Safety Forms
Alcohol and Drugs Incident Report Form
A two-page Alcohol and Drug Incident Report Form - a checklist of specific observed behaviours, a written incident description, and a witness statement page - delivered as a real fillable PDF so a supervisor can complete it on the spot, not reconstruct it from memory later.
- Fillable PDF — type into it on any device, or print it blank
- 2 pages, 8.5" x 11" (Letter)
- Add your company logo at checkout — no extra charge
- Written by Canadian safety professionals to provincial OHS standards
- Instant download after purchase
Written by certified COR auditors · Trusted by Canadian contractors for 17+ years · Secure Stripe checkout · Instant delivery + re-download any time from your purchases page
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WHAT A SUPERVISOR OBSERVED IN THE MOMENT, WRITTEN DOWN WHILE IT'S STILL ACCURATE
What you get
- A fillable PDF - type directly into every field, check the observations that applied, and save or print
- A 19-item observation checklist (confused, slurred speech, smell of alcohol, bloodshot eyes, and more) so the record is specific, not a vague impression
- Space to describe the incident in the reporting supervisor's own words, with room to attach witness statements
- A dedicated Action Taken section separate from the observations, so what happened and what was done about it don't get blurred together
- A second page - a full Witness Statement form - for anyone else who saw the incident
- Employee and management signature and date lines
- Your company logo added to the form, at no extra charge
How to fill it out and keep it. Open it in Adobe Acrobat Reader (free) or a desktop browser like Chrome or Edge, then use that program's own Save or Download button, not just closing the tab, so your entries are kept in the saved copy. On a phone, most PDF apps will let you view the form but not type into it - fill it out on a computer, or print it and use a pen.
Specifications
- Size
- 8.5" x 11" (Letter), 2 pages
- Format
- Fillable PDF - type into it on any device, or print it blank
- Company logo
- Included - upload at checkout, or we print your company name instead
- Delivery
- Instant download after purchase
Why crews use it
- A checklist of specific, observable behaviours holds up far better than a supervisor's paraphrased summary written days after the fact
- Separating the checklist, the written description, and the action taken keeps the record readable months later, when someone else has to make sense of it
- A dedicated witness statement page means a second account gets documented in its own words, not folded into the supervisor's version
- Signed and dated by both the employee and management, giving the record the weight it needs if the incident is ever reviewed
Built for
- Supervisors who need to document a suspected impairment incident immediately, while the details are still fresh
- HR and safety coordinators building a documented history for a workplace substance-use policy
- Companies that need a witness account captured separately from the reporting supervisor's own observations
Why it matters
An incident like this rarely gets challenged the day it happens - it gets challenged weeks or months later, when the only thing that matters is what got written down at the time. A specific, checked-off observation list beats a recollected paragraph every time, and having it signed by both parties the same day removes any question about when the record was made.
Try it right here
Click a box. Type a line. See how it feels before you buy.
This is the real form layout - what you type here isn't saved or sent anywhere, it's just so you can see the fields work before you pay.
Common questions
Before you buy
What people ask us about the Alcohol and Drugs Incident Report Form.
What is the Alcohol and Drugs Incident Report Form used for?
A two-page Alcohol and Drug Incident Report Form - a checklist of specific observed behaviours, a written incident description, and a witness statement page - delivered as a real fillable PDF so a supervisor can complete it on the spot, not reconstruct it from memory later. Who uses it: Supervisors who need to document a suspected impairment incident immediately, while the details are still fresh; HR and safety coordinators building a documented history for a workplace substance-use policy; Companies that need a witness account captured separately from the reporting supervisor's own observations.
Can we fill it in on a computer, or is it print-only?
Both. It is a fillable PDF, so every field can be typed into on a laptop or tablet and saved, or you can print it blank and fill it in by hand. Your company logo is added at no extra charge.
Does using this form make us compliant?
No single form makes a company compliant. A form is the evidence half of a safety program - it records that something was checked and by whom. It carries weight at audit time when the written program behind it says the check is required and how often. If that program does not exist yet, that is the part we write.
When do I get it?
Immediately after checkout as a download, and you can re-download it any time from your purchases page. Print or fill in as many copies as your own crews need.
From the team that wrote it
These forms come from a bigger program.
Inspection and competency forms are the evidence half of a safety program. If the program they belong to does not exist yet, or has not been updated in a few years, that is the part we write.