This sample form is intended to be modified for your company’s needs, for use by supervisors and/or designated personnel to document observations and actions related to reasonable suspicion of an employee’s impairment from alcohol or illegal, legal, or prescription drugs. This form should be modified to be suitable for your organization. A variety of different variables can impact an employer’s reasonable suspicion policies, such as local legislation and/or the industry and occupation. Training should be provided to anyone responsible for reasonable suspicion observations.
