INDIVIDUAL EMERGENCY FORM

Fire response

For campus staff assigned to emergency response: complete one record for each incident or drill. Print and retain it through the approved campus process.

All forms and checklists · Original manual section

Christ the King · Marquette · ECDC

Fire response

Facility Incident or drill date Location Completed by

Fire Safety and Extinguisher Use Quick Guidance

Evacuation

☐ Evacuate immediately when alarm sounds or when directed.

☐ Close doors and windows without locking.

☐ Move to assembly area and maintain clear lanes for responders.

Extinguishers

Use extinguishers only when you are trained, and the fire is small, contained, and you have a clear exit path.

Step	Action
P	Pull the pin
A	Aim at the base of the fire
S	Squeeze the handle
S	Sweep side to side at the base

☐ If smoke conditions worsen or the fire grows, evacuate immediately and close the door behind you.

Immediate Actions

☐ Activate Fire Alarm.

☐ Evacuate immediately using posted routes. Use alternate exits if blocked.

☐ Call 911 after evacuation.

☐ Assist injured or mobility impaired individuals.

☐ Close doors and windows. Do not lock.

☐ Do not collect personal items.

☐ Move 100 feet from building and stay clear of drives for emergency vehicles.

☐ Avoid smoke and stay calm.

Accountability

☐ Teachers take attendance using rosters.

☐ Display Green Card if all students are present. Display Red Card if missing students.

☐ Report unaccounted students to Principal or Assistant Principal immediately.

☐ Do not reenter until the All Clear is announced.

Assembly Areas

Primary Assembly Area: ECDC Parking Lot

Secondary: Playground

Environmental Disaster Contaminated Air or Water

Water Contamination

☐ Announce: Do not consume any water from facility sources.

☐ Provide bottled water or safe external supply.

Air Contamination Inside

☐ Initiate Fire Drill Evacuation Procedure.

Air Contamination Outside

☐ Shut down HVAC and remain indoors until directed.

Communication

☐ Call 911.

Tulsa Police: 918 596 9222

☐ Catholic Schools Office: 918 582 9177

☐ Superintendent David Dean: 901 626 4974

☐ Parents will be contacted via email and School Reach System

Nuclear or Chemical Contamination Disaster

Immediate Actions

☐ Initiate Tornado Drill Procedure to move to the lowest interior shelter.

☐ Shut off air handling systems as needed.

☐ Follow instructions from police and rescue personnel.

☐ Be prepared for extended shelter in place until safe transport is arranged.

Earthquake Response

During Shaking

☐ Command: EARTHQUAKE! TAKE COVER! DUCK AND HOLD!

☐ Students get under desks, cover heads, and hold until shaking stops.

☐ Expect alarms or sprinklers. Remain calm.

After Shaking Stops

☐ Evacuate using Fire Drill Routes to the Playground Safety Zone.

☐ Account for all students. Report injuries to administrators.

☐ If indoors, avoid glass and hanging fixtures.

☐ If outdoors, stay clear of trees, buildings, and power lines.

☐ If in vehicles, pull over safely and remain until shaking stops.

Federal Alignment and Operational Aids

This section provides practical job aids that support the Emergency Action Plan and reinforce consistent staff actions during real incidents.

Federal Reference Alignment Notes

The following federal resources are used as reference points to verify that action steps are identified, and that documentation supports readiness, response, and recovery.

Agency	Reference	How It Is Reflected in CTK MARQ ECDC Forms
FEMA and US Department of Education	Guide for Developing High Quality School Emergency Operations Plans 2013	Planning cycle, roles, reunification, training, drills, evaluation, and improvement planning are reflected in the evaluation, after action, and corrective action forms.
FEMA	National Preparedness Goal Mission Areas and Core Capabilities	Checklists and forms support response and recovery core capabilities including operational communications, mass care and reunification, situational assessment, and operational coordination.
DHS CISA	K 12 School Security Guide 3rd Edition and School Security Assessment Tool	Layered security and mitigation emphasis is supported through command roles, access control verification, perimeter coordination, and documentation of corrective actions.
FBI	Active Shooter Event Quick Reference Guide	Lockdown and last resort counter language aligns to life safety priorities and clear law enforcement coordination steps.
US Secret Service NTAC	Enhancing School Safety Using a Threat Assessment Model	Behavioral reporting, documentation, and pre-ident coordination are supported through incident documentation, reporting forms, and training records.
DHS CISA	Active Shooter Recovery Guide	Post incident actions, reunification control, communications, counseling coordination, and recovery documentation are captured in the recovery and after-action forms.

This form remains on this device until the page closes. It is not filed or sent automatically.