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SOUTHLAND TRANSIT, INC.
SUBSTANCE ABUSE PREVENTION
FT A D RUG & ALCOHOL COMPLIANCE
Reasonable Suspicion Summary
This form can only completed by a supervisor who has been trained to detect the
signs of drug andlor alcohol misuse.
Employee Name:
Position:
Observation Date: __ , __ ,_ _ Time: ________ _
Unusual Circumstances for observation: _ _____ ___ _ _ ___ _
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Objective Facts
Behavior:
Appearance: _ _ ___ ____ ____ ___ ___ ______ _
Speech:
Odor:
Other:
Supervisor Name: ___ ___--;::----c:::-Oate of Training: __,_ _ ,_ _
(Form E)
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