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Form Instructions

The PDA form is intended for use by the Preliminary Damage Assessment Team or by Local Government Officials in reporting disaster-related damages and costs incurred. The completed forms are to be attached to the "Public Assistance, Preliminary Damage Assessment (PDA) - Consolidated" form.

For each public facility with significant damage, or type of work with significant cost, provide a brief description of the damage and impact on the community. Deduct the value of insurance coverage. Also provide the approximate percent complete for the work and cost estimate. Report only those costs or damages which are the result of the disaster event and are the legal responsibility of the unit of government or eligible private non-profit organization.

Examples of typical disaster-related work and public facility damages include:
 
A. DEBRIS REMOVAL
On streets and Right of Way (ROW)
In parks
Discarded personal property on ROW
In drainage channels
At culverts and bridges
E. PUBLIC BUILDINGS & EQUIPMENT
(Deduct insurance coverage)
Buildings owned by the government or eligible private non-profit organization
Supplies and inventory
Vehicles and equipment
 
B. EMERGENCY PROTECTIVE MEASURES
Evacuation efforts
Security patrols
Search and rescue
Emergency pumping
Emergency access
F. PUBLIC UTILITIES
(Only those owned by government or
eligible private non-profit organizations)
Water supply systems
Sanitary Sewers systems
Treatment plants
Storm drain systems
Power supply systems
​C. ROADS AND BRIDGES
Bridges
Culverts
Road surfaces and embankments
Traffic signs and lights
Related structures in ROW
G. PARKS, RECREATION, OTHER
Owned by governments or eligible
private non-profit organizations
D. WATER CONTROL FACILITIES
Levees
Improved and maintained drainage channels
Dams and watershed structures
Irrigation works
 
COMPONENTS OF COST ESTIMATES - COMMON EXAMPLES (not all inclusive) - USE PROFESSIONAL JUDGEMENT.

CATEGORY A - DEBRIS REMOVAL
 
QUANTITY IN CUBIC YARDS (CY) OR TONS
TRANSPORTATION TO DISPOSAL SITE
LANDFILL FEES

CATEGORY B - EMERGENCY PROTECTIVE MEASURES

RENTAL COST OF ROAD BARRIERS, PORTA-POTTIES
OVERTIME COSTS OF POLICE, FIREFIGHTERS, OTHER PERMANENT EMPLOYEES
LABOR COST OF TEMPORARY EMPLOYEES
EQUIPMENT USE/RENTAL (PUMPS, TRANSPORT)
COST OF MATERIALS (SANDBAGS, FILL)

CATEGORY C - ROAD AND BRIDGE (PA DOT STANDARDS AND ESTIMATING PARAMETERS PREVAIL)
 
TYPE AND QUANTITY OF MATERIALS REQUIRED
SIZE OF WASHOUT, TYPE OF ROAD SURFACE
SIZE & TYPE OF CULVERT AND ROAD
SIZE AND TYPE OF BRIDGE
SIGNS AND OTHER STRUCTURES
 

Whenever possible, base the damage assessment on measurable factors. In some areas such as sewer and water plants the professional judgment and experience of the plant operator may provide a reasonable estimate. Include in description of damages the dimensions, list of major components damages, and/or estimated quantities (labor,equipment, material) as appropriate and reasonably available.

Use the reverse side of site estimate form for sketches, discussion of basis for estimate, list of components and quantities, etc. as appropriate.

The objective is to achieve a reasonably accurate estimate of the cost of damages. This is NOT the damage survey report which results in funding, therefore, measurements are approximate, not to construction tolerance standards.