ABC Notes PCH Behaviour Incident Log

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✅ Tips: For staff, keep entries short but factual (avoid emotional language). Over time, these logs help you:

See patterns (example: always during transitions).

Adjust environment (example: add a visual schedule, prepare quiet transition activity).

Track if strategies are reducing frequency/intensity.
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Child's Full Name* This field is required.
First Name
Last Name
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Behaviour Incident Date:* This field is required.
Date
Year
Month
Day
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Behaviour Incident Time:* This field is required.
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Hour
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Minutes
PM
AM
PM
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Educator's Full Name:* This field is required.
First Name
Last Name
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Educator's Full Name:
First Name
Last Name
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Location/Setting: Classroom / Outdoor / Transition / Meal / Other: * This field is required.
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Describe in detail the activity at the time: * This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe in detail the triggers (e.g., transition, denied toy, peer conflict, loud noise, waiting):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe in detail the adult actions before incident:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe in detail the environmental context (crowded, noisy, unstructured, etc.):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe in detail the specific unsafe action (hitting, kicking, biting, swearing, throwing objects, etc.):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Was the intensity: Low / Moderate / High* This field is required.
Please Select
Please Select
LOW
MODERATE
HIGH
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Describe the duration in Duration: Seconds / Minutes:* This field is required.
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Describe who was involved (peers/teachers):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe the immediate adult response:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe the peer/teacher reaction:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe the child’s response to consequence:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Was calm space offered/used? Yes / No* This field is required.
YESNO
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Was repair step attempted? Yes / No* This field is required.
YESNO
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Describe in detail the "repair" step that was done:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe the strategies used (e.g., calm corner, redirection, visual supports, positive reinforcement):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Were the parents informed? Yes / No* This field is required.
YESNO
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What was the method of communication to inform the parents? Example Method: BrightWheel / In-person / Phone / All of the above* This field is required.
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Notes for pattern tracking (did it happen at same time/activity as before?):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Educator Signature:* This field is required.
Clear
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Supervisor/Director Review:* This field is required.
Clear
Should be Empty: