Free Employee Substance Abuse Incident Report Template
Employee Substance Abuse Incident Report
1. Incident Overview
Date of Report: October 15, 2050
On October 15, 2050, a concerning incident involving potential substance abuse by an employee was reported on our company premises. This incident was documented to ensure compliance with company policies and to uphold workplace safety.
2. Date and Time of Incident:
-
Date: October 15, 2050
-
Time: Approximately 2:30 PM
3. Location:
The incident occurred in the employee break room located on the third floor of Building B.
4. Individuals Involved:
-
Jacklyn Lockman - Employee
-
Whitney Goodwin - Supervisor
-
George Homes - Witness
5. Description of Incident:
At approximately 2:30 PM, Supervisor Whitney Goodwin observed employee Jacklyn Lockman displaying unusual behavior in the break room. Jacklyn appeared disoriented and was slurring her speech. Whitney also detected a strong odor of alcohol emanating from Jacklyn.
Witness George Homes, a coworker present, corroborated that he had seen Jacklyn consume a beverage from a flask before Whitney's arrival. George noted that Jacklyn's behavior was atypical and raised concerns about her well-being.
6. Immediate Actions Taken:
-
Supervisor Whitney Goodwin escorted Jacklyn Lockman to the Human Resources (HR) office for further evaluation.
-
Jacklyn was temporarily relieved of her duties pending a thorough investigation.
-
HR was notified immediately to conduct an initial assessment and to arrange transportation home for Jacklyn, if necessary.
7. Follow-Up Actions:
-
HR will conduct a comprehensive investigation in accordance with company policy on substance abuse.
-
A meeting has been scheduled with Jacklyn Lockman to discuss the incident and potential consequences.
-
Additional support resources, such as the Employee Assistance Program (EAP), will be offered to Jacklyn.
-
Further training and awareness sessions on substance abuse will be organized for all employees to reinforce a safe workplace environment.
8. Witness Statements:
George Homes provided a statement confirming that he observed Jacklyn Lockman consuming a drink from a flask before Whitney Goodwin's arrival. He expressed concern over Jacklyn’s behavior, stating it was out of character for her.
9. Conclusion:
This incident has been formally documented, and immediate actions have been initiated to ensure workplace safety. The situation will be monitored closely, and further actions will be based on the findings of the HR investigation. Our commitment remains to maintain a safe work environment for all employees.
