Knowella

Impairment Concern Record

Records a documented concern that a worker may be impaired and unable to work safely. Raised by a supervisor at the time. Handled with HR involvement. Focuses on observed behaviour and safety, and follows a defined process.

KnowHealthRecordHLT-036
Completed by
Handled with HR involvement
Raised
At the moment the event happens, rather than reconstructed

Summary

In short

  • An impairment concern record is a record used in KnowHealth that records a documented concern that a worker may be impaired and unable to work safely. It is built against Substance policy, human rights legislation and forms part of the Wellbeing and Mental Health programme.
  • Raised by a supervisor at the time. Handled with HR involvement.
  • The template holds 48 fields across 5 sections.
  • human rights legislation is human rights legislation. Duty to accommodate and prohibition of discrimination in employment.
  • It connects to the rest of the library: links Worker.

What it is

What it is

What is an impairment concern record?

An impairment concern record is a record used in KnowHealth that records a documented concern that a worker may be impaired and unable to work safely. It is built against Substance policy, human rights legislation and forms part of the Wellbeing and Mental Health programme.

When is an impairment concern record completed?

An impairment concern record is completed at the moment the event happens, rather than reconstructed afterwards. Raised by a supervisor at the time.

When to use it

When to use it, and when not to

This record is one step in a larger programme. Using it for work that belongs to a neighbouring template produces records that are hard to report on later.

Use it for

  • The event or activity this record covers has occurred, or is about to
  • A new record is needed; each one gets its own ID in the form IMP-2026-000
  • You are running the Wellbeing and Mental Health programme and this is one of its steps
  • A linked record needs this one to exist: links worker

Not for

  • Fitness for Duty Assessment, which assesses whether a worker is currently able to perform their role safely.
  • Safety Sensitive Role Register, which lists which roles are safety sensitive and therefore subject to additional requirements.
  • Anything outside KnowHealth, which belongs in the workspace that owns that process

Standards

What it is built against

human rights legislationHuman rights legislation

Duty to accommodate and prohibition of discrimination in employment.

Substance policySite substance policy

An internal policy rather than an external standard.

FAQ

Frequently asked questions

What is the impairment concern record template based on?+

It is built against Substance policy, human rights legislation. human rights legislation is human rights legislation. Duty to accommodate and prohibition of discrimination in employment. Substance policy is site substance policy. An internal policy rather than an external standard.

What sections does the impairment concern record contain?+

There are 5 sections: header, observation, immediate action, process, underlying factors. Together they hold 48 fields, 35 of which are required.

How often is an impairment concern record raised?+

A new record is raised at the moment the event happens, rather than reconstructed afterwards. Each one is given an ID in the form IMP-2026-000, so it can be traced and referenced from other records.

Which programme does the impairment concern record belong to?+

It is part of Wellbeing and Mental Health. Psychosocial risk assessed the way physical risk is, with workload treated as a control.

Can the impairment concern record template be changed?+

Yes. Every field, option, score and conditional rule is editable, and the links to other templates come with it. Most teams install it as it is, run it for a cycle, then adjust.

The agents

What the agents do with it

The form is the easy part. Keeping it current, routing it to the right owner and holding the evidence together is the work that actually slips.

KnowHealth

Holds the impairment concern record library against your registers, routes each record to its owner, and keeps the evidence trail together.

Ella

Coordinates the crew, rolls completion and exceptions into one view, and holds every write for your approval before it touches a record.

This template lives in KnowHealthemployee wellbeing. Exposure monitoring, health surveillance, case management and return to work.

Meet KnowHealth

Sources

Sources

  • human rights legislation — Human rights legislation
  • Substance policy — Site substance policy
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