Behavior Incident Report Form Page 2
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3Behavior Incident Report Instructions
Always complete when a child engages in the following kinds of behaviors
Aggression to another child or adult that results in physical pain or harm to that person (includes
kicking, hitting, biting, scratching)
Running out of room, out of yard, or from group without responding to the calls of the adult
Intentionally injuring self in manner that may cause serious harm (severe head banging, biting self)
Also complete when a child continues to engage in problem behavior despite efforts to redirect to use
alternative skills. On these occasions, complete the form for children who are persistent in problem behavior
and their problem behavior appears to be unresponsive to the child guidance procedures you use in your
classroom. The form will not be completed if the behavior has not occurred before or if the behavior may be
developmentally-expected (e.g., 2- year olds who tussle over a toy). These behaviors may be:
Tantrums
Inappropriate language
Hitting
Property Destruction
Disruptive Behavior
Behavior Incident Report Instructions
Always complete when a child engages in the following kinds of behaviors
Aggression to another child or adult that results in physical pain or harm to that person (includes
kicking, hitting, biting, scratching)
Running out of room, out of yard, or from group without responding to the calls of the adult
Intentionally injuring self in manner that may cause serious harm (severe head banging, biting self)
Also complete when a child continues to engage in problem behavior despite efforts to redirect to use
alternative skills. On these occasions, complete the form for children who are persistent in problem behavior
and their problem behavior appears to be unresponsive to the child guidance procedures you use in your
classroom. The form will not be completed if the behavior has not occurred before or if the behavior may be
developmentally-expected (e.g., 2- year olds who tussle over a toy). These behaviors may be:
Tantrums
Inappropriate language
Hitting
Property Destruction
Disruptive Behavior
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