Get the free DOT Reasonable Suspicion Form - Gundersen Health System

DOT Reasonable Suspicion Documentation Form (Please refer to 49 CFR Part 655.43 for further explanation) This form is to be used to document the decision to administer a Reasonable Suspicion drug

How to fill out dot reasonable suspicion form

How to fill out DOT reasonable suspicion form:

1. Enter the date and time of the incident in the designated field.
2. Provide the employee's name and any identifying information such as employee ID or job title.
3. Specify the nature of the suspected violation or behavior that raises reasonable suspicion.
4. Provide a detailed description of the observed behavior or signs indicating impairment.
5. Include information about any witnesses present during the incident if applicable.
6. Note any physical, behavioral, or psychological symptoms exhibited by the employee.
7. Document any evidence found at the scene, such as drug paraphernalia or alcohol containers.
8. Sign and date the form to certify that the information provided is accurate and you acted in good faith.

Who needs DOT reasonable suspicion form?

1. Employers subject to the Department of Transportation (DOT) regulations are required to have and use DOT reasonable suspicion forms.
2. Supervisors or managers responsible for overseeing safety-sensitive positions under DOT regulations need the form to report suspected violations.
3. Employees who are being observed or suspected of drug or alcohol-related impairment may be required to have a DOT reasonable suspicion form completed.

For pdfFiller’s FAQs

What is dot reasonable suspicion form?

The DOT reasonable suspicion form is a document used to report suspected drug or alcohol use by employees in safety-sensitive positions.

Who is required to file dot reasonable suspicion form?

Supervisors or company officials who observe behavior indicating drug or alcohol use are required to file the DOT reasonable suspicion form.

How to fill out dot reasonable suspicion form?

The DOT reasonable suspicion form should be filled out with details of the observed behavior, the employee's name, date, time, and location of the incident.

What is the purpose of dot reasonable suspicion form?

The purpose of the DOT reasonable suspicion form is to document and report instances of suspected drug or alcohol use by employees in safety-sensitive positions.

What information must be reported on dot reasonable suspicion form?

The DOT reasonable suspicion form must include details of the observed behavior, the employee's name, date, time, and location of the incident.

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