Sample School Safety Plan Template

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Included in this sample are some excerpts from the templates that should provide a strong idea of
the comprehensive nature of the templates and their ability to assist a district with the
development of a complete crisis plan. There are 14 different sample sections included in this
document.
Sample Description Page
1. Section from the Prevention/Mitigation Plan Template............................................ 4
2. Functional Protocol: Remote Evacuation and Family Reunification......................... 6
3. Incident Specific Protocol: Bomb Threats/Suspicious Packages .............................. 7
4. Lead Administrator/Crisis Response Team Member: Remote Evacuation
and Family Reunification Protocol ........................................................................ 10
5. Transportation Flip Chart: Remote Evacuation and
Family Reunification Protocol............................................................................... 11
6. Faculty/Staff Flip Chart: Remote Evacuation and
Family Reunification Protocol............................................................................... 13
7. Custodian’s Flip Chart: Remote Evacuation and Family Reunification Protocol.... 14
8. After Hours Activities Flip Chart: Remote Evacuation and
Family Reunification Protocol............................................................................... 15
9. Response Plan Templates: Incident Tracking Sheet ............................................... 16
10. Recovery Plan Templates: Death Notification Protocol ....................................... 18
11. Section from Comprehensive Tactical Site Survey Template............................... 20
12. Sample Items from the Exercise Package............................................................. 22
13. Sample Questions for Participants to Use in Functional Exercises ....................... 25
14. Sample Exercise Checklists: Emergency Programs.............................................. 26
If you are interested in the templates for your district or state, please contact Safe Havens
International to discuss pricing and package offers.
Safe Havens International, Inc.
An IRS approved non-profit
School & Community Safety Center
P.O. Box 27390
Macon, Georgia, 31221-7390
Phone: (478) 994-1417
Fax: (404) 759-2790
www.safehavensinternational.org
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