Safety Reporting Form
Please use this form to report any issues that you have seen in your school or district regarding compliance with COVID-19 safety protocols.
Please review the State reopening plan(s) here:
Your school board’s COVID-19 Policy may also contain additional safety measures.
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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
School isn’t providing face covering to students who forget face covering
Crowded hallways; inadequate social distancing in hallways (i.e. less than 6 feet)
Inadequate enforcement of 6 foot social distancing 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
Group size exceeds 25 people in a room, including teachers, paras, and students
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 disinfecting supplies, including soap, hand sanitizer at least 60% alcohol, paper towels and tissues
Inadequate latex gloves for employees to use while cleaning
Trashcans don’t have lids
Outdoor activities: groups of students not being separated from other groups
HVAC issues, such as inoperable air-conditioning, inoperable windows, inadequate air circulation
Bus issues: number of students and adults exceeds 50% of manufacturer capacity
Bus issues: every other seat on bus isn’t empty
Non-essential visitors are being allowed in building (essential visitors are individuals who conduct observations, or who observe teacher candidates as part of the teacher preparation quality rating system, or who provide essential support services
Tell us about your concern.
To your knowledge, does this involve a violation of your school district's policy?
Have you reported this to your supervisor or to Central Office?
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:
Has anyone else witnessed this issue? Who?
What is the name of your school District?
East Baton Rouge Parish
East Carroll Parish
East Feliciana Parish
Jefferson Davis Parish
Pointe Coupee Parish
Red River Parish
St. Bernard Parish
St. Charles Parish
St. Helena Parish
St. James Parish
St. John the Baptist Parish
St. Landry Parish
St. Martin Parish
St. Mary Parish
St. Tammany Parish
West Baton Rouge Parish
West Carroll Parish
West Feliciana Parish
First and Last Name
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