Reasonable Suspicion Checklist Template

Managers can use this Reasonable Suspicion Checklist Template to detect and document employee behaviors that indicate suspected alcohol or drug usage.

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Reasonable Suspicion Checklist Template

Walking

Face

Movements

Speech

Eyes

Breath/Odor

Appearance

Standing

Demeanor

Actions

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Reasonable Suspicion Checklist Template

Managers can use this Reasonable Suspicion Checklist Template to detect and document employee behaviors that indicate suspected alcohol or drug usage.

1. Is the employee stumbling?

2. Is the employee having difficulty walking?

3. Is the employee unsteady on their feet?

4. Is the employee staggering?

5. Is the employee swaying as they walk?

6. Is the employee falling or about to fall?

1. Is the employee’s face red or flushed?

2. Is the employee’s complexion pale?

3. Is the employee sweating profusely?

4. Does the employee’s face look normal?

5. Is the employee slobbering?

6. Is the employee grinding their teeth?

7. Does the employee have a dry mouth?

8. Does the employee have a runny nose?

1. Are the employee’s movements uncoordinated?

2. Are the employee’s movements jerky or erratic?

3. Is the employee acting nervously or fidgeting?

4. Is the employee moving sluggishly?

5. Is the employee excessively energetic or hyperactive?

1. Is the employee whispering?

2. Is the employee’s speech slurred or unclear?

3. Is the employee shouting loudly?

4. Is the employee speaking incoherently or disjointedly?

5. Is the employee silent or non-responsive?

6. Is the employee rambling on?

7. Is the employee speaking in a slow manner?

1. Are the employee’s eyes watery or tearing up?

2. Are the employee’s eyes bloodshot?

3. Are the employee’s eyes glassy or glazed over?

4. Are the employee’s pupils dilated?

5. Are the employee’s eyes closed?

6. Do the employee’s eyelids appear droopy?

7. Do the employee’s eyes seem normal?

1. Does the employee’s breath have no alcohol odor?

2. Does the employee’s breath have a faint alcohol odor?

3. Is there a strong alcohol scent on the employee’s breath?

4. Does the employee have a sweet or pungent tobacco odor?

5. Does the employee have a chemical or unusual odor on their breath?

6. Does the employee smell like marijuana?

7. Is the employee using breath spray, mouthwash, or gum?

1. Does the employee appear messy or disheveled?

2. Is the employee wearing dirty or stained clothing?

3. Does the employee have burns on their body or clothing?

4. Is the employee’s clothing ripped or torn?

5. Is the employee partially dressed or improperly attired?

6. Does the employee have puncture marks or needle tracks?

7. Does the employee look normal or well-groomed?

1. Is the employee swaying while standing?

2. Is the employee standing with their feet spread apart?

3. Is the employee standing rigidly or stiffly?

4. Is the employee staggering while standing?

5. Is the employee’s posture sagging or weak at the knees?

1. Is the individual cooperative?

2. Is the individual talkative?

3. Is the individual sarcastic?

4. Is the individual anxious?

5. Is the individual disoriented?

6. Is the individual sleepy?

7. Is the individual polite?

8. Is the individual silent?

9. Is the individual belligerent?

10. Is the individual excited?

11. Is the individual inattentive?

12. Is the individual drowsy?

13. Is the individual calm?

14. Is the individual resisting communication?

15. Is the individual tearful or crying?

16. Are there mood changes?

17. Does the individual appear normal?

1. Is the individual fighting?

2. Is the individual acting erratically?

3. Is the individual threatening?

4. Is the individual non-communicative?

5. Is the individual argumentative?

6. Is the individual using profanity?

7. Is the individual hostile?

8. Is the individual hyperactive?

9. Is the individual sleeping on the job?