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Illness
Introduce a policy that addresses illness as an area of risk management.
Some employees will attempt to "struggle on" when partially incapacitated by illness. Driving whilst ill and /or under the influence of prescribed or self-administered medicinal drugs can be a dangerous driver impairment which must be recognised by managers in order to avoid possible injury / fatality incidents. It may be necessary to send an employee home.
Illness combined with stress, fatigue or drug use can compound the problem.
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