KIPP NC School Safety Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• School Name Signage

  Yes

  No

  N/A

• School Zone Signage near street entrance

  Yes

  No

  N/A

• Parking lot signage speed limits, crosswalks, etc

  Yes

  No

  N/A

• Visitor Parking clearly marked

  Yes

  No

  N/A

• Signage directing visitors to office (exterior)

  Yes

  No

  N/A

• "Drug- Free/ Weapon Free signs posted"

  Yes

  No

  N/A

• Private Property / No Trespassing Signage

  Yes

  No

  N/A

• Alarm system onsite

  Yes

  No

  N/A

• Alarm system has power failure back-up?

  Yes

  No

  N/A

• Security Cameras / CCTV visible

  Yes

  No

  N/A

• Accessible by which members of staff?

• Security Camera / Alarm system Signage

  Yes

  No

  N/A

• Controlled / Monitored Entry

  Yes

  No

  N/A

• Security Guard/ School Resource Officer on site

  Yes

  No

  N/A

• Appropriate Lighting exterior; parking lots, between buildings

  Yes

  No

  N/A

Points of Entry

• Points of entry into the building

  Yes

  No

  N/A

• Secure box outside of school building where master keys are located for use by first responders

  Yes

  No

  N/A

• Campus perimeter fencing present?

  Select Yes Point of egress- FRONT Point of egress- BACK Point of egress- LEFT Point of egress- RIGHT No

  • Yes
  • Point of egress- FRONT
  • Point of egress- BACK
  • Point of egress- LEFT
  • Point of egress- RIGHT
  • No

• Access to point of egress in fencing is accessible?

  Yes

  No

  N/A

• Window Bars/ Access to windows on the street level

  Yes

  No

  N/A

• Fire Escapes (if applicable)

  Yes

  No

  N/A

• External doors are locked and secured

  Yes

  No

  N/A

• Windows are labeled and visible from building exterior

  Yes

  No

  N/A

• Functional PA System

  Yes

  No

  N/A

• Emergency Notification System (ENS) in place?

  Yes

  No

  N/A

• Multiple staff comfortable with ENS system

  Yes

  No

  N/A

• Printed emergency contact lists available for students &/ or staff

  Yes

  No

  N/A

• Emergency templates in place for standard incidents

  Yes

  No

  N/A

• Analog telephone in main office area w/ knowledge of how to use

  Yes

  No

  N/A

• Ability to initiate school- wide message

  Yes

  No

  N/A

• Panic button/ internal panic alert system

  Yes

  No

  N/A

Visitor Management & Reception

• Clear Signage / Directions For Guests (interior)

  Yes

  No

  N/A

• Visitor Sign-in / Sign-out System

  Yes

  No

  N/A

• Visitor Identity / Destination Verification

  Yes

  No

  N/A

• Visitor Background check tool in place

  Yes

  No

  N/A

• Visitor badge provided

  Select Yes w/ Name w/ Date w/ Photo w/ Location No N/A

  • Yes w/ Name
  • w/ Date
  • w/ Photo
  • w/ Location
  • No
  • N/A

• Visitor system is accessible after evacuation/power loss?

  Yes

  No

  N/A

• Employee On- Campus Attendance System?

  Yes

  No

  N/A

• Student Sign- In/ Sign- Out System

  Yes

  No

  N/A

Hallways

• Building Name

• Exit signs & emergency lights functioning properly and visible

  Yes

  No

  N/A

• Emergency exits and doors are free of clutter

  Yes

  No

  N/A

• Emergency Exit lights are illuminated

  Yes

  No

  N/A

• Hallway is kept clear and free of slip, trip and fall hazards

  Yes

  No

  N/A

• Fire extinguishers

  Select Visible? Up- to- date No N/A

  • Visible?
  • Up- to- date
  • No
  • N/A

• Emergency evacuation maps posted

  Yes

  No

  N/A

• Ceilings are clear of hanging items

  Yes

  No

  N/A

• All custodial closets and mechanical rooms remain locked

  Yes

  No

  N/A

• Mechanical, electrical and boiler rooms are free of combustible storage

  Yes

  No

  N/A

• The working space designated for all electrical equipment free of storage of any non- related materials

  Yes

  No

  N/A

• Electrical panels are locked

  Yes

  No

  N/A

• Old or unused chemicals have been properly disposed of rather than stored in the custodial closet

  Yes

  No

  N/A

• Electrical panels easily accessed with clear space in front of the panel door

  Yes

  No

  N/A

Classroom Check 1

• Room Number/ Location

• Evacuation map near exit door

  Yes

  No

  N/A

• Phone / walkie-talkie/ intercom or method of communicating with reception

  Yes

  No

  N/A

• Safety Quick Reference/ Emergency Response Card posted

  Yes

  No

  N/A

• First Aid Kit clearly visible or identifiable

  Yes

  No

  N/A

• Safety binder/ folder/ bag is easily accessible

  Select Roster of Students Emergency phone list Student medical/ allergy info Student emergency contact info Emergency Response Procedures No

  • Roster of Students
  • Emergency phone list
  • Student medical/ allergy info
  • Student emergency contact info
  • Emergency Response Procedures
  • No

• Egress window is clear of obstruction and closed at all times

  Yes

  No

  N/A

• Entry/ exit door clear of obstruction

  Yes

  No

  N/A

• Entry/ exit door(s) closes properly & lockable from inside (if no, lockdown mechanism in place?)

  Yes

  No

  N/A

• HVAC controls / air conditioner controls accessible

  Yes

  No

  N/A

• Blinds/ shades to cover windows toward corridors or on street-level

  Yes

  No

  N/A

• Lockdown shades/ covering in tact over classroom door

  Yes

  No

  N/A

• Potential large fall risk items secured

  Yes

  No

  N/A

• No items hanging from the ceiling or sprinkler system?

  Yes

  No

  N/A

• Papers/ posters on the walls are at least 18" from the ceiling

  Yes

  No

  N/A

• Scented oil plug-ins, candles, wax warmers are not in use

  Yes

  No

  N/A

• Personal microwaves, refrigerators, hotplates, coffee makers are not in rooms

  Yes

  No

  N/A

• Curtains hung nearly & sturdy. Fire retardant spray date visible

  Yes

  No

  N/A

• Flammable/ chemicals are properly stored and secured

  Yes

  No

  N/A

• Electrical panels are accessible

  Yes

  No

  N/A

Classroom Check 2

• Room Number/ Location

• Evacuation map near exit door

  Yes

  No

  N/A

• Phone / walkie-talkie/ intercom or method of communicating with reception

  Yes

  No

  N/A

• Safety Quick Reference/ Emergency Response Card posted

  Yes

  No

  N/A

• First Aid Kit clearly visible or identifiable

  Yes

  No

  N/A

• Safety binder/ folder/ bag is easily accessible

  Select Roster of Students Emergency phone list Student medical/ allergy info Student emergency contact info Emergency Response Procedures No

  • Roster of Students
  • Emergency phone list
  • Student medical/ allergy info
  • Student emergency contact info
  • Emergency Response Procedures
  • No

• Egress window is clear of obstruction and closed at all times

  Yes

  No

  N/A

• Entry/ exit door clear of obstruction

  Yes

  No

  N/A

• Entry/ exit door(s) closes properly & lockable from inside (if no, lockdown mechanism in place?)

  Yes

  No

  N/A

• HVAC controls / air conditioner controls accessible

  Yes

  No

  N/A

• Blinds/ shades to cover windows toward corridors or on street-level

  Yes

  No

  N/A

• Lockdown shades/ covering in tact over classroom door

  Yes

  No

  N/A

• Potential large fall risk items secured

  Yes

  No

  N/A

• No items hanging from the ceiling or sprinkler system?

  Yes

  No

  N/A

• Papers/ posters on the walls are at least 18" from the ceiling

  Yes

  No

  N/A

• Scented oil plug-ins, candles, wax warmers are not in use

  Yes

  No

  N/A

• Personal microwaves, refrigerators, hotplates, coffee makers are not in rooms

  Yes

  No

  N/A

• Curtains hung nearly & sturdy. Fire retardant spray date visible

  Yes

  No

  N/A

• Flammable/ chemicals are properly stored and secured

  Yes

  No

  N/A

• Electrical panels are accessible

  Yes

  No

  N/A

Cafeteria

• Clear signage regarding food allergies

  Yes

  No

  N/A

• Phone/ intercom accessible to call for emergency assistance and/ or two-way communication

  Yes

  No

  N/A

• Fire extinguisher(s)

  Yes

  No

  N/A

• Cafeteria doors can be properly closed and secured

  Yes

  No

  N/A

• Health certification documents posted

  Yes

  No

  N/A

• PA System Speakers/ Intercom

  Yes

  No

  N/A

• Evacuation map posted

  Yes

  No

  N/A

• First Aid Kit nearby

  Yes

  No

  N/A

• Maximum occupancy sign posted

  Yes

  No

  N/A

Playground

• Play areas are fenced/ secure

  Yes

  No

  N/A

• Good visual surveillance of play equipment

  Yes

  No

  N/A

• Vehicular access to play areas is prohibited

  Yes

  No

  N/A

• First Aid Kit / AED available with visible signage

  Yes

  No

  N/A

• Emergency Response/ Safety Quick Reference Card posted

  Select Visible? Updated? No N/A

  • Visible?
  • Updated?
  • No
  • N/A

• Method of hearing PA/ intercom system

  Yes

  No

  N/A

• Area is equipped with two- way communication for calling 911, reception, or emergency assistance, preferably not via mobile phone

  Yes

  No

  N/A

• Emergency exits visible & labeled

  Yes

  No

  N/A

• Max occupancy sign posted

  Yes

  No

  N/A

• All fences in good condition

  Yes

  No

  N/A

• Turf/floor/foundation in good condition

  Yes

  No

  N/A

• Equipment is in working condition and is safe

  Yes

  No

  N/A

Gymnasium/ Auditorium

• Good visual surveillance of the area

  Yes

  No

  N/A

• First Aid Kit / AED available with visible signage

  Yes

  No

  N/A

• Emergency Response/ Safety Quick Reference Card posted

  Select Visible? Updated? No N/A

  • Visible?
  • Updated?
  • No
  • N/A

• Method of hearing PA/ intercom system

  Yes

  No

  N/A

• Area is equipped with two- way communication for calling 911, reception, or emergency assistance, preferably not via mobile phone

  Yes

  No

  N/A

• Emergency exits visible & labeled

  Yes

  No

  N/A

• Max occupancy sign posted

  Yes

  No

  N/A

• Bleachers/ seating is in good condition

  Yes

  No

  N/A

• Floor/foundation in good condition

  Yes

  No

  N/A

• Equipment is in working condition and is safe

  Yes

  No

  N/A

• Exterior doors can be locked from the inside

  Yes

  No

  N/A

• Emergency evacuation plan is posted in the gym/ auditorium

  Yes

  No

  N/A

• Locker rooms are clear and free of slip, trip and fall hazards

  Yes

  No

  N/A

• Locker rooms can be locked from the inside

  Yes

  No

  N/A

• Emergency evacuation plans are posted in locker rooms

  Yes

  No

  N/A

• Emergency Management Plans

  Select Complete Up- to- Date Copy located in main office No

  • Complete
  • Up- to- Date
  • Copy located in main office
  • No

• Procedures in Place

  Select Fire/ Campus Evacuation Shelter in Place (Hazard/ Severe Weather) Secure Campus (Lockout) Lockdown Reunification Allergic Reaction Medical Emergency No

  • Fire/ Campus Evacuation
  • Shelter in Place (Hazard/ Severe Weather)
  • Secure Campus (Lockout)
  • Lockdown
  • Reunification
  • Allergic Reaction
  • Medical Emergency
  • No

• AED(s) on Campus

  Yes

  No

  N/A

• First Aid Kits available (not in classrooms)

  Yes

  No

  N/A

• Access to emergency food & water on campus

  Yes

  No

  N/A

• Emergency Preparedness Kits available

  Yes

  No

  N/A

• Shelter-in- Place (Environmental Hazard/ Severe Weather)

  Select 0 of 2 1 of 2 2 of 2

  • 0 of 2
  • 1 of 2
  • 2 of 2

• Monthly Fire Drill

  Select None Aug Sept Oct Nov Dec Jan Feb Mar Apr May June

  • None
  • Aug
  • Sept
  • Oct
  • Nov
  • Dec
  • Jan
  • Feb
  • Mar
  • Apr
  • May
  • June

• Lockdown

  Select 0 of 2 1 of 2 (Secure Campus) 1 of 2 (Hard Lockdown)

  • 0 of 2
  • 1 of 2 (Secure Campus)
  • 1 of 2 (Hard Lockdown)

• Reverse Evacuation

  Select No Yes

  • No
  • Yes

• Staff have been trained on all safety procedures to include but not limited to emergency preparedness, medication administration, Incident Command Teams

  Select Beginning of School Year (August) Mid- Year Refresher (January) Not yet trained

  • Beginning of School Year (August)
  • Mid- Year Refresher (January)
  • Not yet trained