Driver Drug and Alcohol Reasonable Suspicion Observation Form

A workplace form for documenting observable signs and circumstances that may indicate drug or alcohol misuse by a driver, aligned to reasonable suspicion reporting needs.

Reporter Information

• Reporter name
• Reporter role
• Reporter contact email or phone
  Optional. Provide a contact method only if follow-up is needed.

Driver and Incident Details

• Driver name
• Employee ID
  Optional. Do not collect additional PII unless needed for internal identification.
• Date of observation
• Time of observation
• Location of observation
• What was happening when the concern was observed?
  Briefly describe the work activity, route, shift, or event without speculation.

Observable Signs

• Observed signs
• Describe other observable signs
• Behavioral notes
  Record specific, observable facts such as statements made, actions taken, or performance issues.

Alcohol or Drug Indicators

• Which type of concern applies?
• Alcohol-related indicators observed
• Drug-related indicators observed
• Additional details about the indicators
  Include only facts you directly observed or heard.

Witnesses and Supporting Information

• Were there witnesses?
• Witness details
• Attach supporting files
  Optional. Attach photos, notes, or other relevant documentation if permitted by policy.

Immediate Actions and Follow-up

• Immediate action taken
• Describe other action taken
• Was the driver removed from safety-sensitive duty?
• Follow-up notes
  Include referral, testing, handoff, or other next steps. Do not include unnecessary PII.

Reporter Certification

• Certification
• Reporter signature
• Submission date