Work Initiation Tracker
WORK INITIATION TRACKER
Teacher Weekly Log • 5 Samples • 3rd Grade
Goal Target Starts within 2 min (4/5 days)
Student Name: ________________________________
Week Of / Dates: ______________________
Teacher / Observer: ______________________
Grade & Room: Grade 3 • _____
Sample & Task
1. Time to Initiate
2. Accommodations Used
3. Ensured Understanding?
4. Accessed Help When Stuck?
1 Mon _____
Task: ___________
[ ] < 1 min 🚀
[ ] 1–2 min (Goal)
[ ] 3–5 min | [ ] 5+ min
[ ] Timer [ ] Chunked [ ] Re-read [ ] Desk Cue
[ ] None (Indep) | [ ] Other: _____
[ ] Yes, understood
[ ] Needed 1 clarification
[ ] Confused / unsure
[ ] Asked appropriately (hand up)
[ ] Needed reminder to ask
[ ] Avoided/shut down | [ ] Didn't get stuck
2 Tue _____
Task: ___________
[ ] < 1 min 🚀
[ ] 1–2 min (Goal)
[ ] 3–5 min | [ ] 5+ min
[ ] Timer [ ] Chunked [ ] Re-read [ ] Desk Cue
[ ] None (Indep) | [ ] Other: _____
[ ] Yes, understood
[ ] Needed 1 clarification
[ ] Confused / unsure
[ ] Asked appropriately (hand up)
[ ] Needed reminder to ask
[ ] Avoided/shut down | [ ] Didn't get stuck
3 Wed _____
Task: ___________
[ ] < 1 min 🚀
[ ] 1–2 min (Goal)
[ ] 3–5 min | [ ] 5+ min
[ ] Timer [ ] Chunked [ ] Re-read [ ] Desk Cue
[ ] None (Indep) | [ ] Other: _____
[ ] Yes, understood
[ ] Needed 1 clarification
[ ] Confused / unsure
[ ] Asked appropriately (hand up)
[ ] Needed reminder to ask
[ ] Avoided/shut down | [ ] Didn't get stuck
4 Thu _____
Task: ___________
[ ] < 1 min 🚀
[ ] 1–2 min (Goal)
[ ] 3–5 min | [ ] 5+ min
[ ] Timer [ ] Chunked [ ] Re-read [ ] Desk Cue
[ ] None (Indep) | [ ] Other: _____
[ ] Yes, understood
[ ] Needed 1 clarification
[ ] Confused / unsure
[ ] Asked appropriately (hand up)
[ ] Needed reminder to ask
[ ] Avoided/shut down | [ ] Didn't get stuck
5 Fri _____
Task: ___________
[ ] < 1 min 🚀
[ ] 1–2 min (Goal)
[ ] 3–5 min | [ ] 5+ min
[ ] Timer [ ] Chunked [ ] Re-read [ ] Desk Cue
[ ] None (Indep) | [ ] Other: _____
[ ] Yes, understood
[ ] Needed 1 clarification
[ ] Confused / unsure
[ ] Asked appropriately (hand up)
[ ] Needed reminder to ask
[ ] Avoided/shut down | [ ] Didn't get stuck
End-of-Week Summary (Quick Check)
Goal: ≥ 4 of 5 samples ≤ 2 minutes
Started in ≤ 2 Minutes _____ / 5 Samples
Understood Task Confirmed _____ / 5 Samples
Accessed Help Appropriately _____ / 5 Samples
Accommodations that worked best this week:
______________________________________________________
Focus / Strategy adjustments for next week:
______________________________________________________
Teacher Signature: ______________________________________
Date Reviewed: __________________
Tier 2/3 MTSS • IEP • 504 Log