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    School Earthquake Preparedness Evaluation Form

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    Adrin Mejia
    This document is an earthquake preparedness evaluation form for a school. It contains 20 yes or no questions that evaluate whether the school has basic earthquake safety measures in place, such as evacuation route maps, an emergency preparedness committee, and staff training. It also addresses whether heavy objects are secured, exits are clear, students have practiced drills, and parents have been notified of the school's emergency plan. Completing this checklist can help a school assess its level of earthquake preparedness.

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    School Earthquake Preparedness Evaluation Form

    Uploaded by

    Adrin Mejia
    352 views2 pages
    This document is an earthquake preparedness evaluation form for a school. It contains 20 yes or no questions that evaluate whether the school has basic earthquake safety measures in place, such as evacuation route maps, an emergency preparedness committee, and staff training. It also addresses whether heavy objects are secured, exits are clear, students have practiced drills, and parents have been notified of the school's emergency plan. Completing this checklist can help a school assess its level of earthquake preparedness.

    Original Description:

    SCHOOL EQ PREPAREDNESS

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    This document is an earthquake preparedness evaluation form for a school. It contains 20 yes or no questions that evaluate whether the school has basic earthquake safety measures in place, such as evacuation route maps, an emergency preparedness committee, and staff training. It also addresses whether heavy objects are secured, exits are clear, students have practiced drills, and parents have been notified of the school's emergency plan. Completing this checklist can help a school assess its level of earthquake preparedness.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    352 views2 pages

    School Earthquake Preparedness Evaluation Form

    Uploaded by

    Adrin Mejia
    This document is an earthquake preparedness evaluation form for a school. It contains 20 yes or no questions that evaluate whether the school has basic earthquake safety measures in place, such as evacuation route maps, an emergency preparedness committee, and staff training. It also addresses whether heavy objects are secured, exits are clear, students have practiced drills, and parents have been notified of the school's emergency plan. Completing this checklist can help a school assess its level of earthquake preparedness.

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    School Earthquake Preparedness Evaluation Form

    Name of school ______________________________________________


    Date of evaluation ______________________________________________
    Evaluated by ______________________________________________

    Yes No
    1. Is the school emergency evacuation route map posted in each classroom?

    2. There is a school emergency preparedness committee that includes some of


    the following groups of people:

    administrators students
    teachers parents
    classified staff other community members
    others:__________________________________
    3. Have all staff members have reviewed and revised the school emergency
    plan in the last 12 months?

    4. School staff have had the following training: Insert number of staff

    _____ Basic First Aid _____ Safety Training


    _____ Advanced First Aid _____ Red Cross Disaster Class
    _____ CERT _____ Outdoor Survival Class
    _____ Military _____Firefighter/Law Enforcement
    _____ Amateur Radio (HAM) _____ SEMS/NIMS/ICS Training
    _____ HAM DCS Training _____ Basic Fire Suppression
    _____ Student release procedures _____ Shelter, Nutrition, Sanitation
    _____ Psychological First Aid or Crisis Counseling
    _____ How to turn off electricity, water, gas
    _____ Other: _______________________________
    5. Parents have received information about the schools plan and our drill (check
    all that apply)
    by letter home with students
    by letter mailed to students home
    via teacher contact
    via meeting
    we did not notify parents

    6. Have plans been made to assist individuals with disabilities and any other
    functional needs?

    7. Are portable classrooms securely fastened to the ground or foundation?


    8. Are all tall and heavy furnishings that could fall secured to wall or floor?
    9. Are all light fixtures and hanging wall objects properly secured?

    10. Are all chemicals in labs secured in cabinets or on shelves with rails to
    prevent them from falling over?

    11. Are all computers and other heavy electronics secured or placed on non slide
    padding?

    12. Are all vending machines fastened to the wall or floor?

    13. Are all exit routes clearly marked and unobstructed?

    14. Have students participated in a full earthquake drill in the last 12 months?

    15. Have students practiced the drop, cover, and hold on technique?

    16. Do multiple school employees know how to turn off gas and water to the
    building?

    17. Has an outdoor area that is clear of power lines, light poles, and other tall
    objects been identified?

    18. Have bus drivers been taught how to respond to an earthquake while driving?

    19. Are lockers secured to the walls?

    20. Are all areas of the school lit by emergency lighting or exterior windows?

    Instructions on how to secure items and prepare for an earthquake are located at
    www.in.gov/dhs/shakeout
    or
    www.shakeout.org/centralus

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