Reasonable Suspicion of Impairment Form

Author: Brightmine Editorial Team

When to Use

Use this form to aid in documenting reasonable suspicion of impairment, whether as a result of alcohol or illegal, legal or prescription drugs.

Documenting reasonable suspicion of impairment can be used to corroborate drug test results, especially in cases where the drug test may not conclusively prove impairment at the time of test administration (e.g., marijuana or cannabidiol use).

Documenting reasonable suspicion of impairment should be undertaken whenever:

• A supervisor, manager or HR has observed directly that something is amiss (e.g., involvement in a workplace incident or accident resulting in property damage);
• An employer receives a report from a worker regarding possible impairment or drug or alcohol use; or
• The employer receives a complaint from a customer or vendor.

An employer's designee (i.e., supervisor, manager or professional) should directly observe the employee and environment and ensure that any information is properly documented.

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