Behaviour Incident Form
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Behaviour Incident Form
Child’s Name_________________________________________________________Date of incident _________Time____
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Describe Incident
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What was happening in the room and with the child immediately before the incident?
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What do you think the child was trying to say?
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What strategies did educators implement to manage the incident (or how did they react)?
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Describe any strategies that worked.
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Have you spoken with parents about the behaviour?                   Yes        No  Â
The Plan
If yes, what was the outcome of this conversation?
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What strategies can you try if the behaviour occurs again? (These may differ to the strategies used).
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Educator’s Name                               Educator’s Signature
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Date
If there have been repeated incidents Room Leader or Nominated Supervisor may need to develop a behaviour management plan with families and/or suggest families seek outside professional support for an undiagnosed condition where relevant.
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