SafetyCulture Staff

Student Observation Checklist

This checklist is used by teachers to conduct an individual assessment of the student’s behavior and interaction inside the class.

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Title Page

Student Name
Grade Level
School Year (e.g S.Y 2018-2019)
Conducted on
Observed by

Academic / Instructional Behaviors

Attentive to instructions and tasks
Follows along with instruction/ task
Constructively contributes to class
Organized work and work habits
Works carefully and neatly
Completes tasks
Work willingly and without frustration

Social Behaviors

Friendly and respectful toward adults
Friendly and respectful toward peers
Interacts appropriately with peers in a social setting
Interacts appropriately with peers in an academic setting
Respects others' safety and personal space
Engages with peers

General Behavior and Conduct

Exceptional work ethic
Excellent manners
Positive role model
Shows great concern for school
Involved in school activities

Completion

General Observations / Recommendations
Name & Signature of Teacher

SafetyCulture Staff

Student Observation Checklist

This checklist is used by teachers to conduct an individual assessment of the student’s behavior and interaction inside the class.

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.