Behaviour Incident Form

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Behaviour Incident Form

Child’s Name_________________________________________________________Date of incident _________Time____

 

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     

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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