2. Type of Drill	Number/Schedule
   Fire	Five - Three drills must be completed by December 1
   Tornado	Two - One drill must be completed in March
   Safety/Security	Three - One drill must be completed prior to December 1 and one after January 1 One drill shall include security measures that are appropriate to an emergency such as the release of a hazardous material.  One drill shall include security measures of a potentially dangerous individual on or near the school premises.  Seek input from the administration of the school and public safety on the nature of the drill.
   Note — At least one of the drills must be conducted during a lunch or recess period, or at another time when students are gathered but not in classrooms.

4. School*
6. Principal*
8. Date of Drill*
   Date of Drill
9. Number of Students*
10. Number of Staff*
12. Time Initiated*
    Time Initiated
13. Time Concluded
    Time Concluded
15. Situation at Start of Drill*

    Check appropriate box.

    1. Before School
    2. Lunch Time
    3. During Class Time
    4. Assembly

    1. Passing Time
    2. After School
    3. Recess
    4. Other (add details below)
17. Situation at start of drill (Other details)
19. Remarks
23. This report is for
    -- Select One --FireTornado DrillSafety/Security Drill
25. Name of person conducting drill*
26. Date
    Date

28. If the drill was coordinated with agencies such as law enforcement,
    fire department or emergency management, list the agency, official's name, and title.

30. Agency
31. Name
32. Title
34. Agency
35. Name
36. Title
38. Agency
39. Name
40. Title
42. 1. Must post on the school's website within 30 days after completing the drill. 
       The form must be maintained on the school website for at least three years.

46. School Drill Observation Form

48. Date of Drill
    Date of Drill
50. Problems Encountered *

    Check all that apply.

    1. Congestion in hallways
    2. Alarm not heard
    3. Students unsure of proper procedures
    4. Use of personal technologies by students
    5. Use of personal technologies by staff
    6. Unable to lock doors
    7. Windows not covered
    8. Windows left open
    9. Difficulties with evacuation of students or staff with disabilities
    10. Staff and adults unaccounted for
    11. Students unaccounted for
    12. Staff not serious about drill
    13. Radio communication problems
    14. Network/computer problems
    15. Weather-related problems

    1. Noise impedes communications
    2. Students not out of sight (safety/security drill)
    3. Long time to evacuate
    4. Students not serious about drill
    5. Staff not serious about drill
    6. Frightened students (safety/security)
    7. Long time to evacuate
    8. Improper or unavailable space
    9. Confusion
    10. Doors or exits blocked
    11. Transportation issues
    12. Intragency communications
    13. Incident command problems
    14. Other (add details below)
52. Other problems encountered
54. Weather Conditions*

    1. Clear
    2. Cloudy
    3. Raining
    4. Rain and Wind

    1. Windy
    2. Snow/Sleet
    3. Hot (above 80 degrees)
    4. Cold (40 to 10 degrees
56. Plans for improvement*

    1. Additional staff training
    2. Additional student training
    3. Address need for additional equipment
    4. Improved emergency supplies

    1. Cooperative planning with responders
    2. Improved communication
    3. Other (add details below)
58. Other plans for improvement
60. Additional comments
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field