Safety Reporting Form

After receiving numerous letters from JFT, teachers and support staff like you, the district decided to delay the start of school to allow more time to prepare to reopen in the midst of the COVID-19 pandemic. Please complete this form if there are still concerns at your worksite.

The State reopening plan is available here: https://www.louisianabelieves.com/resources/strong-start-2020
The Jefferson reopening plan is available here: https://www.jpschools.org/domain/1164

My concern relates to: *

Check all that apply.

Student temperatures aren’t taken as required or before students enter building

Inadequate enforcement of face covering requirement

No floor markers designating 6 foot distancing

Students in classrooms are sitting less than 6 feet apart

(Pre-k through 3): No Plexiglass barriers between students at tables

No plexiglass barrier in front of teacher

Inadequate hand sanitizer

Students aren’t washing or sanitizing hands upon arrival at school, at least every 2 hours, before and after eating, before and after using outdoor play equipment and before exiting school facility

Bathroom issues: inadequate soap or hand sanitizer, no warm water, broken basins

Bathroom not being cleaned multiple times each day

Surfaces aren’t being wiped down multiple times per day and before and after each group

Inadequate latex gloves for employees to use while cleaning

Trashcans don’t have lids

HVAC issues, such as inoperable air-conditioning, inoperable windows, inadequate air circulation

Other:

Required

Tell us about your concern. *

To your knowledge, does this involve a violation of your school district's policy? *

Yes

Unknown

Required

Have you reported this to your supervisor or to Central Office? *

Yes

If you answered yes above, what did they say in response?

Have you reported this to the LDOE? *

You can report a concern to the LDOE at this email: ldoecovid19support@la.gov.

Yes

Has anyone else witnessed this issue? Who? *

Have you been asked to teach students virtually? *

Yes

Have you received training in virtual teaching?

Yes

I received some training, but it was not adequate.

Other:

Clear selection

Where do you work? *

Name

First and Last Name

Personal Email

Please provide your personal email, not your work email.

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