2012 - 2013
Multi-Hazard Emergency School Plan
and Recovery Guide
Berclair Elementary School
Principal Signature
Date
Student/Staff/Count & Special Needs Chart
# students
596
# special needs
students or
adults
27
# wheel
chairs
0
# office
personnel
1
# custodial
staff
5
# teachers
40
# of other
staff
29
(includes
itinerants)
Total in your bldg.
671
Multi-Hazard Emergency School Team Assignments
In general, Incident Command System (ICS) or Multi-Hazard Emergency School
Team roles should be a logical, reasonable parallel to day-to-day work assignments.
Complete the form below to reflect your school Multi-Hazard Emergency School
Team assignments. Descriptions of roles and responsibilities for each assignment are
provided in Appendix C of the Principal’s Multi-Hazard Crisis Response manual
received at training.
Title
Incident Command:
Principal
Safety Official:
School Security
Public Information Official:
Media Liaison
Liaison Official:
Liaison to Outside Agencies
Planning/Intelligence:
Situation Analysis
Operations:
Student Accounting &
Release
Operations:
Facility & Environmental
Operations:
First Aid, CPR, Medical
Operations:
Crisis Intervention &
Response
Operations:
Food, water, sanitation
Logistics:
Communications
Logistics:
Supplies
Administration & Finance:
Documentation
Name
Bldg. Location & Phone #
Alternate Name
Bldg. Location & Phone #
Dr. Sam Shaw
Office
6-8800
Lauren Lerner
Library
6-1855
Nita Jan Jones
Room 17
53526
Patricia Williams
Port. 309A
53514
Starlett Calhoun
Annex 24
53502
Nancy Neal
Office
6-1852
Alyce King
Portable 149
6-8573
Carrie Holmes
Computer Lab
53536
Sandy Zorn
Room 7
53524
Dawn Coleman
Port. 149
61862
Shawn Knolton
Room 18
Geraldine Davis
Portable 149
6-1852
Ronald Anderson
Portable 87
53509
Shannon Redmond
Counselor’s Office
6-1853
Genell Dotson
Portable 149
6-1852
Kristine Howell
Portable 149
61862
Mary Lou Stanton
Port. 237
53543
Arrilia Pollion
Cafeteria
6-1854
Connie Friend
Annex 26
53507
Jennifer Rogan
Portable 237
53512
Lisa Lowery
Office
6-1851
Nadine Johnson
Cafeteria
6-1854
Cheronda Ayers
Portable 88 B
53510
Keisha Carter
Room 13
53530
Melissa Meyers
Annex 21
53503
Janica Roberts
Port. 309B
53515
Students and Staff Needing Special Assistance
MASTER LIST
Using the information from individual Teacher/Staff Survey form (FORM #4 and 4a),
the Multi-Hazard Emergency School Team maintains a master list of students and
staff needing special assistance in the event of an emergency (make copies of this
sheet as necessary):
STUDENT/STAFF NAME
Marita Engel (staff)
Marilyn Alvarado
Jesus Alvaraez Garcias
Braiden Tucker
Tear’isshia Williams
Kevin Roman
Gabriel Senn
Deisi Mondragon
Juan Guzman
Autumn Fleming
Brian Macias
Kimberly Rodriguez
Alexus Wright
Chase Hale
Daniela Rodriguez
Kimberly Molina
Emily Walls (staff)
Dawn Smith (staff)
Keisha Carter (staff)
Kristine Howell
Tony Britt
Zachery Wisniewski
Michael Perry
Dylan Zisk
Jacob Wisniewski
Alvin Sessom
Angel Vieyra
Ruben Martinez
ASSISTANCE NEEDED
AND INDIVIDUAL TO PROVIDE ASSISTANCE
Asthma (machine in car)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Homebound
Diabetes (nothing at school)
Wears hearing aid
Asthma (no med at school)
Asthma, Nancy Neal
Asthma (no med at school)
Seizures
Asthma (carries own inhaler)
Asthma (carries own inhaler)
High blood pressure, back problems, leg problems
Diabetes
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Asthma (no med at school)
Diabetes
Asthma, Nancy Neal
Asthma (carries own inhaler)
Asthma, Nancy Neal
Classroom and Building “Hazard Hunt”
MASTER LIST (and Mitigation Plans)
Each Multi-Hazard Emergency School Team is required to identify circumstances unique to its
school/campus/facility that 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.
Using information from Classroom and Building “Hazard Hunt” forms, as well as insights from
Multi-Hazard Emergency School Team members, list below any specific risks or potential hazards
needing special consideration and plans to address them (copy form as needed):
Potential Hazards
Actions to Mitigate
Ramps to older
portables in need of
repair
Reported to
appropriate personnel
No fence around
school grounds
Staff monitors
students whenever
outside, plan for
possible fencing in
future
Instruments secured to
racks used for storage
In and Out only doors
established, students
lined up for teacher
pick-up
Reported to
appropriate personnel
Musical instruments
and stands in hallways
Congestions in
cafeteria during meals
Door to classroom 17
drags on floor,
difficult to open
Tables in hallways
(next to walls)
Heavy traffic on
streets around school
Non-students and
non-parents loitering
near school and on
grounds
Benches folded up
when not in use
Parents must stay in
cars during dismissal,
school personnel
participate in
supervision at
dismissal, crossing
guards serving both
main streets
Administration
notified, if
unsuccessful in
getting stranger to
leave MCS
security/police are
called
Successful
(Yes/No)
Yearly
updates
Yes
Yes
Yes
Continuing
problem
Yes
Yes,
continual
Yes
Barriers to Intervention
Assembly Area (Outdoors, for Standard Evacuation)
Use 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.
1. 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.
2. Designate each of the following in the Assembly Area: (Include an outside map with
the assembly area)
Command Post North end of soccer field (closer to goal posts) by black top area
Access for emergency vehicles Parking lot on Stratford Road side
Student assembly areas (by grade level or team, etc.)
South end of soccer field, away from trees and wires
Grade levels will be grouped together – please see diagram
First aid area North end of soccer field (close to black top area)
Heliport landing area for air medical (if traffic gridlock prevents vehicular access
Center of soccer field___________________________________________________
Psychological first aid area North end of soccer field next to playground equipment
Student release Perkins Road side of soccer field
Media area On black top area next to parking lot
Potential morgue Left of Heliport on soccer field
SOUTH
Student
Release
Heliport
-
PERKINS ROAD
---------------------------------
------------
STRATFORD ROAD
-
Assembly
K 1st 2nd
3rd 4th 5th
EAST
First Aid
Psychological
Media
Parking Lot
First Aid
Command
Post
Playground
Equipment
BLACKTOP
NORTH
WEST
Morgue
Communicate Student Accounting and Release procedures to parents.
(Please attach copy of letter to parents)
BERCLAIR ELEMENTARY SCHOOL
EMERGENCY MANAGEMENT UPDATE
2112-13
Dear Parents:
It is time to have our annual review of the Emergency Management Plan for Berclair. All parents need to
be aware of the alternate building locations, as well as the student accounting and release information.
The complete plan is available for viewing during the school day.
If the school building is evacuated, our primary location for student assembly will be on the open field
area to the south of the building. A Student Release Check Out area will be located south of the
playground equipment along the Perkins Road sidewalk. Parents will be required to report to this area in
order to check out their child. Please do not go to the assembly area! Runners will retrieve individual
students and bring them to the Check Out area for parents to sign a release check out form.
If it is necessary to evacuate the school campus, we have several alternate locations for assembly.
The alternate building locations within walking distance are:
Berclair Baptist Church – 4584 Summer Ave.
Grimes United Methodist Church – 4649 Summer Ave.
The alternate building locations that require transportation are:
Advanced Services, Inc. – 5865 Shelby Oaks Cir.
Gaisman Community Center – 4221 Macon Rd.
Students will be accounted for by using attendance records when they reach the alternate site. Parents
would need to report to the Check Out station in order to pick up their child. Runners will retrieve
students from the assembly areas and bring them to the Check Out station. Parents would sign a release
check out before removing their child from the premises.
Our “GO” Kits, which include first aid and emergency supplies, are complete. HASA (Home and School
Association) graciously provided all the necessary contents. Each homeroom class has one that will be
taken out whenever the class evacuates the building.
Thanks for your continued cooperation in helping us be well prepared for any emergency situation. If you
have any questions, please call the school at 416-8800 and speak with the principal, Dr. Sam Shaw, or call
416-8800 to speak with the school counselor, Ms. Redmond.
Berclair Elementary School
El Plan de Evacuar
En El caso De Emergencia
Querido Padre/Madre:
Cada año repasamos el plan de evacuacion de la escuela en el caso de emergencia. Todos deben ser
familirizados con este plan.
En el caso de evacuación, el lugar principal en donde nos reunimos es el campo que está al lado de la
escuela. En el caso, cuando vienen a recoger sus hijos, deben firmar por sus hijos. Hacemos esto para
que podamos estar seguros que todos los estudiantes están seguros. Por favor no recoja su hijo sin firmar
y hablar con un empleado de la escuela.
Si tenemos que evacuar el recinto de la escuela, vamos a reunirnos en uno de estos lugares 9en este
orden):
Primero:
Segundo:
Tercero:
Cuarto:
Berclair Baptist Church – (La Iglesia Bautista de Berclair) – 4584 Summer Ave.
Grimes United Methodist – (Iglesia Metodista de Grimes) – 4649 Summer Ave.
Advanced Services, Inc. – 5865 Shelby Oaks Circle
Gaisman Community Center – 4221 Macon Road
Maestras van a chequear la asistencia de cada estudiante cuando llegamos al lugar en donde reunimos.
Otra vez, cuando vienen a recoger sus hijos, deben firmar por sus hijos. Por favor no recoja su hijo sin
firmar y hablar con un empleado de la escuela.
Tenemos cajitas de primeros auxilios en cada clase que vamos a llevar con nosotros en el caso de
emergencia. Gracias a HASA (Asociacion de Casa y Esuela) por preparando estas cajitas.
Gracias por su apoyo y ayudo en estar major preparados para una emergencia. Si tiene pregunta, nos
puede llamar a 416-8800.
EMERGENCY WALKING/TRANSPORTATION UPDATE
2012-2013
School Berclair Elementary School___________________________________________________________
Address 810 Perkins Road___________________________________________________________________
City Memphis_________ State TN__________
Zip 38122_____________
Phone number __416-8800_________________________________________
Fax___416-8802_________
Principal’s Name __Dr. Sam Shaw__________________________________________________________________
Phone number___416-8800__________________________________
Cell number____834-5066____________
Bus pick-up at school (i.e., front address, left side parking lot, etc.) ______front address_______________________
(Remember pick-up and drop-off sites must be accessible by a large bus)
ALTERNATIVE BUILDING LOCATION: Walking Distance
Alternative Building Location
(Name, Address, City/State/Zip Code)
Name/Title & Phone Number
(Lead Contact)
(1)
_______Ray Scarbrough_____________________
_______683-3585
_______________
_________________________________________
Berclair Baptist Church
4484 Summer Avenue
Memphis, TN 38122
Alternative Building Location
(Name, Address, City/State/Zip Code)
Name/Title & Phone Number
(Lead Contact)
(2)
_____Rev. Steve M Ingram, II________________
_____683-1124
_____________________
_________________________________________
Grimes United Methodist Church
4649 Summer Avenue
Memphis, TN 38122
ALTERNATIVE BUILDING LOCATION: Requiring Transport
Alternative Building Location
(Name, Address, City/State/Zip Code)
Name/Title & Phone Number
(Lead Contact)
(1)
Advanced Services, Inc.
________Jill Sullivan, Center Manager____
5865 Shelby Oaks Circle
________387-4000?387-4110___________
Bartlett, TN 38134
___________________________________
Bus pick-up site at this location (i.e., front address, left side parking lot, etc.)___front address_________________
Alternative Building Location
(Name, Address, City/State/Zip Code)
Name/Title & Phone Number
(Lead Contact)
(2)
Gaisman Community Center
_______ Jerome Potts, head director_______
4221 Macon Road
_______682-6161_____________________
Memphis, TN 38122
____________________________________
Bus pick-up site at this location (i.e., front address, left side parking lot, etc.)___front address__________________
Student/Staff/Count & Special Needs Chart
# students
596
# special
needs
students or
adults
27
# wheel chairs
0
# office
personnel
1
# custodial
staff
# teachers
5
40
# of other
staff
29
(includes
itinerants)
Total in your bldg.
671
Student Accounting and Release
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 when exiting the building during an
evacuation. A staff roster should also be available to take during an evacuation.
1. List below steps or procedures staff will take to assure student or staff accounting
(i.e., teachers report to team leader, who reports to “Student Accounting and
Release” member of the Multi-Hazard Emergency School Team, who reports to
principal):
1) Roll is taken at assembly area by classroom teachers.
2) Grade level chairperson records attendance/number present/names of any
students unaccounted for.
3) Attendance record will be collected by operations command/student
accounting and release staff.
4) Updated attendance will be kept at student release post.
2. What procedures will be in place to release students to parents, guardians, or other
designated adults during an emergency?
1)
2)
3)
4)
5)
6)
Classroom teachers check roll at assembly area.
Any missing or absent students will be reported to Nancy Neal.
Parents report to student check out station.
Runners retrieve students from classroom assembly area.
Teachers record release time of each student.
Parents, sign release check out sheet.
12. Orientation and Training Schedule [2011-12]
Annually, each school should prepare a schedule of orientation and training events.
Use the worksheet below to outline a schedule for training events, drills, etc.
Month
July
August
September
October
Training Event and Who
is to be Trained
NA
Review of Classroom Crisis Response
Procedures
All Staff
Review/Update
Emergency Management Plan
Present revised plan to faculty
All Staff
November
Review fire drill procedures
All Staff
December
Review tornado drill procedures
All Staff
January
Review earthquake procedures
All Staff
February
Review lock down procedures
All Staff
Review evacuation plan procedures
March
April
May
June
Person
Responsible
Review bomb threat procedures
All Staff
Review reverse evacuation
procedures
All Staff
NA
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Dr. Sam Shaw/
Shannon Redmond/
Geraldine Davis
Comments
Drill Schedule and Log [2012-13]
Berclair Elementary School
Fire, Tornado, Earthquake, and Lock-Down Drills
Actual and Projected Drills
2012-13
Use Use the following worksheet to plan drills for your school. Submit a copy of the
schedule with your school’s plan and use the original to document drills when they
actually occur. Final actual schedule is due May 3, 2013. Fax to 416-7700.
Fire Drills: Two fire drills in the first month of school, and one per month each following month.
Monthly
Schedule
1st:
2nd:
3rd:
4th:
5th:
6th:
7th:
8th:
9th:
10th:
11th:
12th:
Date
Conducted
8/8/2012
5/28/2012
9/28/2012
Weather
Conditions
hot
hot
partly cloudy
Number of
Occupants
513 plus staff
549 plus staff
574 plus staff
Earthquake Drills: Two each year.
Date
Date
Number of
Scheduled
Conducted
Occupants
Response
Time
Evacuation
Time
9:15 a.m.
9:15 a.m.
9:45 a.m.
Comments,
Notes
Comments, Notes
1st:
2nd:
Severe Weather Safe Area: Twice each year, including one in March
Date
Date
Number of
Response
Scheduled
Conducted
Occupants
Time
1st:
March:
9/4/2012
537 plus staff
5 min
Comments, Notes
tornado
Other Drills or Practice: Such as Lockdown, Shelter in Place, Intruder, Bomb Threat, etc.
Date
Date
Event
Comments,
Scheduled
Conducted
Scheduled
Notes