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Behavior Tracking Checklist Template

This checklist tracks student behavior incidents including the date, time, antecedent or trigger for the behavior, the behavior itself, the consequence given by the teacher, and the duration of any time out. It allows schools to monitor behaviors, antecedents, and responses over time to help address issues and improve student conduct.

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bnwalton
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© Attribution Non-Commercial (BY-NC)
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15K views1 page

Behavior Tracking Checklist Template

This checklist tracks student behavior incidents including the date, time, antecedent or trigger for the behavior, the behavior itself, the consequence given by the teacher, and the duration of any time out. It allows schools to monitor behaviors, antecedents, and responses over time to help address issues and improve student conduct.

Uploaded by

bnwalton
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • ABC Checklist

ABC Checklist

Student Name:____________________
Date Time

Teacher: ________________ Consequence ___Ignored ___Used proximity ___Nonverbal cue ___Verbal warning ___Changed assignment ___Redirected ___Loss of privileges ___Gave time out ___Referral Duration ___< 1 min. ___ 1-5 min. ___ 5-10 min. ___ 10-30 min. ___ 1/2 -1 hr. ___ >1 hr.

Antecedent ___Alone ___With peers ___Preparing for outing ___Ending an activity ___Participating in group ___Asked to do something ___Asked/told not to ___Transitioning ___Working on academics ___At recess ___Being ignored ___At lunch ___Given a warning ___About to begin new activity ___Other

Behavior
___Refusing to

follow directions ___Disrupting class ___Making verbal threats ___Hurting self ___Destroying property ___Screaming/ Yelling ___Refusal to complete work ___Throwing/ Kicking ___Other

Date

Time

Antecedent ___Alone ___With peers ___Preparing for outing ___Ending an activity ___Participating in group ___Asked to do something ___Asked/told not to ___Transitioning ___Working on academics ___At recess ___Being ignored ___At lunch ___Given a warning ___About to begin new activity ___Other

Behavior
___Refusing to

Consequence ___Ignored ___Used proximity ___Nonverbal cue ___Verbal warning ___Changed assignment ___Redirected ___Loss of privileges ___Gave time out ___Referral

Duration ___< 1 min. ___ 1-5 min. ___ 5-10 min. ___ 10-30 min. ___ 1/2 -1 hr.

follow directions ___Disrupting class ___Making verbal threats ___Hurting self ___Destroying property ___Screaming/ Yelling ___Refusal to complete work ___Throwing/ Kicking ___Other

___ >1 hr.

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