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This document outlines the process and required actions for supervisors when suspecting an employee of being under the influence of alcohol or drugs.
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How to fill out report form for suspected

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How to fill out REPORT FORM FOR SUSPECTED ALCOHOL/DRUG IMPAIRMENT

01
Begin by filling out the date and time of the incident at the top of the form.
02
Provide the location where the observation occurred.
03
Enter the name and employee ID of the individual being reported.
04
Describe your observations clearly, including behavior, speech, and physical appearance.
05
Indicate any specific actions taken during the observation (e.g., sobriety tests, conversation).
06
Document any other witnesses present during the incident.
07
Sign and date the form at the bottom to certify the accuracy of your report.
08
Submit the completed form to the designated HR or management personnel.

Who needs REPORT FORM FOR SUSPECTED ALCOHOL/DRUG IMPAIRMENT?

01
Supervisors or managers overseeing employees who may be suspected of alcohol/drug impairment.
02
Human Resources personnel for documentation and follow-up actions.
03
Safety officers responsible for workplace safety and compliance.
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The REPORT FORM FOR SUSPECTED ALCOHOL/DRUG IMPAIRMENT is a document used to officially record observations and incidents where an individual is suspected of being impaired due to alcohol or drug influence.
Typically, employees who observe suspected alcohol or drug impairment in a colleague or individual in a work or safety-sensitive environment are required to file the report.
To fill out the form, the reporter should provide specific details including the date, time, location, description of observations, the behavior of the suspected individual, and any other relevant information that supports the suspicion of impairment.
The purpose of the report form is to document incidents of suspected impairment to ensure safety in the workplace, comply with legal requirements, and take necessary actions for intervention or further investigation.
The report must include the date and time of the observation, the location of the incident, personal details of the suspected individual, observations made, actions taken, and any witnesses to the behavior.
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