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.

* What school district are you reporting for?

* What specific school building?

* 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 of the fire drills shall be held by December 1 of the school year, and 2 shall be held during the remaining part of the school year, with a reasonable spacing interval between each drill."

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

#1 FIRE Drill (before Dec 1st)
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#2 FIRE Drill (before Dec 1st)
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#3 FIRE Drill (before Dec 1st)
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#4 FIRE Drill (after Dec 1st)
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#5 FIRE Drill (after Dec 1st)
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TORNADO/SEVERE WEATHER DRILLS
The Act requires "A minimum of 2 tornado safety drills is required for each school year for schools with kindergarten to 12. At least 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."

* 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.

#1 TORNADO/SEVERE WEATHER Drill
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#2 TORNADO/SEVERE WEATHER Drill 
(In the month of March)
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LOCKDOWN DRILLS
The Act requires "A minimum of 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 1 of these drills shall be conducted by December 1 of the school year, and at least 1 shall be conducted after January 1 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."

* What is the date and time of scheduled LOCKDOWN drills? One 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.

#1 (before Dec 1st)
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#2 (after Jan 1st)
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#3 (anytime at reasonable interval)
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*IMPORTANT NOTE ON SCHEDULING DRILLS*
Per State statute " A school that operates any of the grades kindergarten to 12 shall conduct at least 1 of the 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."

* Are at least one of your drills scheduled during lunch, recess, or at another time when a significant numer of the students are gathered but not in the classroom? If so, what date and time is this scheduled?

Drill that will be conducted during
a lunch/recess period as outlined the in the Act:
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* CONTACT INFORMATION (Used as confirmation of form submission)

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