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BEHAVIOR OBSERVATIONS <br />Employee's Name: <br />Date of Observation: "time: <br />1) Under the influence of drugs? <br />2) Under the influence of alcohol? <br />3) If not sure, which one do you suspect (if you suspect both, document) <br />4) Unfit to operate a truck or machinery or to work safely? <br />5) Unfit for work due to other reason (list: i.e., stress, personal upset, tragedy, etc.) <br />6) <br />Recommend for a physical exam? <br />7) <br />Recommend for drug testing? <br />8) <br />Recommend for an alcohol test? <br />9) <br />Remarks: <br />Signed: <br />Witnessed by: <br />Date: <br />ME; <br />