What is the fifth clue of impairment?

• A. Steps offline
• B. Starts too soon
• C. Uses arms for balance
• D. Performs Improper turn

Answer: (A)

In the Walk-and-Turn impairment assessment, a series of observable errors are noted as clues. The fifth clue is stepping off the line. This happens when the person cannot keep their feet on the marked line while walking, causing a slip off to one side or off the line entirely. It shows a clear loss of balance and precise control, which are core indicators of impairment in this test. While other cues like starting too soon, using arms to balance, or making an improper turn are also signs of trouble with coordination and following instructions, stepping off the line specifically marks a distinct failure to maintain the required path, which is why it’s identified as the fifth clue.