DAILY SHELTER REPORT
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Report Number:
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:rep_nbr: |
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Facility: :facility:
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Telephone: :tele:
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Address: :addr:
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City: :city:
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State: :state:
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Station Manager: :mngr:
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Shift supervisor 1st: :spvsr1:
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Shift supervisor 2nd: :spvsr2:
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Shift supervisor 3rd: :spvsr3:
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Shelter Population
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Current number of people in shelter:
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:nbr:
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| New registrations today: |
:new_reg:
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Total number of registrations:
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:total_reg:
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Meals served:
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Date:
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:date:
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Breakfast:
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:bkfst:
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Dinner:
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:dinner:
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Total:
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:meals:
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Snacks:
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:snacks:
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Special diet Requirements:
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:special:
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Staff:
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Red Cross Volunteer staff:
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:vol:
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Red Cross Paid staff:
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:paid:
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Facility staff:
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:fac_staff:
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Other staff:
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:other_staff:
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Time of count:
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:cnt_time:
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Supplies Needed:
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Item:
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On Hand:
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Needed:
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Cots:
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:cots_onhand:
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:cots_needed:
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Blankets:
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:blankets_onhand:
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:blankets_needed:
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Comfort Kits:
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:ckits_onhand:
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:ckits_needed:
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Cleanup Kits:
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:cleanup_onhand:
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:cleanup_needed:
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Any unusual situations:
:unusual:
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Safety, Security and Housekeeping check:
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Date & Time: :date_time:
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Comments:
:comments:
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Prepared by: (signature)
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Prepared by: :preparer:
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Date & Time: :prep_date_time:
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ARC Disaster Mass Care
Tool (Rev. 04-01)
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