NIH POLICY MANUAL
1430 - NIH OCCUPANT EVACUATION PLAN
Issuing Office: ORS/DPS 496-1985
Release Date: 02/14/02
- Explanation of Material Transmitted:
The purpose of this Manual
Chapter is to establish the NIH Occupant Evacuation Plan which defines the
scope and method for immediate, positive and orderly action to safeguard
life and property during emergencies in all buildings occupied by NIH
employees.
- Filing Instructions:
Remove: NIH Manual 1342, dated 9/1/94
Insert: NIH Manual Chapter 1430 dated 02/14/02
PLEASE NOTE: For information on:
A. Purpose:
The purpose of this Manual Chapter is to establish the NIH Occupant
Evacuation Plan which defines the scope and method for immediate, positive
and orderly action to safeguard life and property during emergencies in all
buildings occupied by NIH employees.
B. Policy:
This policy describes the methodology used to develop, implement and
maintain a program designed to ensure that employees, patient and visitors
located in all NIH owned or leased facilities are safely evacuated during an
emergency.
C. References:
- 29 CFR 1910.38 - "Employee Emergency Plan and Fire Prevention
Plans"
- FPMR 101-20.103-4 - "Occupant Emergency Program"
- FPMR 101-20.103-5 - "Initiating Action Under Occupant Emergency
Programs"
- DHHS General Administration Manual Chapter 7-02 - "Building
Evacuation Plans for the Disabled"
- DHHS Safety Management Manual
- NIH Personnel Delegations of Authority, February 1996, "Leave Excused
Absence and Restored Annual Leave," and NIH Manual 1130,
General
Administration No. 30 "Closing of NIH Buildings in Emergency
Situations."
D. Definitions:
- Area Team Coordinator (ATC). The person appointed by the Occupant
Emergency Coordinator (OEC) to be in charge of the emergency evacuation
team in an area of a particular floor or designated area of a building.
- Designated Official. The Executive Officer of the Primary
Occupant Institute or Center (IC) or the alternate highest ranking
official or designee selected by mutual agreement by other occupant IC
officials.
- Emergency. An unexpected situation which requires prompt action
to protect life and property. Examples of an emergency may include: fires,
explosions, chemical, biological, environmental, and radiological
incidents,
bomb threats, civil disturbances, medical emergencies, natural disasters,
structural failures, and accidental or human-caused disasters.
- NIH Emergency Planning Coordinator. The individual responsible
for maintaining a liaison with Designated Officials and OECs, and
assisting them in their efforts to comply with this Manual Chapter.
- Evacuation Team Members. Persons selected to assist in the
orderly evacuation of the building including Aides to Individuals with
Disabilities, Stairway Monitors, Elevator Monitors, Restroom Monitors or
any other person assigned by the Team Coordinator.
- Floor Team Coordinator (FTC). The person appointed by the OEC to
be in charge of the emergency evacuation team on a floor of a building.
- Incident Command Post. The location, in the vicinity of the
incident, from which the Incident Commander directs operations.
- Incident Commander. An individual charged with directing
emergency operations to mitigate a situation which presents the possibility
of harm, injury and/or destruction. Individuals designated to assume the
role of the incident commander are:
a. The senior fire officer at the scene is the incident commander for
fires or technological emergencies (e.g., chemical, radiological,
biological and environmental incidents, etc.).
b. The senior law enforcement official at the scene is the incident
commander for security and/or law enforcement emergencies (e.g., bomb
threats, civil disturbances, etc.).
- Occupant Emergency Coordinator (OEC). The person appointed by the
Designated Official to be in charge of the Occupant Emergency Organization
of a particular building.
- Occupant Emergency Organization. Employees in a building
designated by their IC to fulfill the requirements established by the
Occupant Evacuation Plan.
- Occupant Evacuation Plan. A plan to facilitate orderly evacuation
of a building or area during emergency situations in facilities occupied
by NIH employees.
- Occupant IC. An IC, other than the primary occupant IC, which
occupies space in a building.
- Occupants. Individuals, including visitors, employees, patients
and others who work in, or frequent, NIH owned or leased buildings.
- Primary Occupant IC. The NIH IC having the largest number of
employees assigned to a building or facility.
E. Responsibilities:
The Emergency Management Branch (EMB), Division of Public Safety (DPS),
Office of Research Services (ORS) has overall responsibility to ensure
compliance with this Manual Chapter.
- NIH Emergency Planning Coordinator. The NIH Emergency Planning
Coordinator is responsible for maintaining liaison with Designated Officials
and OECs, and for assisting them in their efforts to comply with this Manual
Chapter.
- Designated Official. The Designated Official is responsible for
establishing and maintaining the Occupant Emergency Organization, ensuring
that designees of the organization perform the functions of the plan,
appointing an OEC, and assisting in selecting all necessary staff to
maintain an efficient organization.
- Occupant Emergency Coordinator (OEC). The OEC is responsible for
coordinating the necessary planning to ensure readiness capability
including: selecting, training, and organizing adequate
staff for conducting emergency evacuations, and for supervising the
activities of the Occupant Emergency Organization. The OEC appoints a Deputy
and Assistants, as necessary, and maintains a staff list as shown in
Appendix 1. The OEC reviews and updates the Occupant Evacuation Plan and
listing of staff, including individuals with disabilities, annually.
When off campus buildings are evacuated, it is the responsibility of the
OEC for the building to notify the Emergency Planning Coordinator, EMB/DPS,
of evacuations. The EMB/DPS is responsible for the preparation and
forwarding of GSA
Form 53, GSA Fire Incident Report, as appropriate.
Duties include:
a. Ensuring that all employees or visitors having a permanent or temporary
disability, which may require assistance in evacuating from the building, are
assigned one or more Aides to assist them with evacuation in accordance with
this program.
b. Conducting, no less than, annual meetings to maintain a functional
organization and to arrange for the training of all members of the Occupant
Emergency Organization. This training is intended to inform members of the
latest developments and policies affecting evacuation activities.
c. Designating a central location outside of the facility where the FTCs
and ATCs will meet to relay evacuation information to the OEC.
d. Exercising overall direction and responsibility for the orderly
evacuation of personnel from the building; advising emergency responders of
the location of any individuals who need assistance; reporting to the
Designated Official; and keeping the Designated Official apprised of events
during an emergency. Note: Rescue, firefighting, and other activities are
under the direction and control of the respective service departments (fire or
police).
e. Informing building occupants during and/or after evacuation of the
nature of the emergency and notifying the Emergency Planning Coordinator, and
other appropriate officials, of problems arising during evacuations.
Subsequent to drills, the OEC provides the occupants with an evaluation of the
evacuation.
4. Deputy/Assistant OEC. The Deputy/Assistant OEC assists the OEC
and assumes direction of the staff and the evacuation in the absence of the
OEC.
5. Floor Team/Area Team Coordinator (FTC/ATC). FTCs and ATCs control
and expedite the planned movement (evacuation) of floor or area occupants,
including individuals requiring assistance, and they are responsible for the
organization and functioning of the staff on their assigned floors or areas.
They ensure that the Occupant Evacuation Plan has been executed on their floor
or area, and report the conditions, including the evacuation status, to the
OEC, and they advise the location of persons needing evacuation and/or
assistance by the fire department.
Duties include:
a. Selecting, training, assigning and supervising alternate FTCs/ATCs,
Aides to assist individuals with disabilities, and stairway, restroom
and elevator monitors and their alternates.
b. Ensuring that Floor Team and Area Team Members are cross-trained
so they can perform other duties, as necessary.
c. Keeping the OEC informed of the names, assignments, locations, and
physical limitations of individuals with disabilities located on their
floor or in their area.
d. Ensuring that each employee identified under this plan requiring assistance is provided with one (preferably two or three)
Aide(s)
who will remain with and assist the individual throughout the emergency
situation.
e. Ensuring familiarity with conditions on their assigned floor or in
their area, including occupancy of rooms, locations of stairways and
fire alarms.
f. Developing special plans for the evacuation of individuals with
disabilities from floors and/or areas, as necessary.
g. Informing floor and/area occupants, after the evacuation has been
completed, of the nature of the emergency and problems arising during
the evacuation.
h. If, during an emergency, the OEC or the Deputy/Assistant OEC is
not at the prearranged assembly location outside of the building, the
first arriving FTC or ATC will assume the responsibilities of the OEC.
6. Assistant Floor Team/Area Team Coordinator. Assists the
FTC/ATC and assumes responsibility for the organization and functioning
of the staff on their assigned floor in the absence of the FTC/ATC.
7. Stairway Monitor. Stairway Monitors assist occupants in
gaining access to the stairway and ensuring movement of occupants in the
stairway.
Upon hearing the fire alarm the monitor will:
a. Proceed immediately to the assigned stairway and ensure that the
stairway is free of smoke. If the stairway is unsafe, the monitor will direct
evacuees to an alternate exit.
b. Hold the door open only when people are evacuating in order to minimize
any migration of smoke throughout the escape route. Monitor the stairway until
the floor is vacated.
c. Coordinate movement between stairway areas and advise the occupants to
walk to the exit floor.
d. Control movement into stairway areas and advise the occupants to walk to
the exit floor.
e. After all occupants have left the floor, the Stairway Monitor ensures
that the exit door is closed to provide a smoke and fire barrier.
f. If individuals with disabilities are using the stairway as a safe haven,
the monitor will advise the FTC or ATC.
g. In the absence of an assigned Aide, the monitor will assist in evacuating
individuals with disabilities from the building in accordance with section 9
(below).
8. Elevator Monitor. Elevator Monitors ensure that the elevators are
not used for evacuation unless otherwise directed by the responding fire
department.
Upon hearing the fire alarm, the monitor will:
a. Proceed immediately to the assigned elevator(s), refuse access to all
individuals, and direct evacuees to the nearest exit.
b. If any individuals needing assistance and their Aide(s) are waiting in
the elevator lobby to be evacuated, the monitor will advise the FTC or ATC.
c. In the absence of an assigned Aide, the monitor will assist in
evacuating individuals with disabilities from the building in accordance with
Section 9 (below).
d. Some buildings are equipped with elevators which continuously operate if
smoke is not present in the elevator lobbies or mechanical room. In buildings
equipped with these types of elevator systems, the OEC, in consultation with
the Emergency Planning Coordinator, will determine if the elevators will be
utilized to evacuate individuals with disabilities. If it is determined the
system is suitable for evacuation during an emergency, plans and procedures
will be developed and placed in effect prior to use during an emergency
evacuation.
9. Aides to Individuals with Disabilities. Aides are responsible for
assisting individuals with disabilities in evacuating a facility or area
during emergency situations. Refer to Section L for evacuation procedures for
individuals with disabilities.
10. Restroom Monitors. Restroom Monitors are responsible for
ensuring that restrooms are evacuated during emergencies.
Upon hearing the fire alarm, the monitors will:
a. Proceed to assigned restrooms and announce that it is necessary to
evacuate the building.
b. Ensure that occupants leave immediately.
c. Close the door and report to the FTC or ATC.
11. Supervisors. Supervisors at all levels throughout NIH are
responsible for:
a. Complying with and enforcing all applicable occupational safety and
health standards, rules, regulations, and orders issued by competent authority
(pertaining to the activities under their jurisdiction) including this
Occupant Evacuation Plan. (Authority: DHHS Safety Management Manual.)
b. Ensuring that their respective areas are evacuated during drills and
emergencies. (See Section L-6 for supervisor’s responsibilities regarding
individuals with disabilities.)
12. Employees. Employees at all levels throughout the NIH are
responsible for:
a. Complying with all applicable occupational safety and health standards,
rules, regulations, and orders issued by competent authority, including this
Occupant Evacuation Plan.
b. Evacuating the facility promptly and in an orderly manner upon
activation of the fire alarm, after being notified verbally of the need to evacuate,
or by any other available means.
c. Cooperating fully with persons in the Occupant Emergency Organization.
F. Initiating Action:
The decision to activate the Occupant Emergency Plan will be based upon
the best available information, previous experience, and upon the advice of
fire department or Federal and local law enforcement agencies. The primary
consideration will, at all times, be the safety of buildings occupants.
When there is an immediate, or suspected danger, the occupants will be
evacuated in accordance with the plan, without consultation. The sounding of
the fire alarm or any other available means will be used for evacuation.
When a manual fire alarm pull station is used to initiate an evacuation, the
individual activating the fire alarm should also call the fire department to
provide additional information as to the specific location and nature of the
emergency.
G. Emergency Call List:
| Contact |
On-Campus |
Off-Campus |
| Fire/Ambulance |
911 |
9-911 |
| Police |
911 |
9-911 |
| Chemical/Biological/Radiological |
911 |
9-911 |
| Building 10 (Critical Medical Situation) |
111 |
--- |
| Engineering |
108 |
--- |
| TTY/TDD System |
911 |
9-911 |
H. Non-Emergency Call List:
| NIH Fire Department |
301-496-2372 |
| NIH Police |
301-496-5685 |
| Occupational Medical Service |
301-496-4411 |
Note: For work related injuries occurring off the NIH reservation,
after the ambulance is summoned, contact the Occupational Medical Service,
301-496-4411.
I. Emergency Procedures - For All Occupants:
All occupants should follow these procedures:
1. Fire
a. Confine the fire by closing all doors.
b. Pull/activate the nearest fire alarm box and notify others in the area
of the emergency.
c. Call the Fire Department by dialing 911 (on campus) or 9-911 at leased
(off-campus) facilities.
d. If you are not aware of the fire, but hear the alarm, turn off gas and
confine hazardous materials in cabinets; close all doors as you leave; walk,
do not run, to the nearest stairway/exit and evacuate the building.
e. Do not use the elevators unless it has been predetermined that
elevator use is safe.
2. Release of Chemical or Biological Materials
a. Leave the room and close doors. Do not open the windows.
b. Remove contaminated clothing and wash any parts of the body which may
have come in contact with the material.
c. Call the Fire Department by dialing 911 (on campus) or 9-911 at leased
(off-campus) facilities.
d. Do not permit anyone to enter the room/area until the appropriate
authorities determine that the area is safe.
e. After safely evacuating, any person(s) who may have become
contaminated should be restricted to a single staging area and not be
permitted to move freely to other locations. Moving to other locations may
create a contamination concern to other occupants and/or other areas of the
building.
3. Radiation Incident
a. Confine the contamination, using absorbent material to keep it from
spreading.
b. Remove contaminated clothing and shoes before entering a clean area.
c. Wash any parts of the body which may have come in contact with the
radioactive material.
d. Call the Fire Department by dialing 911 (on campus) or 9-911 at leased
(off-campus) facilities.
e. If a Clinical Center patient is involved, call the physician in charge
and the Nursing Service Chief or Nursing Supervisor.
f. After safely evacuating, any person(s) who may have become
contaminated should be restricted to a single staging area and not be
permitted to move freely to other locations. Moving to other locations may
create a contamination concern to other occupants and/or other areas of the
building.
4. Bomb Threat/Explosive Incident
a. Engage caller in conversation.
b. Be calm, and if possible, take notes of the conversation.
c. Try to determine:
- The exact location of the bomb
- The source of the threat
- Time of the threatened explosion
- Background noises on the phone
- Qualities of the caller’s voice
- Gender and approximate age of the caller
d. If possible, have someone listen in on the call.
e. Check "CALLER ID", or immediately after the caller hangs
up dial *69 to determine where call originated.
f. Call the NIH Police by dialing 911.
g. Notify supervisor.
5. Explosive Device
a. Never touch a suspected bomb/explosive.
b. Turn off all radios and transceiver equipment near the suspected
area.
c. Call the NIH Police by dialing 911.
d. If evacuation is necessary, leave in an orderly manner.
e. Cooperate with emergency personnel during evacuation to resolve the
incident.
J. Evacuation Information:
1. Persons Authorized to Order Evacuation
a. Designated Official.
b. Occupant Emergency Coordinator.
c. Senior fire/police officer.
d. Chief, EMB, DPS.
e. Director, DPS or the senior DPS official present and/or aware of the problem.
f. Emergency Planning Coordinator, EMB, DPS.
g. Any person aware of an emergency who believes immediate
action may be necessary to protect the lives of occupants.
2. Evacuation Signals
Activation of the fire alarm indicates that the building must be
evacuated. During evacuation drills, or actual emergency situations,
occupants should acquaint themselves with the sound of their building’s
evacuation signal.
3. Means of Evacuation
a. Occupants should exit by the stairway or as directed by a member of
the evacuation team.
b. Individuals with disabilities and their Aide(s) should immediately
proceed to the designated evacuation area (the nearest
elevator lobby). If this area is untenable due to fire, heat, smoke, etc.,
proceed to an alternate exit, either another elevator lobby or the closest
stairway.
c. The FTC or ATC will report the location of individuals with
disabilities to the OEC who, in turn, will relay the information to the
senior fire or police officer, depending on the nature of the emergency.
4. Relocation Site
Upon exiting the building, assemble in a location far enough away as
not to interfere with the arrival of fire apparatus and the activities of
emergency responders, and in an area that provides adequate safety for
evacuees.
5. Building Re-Entry
Occupants will return to the building only when authorized by the
senior fire officer, police officer, or the OEC.
K. Evacuation Drills:
1. Panic is one aspect of a disaster with which evacuation team
personnel should be prepared to cope. A building population and emergency
organization that is well informed about the building evacuation plan,
through training, will be less likely to panic than one which is unaware of
the correct action to take. Organization personnel and building occupants
will participate in drills that will familiarize them with the duties they
are expected to perform in an emergency.
2. Evacuation drills will be scheduled twice each calender year for all
buildings occupied by NIH employees.
3. When requested by the OEC, occupants in buildings with critical
operations which may not be safely neglected, such as laboratory and
computer facilities, will be notified prior to the drill.
4. With the conscientious participation of all employees, evacuation
drills typically do not take longer than 15 minutes.
5. The Emergency Management Branch, Division of Public Safety, Office of
Research Services is responsible for:
a. Scheduling evacuation drills.
b. Notifying the OEC in advance of the drill.
c. Providing the OEC with flyers to be posted in the facility noting
the date and time of the evacuation drill, as appropriate.
d. Coordinating with the Division of Engineering Services, local fire
departments, and other appropriate authorities, as required.
e. Conducting evacuation drills.
f. Documenting drill results and conducting critiques.
g. Reporting results of drills to the OEC noting:
(1) The amount of time required for occupants to vacate the building.
(2) Deficiencies encountered, including problems experienced by
individuals with disabilities and their Aides.
(3) Observations and recommendations, including references to occupant
emergency staff and their activities.
6. All employees are expected to participate in evacuation drills as
follows:
When the fire alarm signal sounds, occupants will promptly leave
their work areas, close doors, and proceed to the nearest exit.
Elevators will not be used, except under the direction of the fire
department or as prearranged in buildings equipped with appropriate
elevator systems. During an emergency, the nearest exit may be blocked
by smoke; therefore employees should be familiar with alternate exits.
Alternate exits should also be used if the primary exit is inaccessible.
For this reason, employees should always familiarize themselves with the
building, particularly alternate escape routes.
L. Evacuation Procedures for Individuals with Disabilities:
1. Evacuation Signals
Activation of the fire alarm indicates that the building must be
evacuated. Occupants who are deaf or hard of hearing should be personally
informed of the emergency by a Floor Team or Area Team Member, supervisor
or any other person.
Provisions must be made to ensure that occupants who are deaf or hard of
hearing are informed in the event of an emergency.
In all on-campus buildings, and most off-campus buildings, an emergency
vibrating pager system is available to alert hearing-impaired individuals
that the fire alarm has activated. For information on obtaining a
vibrating pager, contact the Emergency Planning Coordinator, Emergency
Management Branch, DPS on 301-496-1985.
2. Aides to Individuals with Disabilities
Aides will be assigned to all individuals with disabilities, including
those who are temporarily disabled. Aides will assist these individuals to
a safe area away from the building or to a protected area.
3. Means of Evacuation
Individuals with disabilities will be assisted by one or more assigned
Aides. Aides will assist the individual(s) to the nearest elevator lobby
to await evacuation by the fire department.
If this area is untenable due to the fire, heat, smoke, etc., they
will proceed to an alternate exit, another elevator lobby or the closest
stairway. If the closest stairway is also untenable, the Aide will
assist the individual requiring assistance into the stairway. Once
inside, both will move against the wall and wait for the flow of traffic
to stop. If it is safe to evacuate down the stairway, the Aide will
assist the person to the outside of the building.
Elevators must NEVER be used for emergency evacuation unless the
elevators are under the direction of the fire department, or are equipped
with special systems and are pre-approved for evacuation.
If two Aides are present, one will report the location of the
individual with a disability to the FTC or ATC for evacuation by emergency
personnel, if necessary. If only one Aide is present, he/she will remain
with the individual and have another employee inform the FTC or ATC of
their location.
The FTC and/or ATC will report the location of all individuals with
disabilities to the OEC who, in turn, will relay the information to the
responding Fire Department.
Remember that the firefighters and rescue personnel always
proceed initially to the area of greatest risk to systematically perform
search and rescue operations.
4. Visitors with Disabilities
Because visitors with disabilities will not have Aides assigned to
them, as NIH employees do, FTCs and ATCs will ensure that all areas on the
floor, including restrooms, are thoroughly checked.
5. Supervisors’ Responsibilities
All supervisors are responsible for:
a. Reporting to the OEC and FTC/ATC the presence of individuals who
have a hearing, sight or physical impairment, or who have any other
impairment which may restrict an individual from readily evacuating the
building.
b. Ensuring that all individuals with disabilities, who work under
their supervision, are assigned one or more Aides by the FTC or ATC and
are assisted to safety during emergencies.
c. Ensuring that individuals with disabilities who may work other than
normal business hours (i.e., evenings, weekends, holidays) are always
adequately protected during emergency situations necessitating building
evacuation.
M. Training:
1. The EMB will provide training to the Occupant Emergency Organization
members as requested by the OEC.
2. Training seminars for all OECs will be provided by the EMB, DPS.
N. Records Retention and Disposal:
All records (e-mail and non-e-mail) pertaining to this chapter must be
retained and disposed of under the authority of NIH
Manual 1743, "Keeping and Destroying Records,
Appendix 1," "NIH Records Control Schedule," Item
1100-I, Emergency Planning Files.
NIH e-mail messages (messages, including attachments, that are created on
NIH computer systems or transmitted over NIH networks) that are evidence of
the activities of the agency or have informational value are considered
Federal records. Pursuant to General Records Schedule 20, Item 14 -
Electronic Mail Records, e-mail messages which meet this definition should be
copied to a record keeping system--either hard copy or electronic--and then
deleted from the e-mail system.
All e-mail messages are considered Government property and, if requested
for a legitimate Government purpose, must be provided to the requester.
Employees’ supervisors, NIH staff conducting official reviews or
investigations, and the Office of Inspector General may request access to,
or copies of, the e-mail messages.
E-mail messages must also be provided to Members of Congress or
Congressional committees if requested and are subject to Freedom of
Information Act requests. Since most e-mail systems have back-up files that
are sometimes retained for significant periods of time, e-mail messages and
attachments may be retrievable from a back-up file after they have been
deleted from an individual’s computer. The back-up files are subject to
the same requests as the original messages.
O. Management Controls
The purpose of this Manual Chapter is to establish the NIH Occupant
Evacuation Plan which defines the scope and method for immediate, positive
and orderly action to safeguard life and property during emergencies in all
buildings occupied by NIH employees.
- Office Responsible for Reviewing Management Controls Relative to This
Chapter (Issuing Office):
Through this manual issuance, the Emergency Management Branch (EMB),
Division of Public Safety (DPS), Office of Research Services (ORS) is
responsible for the method used to ensure that management controls are
implemented and working.
2. Frequency of Review: Ongoing review.
3. Method of Review:
The EMB, DPS will maintain oversight and ensure compliance with this policy
through a myriad of resources, e.g., emergency evacuations, semiannual
evacuation drills, reports of concern from Evacuation Team Members and
employees regarding evacuation safety, the Occupant Emergency Coordinator from
each facility, etc. If the EMB, DPS determines that an IC Occupant Emergency
Evacuation Team/Program is not following this policy, EMB, DPS will ensure
that the appropriate IC Executive Officer, as outlined in the policy, is
notified and that the issue is resolved.
4. Review Reports are Sent to:
The responsible IC Executive Officer, as outlined in the policy, and the
OEC for the facility. Issues of special concern will be brought immediately to
the attention of the responsible IC Executive Officer, as outlined in the
policy.
Appendix 1. Sample NIH Occupant Emergency Organization Staff
List:
NIH OCCUPANT EMERGENCY ORGANIZATION FOR BUILDING_____
Designated Official:__________
Executive Officer,__________
Occupant Emergency Coordinator (OEC)__________
Room #_____
Phone #_____
Deputy Occupant Emergency Coordinator__________
Room #_____
Phone #_____
Floor Number
Floor/Area Team Coordinator
Asst. Floor/Area Team Coordinator
Stairwell Monitor
Elevator Monitor
Restroom Monitor
Aides to the Disabled
Individuals with Disabilities
Name & Room Number / **
Emergency Management Branch, Division of Public Safety
Date:
** Denotes individuals who are deaf or hard of hearing |