Specialized Pediatric Occupational Therapy, LLC
Ellen M. Venturella-Wilson, MS, OTR/L 314-368-0372
O.T. Developmental Checklist

Occupational Therapy Developmental Skills Checklist (0-36 months)

0-3 months

  • Moves arms symmetrically
  • Can bring hands to midline while on back
  • Blinks at sudden visual stimulus
  • Grasps toy actively
  • Keeps hands open 50 percent of the time
  • Turns head to both sides while on back
  • Lifts head while on stomach
  • Extends both legs
  • Rolls from side to back
  • Opens and closes mouth in response to food
  • Naps frequently
  • Stays awake for longer periods without crying – usually in p.m.
  • Coordinates sucking, swallowing, and breathing

3-6 months

  • Follows a moving object with eyes while in supported sitting
  • Clasps hands
  • Keeps hands open most of the time
  • Reaches and grasps object
  • Drops object
  • Rolls from back to side
  • Bears almost all weight on legs
  • Holds head erect when leaning forward
  • Sits momentarily leaning on hands
  • Uses tongue to move food in mouth
  • Recognizes bottle visually, pats bottle
  • Sleeps at night, for 10-12 hours with night awakening
  • Places both hands on bottle
  • Mouths and munches solid foods

6-9 months

  • Bangs object on table
  • Manipulates toy actively with wrist movements
  • Reaches and grasps object with extended elbow
  • Releases object voluntarily
  • Sits without hand support for 10 minutes
  • Crawls forward/backward
  • Gets to sitting without assistance
  • Makes stepping movements
  • Pulls to standing at furniture
  • Feeds self cracker
  • Bites and chews toys
  • Drinks from cup held
  • Drools less except when teething

9-12 months

  • Pokes with index finger
  • Bangs two cubes held in hands
  • Puts objects in and takes objects out of container
  • Uses both hands freely; may show preference for one
  • Lowers to sitting from furniture
  • Stands momentarily
  • Walks holding onto furniture
  • Pivots in sitting – twists to pick up objects
  • Finger feeds self
  • Holds spoon
  • Sleeps nights twelve to fourteen hours
  • Cooperates with dressing by extending arm or leg

12-15 months

  • Marks paper with crayon
  • Puts three or more objects into container
  • Builds tower using two cubes
  • Points with index finger
  • Stands alone well
  • Falls by sitting
  • Throws underhand in sitting
  • Walks without support
  • Bends over and looks through legs
  • Brings spoon to mouth – turns spoon over
  • Holds cup handle

15-18 months

  • Child scribbles spontaneously
  • Turns small container upside down to obtain tiny object
  • Puts many objects into container without removing any
  • Uses both hands at midline – one holds, other manipulates
  • Builds tower using three cubes
  • Throws ball forward
  • Pulls toy behind while walking
  • Stands on one foot with help
  • Walks upstairs with one hand held
  • Carries large toy while walking
  • Indicates discomfort over soiled pants; by verbal/gesture
  • Sleeps nights ten-twelve hours
  • Naps one in afternoon one-three hours
  • Removes socks
  • Places hat on head

24 months

  • Imitates vertical stroke
  • Imitates horizontal stroke
  • Builds tower using six cubes
  • Strings three one-inch beads
  • Snips with scissors
  • Helps with simple household tasks
  • May have definite food preferences
  • Unwraps food
  • Pulls pants down with assistance
  • Unbuttons large buttons
  • Goes up and down slide
  • Stands on tiptoes
  • Walks with legs closer together
  • Catches large ball
  • Walks upstairs alone – both feet on step

30 months

  • Imitates a cross
  • Folds paper in half
  • Builds tower using eight cubes
  • Places six square pegs in pegboard
  • Walks on tip-toes a few steps
  • Jumps backwards
  • Jumps sidewards
  • Jumps on trampoline with adult holding hands
  • Dresses self with assistance
  • May reject many foods
  • Insists on doing things independently
  • Hangs clothing on hook
  • Helps with bathing self

36 months

  • Imitates cross
  • Copies a circle
  • Snips on line using scissors
  • Builds tower using nine cubes
  • Climbs jungle gyms and ladders
  • Catches eight inch ball
  • Runs on toes
  • Makes sharp turns around corners when running
  • Pours liquid from small container
  • Uses fork
  • Uses napkin
  • Buttons large buttons
  • Dries hands


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