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: