School-Based Emergency Safety Plan – SY 2013-14

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Critical Response and School Emergency Management Guide – SY 2013-14
School-Based Emergency Safety Plan – SY 2013-14
School Name:
School #:
School Address and Zip Code:
Geographic Location:
Number of Floors:
Number of Exits:
Building Size: sq. ft.
Site Size: acres
Number of Students:
Number of Staff Members:
Number of Students Needing Special Assistance:
Number of Adults Needing Special Assistance:
Attached with this Plan, are copies of maps of the school site, as well as blueprints and/or
diagrams of the school building for use in the event of an actual emergency. These maps,
blueprints and/or diagrams clearly indicate the following:
 Locations of critical emergency preparedness and response equipment
 Stairwells and exits
 Evacuation areas and routes
 Evacuation routes for disabled students and staff
 Traffic flow
 Pre-determined staging areas for
o Staff/student assembly areas
o Emergency equipment
o Media
o Parent and student reunification
o Interior and exterior command posts
 Areas that contain known hazards or threats
o Utility controls
Principal and Assistant Principals’ Signature
Principal’s Private Line:
Assistant Principal’s Private Line:
Cell Phone:
Cell Phone:
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School Emergency Management
Safety Plan
Critical Response and School Emergency Management Guide – SY 2013-14
School Emergency Safety Management Team Assignments
In general, Incident Command System (ICS) or School Emergency Safety Management Team roles
should be logical, reasonable parallels to day-to-day work assignments. Complete the form below to
reflect your School Emergency Safety Management Team assignments. Descriptions of roles and
responsibilities for each assignment are provided in forming the School Emergency Safety Management
Team.
Title
*Incident Command:
Principal, or Designee
Name
Position
1. Primary
2. First Alternate
3. Second Alternate
1.
2.
3.
*Public Safety Liaison:
SRO/Teacher
1.
2.
3.
*Student Accounting Coordinator: 1.
AP or Guidance Counselor
2.
3.
*Facility Access Coordinator:
1.
Chief Custodian
2.
3.
*Triage Coordinator:
1.
Nurse
2.
3.
Parent Liaison:
1.
PTA President
2.
3.
Media Liaison:
1.
Language Arts/English Teacher
2.
3.
Counseling Coordinator:
1.
Guidance Counselor
2.
3.
Communications Coordinator:
1.
Librarian
2.
3.
Supplies Coordinator:
1.
Teacher/Cafeteria Manager
2.
3.
Transportation Coordinator:
1.
AP or Teacher
2.
3.
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Location Person is found:
Room #
Intercom #
Phone#/Ext.
Critical Response and School Emergency Management Guide – SY 2013-14
School Emergency Safety Plan
Tentative Annual Schedule for Faculty/Staff Training
(This chart is to depict dates when principals will schedule meetings throughout the school year
with school faculty: school leaders, teachers, clerical and custodial staff. It is critical that all
school-based employees are knowledgeable of the School Emergency Plan and their role in an
emergency.)
to Include AED Training (High Schools only)
Tentative Dates
Type of Meeting (faculty, post drills, tabletop,
functional or full-scale exercises )
August
September
September
October
November
December
January
February
March
April
May
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Critical Response and School Emergency Management Guide – SY 2013-14
Assembly Area (Outdoors - Standard Evacuation)
Complete the following worksheet to plan for evacuation from the building to an on-site, or near-site
Assembly Area (e.g., on-site football field). The Assembly Area should minimize exposure of students to
dangers or hazards around the school.
Examine floor plans and maps for your school grounds and surrounding neighborhood. Determine
primary and secondary exits for each room in the building. Consider factors such as: gas, sewer, power
lines; chain link fences (electrical hazard); facilities containing toxic or radioactive material; water
towers, multiple story buildings (vulnerable to collapse), transformers, balconies (which may fall from
buildings), etc. These locations should correspond to the evacuation areas (fire drill and at 500 feet).
Command Posts:
Command posts are locations that all team members know ahead of time. Each command post has
location as a primary importance, secondary is the availability of communication links, and third is easy
access for staff and emergency responders.
Descriptions of three areas:
Each school site will identify three command posts for the school. Two posts on the exterior, one to be
used during normal evacuation, and a second at least 500 feet from the school. Finally, identify a
command post for the school at the walking distance alternative building location. If you are evacuated to
a central location requiring transportation, the command post will be in the lobby area.
The three required command posts are:
Interior
Building Primary:
Phone #
Building Alternate 1:
Phone #:
Building Alternate 2:
Phone #:
Exterior (usually flag pole)
Evacuation (Fire Drill):
Evacuation (500 feet):
Alternate
Building (i.e. neighboring
school/site)
Walking Distance (Facility): Location 1:
Address:
Phone #:
Walking Distance (Facility) Location 2:
Address:
Phone #:
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Critical Response and School Emergency Management Guide – SY 2013-14
Alternate Building Location: Requiring Transport
In the event of an emergency requiring transportation to an alternate building location, you
would coordinate your planning with CIRT and EOC for a Level II or Level III emergency.



Contact CIRT to coordinate and plan for transporting students and staff to an Alternate
Building Location.
Consider factors such as roadways (for potential traffic “gridlock”), waterways, power
lines, metal fences, utilities, etc., and select routes that minimize exposure to area
hazards.
CIRT in cooperation with EOC will direct you to one of the centralized evacuation
centers.
USE SPACE BELOW for any special planning needs or for coordinating your school’s
plan.
No contact with the alternate facility is necessary since the Critical Incident Response Team
and the Emergency Operation Center will direct these actions.
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Critical Response and School Emergency Management Guide – SY 2013-14
Student Accounting, Release and Reunification Procedures
Each school needs to establish a specific plan for Student Accounting and Release. Use the
following worksheet to describe how your school will account for students and staff in the
building in the event of an evacuation. Teachers must carry roll books, grade books, or
student attendance sheets/cards when exiting the building during an evacuation. A staff
roster and visitor sign-in sheet are to be available to take during an evacuation. All students
and staff need to have emergency information on file.
1. List below steps or procedures staff will take to ensure student or staff accounting (e.g.,
teachers report to team leader, who reports to “Student Accounting and Release: member
of the School Emergency Safety Management Team, who reports to principal):
2. What procedures will be in place to release students to parents, guardians, or other
designated adults during an emergency?
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Critical Response and School Emergency Management Guide – SY 2013-14
Staff Skills Inventory
The School Emergency Safety Management Team should identify staff with special skills
that can be used in case of an emergency response skill.
I. Emergency Response:
Please check any of the following areas in which you/your staff have training or
expertise:
 First Aid
 Hazardous Materials (Science
Chemicals)
 CPR
 Counseling/Mental Health
 Emergency Medical
 Incident Debriefing
Explain or clarify items checked, if needed:
II. Special Considerations: Please check and list special skills or resources you feel would
be an asset in an emergency situation. Explain items checked:
 Multilingual, list language(s)
 Experience with disabilities
 Knowledge of community resources
 Other knowledge or skills:
III.
Location of Automated External Defibrillators (AED). All high schools must have at a
minimum one AED on site:
1.
2.
3.
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Critical Response and School Emergency Management Guide – SY 2013-14
Students/Adults Needing Special Assistance
The School Emergency Safety Management Team should maintain a master list of students
needing special assistance in the event of an emergency (make copies of this sheet as necessary):
Student(s) Name
Teacher(s) /Time(s)
Location(s)
Assistance Needed and
Individuals to Provide
Assistance
Assistance Needed:
Assistant 1:
Assistant 2:
Assistant 3:
Assistance Needed:
Assistant 1:
Assistant 2:
Assistant 3:
Assistance Needed:
Assistant 1:
Assistant 2:
Assistant 3:
Assistance Needed:
Assistant 1:
Assistant 2:
Assistant 3:
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Critical Response and School Emergency Management Guide – SY 2013-14
Classroom Building and Community
“Hazard Hunt”
The School Emergency Safety Management Team is required to identify circumstances unique to
its school/campus/facility that may present unique risks to persons or property. These may
include materials used within the building, potentially troublesome evacuation routes, dangers
due to geographic location, proximity to potentially hazardous buildings in the community,
issues related to sharing a campus with another school, etc.
List below any specific risks or potential hazards needing special consideration and plans to
address them
(copy form as needed):
Potential Hazard
Locations
Action Taken (or planned) to
Mitigate the Hazard
Contact:
Contact:
Contact:
Contact:
Contact:
Contact:
Contact:
Contact:
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Critical Response and School Emergency Management Guide – SY 2013-14
SURVEY OF EMERGENCY CONTROL VALVES/SWITCHES
School Name and #:
Address and Zip
Code:
Date Prepared:
Below give the locations of the emergency valves/cut-offs for the following systems:
CONTROL
VALVES/SWITCHES
LOCATION
1. MAIN GAS
2. MAIN WATER
3. ELECTRICAL
PANELS
4. FIRE ALARM
SYSTEM
5. SPRINKLER SYSTEM
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REMARKS
Critical Response and School Emergency Management Guide – SY 2013-14
SCHOOL POLICE EMERGENCY MANAGEMENT WALKTHROUGH
School Name & Number:
Date:
School Police Officer Name:
Time of Visit:
Walkthrough Process:
 School Police should be accompanied by Principal or designee on each walkthrough
 Walkthrough should be conducted while students are in the building
 Upon completion of walkthrough, School Police will share findings with school Principal
 School Principal will have 60 days to correct all identified problems
 School Police will return to ensure that the identified problems have been resolved
 Once all problems have been resolved, School Police will sign this document
 The signed walkthrough is to be affixed to and submitted with the school’s Emergency
Management Plan
 The signed walkthrough is also to be scanned and emailed to Mike Haugh
(mshaugh@bcps.k12.md.us), Megan Kenny (mkenny@bspc.k12.md.us), and cc Karen
Webber-NDour (kndour@bcps.k12.md.us).
 The Emergency Management Plan is not valid until the assigned School Police Officer
has signed this document, indicating that all concerns noted in this document have been
addressed.
Observation
Yes/No
(Y/N)?
1. Is the front entrance locked?
2. Is there a functioning buzzer or
intercom system at the main entrance?
3. Once buzzed in, is the main entrance
monitored by assigned staff?
4. Are all visitors required to sign in
and/or show their ID?
5. Are all entrance doors operable and
locked?
6. Are hallways and stairwells well-lit?
7. Are all windows secured and locked?
8. Are unoccupied classrooms and
other areas secured and locked (e.g.,
gym, cafeteria, computer lab)?
9. Are glassed-in portions of classroom
doors unobstructed? Can you see into
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Comments
Critical Response and School Emergency Management Guide – SY 2013-14
the classroom?
10. Are there unmonitored areas where
students can hide?
11. Are all access points to the roof
secured and locked?
Observation
Yes/No
(Y/N)?
Comments
12. Are transition times effectively
monitored by school staff, including
hall monitors?
13. Are fire extinguishers clearly
accessible with up-to-date inspection
tags?
14.
Are signs requiring visitors to sign in
clearly visible in the building?
See
“Registration
of Visitors
15.
Are
“No Trespassing”
signsofvisible
Schools
– Citycampus?
Ordinance Article 18
on
the school
Section
1-38”
16. If you are present at entry or
dismissal, are adults actively
supervising
students?
17.
Are students
are left outside and
alone during entry and dismissal times?
18. Is there sufficient supervision in the
cafeteria?
19. If the school has a uniform, are the
uniform rules being enforced to help?
tify
students?
20. Are
bathrooms being monitored
throughout the school day?
Additional Observations or Areas of Concern:
I affirm that the concerns noted in this Emergency Management Walkthrough have been
addressed and corrected.
Signature
Date
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Critical Response and School Emergency Management Guide – SY 2013-14
THIS PAGE IS A PLACEHOLDER
Insert ………
o Site Plans
o Floor Plans:
 Indicators of Evacuation Routes – Primary and Secondary Routes
 Indicators of Stairwells and Exits
 Indicators of Utility Emergency Cut-Off Systems
NOTE:
EACH OCCUPIED ROOM AND AREA MUST BE POSTED WITH A FLOOR PLAN
INDICATING THE PRIMARY & SECONDARY EVACUATION ROUTES FOR THAT AREA.
THIS PAGE MAY BE DISCARDED
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