BIP/FBA Walkthrough Form
Administrator Observation Checklist
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Date of Observation
Observer (Administrator)
Teacher/Staff Observed
Student (Initials)
Observation Time
Setting/Activity
BIP Documentation Review
Current BIP on file
BIP is dated within the last year and accessible
FBA completed
Functional Behavior Assessment informs the BIP
Target behaviors defined
Observable, measurable behavioral definitions
Replacement behaviors identified
Functionally equivalent alternatives specified
Prevention strategies listed
Environmental modifications documented
Crisis plan included
Safety protocols clearly outlined
Implementation Fidelity Observation
Prevention strategies
- Environmental modifications in place as described in BIP
1
Not observed
2
Partial
3
Mostly
4
Fully
Teaching replacement behaviors
- Active instruction of alternative skills
1
Not observed
2
Partial
3
Mostly
4
Fully
Reinforcement delivery
- Consistent reinforcement of appropriate behavior
1
Not observed
2
Partial
3
Mostly
4
Fully
Response to target behavior
- Consistent implementation of consequences
1
Not observed
2
Partial
3
Mostly
4
Fully
Data collection
- Active, consistent behavior tracking observed
1
Not observed
2
Partial
3
Mostly
4
Fully
Observation Summary
Documentation Score
__/6
Items present
Fidelity Score
__/20
Points earned
Overall Rating
__%
Implementation
Follow-Up Action Items
Administrator Signature
Date: _______________
Teacher/Staff Signature
Date: _______________