Tornado Drill
To be completed the 2nd and 3rd quarter of the year following required drill at each provider location.
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Month *
Date Drill Completed *
MM
/
DD
/
YYYY
Provider First Name *
Provider Last Name *
Informed? *
How was the individual informed about the drill?
Required
Time Drill Began *
Time
:
Time Drill Ended *
Time
:
Members that participated *
Were necessary items in the shelter area?
Necessary safety items: Blankets, pillows, flashlight, battery powered radio, extra batteries, first aid kit, snacks, bottled water, games/activities.
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Issues? *
Were there issues? Please indicate what & describe plan of action here.
Submit
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