Occupational Milestones

Developmental Milestones: The following are general descriptions of developmental milestones and are only meant to be used as a guideline.

By 3 Months:

  • Raises head and chest when on tummy
  • Supports upper body with arms when on tummy
  • Pushes into surface when feet are placed on firm surface
  • Opens and closes hands
  • Brings hand to mouth
  • Grasps rattles

By 7 Months:

  • Rolls front to back and back to front
  • Gets into sitting position without assistance
  • Crawls forward on belly
  • Reaches with one hand
  • Transfers object from hand to hand
  • Uses raking of the hand to grasp object
  • Finger-feeds self
  • Finds partially hidden object
  • Explores objects with hands and mouth

By 12 Months:

  • Tests parent responses to behaviors
  • Finger-feeds self
  • Crawls on hands and knees
  • Pulls to stand
  • Walks holding onto furniture
  • Takes two or three steps without support
  • Uses pincer grasp
  • Bangs two objects together
  • Puts objects into container
  • Releases objects voluntarily
  • Explores objects in many ways (shaking, banging, throwing, dropping)
  • Finds hidden objects easily
  • Begins to use objects correctly (brushing hair, drinking from cup)

By 18 Months:

  • Walks alone
  • Pulls toys while walking
  • Turns over container to pour out contents
  • Spoon- feeds
  • Uses open and sippy cup

By 24 Months:

  • Carries large toy or several toys while walking
  • Begins to run
  • Kicks a ball
  • Walks up and down stairs with support
  • Scribbles
  • Builds tower of 4 or more blocks
  • Demonstrates handedness
  • Helps with undressing
  • Finds objects hidden under multiple covers
  • Begins to sort by shapes and colors

By 36 Months/3 years:

  • Climbs well
  • Walks up and down stairs alternating feet
  • Runs easily
  • Pedals a tricycle
  • Bends over without falling
  • Makes lines vertically, horizontally, and scribbles circles
  • Turns pages of a book one at a time
  • Builds a 6 block tower
  • Holds a crayon or pencil in writing position
  • Turns rotating handles
  • Completes inset puzzles with 3-4 pieces
  • Undresses self
  • Toilet training begins

By 48 Months/4 years:

  • Dresses and Undresses
  • Hops and stands on one foot
  • Goes up and down stairs without support
  • Throws a ball overhead
  • Catches a bounced ball most of the time
  • Copies squares
  • Draws a person with 2-4 body parts
  • Uses scissors
  • Draws circles and squares
  • Begins to copy capital letters

By 60 Months/5 years:

  • Stands on one foot for 10 seconds or longer
  • Hops
  • Somersaults
  • Swings
  • Begins to skip
  • Copies triangle and other shapes
  • Draws a person with a body
  • Prints uppercase letters
  • Cuts on line consistently
  • Uses fork and spoon
  • Cares for own toileting needs
  • Can count 10 or more objects
  • Knows about use of everyday items (food, money)

By 6 years:

  • Needs to win and may change rules to suit
  • Increasingly aware that others have feelings
  • Shows more interest in taking care of his or her self without help
  • Cleans his or her room, including making the bed
  • Likes board games, crafts and other constructive projects
  • Can move in time with music or a beat
  • Takes risks while climbing and balancing
  • Learns to skip with rope
  • More in control of his or her body
  • Bounces and catches tennis ball
  • Holds a pencil with three finger with movement from fingers
  • Copies a diamond
  • Draws a person with detail
  • Writes alphabet
  • Ties shoelaces without help
  • Eye-hand coordination significantly improves
  • Masters buttons and fasteners
  • Cuts with a knife

By 7 years:

  • Has good balance
  • Executes more complicated gymnastics such as a cartwheel
  • Activities become more sport specific
  • Proficient with paper and pencil tasks
  • Able to organize multi-step sequences