Reasonable cause NOT established Other (provide details) Prepared by: (Please Print name in BLOCK letters) Prepared by: (Signature) Knowing the signs The indicators listed below are "warning signs" of drug and/or alcohol abuse and may be observed by supervisors: Moods: Work Patterns: Depressed Anxious in quality Irritable of work Suspicious High and Complains low periods about others of Emotional productivity Poor (e.g. outbursts of crying) mistakes Mood than changes and general after lunch or break Lapses in Accidents: Taking of needless Difficulty in risks recalling Disregard instructions for safety of Difficulty in others Higher than own average mistakes accident rate Using more on and off time to the job complete Absenteeism: deadlines Acceleration Increased of difficulty in absenteeism handling and complex tardiness, situations especially Mondays, Actions:
Reasonable cause NOT established Other (provide details) Prepared by: (Please Print name in BLOCK letters) Prepared by: (Signature) Knowing the signs The indicators listed below are "warning signs" of drug and/or alcohol abuse and may be observed by supervisors: Moods: Depressed Anxious Irritable Suspicious Complains about others Emotional (e.g. outbursts of crying) Mood changes after lunch or break Accidents: Taking of needless risks Disregard for safety of others Higher than average accident rate on and off the job Absenteeism: Acceleration of absenteeism and tardiness, especially Mondays, Work Patterns: in quality of work High and low periods of productivity Poor mistakes than and general Lapses in Difficulty in recalling instructions Difficulty in own mistakes Using more time to complete deadlines Increased difficulty in handling complex situations Actions: