Disaster Damage Assessment Field Report

General Information

Date of Report Location Assessment Team Members Type of Disaster Flood Earthquake Storm Fire Landslide Other

Damage Overview

Brief Description of Damage

Casualties & Affected Population

Number of Casualties Number of People Affected

Infrastructure & Property Damage

Number of Houses Damaged Public Facilities Damaged (detail) Roads/Bridges Damaged

Immediate Needs

Urgent Needs Identified

Additional Notes

Additional Comments or Observations