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Nationwide Testing Association, Inc. – Your Source for DOT Drug and Alcohol Testing Services             Mike  Clark  

DOT  DRUG  AND  ALCOHOL  TESTING   If  your  company  is  regulated  by  the  Department  of   Transportation,  drug  and  alcohol  testing  for  employees  is   mandatory.     Federal  Regulations   Regulations  quoted  below  are  from  CFR  Part  382  Subpart  B  as   pertaining  to  drivers  of  commercial  motor  vehicles  regarding   controlled  substance  use.    





No  driver  "shall  report  for  duty  or  remain  on  duty  requiring   the  performance  of  safety-­‐sensitive  functions  when  the  driver   uses  any  controlled  substance,  except  when  the  use  is   pursuant  to  the  instructions  of  a  licensed  medical   practitioner"  who  has  advised  the  driver  that  the  substance   will  not  adversely  affect  the  driver's  ability  to  safely  operate  a   commercial  motor  vehicle.   No  employer  "having  actual  knowledge  that  a  driver  has  used   a  controlled  substance  shall  permit  the  driver  to  perform  or   continue  to  perform  a  safety-­‐sensitive  function."   No  driver  "shall  report  for  duty,  remain  on  duty,  or  perform  a   safety-­‐sensitive  function  if  the  driver  tests  positive  for   controlled  substances".   No  driver  "shall  report  for  duty,  remain  on  duty,  or  perform  a   safety-­‐sensitive  function  if  the  driver  tests  positive  for   controlled  substances".   No  employer  "having  knowledge  that  a  driver  has  tested   positive  for  controlled  substances  shall  permit  the  driver  to   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

perform  or  continue  to  perform  safety-­‐sensitive  functions".   Types  of  Tests  Required   Pre-­‐employment     A  pre-­‐employment  drug  screen  is  required  for  prospective   employees  prior  to  safety-­‐sensitive  functions.  The  employer   must  receive  a  verified  negative  drug  screen  before  allowing   any  employee  to  perform  safety-­‐sensitive  duties.      Random     Random  testing  of  safety-­‐sensitive  employees  is  required  at  a   rate  of  50%  of  employees  per  year.  This  testing  must  be  evenly   spread  throughout  the  year  and  the  selection  process  must  be   made  by  a  scientifically  valid  method.  NTA,  Inc.'s  clients  may   choose  a  random  selection  frequency  of  weekly,  monthly,   quarterly,  or  annually.  Our  randoms  are  electronically   generated  by  a  computer  program  written  to  meet  government   standards.  Each  time  a  selection  is  made,  every  employee  has   an  equal  chance  of  being  chosen.    Companies  with  7  eligible  employees  or  less  may  be  placed  in  a   consortium.  Consortiums  are  random  testing  pools  that  consist   of  drivers/employees  from  many  different  companies.   Selection  percentages  are  met  by  the  entire  consortium  and   are  spread  evenly  throughout  the  year  on  a  quarterly  basis.     Post  Accident   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

Post  accident  drug  testing  is  required  within  32  hours  of  an   accident  where  any  of  the  following  occurences  have  taken   place:      the  accident  involved  a  fatality    




any  of  the  participants  in  the  accident  received  bodily  injury   requiring  immediate  medical  treatment  away  from  the  scene   any  vehicle  involved  received  disabling  damage  requiring  tow   away   the  driver  was  issued  a  citation  under  state  or  local  law  for  a   moving  traffic  violation  arising  from  the  accident    

Reasonable  Suspicion     An  employee  is  required  to  submit  to  reasonable  suspicion   testing  when  a  *trained  supervisor  or  company  official  has   reason  to  believe  that  the  employee  has  violated  the   prohibitions  of  CFR  382  subpart.  The  observations  must  be   based  on  specific  aspects  concerning  the  appearance,  behavior,   speech,  or  body  odors  of  the  employee  and  must  be   documented  accordingly.     *Supervisor  Training  Information.     Return  to  Duty     Before  an  employee  can  return  to  safety-­‐sensitive  duties  after   testing  positive,  the  employer  must  ensure  that  a  return  to   duty  test  is  administered  and  a  verified  negative  result  is   received.  In  the  event  that  a  return  to  duty  test  is  required,  the   employee  must  also  be  evaluated  by  a  substance  abuse   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

professional  (SAP)  and  participate  in  any  assistance  program   prescribed.     Follow-­‐Up     If  a  substance  abuse  professional  determines  that  an  employee   needs  assistance  resolving  problems  associated  with  drug  use,   the  employer  shall  ensure  that  the  employee  is  subject  to  at   least  6  unannounced  follow-­‐up  tests  within  the  next  12  months   of  employment.  The  SAP  may  determine  follow-­‐up  testing  for   up  to  60  months  and  may  terminate  the  requirement  for  the   follow-­‐up  testing  at  any  time  after  the  minimum  requirement   has  been  met.  Follow-­‐up  testing  is  in  addition  to  required   random  and  post-­‐accident  testing.     Drugs  Included  in  Testing       Type  of  Drug   Initital  Test  level  (ng/ml)   Marijuana   50   Cocaine   300   Opiates   2000   Phencyclidine   25   Amphetamines   1000   Basic  Controlled  Substance  Testing  Procedures     Notification     An  employee  shall  report  to  a  collection  facility  as  soon  as   possible  following  notification  that  a  drug  screen  must  be   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

taken.     Collection     Collection  of  a  urine  specimen  for  the  purpose  of  drug  testing   must  be  completed  using  a  federal  chain  of  custody  form  and  a   split  specimen  sample  kit.  The  donor  must  remain  at  the   collection  facility  until  a  specimen  has  been  provided.  After  an   adequate  specimen  has  been  collected,  the  collector  completes   a  chain  of  custody  form,  prepares  the  specimen  and  paperwork   for  shipment.  The  specimen  collection  procedures  and  chain  of   custody  are  in  place  to  ensure  the  specimen's  security  is  not   compromised.     Laboratory  Screening     49  CFR  Part  40  sets  forth  the  procedures  for  drug  testing  using   DHHS  certified  laboratories.  When  the  specimen  arrives  at  the   laboratory,  the  primary  specimen  is  opened  and  used  for   screening.  The  split  specimen  is  stored  at  the  laboratory.  Each   specimen  undergoes  an  initial  screen.  Any  specimen  found   positive  by  the  initial  screen  must  be  confirmed  by  gas   chromatography/mass  spectrometry  (GC/MS)  to  determine   exact  levels.  Next,  the  result  is  reported  to  the  Medical  Review   Officer  at  NTA,  Inc.   Drug  Screen  Results     Negative  Results   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

Negative  results  are  received  by  NTA,  Inc.  and  reported  by  fax   or  email  to  the  company's  confidential  contacts.  All  reports  are   confidential,  therefore  strict  procedures  are  in  place  to  insure   that  only  designated  company  officials  receive  information   regarding  test  results.     Positive  Results     Positive  results  are  processed  by  NTA,  Inc.'s  Medical  Review   Officer  following  the  regulations  set  forth  in  49  CFR  part  40.   The  MRO  makes  every  effort  to  contact  the  donor  to  discuss   the  possibility  of  a  medical  explanation.  If  no  medical   explanation  is  given  the  result  is  verified  as  positive.  When  the   paperwork  is  completed,  the  result  is  reported  verbally  to  the   company's  confidential  contact  and  a  written  confirmation  is   sent  by  mail  marked  "Confidential".  The  same  procedure  is   followed  to  report  the  test  result  if  it  is  confirmed  negative  by   written  documentation  from  a  physician.     Split  Specimen  Testing     When  there  is  no  medical  explanation  for  a  positive  result  and   the  donor  feels  there  has  been  a  possible  mistake,  the  donor   has  the  option  of  having  the  split  sample  sent  to  a  different   laboratory  for  reanalysis.  The  initial  result  is  still  reported  as   positive  to  the  company,  however  the  company  is  informed   that  a  reanalysis  has  been  ordered.  If  the  report  findings  from   the  second  test  verify  a  negative  result,  the  initial  result  is  then   verified  negative  also.   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

Consequences  of  a  Positive  Controlled  Substance  Test     *for  this  section  "employee"  means  anyone  whose  job  position   requires  controlled  substance  testing  under  49CFR   After  a  verified  positive  drug  screen,  the  following  disciplinary   action(s)  must  be  taken:    


If  the  company  policy  requires  termination,  the  employee   may  be  terminated  but  must  still  be  referred  to  a  substance   abuse  professional.   If  the  company  wishes  to  continue  an  employment   relationship  with  the  employee,  the  employee  must  be   removed  from  safety-­‐sensitive  functions  and  referred  to  a   substance  abuse  professional  for  evaluation  and  treatment.  If   there  is  a  non-­‐safety  sensitive  job  available,  the  employee   may  be  allowed  to  work  in  that  function  until  evaluation,   treatment,  and  a  return-­‐to-­‐duty  test  has  been  completed.  

Frequently  Asked  Questions     Q:  What  is  the  turnaround  time  for  a  test  result?   A:  Most  normal  negative  test  results  are  reported  within  24   hours  from  the  time  the  specimen  reached  the  laboratory.   Positive  or  abnormal  tests  take  a  few  days  longer  due  to  the   confirmation  and  verification  process.         Q:  How  much  do  the  test  supplies  cost?   A:  All  conventional  test  supplies  are  free  of  charge.  This   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

includes  the  chain  of  custody  form,  sample  kits,  air  bills,  and   lab  packs  for  shipping.         Q:  What  are  the  options  for  receiving  results?   A:  NTA,  Inc.  currently  provides  five  means  of  receiving  test   results:  by  mail,  phone  call,  fax,  web,  or  email         Q:  How  do  I  find  a  collection  site?   A:  NTA,  Inc.  has  a  list  of  over  19,000  collection  sites  all  over   America  for  our  clients'  convenience.  If  there  is  not  currently   a  facility  in  your  area,  we  will  help  find  a  location  for  you.         Q:  What  industries  besides  the  Department  of  Transportation   are  required  to  do  controlled  substance  testing?   A:  Pipeline,  Rail,  Transit,  &  Coast  Guard    




Pipeline  -­‐  Regulations  49  CFR  Part  199   Railroad  -­‐  49  CFR  Part  219   Transit  -­‐  Part  653   Coast  Guard  -­‐  Part  46,  Part  33  

If  your  company  needs  DOT  drug  and  alcohol  testing,  then  call   Nationwide  Testing  Association,  Inc.  at  800-­‐452-­‐0030  to  speak  to   our  experienced  sales  representatives.   800-­‐452-­‐0030  –  Sales,  ext.  203   772  North  Broad  Street  |  Mooresville,  NC  28115   Your  Source  for  Workplace  Drug  &  Alcohol  Testing  Services  

DOT Drug and Alcohol Testing Services by NTA, Inc.