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.

4 27 StrategiesforPreventionandIntervention,B runner,J. 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)

5 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( )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.

7 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.

8 "Theschoolsafetyplanshouldreferencethego kitsandnotethepersonnelto 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) Alloperablewindowshavehardwarein Hallwaysleadingto A masterkeycontrolsystemis inplaceto ~.

9 _ . ".. " . " ' "..__ .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.

10 SO/campuso Waterin smallsealedcontainers:100(forflushingwou nds,etc.)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.