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AG 2009 04 20
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AG 2009 04 20
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Last modified
2/5/2010 12:34:24 PM
Creation date
11/27/2017 11:25:12 AM
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Template:
Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
2/5/2010
Board
Board of Commissioners
Meeting Type
Regular
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FORM D <br />CABARRUS COUNTY GOVERNMENT <br />OBSERVATION OF SUSPECT BEHAVIOR <br />Supervisor's Name: <br />Employee's Name: <br />Job Title: <br />Description of Work: Managerial Office/Clerical <br />Other: <br />How long has the employee worked for CABARRUS COUNTY GOVERNMENT: <br />How long have you supervised the employee? <br />Was the employee involved in an accident or near-accident? Yes _ No _ <br />If yes, Description: <br />Date and Time: <br />Extent of Injury to persons/Property: <br />Employee's Actions: <br />OBSERVATIONS: <br />Speech: -Mumbled _Sluned _Confused -Incoherent _Stuttering <br />Condition of Clothes: -Disorderly -Soiled -Rumpled _ Orderly <br />Eyes: -Sleepy -Blood Shot -Glassy -Watery - Dilated -Close Alert <br />Attitude or Demeanor: -Talkative - Hyperactive -Hostile _h•ritable -Nervous <br /> -Depressed -Profane -Drowsy -Pleasant -Wide Mood Swings <br />Unusual Actions: - Belching -Vomiting -Fighting - Accident Prone <br />- Crying -Laughing -Runny Nose -None <br />Walking and Turning: -Stumbling -Swaying -Staggering -Arms Raised for Balance <br /> -Falling -Reaching for Support -Feet Wide Apart <br /> Unable to Sta nd Normal <br />Awareness: - Sleepy or Stupor -Lack of Coordination -Confused -Paranoid <br /> Normal <br />21 <br />Driver <br />Attachment number 2 <br />Page 179 of 320 <br />F-11 <br />
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