Behavior observation form 2025

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  1. Click ‘Get Form’ to open the behavior observation form in the editor.
  2. Begin by entering your name in the 'Name of Applicant' field. This identifies you as the observer.
  3. In the 'Applicant Summary' section, provide a brief description of your experiences at the clinical facility. Be concise yet informative.
  4. Fill out the 'Clinical Site Information' by entering the site name, address, type of setting, and number of hours observed.
  5. Complete the 'Supervisor Information' section with the occupational therapist's name and license number.
  6. Indicate your recommendations regarding the applicant by selecting one of the options provided.
  7. Add any additional comments in the designated area to support your recommendation.
  8. Finally, ensure that the OT signs and dates the form before submission.

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An example of such a scale would be a scale from 1-5, where 1 represents poor or infrequent behaviour, 3 represents average behaviour and 5 represents good or frequent behaviour. The scores from all of the behavioural items can then be added up to give an overall score to the ratee (Latham Wexley, 1981).
Observing an employee working with hazardous chemicals and seeing that they are not wearing proper protective equipment (PPE). Noticing a co-worker using a ladder and noticing that they are not following proper ladder safety protocols, such as not maintaining three points of contact while climbing.
Examples of behavioral observations that should be noted include: Childs response to the stress of testing, the tasks they evade and the tasks they prefer, and ability to persist and sustain attention to difficult tasks.
Examples of Behavior Based Safety Observations Witnessing an employee using a forklift and noticing that they are not wearing a seatbelt. Observing an employee working with hazardous chemicals and seeing that they are not wearing proper protective equipment (PPE).
Examples of behavior rating scales include the Achenbach Scales, the Conners instruments, the Behavior Rating Profile (BRP-2), the Burks Behavior Rating Scales (BBRS), and the Behavior Assessment System for Children (BASC-2).
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Be clear and specific in describing the behavior(s) that you observe. Keep it objective by describing only what you see, not what you feel or think.

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