PISD Safety / Security Evaluation

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• What is the safety / security issue?

• District or campus issue?

  Select District Campus

  • District
  • Campus

• Procedural issue?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Structural issue?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Equipment issue?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Have steps have been taken to remedy the matter?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Other concerns related to this matter?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Review

• EVALUATION FINDINGS

• RECOMENDATION