Public School Incident Report
Public School Incident Report
I. Incident Details
Student Information
Field |
Information |
---|---|
Name |
Allan Holt |
Grade |
5th Grade |
Age |
11 |
Gender |
Male |
Student ID |
12345 |
Incident Information
-
Date of Incident: May 1, 2054
-
Time of Incident: 10:30 AM
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Location: Classroom 203
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Description of Incident: Allan got into a physical altercation with another student during recess.
II. Witnesses
Witness Name |
Role |
Contact Information |
---|---|---|
Mrs. Johnson |
Teacher |
johnson@email.com |
Sarah Thompson |
Student |
sarah@email.com |
Witness Statement
Mrs. Johnson: "I saw Allan and the other student pushing each other and then it escalated into a fight. I intervened immediately."
III. Behavior Details
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Behavior Description: Physical altercation
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Target of Behavior: Another student
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Context of Behavior: During recess
Behavior History
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Previous Incidents: Allan has had two previous incidents of disruptive behavior in class.
-
Behavioral Patterns: Allan often displays impulsive behavior when provoked.
IV. Actions Taken
-
Immediate Response: Separated the students and calmed them down.
-
Follow-Up Actions: Disciplinary action was taken, and Allan was sent to the principal's office. He was also assigned detention for the rest of the week.
V. Recommendations
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Preventive Measures: Implementing conflict resolution programs to help students manage conflicts peacefully.
-
Parent/Guardian Notification: A notification was sent to Allan's parents, and a meeting is scheduled for tomorrow.
VI. Additional Information
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Attachments: None
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