2020-2021 School Year Emergency Drill Reporting Form
Usage of this form will ensure that you are in compliance with the recent school safety legislation, Public Act 12 of 2014. If you have any questions with this form, please contact the Allegan County Office of Emergency Management at 269-673-0571.

Sign in to Google to save your progress. Learn more
Email *
Scheduling of Drills - Required by Sept 15th of each school year.
*PLEASE NOTE* School drill reporting will close on Sept. 15 in accordance with the Act. Once you have submitted the schools drill schedule, you MUST complete the drill on the date and time you have committed to.

Public Act 12 of 2014 only allows for a drill date to be changed when a scheduled drill could not occur due to conditions not within the control of school authorities such as severe storms, fires, epidemics, utility power unavailability, water or sewer failure, or a health condition AS DEFINED BY THE COUNTY OR STATE HEALTH AUTHORITIES.  

In this situation, the drill must be rescheduled to occur within 10 school days after the original scheduled date of the cancelled drill and the Chief Administrator of the District notifies the County Emergency Management Coordinator of the rescheduled drill date. A schedule change notification to the County Emergency Management Coordinator must be made to 269-673-0571.

Please remember if your drill is cancelled due to one of the above events it still must be conducted within 10 school days of your originally scheduled drill.
What school district are you reporting for?
Example: Allegan Schools
What specific school building?
Example: "North Ward Elementary" vs. "West Ward Elementary"
Complete address of the building?
Example: 440 River Street, Allegan, MI 49010
FIRE DRILLS
The Act requires "A minimum of 5 fire drills is required for each school year for a school that operates any of grades kindergarten to 12. Three (3) of the fire drills shall be held by December 1 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."
What is the date and time of the 1st FIRE drill (prior to Dec 1)?
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 2nd FIRE drill (prior to Dec 1)?
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 3rd FIRE drill (prior to Dec 1)?
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 4th FIRE drill?
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 5th FIRE drill?
MM
/
DD
/
YYYY
Time
:
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 the 1st TORNADO (severe weather) drill? One of the two MUST be completed in March of the school year.
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 2nd TORNADO (severe weather) drill?  One of the two MUST be completed in March of the school year.
MM
/
DD
/
YYYY
Time
:
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 the 1st LOCK-DOWN drill?  To be completed prior to December 1
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 2nd LOCK-DOWN drill? One to be completed anytime after January 1, 2021
MM
/
DD
/
YYYY
Time
:
What is the date and time of the 3rd LOCK-DOWN drill? One to be completed anytime
MM
/
DD
/
YYYY
Time
:
*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 1 of your drills scheduled during lunch, recess, or at another time when a significant number of the students are gathered but not in the classroom? If so, what date and time is this scheduled?
MM
/
DD
/
YYYY
Time
:
Name of person submitting this report?
Official Title? *
Example: Superintendent, Administrative Assistant, etc.
Email address? *
You will receive confirmation of the data you have submitted. Please keep this Email reply as your receipt of compliance with drill reporting.
Telephone number you can be reached at with questions? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Allegan County. Report Abuse