Elementary Organizational & Independent Work Skills/Motor Skills Checklist
This checklist will assist staff in determining if a student meets Other Health Disabilities or Physically Impaired criteria. It may also serve as part of an educational evaluation/re-evaluation and provide classroom teachers information to help identify student needs in organizational independent work skills that may be seen with a variety of disabilities.
Checklist Guidelines
The following guidelines are suggested when completing the worksheet. Please compare this student to typical peers in your class.

ALWAYS - Performance in skill area meets or exceeds classroom expectations. Student is independent.

OFTEN - Student needs occasional prompting, mostly independent.

SOMETIMES - Student needs prompting approximately half the time.

RARELY - Student needs frequent prompting, mostly dependent.

NEVER - Student is totally dependent.

Comments - Comments can be made whenever an area of concern is noted. Please note strengths when appropriate. Indicate N/O if not observed.

Thank you for your time and assistance.
Date: *
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Worksheet completed by: *
 Student Name: *
School: *
Grade *
Curriculum *
Setting *
ORGANIZATION SKILLS *
ALWAYS
OFTEN
SOMETIMES
RARELY
NEVER
NOT OBSERVED
Follows classroom routines
Follows classroom rules
Follows classroom schedules
Takes notices and appropriate materials home to complete homework
Transitions from one activity/setting to another within the allowed time
Transitions from one activity/setting to another with needed materials and supplies
Comments/Adaptations for Organizational Skills
WORK SKILLS *
ALWAYS
OFTEN
SOMETIMES
RARELY
NEVER
NOT OBSERVED
Listens and works without distractions
Begins work/tasks
Finishes work/tasks within the time allotted
Knows when work is complete
Corrects mistakes and edits work
Turns work in on time
Follows verbal directions
Follows written directions
Follows mutli-step directions in sequence
Uses free time appropriately
Participates actively in class discussions, group activities, projects
Requests help appropriately (teacher, support staff, peer) to clarify classroom requirements or meet personal needs
Comments/Adaptations for WORK SKILLS
MOTOR SKILLS *
ALWAYS
OFTEN
SOMETIMES
RARELY
NEVER
NOT OBSERVED
Moves through school environment in a safe and timely manner (including emergency evacuations)
Demonstrates stability at classroom desk, table, chair, or floor
Utilizes all school environments (I.e. lunchroom, locker, bathroom, playground, stage)
Meets personal needs (eating, dressing, toileting) at school
Produces written work that is legible and completed within time lines, without fatigue
Uses school supplies (markers, scissors, eraser, glue, paints)
Manages books, materials, and backpack
Stores and retrieves materials in an orderly, timely manner
Comments/Adaptations for MOTOR SKILLS
Do you have any concerns regarding this student's behavior? *
Comments
Do you have any concerns regarding this student's attendance? *
Comments
Does this student get along socially with peers? *
Comments
Does this student's disability impact peer acceptance? *
Comments
What strengths does this student have? *
Accommodations/strategies that you routinely make for this student (mark all that apply): *
Påkrævet
Other accommodations/strategies you routinely make for this student.
What other issues or concerns do you have for this student?
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