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)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.

2 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)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.

3 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,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.

4 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( )SchoolEmergencySuppliesand"GoKits"Every school,beforeandaftercarecenter,anddayca recentershouldstoreemergencysuppliesin preparationforeitheranevacuationor anemergencythatrequiresstudentsandstafft o shelterin thespecificschool,itspopulation,climate, facilities, , caseitsstudentsandstaffarerequiredtoshel terin placedueto anemergencyor a , ,protected, (suchasbatteries,food,water,andprescript ionmedications) lightof ,extraclothingforyoungstudentsis commonlystoredin theclassroom.

5 Olderstudentscouldstoreextraclothesin 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)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)"SchoolSafetyandSec urityStandardsAppendixF - 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)

6 Alloperablewindowshavehardwarein Hallwaysleadingto A masterkeycontrolsystemis inplaceto ~._ . ".. " . " ' "..__ .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:24percampuso Cardboardsplints:24each,sm, Butterflybandages:SO/campuso Waterin smallsealedcontainers:100(forflushingwou nds,etc.)

7 O Hydrogenperoxide:10pints/campuso Bleach,1 smallbottleo Plasticbasketor wirebasketstretchersor Scissors,paramedic:4 percampuso Tweezers:3 assortedpercampuso Triagetags:50per500studentso Latexgloves:100per500studentso Ovaleyepatch:50percampuso Tapes:1" cloth:50rolls/campus;2" cloth:24percampuso Dustmasks:25/100studentso Disposableblanket:10per100studentso FirstAidBooks2 standardand2 advancedpercampuso Spaceblankets:1/studentandstaffo Heavydutyrubbergloves,4 pairSanitationSupplies:(if notsuppliedin theclassroomkits)o 1 toiletkit per100students/staff,to include:o 1 portabletoilet,privacyshelter,20rollstoi letpaper,300wetwipes,300plasticbagswitht ies,10largeplastictrashbagso Soapandwater,in additionto thewetwipes,is :o 3 rollsbarriertape3" x 1000"o Prybar,pickax,sledgehammer,shovel,pliers ,boltcutters,hammer,screwdrivers,utility knife,broom,wrench15 SchoolSafetyandSecurityStandardsRecommen dedEmergencySuppliesfortheWholeschoot(Co ntinued)OtherSupplies:o 3' X 6' foldingtables,3-4o Chairs,12-16o Identificationvestsforstaff,preferablyco lor-codedperschoolplano Clipboardswithemergencyjobdescriptionso Officesupplies:pens,paper, Alphabeticaldividersforrequestgateo Copiesof all necessaryformso Cableto connectcarbatteryforemergencypowerFood.

8 Thebulkof storedfoodshouldbeeasyto serve, generallyconsidereda lowpriorityitem, schoolsis topurchasefoodat thebeginningof theschoolyearanddonateit to charityat theendof supplyof granolabars,powerbars,or similarfoodwhichis easyto distribute, ,primarilyforits thisformwasprovidedby.