Use of this form will ensure that your school is in compliance with the recent school safety legislation, Public Act 12 of 2014. If you have any questions about this form, please contact the County of Hillsdale Emergency Management office at 517-437-7384.

Question Title

* What school district are you reporting for?

Question Title

* What specific school building?

Question Title

* Complete address of building?

FIRE DRILLS
The Act requires "A minimum of 5 fire drills is required for each school year for a school that operates any of the grades kindergarten to 12. Three (3) of the fire drills shall be held by December 1st of the school year, and two (2) shall be held during the remaining part of the school year, with a reasonable spacing interval between each drill."

Question Title

* What is the date and time of scheduled FIRE drills. The first THREE drills need to occur prior to December 1st.

Date
Time
Date
Time
Date
Time
Date
Time
Date
Time
TORNADO/SEVERE WEATHER DRILLS
The Act requires "A minimum of two (2) tornado safety drills is required for each school year for schools with kindergarten to 12. At least one (1) of the tornado safety drills shall be conducted during March of the school year. These drills shall be conducted for the purpose of preventing injuries caused by severe weather."

Question Title

* What is the date and time of scheduled TORNADO/SEVERE WEATHER drills? One of the TORNADO/SEVERE WEATHER drills must occur in March of the school year.

Date
Time
Date
Time
LOCKDOWN DRILLS
The Act requires "A minimum of three (3) drills in which the occupants are restricted to the interior of the building and the building secured is required for each school year at a school that operates any of grades kindergarten to 12. At least one (1) of these drills shall be conducted by December 1st of the school year, and at least one (1) shall be conducted after January 1st of the school year, with a reasonable spacing interval between each drill. A drill conducted under this subsection shall include security measures that are appropriate to an emergency such as the release of a hazardous material or the presence of a potentially dangerous individual on or near the premises."

Question Title

* What is the date and time of scheduled LOCKDOWN drills? One (1) of the drills must be completed by December 1st and one of the drills must be completed after January 1st of the school year. The third drill can be completed at any time during the school year. Please see note below for more information about completing AT LEAST ONE of your lockdown drills during a non-classroom time.

Date
Time
Date
Time
Date
Time
*IMPORTANT NOTE ON SCHEDULING LOCKDOWN DRILLS*
Per State statute " A school that operates any of the grades kindergarten to 12 shall conduct at least one (1) of the lockdown drills required by the Act during a lunch or recess period , or at another time when a significant number of the students are gathered but not in the classroom."

Question Title

* Please specify which LOCKDOWN drill will be during lunch, recess, or at another time when a significant number of the students are gathered but not in the classroom as per the state statute.

Question Title

* CONTACT INFORMATION (Used as confirmation of form submission)

T