Free Student Behavior Incident Report Template
Student Behavior Incident Report
I. Incident Details
Field |
Details |
---|---|
Date of Incident |
May 15, 2050 |
Time of Incident |
10:30 AM |
Location |
Cafeteria |
Student(s) Involved |
|
Name of Student 1 |
David D. Duff |
Name of Student 2 |
Grace D. Wilson |
Description of Incident:
During lunchtime, David and Grace engaged in a verbal altercation that escalated into a physical altercation. The altercation involved pushing and shoving between the two students.
II. Witness Information
Witness 1 |
|
---|---|
Name: |
Sarah Johnson |
Contact Information: |
sarah.j@email.com |
Witness 2 |
|
---|---|
Name: |
Michael Lee |
Contact Information: |
michael.lee@email.com |
III. Actions Taken
A. Immediate Actions Taken:
-
School staff intervened immediately to separate the students and ensure their safety.
-
The school nurse provided medical assistance to any injured parties.
B. Follow-Up Actions:
-
Both students were escorted to the principal's office for further investigation.
-
Parents of both students were contacted and informed about the incident.
IV. Consequences
A. Disciplinary Action Taken:
Both students received a one-day suspension for their involvement in the altercation.
B. Support Provided:
Counseling sessions were offered to both students to address underlying issues contributing to the incident.
V. Recommendations
A. Preventive Measures:
-
Increase supervision during lunch periods to prevent similar incidents.
-
Implement conflict resolution programs to teach students effective ways to resolve conflicts peacefully.
B. Supportive Measures:
Offer ongoing support and counseling to both students to help them manage their emotions and develop healthier coping mechanisms.
VI. Additional Information
Attachments:
-
Incident report forms
-
Witness statements
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