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Head Count Report Form | PDF | Sports & Recreation
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Head Count Report Form

This form is used to report head counts during emergency incidents at a school. It collects information such as the grade and section involved, date and time of the incident, type of incident from options provided, head counts of girls and boys both before and after evacuation, names of marshals assisting with evacuation, and the teacher in charge during the incident.

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Marianna Garcia
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0% found this document useful (0 votes)
393 views1 page

Head Count Report Form

This form is used to report head counts during emergency incidents at a school. It collects information such as the grade and section involved, date and time of the incident, type of incident from options provided, head counts of girls and boys both before and after evacuation, names of marshals assisting with evacuation, and the teacher in charge during the incident.

Uploaded by

Marianna Garcia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HEAD COUNT REPORT FORM

GRADE AND SECTION: INCIDENT TYPE:


INCIDENT DATE: • EARTHQUAKE
•FIRE
INCIDENT TIME: •BOMB THREAT
• OTHERS, SPECIFY
GIRLS NO. OF MISSING GIRLS BOYS NO. OF MISSING BOYS
BEFORE EVACUATION
AFTER EVACUATION
NAME OF MARSHALS:
TEACHER DURING THE INCIDENT: DEPARTMENT:

HEAD COUNT REPORT FORM


GRADE AND SECTION: INCIDENT TYPE:
INCIDENT DATE: • EARTHQUAKE
•FIRE
INCIDENT TIME: •BOMB THREAT
• OTHERS, SPECIFY
GIRLS NO. OF MISSING GIRLS BOYS NO. OF MISSING BOYS
BEFORE EVACUATION
AFTER EVACUATION
NAME OF MARSHALS:
TEACHER DURING THE INCIDENT: DEPARTMENT:

HEAD COUNT REPORT FORM


GRADE AND SECTION: INCIDENT TYPE:
INCIDENT DATE: • EARTHQUAKE
•FIRE
INCIDENT TIME: •BOMB THREAT
• OTHERS, SPECIFY
GIRLS NO. OF MISSING GIRLS BOYS NO. OF MISSING BOYS
BEFORE EVACUATION
AFTER EVACUATION
NAME OF MARSHALS:
TEACHER DURING THE INCIDENT: DEPARTMENT:

HEAD COUNT REPORT FORM


GRADE AND SECTION: INCIDENT TYPE:
INCIDENT DATE: • EARTHQUAKE
•FIRE
INCIDENT TIME: •BOMB THREAT
• OTHERS, SPECIFY
GIRLS NO. OF MISSING GIRLS BOYS NO. OF MISSING BOYS
BEFORE EVACUATION
AFTER EVACUATION
NAME OF MARSHALS:
TEACHER DURING THE INCIDENT: DEPARTMENT:

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