Introduction

Using sample forms, checklists, and exercises can assist schools in developing, reviewing, and enhancing the emergency operations plan.

Resources

Click on a link below to access sample forms, checklists, and exercises.

• Sample Forms
• Sample Checklists
• Sample Exercises

Sample Forms

Planning

• Emergency Information Form for Children with Special Needs – Blank
• Emergency Information Form for Children with Special Needs – Sample
• Family Emergency Plan Form 
• Staff Skills Survey and Inventory Form
• Student Emergency Information Sheet

Public Information

• Public Information Release Form
• Sample Statements to the Media
• Sample Pre-Incident Parent-Guardian Letter

Response

• Sample Log of Events and Responses
• Sample Site Status Report

Copies of ICS forms are available at the NIMS Resource Center Web site: www.fema.gov/emergency/nims/JobAids.shtm

Sample Checklists

Preparedness

• Administration Preparedness Checklist
• American With Disabilities Act Requirements Checklist
• Classroom Preparedness Checklist
• Development and Enforcement of Policies Checklist
• Health Officer/School Nurse Checklist
• Internal Communication Checklist
• Maintenance and Security Safety Checklist
• Partnering With Law Enforcement Checklist
• Recommended Emergency Supplies for the Whole School Checklist
• Staff Development Checklist

Hazard Assessment

• Assessing General Hazards—Hazard and Risk Assessment Checklist: DOC|PDF
• Assessing School-Based Hazards—Hazard Assessment Checklist: DOC|PDF
• Identifying Potential Hazards Along Evacuation Routes Checklist
• Identifying Potential Hazards in the Neighborhood and Community Checklist
• Identifying School-Based Hazards—Building Mitigation Checklist: DOC|PDF
• Identifying School-Based Hazards—Classroom Mitigation Checklist: DOC|PDF
• Identifying School-Based Hazards—School Grounds Mitigation Checklist: DOC|PDF
• Preparing for Hazard Identification Checklist
• School Bus Route Hazard Assessment Checklist

Prevention and Mitigation

• Collecting Information and Data Related to Safety Checklist
• Involving Students in Prevention Checklist
• Pandemic Influenza Checklist for Schools
• School Violence Prevention and Intervention Checklist

Exercises and Drills

• District-Wide Emergency Drill Site Observer Checklist
• Emergency Drill Evaluator Checklist
• Emergency Drill Planning Checklist
• Shelter-in-Place Drill Checklist

Sample Exercises

• Earthquake Scenario — Instructor: DOC|PDF       Student: DOC|PDF
• Fire and Explosion Scenario — Instructor: DOC|PDF       Student: DOC|PDF
• Hazardous Materials Scenario — Instructor: DOC|PDF       Student: DOC|PDF
• Hostage Scenario — Instructor: DOC|PDF       Student: DOC|PDF
• Intruder Scenario — Instructor: DOC|PDF       Student: DOC|PDF