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Get Reasonable Suspicion Checklist

The supervisor or manager observing the behavior with another supervisor/administrator as witness, must complete this form. The checklist must be reviewed with HR who will consult with General Counsel, and Public Safety. Upon establishment of reasonable suspicion of on the job impairment, HR will inform management of authorization to complete a drug and alcohol test in accordance with ISUPP 3180. Observed Employee Name: Date: Time:.

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