iLookOut: Keeping Track Worksheet
Use this worksheet to help you keep track of kids, parents, and any concerning behaviors
or activities as you learn more about the situation. Remember, it's very important to
document all concerning behaviors or interactions because its often a pattern, rather than
one event, that leads to a report needing to be made. This kind of record can also provide
an accurate record of what you saw or heard.
Types of Abuse
1. Physical: ________________________________________________________________
2. Sexual: _________________________________________________________________
3. Emotional: _______________________________________________________________
4. Neglect: _________________________________________________________________
Child Parent
Information
about Child
Red Flags
v 8.17 ©2017 iLookOut, Penn State Center for the Protection of Children