names | backslash, llight, damage assessment fillable pdf, STRUCTURES |