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BC Bus Conduct Report
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* Indicates required question
Driver Name
*
Choose
Andrea Dallas
Paul Gardner
Laura Hatfield
Brandi Sipe
Cori Skidmore
Heidi Slone
Mark Heefner
Jarrod Clady
Steve Aichholz
Doug Cramer
Mary Showman
Andy Suver
Sub Driver
Leah Filliater, ES Principal
Mike Martin, HS Principal
Jennifer Moore, MS Principal
Deb Briggs, Supervisor
Derrick Heydinger
Desarae Vanderpool
Bus #
*
Choose
1
3
5
8
9
12
14
17
18
19
16
7
11
4
Student Information
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Grade Level
*
Choose
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Student's School Building
*
Choose
Preschool
Elementary Grades K-4
Middle School Grades 5 - 8
High School Grades 9 - 12
Incident Information
Date of Incident
*
MM
/
DD
/
YYYY
Time of Incident
*
AM Route
PM Route
BOTH AM & PM Routes
Preschool Route
Athletic/Field Trip
Incident Location
*
Choose
Inside bus while in motion
Inside bus while stopped
Outside bus at the bus stop
Outside the bus at school
Someplace else
Behavior Report
Reference: 3301-83-08 Pupil transportation management policies.
Behavior Description
*
Failure to board / exit at designated location.
Failure to sit in assigned seat.
Not adhering to safety measures.
Exhibiting unsafe behavior.
Using profanity and/or obscene language.
Insubordination towards driver.
Eating / Consuming Food or Drinks.
Throwing Objects Inside or Outside the Bus.
Fighting.
Harassment of seat mates.
Behavior at the bus stop.
Not keeping aisles and/or exits clear.
Using or possessing alcohol, narcotic, tobacco, nicotine, vape, aerosol, or any other such type of product or substance.
Destruction of property.
Talking at the railroad tracks.
Littering
Other:
Required
Incident Description
*
Describe the incident with as much detail as possible. What happened? When? Who was involved? How did it effect the rest of the bus?
Your answer
Incident Response
*
What measures did you as a driver take? What commands were issued? What did you do to intervene? How did the students react? What happened as a result of your intervention? Was anyone else involved in the response?
Your answer
Assistance & Impact
Radio in to report incident
*
Did you radio in to the supervisor/office for assistance during the incident?
Yes
No
Route Delay
*
Was the route delayed as a result of the incident?
Yes
No
Additional Information
Additional Incident Information
Your answer
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