Appendix A - Classroom Safety Checklist

1 SchoolSafetyandSecurityStandardsAppendix A - ClassroomSafetyChecklistD Classroomhasroomnumberdisplayedandeasily readD Classroomdooropensinwardintotheclassroom D ClassroomdoorlockworksD Classroomdoorcanbelockedwithoutsteppingi ntothehallwayD Classroomdoorglasshasa coverpresentandavailableD Classroomwindowshaveblindsor othertypeof coveringD Classroomwindowlocksfunctionandcanbe securedD Roomlightsarein workingorderwithgoodilluminationD Telephoneor intercomaccessis neartheteacher'sdeskD Phonedirectoryor listingis currentandaccessibleD Emergencytelephonenumbersarereadilyacces sibleto allD Telephoneusageinstructionsareclearlypost edD Firstaidkit or suppliesarestockedandlocationidentifiedD Severeweatherandshelteringmapsareposted( primaryandsecondarylocations)

2 D Evacuationandshelteringlocationshavebeen discussedwithstudents,D Classroomrulesandschoolcodeof conductis postedandhasbeendiscussedwithstudentso Nearestfireextinguisheris locatedandmorethanonepersonknowshowto useitD Freestandingbookcasesandcabinetsmorethan fivefeettallaresecuredto thewallD Televisionandotherlargeelectronicequipme ntis securedto a wallmountor stableportablestandD Theroomis freeof anytriphazardsor obstructions5 AdaptedfromSafeandSecureSchools:27 StrategiesforPreventionandIntervention,B runner,J. andLewis, - FieldTrip/OffCampusTravelChecklistEvent- -----------------------------------Dates of Travel--------------StaffMemberin Charge_OtherAccompa nyingAduIts_Numberof Students-------o PermissionSlipsCompleteo Emergencycontactlistandnumberso Itineraryprovidedtostudents,parents,ands choolo Pertinentmapso Studentmedicalandprescriptioninformation o Studentconductexpectationsandrulesprovid edtostudentso Chaperoneinstructionsdistributedo Supervisionplansandroomingassignments(if applicable)

3 O Studentstatementformso Schoolinsuranceinformationo Studentandteacherhandbooko Firstaidkitor supplieso Accidentorinjuryformsandprocedureso Cameraforincidentdocumentationo StudentbelongingsinspectedAdaptedfromSaf eandSecureSchools:27 StrategiesforPreventionandIntervention,B runner,J. andLewis, - SubstituteTeacher/VolunteerInformationCh ecklistRoom#TeacherName_o Reviewof AllHazardsEmergencyOperationsPlano EmergencyResponseHandbook,FlipChart,Card s, Evacuationandshelteringinstructionso Locationof FirstAidsupplieso Emergencybackpackwithsupplieso Mapof schoolwithlegendo Fireextinguisherlocationso Intercomandphoneusageinstructionso ClassroomSeatingcharto Studentconflictissueso Healthandmedicalconcerninformationo Disciplinepolicyandreferralformso Teacherandstudenthandbookreviewo Lessonplanso Buddyteacher/alternatebuddyteachero Specialinstructions7 AdaptedfromSafeandSecureSchools:27 StrategiesforPreventionandIntervention,B runner,J.

4 An<ilLewis, - AdministrationPreparednessChecklist( )AdministrationSupplyChecklisto Designatedcommandpostwithstudentroster(a ndphotos),emergencycontactinformation,an dstaffroster(withphotos)in theformof a Reflectivevestsor othermeansof identifyingkeyteammemberso Whistleso Smalldirectorywithemergencytelephonenumb ersof localdrugstores, Walkie-talkieso Pens,pencils,or waxmarkerso Changeforpayphoneso Specialneedsrostero Campuslayoutmapswithevacuationsites,firs taidsites,andparentreunificationsiteo Firstaidsupplieso Firstaidinstructionmanualo Medicalgloveso Foodo Watersupplyo Battery-operatedflashlightor lightstickso Extrabatterieso Battery-operatedradioo Blanketso Portabletoilets,makeshifttoilets.

5 Or garbagebagso Sanitaryitems(toiletpaperandtowelettes)o Workgloveso Plasticsheetingo Breathingmaskso Canopenero Waterproofmatchesandcontainero Lightero Multipurposetool,wrenchor pliers,andknifeo Speakeror megaphoneo UtilityturnoffproceduresAdministrationGo KitSupplyChecklisto Clipboardwitho Listof studentso Listof studentswithspecialneedsanddescriptionof needs( ,prescriptionmedicines,dietaryneeds),mar kedconfidentialo Listof schoolpersonnelo Listof schoolemergencyprocedureso Whistleandhatforleadershipidentification o Battery-operatedflashlighto Utilityturnoffprocedureso Emergencycommunicationdeviceo Firstaidkit withinstructions8 SchoolSafetyandSecurityStandardsAddition alitemsthatschoolsmaywantto considerinclude.

6 Radioequipment,emergencycommunicationmec hanisms,batterychargers,cigarettelighter cords,twoextra3 Afuses,gas, coordinateplansforemergencyclothingandsl eepingsupplieswiththeAmericanRedCrossor anotheragencyresponsibleformasscarein a manysituationstheschoolwillalreadybedesi gnatedasanemergencyshelterwithplansalrea dyinplaceforstorageof cotsandblankets, complicatedby manyfactors,includingexpirationdates,ins urance,expenseof extradoses, arrangeto haveonhandmore"routine"medicationslikein sulinorepinephrinethatcouldbekeptin a theschoolforthechronicuseof anissuethatmust,at least,bediscussedwithparents,theschoolnu rse, - ClassroomPreparednessChecklist( )

7 SchoolEmergencySuppliesand"GoKits"Everys chool,beforeandaftercarecenter,anddaycar ecentershouldstoreemergencysuppliesin preparationforeitheranevacuationor anemergencythatrequiresstudentsandstafft o shelterin thespecificschool,itspopulation,climate, facilities, , caseitsstudentsandstaffarerequiredtoshel terin placedueto anemergencyor a , ,protected, (suchasbatteries,food,water,andprescript ionmedications) lightof ,extraclothingforyoungstudentsis commonlystoredin theclassroom;olderstudentscouldstoreextr aclothesin Clipboardwitho Listof classroomstudents(andphoto)o Listof studentswithspecialneedsanddescriptionof needs( ,prescriptionmedicines,dietaryneeds),mar kedconfidentialo Listof emergencyprocedureso Whistle& hat(orotheridentifier)forteachero Firstaidsupplieso Firstaidinstructionmanualo Medicalgloveso Foodo Watero Battery-poweredflashlighto Batterieso Blanketso Bucketo Sanitaryitems(towelettes& toiletpaper)

8 O Workgloveso Breathingmaskso Plasticsheetingo Ducttapeo Canopenero Hardcandieso Studentactivities10 SchoolSafetyandSecurityStandards"GoKits" In caseof anemergencyevacuation,it is criticalthateveryclassroomandtheadminist rationmaintaina "gokit,"a self-containedandportablestockpileof emergencysupplies,oftenplacedin a backpackandleftin a readilyaccessiblebutsecurelocationso thatit is readyto "go."Theschoolsafetyplanshouldreferencet hegokitsandnotethepersonnelto thegokitsshouldreflectthesafetyteam'scon siderationof theschool' Clipboardwitho Listof classroomstudentso Listof studentswithspecialneedsanddescriptionof needs( ,prescriptionmedicines,dietaryneeds),mar kedconfidentialo Listof schoolemergencyprocedureso Whistleandhatforteacheridentificationo Firstaidkit withinstructionso Studentactivities(suchasplayingcards,che ckers,inflatableball)

9 "SchoolSafetyandSecurityStandardsAppendi xF - MaintenanceandSecuritySafetyChecklistUse thefollowingchecklistto assesstheschool'scurrentlevelof safetyrelatedto thedevelopmentof anelementis inplace, changesneedto bemade, theelementis notin place, theschoolplanstoimplementthismissingelem ent, somecases,anelementmaybenotapplicable(N/ A)to Exteriordoors,unlessdesignatedforentry, Exteriordoorshavea Doubledoorshaveanastragal(plate) Alloperablewindowshavehardwarein Hallwaysleadingto A masterkeycontrolsystemis inplaceto ~._ . ".. " . " ' ".

10 __ .9. anduseof thebuildingby theoffice,cafeteria,computerrooms,musicr oom, nightisprovidedbyeither: adequateexteriordirectionallighting,or allmaintenanceondoors,windows,lockers,an dotherareasof designatedtoperformthefollowingsecurityc hecksat theendof eachday: Checkthatall classroomsandofficesarelocked. Checkall restroomsandlockerroomsto ensurethateveryonehasleftthebuilding. Checkall exteriorentrancestoensurethattheyarelock ed. Checkall night-lightsto ensurethattheyhavebeenturnedon. maintenancescheduleforchecking: Lights Locksandotherhardware Storagesheds/areas Portableclassrooms(trailers) OtherThischecklistwasmodifiedfromSchoolS afetyAssessmentProtocol,VirginiaDepartme ntof Education( )14 SchoolSafetyandSecurityStandardsAppendix G - RecommendedEmergencySuppliesfortheWholeS choolChecklistWater:o Onegallonperpersonperdaytimesthreedays,w ithsmallpapercupsFirstAid:o 4 X 4" compress:1000per500studentso 8 x 10"compress:150per500studentso Elasticbandage:2-inch:12percampus4-inch: 12 percampuso Triangularbandage.