School Safety Plan Assessment Form

School Safety Plan Assessment Form
Please complete the following assessment to evaluate the safety plan of your school.
School Name
Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Person
First NameLast Name
Contact Phone Number
Please enter a valid phone number.
Date of Assessment
MonthDayYear
Date
Safety Plan Components
Rate the overall effectiveness of the safety plan
Additional Comments or Suggestions
Should be Empty: