Post on 26-Mar-2015
STEP BY STEP TO A DRUG FREE AT WORKPLACESTEP BY STEP TO A DRUG FREE AT WORKPLACE
Write company drug policies and other documentsWrite company drug policies and other documents
Distribute copies company drug policies to each employee. Each employee must sign and return the receipt of policy page and retain it in their personnel files.
Distribute copies company drug policies to each employee. Each employee must sign and return the receipt of policy page and retain it in their personnel files.
Each employee to sign the drug screen consent form.Each employee to sign the drug screen consent form.
Place notification of Drug Free Workplace in prominent locations.
Place notification of Drug Free Workplace in prominent locations.Check with the labor Office / Industrial Relation Office and the attorney on the legality on company policies.
Check with the labor Office / Industrial Relation Office and the attorney on the legality on company policies.
COMPANY DRUG POLICIESCOMPANY DRUG POLICIES
Violation of company Drug Policies by testing positive in a confirmed test for drugs.
Refusal to cooperate for screening / testing procedure will be treated as a positive confirmed test for drugs.
Violation of company Drug Policies by testing positive in a confirmed test for drugs.
Refusal to cooperate for screening / testing procedure will be treated as a positive confirmed test for drugs.
Define DrugsDefine DrugsOpiate, Cannabinoid, Amphetamines, Cocaine, Hallucinogens, Synthetic Narcotic & ? Alcohol.
Opiate, Cannabinoid, Amphetamines, Cocaine, Hallucinogens, Synthetic Narcotic & ? Alcohol.
Drugs ScreeningDrugs Screening
Penalthy of violation of company Drug PoliciesPenalthy of violation of company Drug Policies
Positive Test Result - PenaltyPositive Test Result - Penalty
Example 1DRUG FREE WORKPLACE program RECEIPT
I hereby acknowledge that I have a received a copy of the Company’s Drug Free Workplace program. I have received a full and complete explanation of the program, including all policies and consent forms.
I further state that I have read or will read, or have had or will have read to me, all sections of this Drug Free Workplace program. I understand that violation of any provision of this policy may lead to disciplinary action up to and including termination of employment.
Finally, I agree that neither the issuance of these policies, nor the acknowledgement of its receipt, constitutes or implies a contract of employment or a guaranteed right to recall.
_________________________________Date Receive Employee’s Signature
_________________________________Date Witness Signature
EXAMPLE 1EXAMPLE 1
DRUG FREE WORKPLACE program RECEIPTDRUG FREE WORKPLACE program RECEIPT
I have received a full and complete
explanation of the program,
including all policies and consent
forms.
I have received a full and complete
explanation of the program,
including all policies and consent
forms.
I hereby acknowledge that I have a received a copy of the Company’s Drug Free Workplace program.
I hereby acknowledge that I have a received a copy of the Company’s Drug Free Workplace program.
I further state that I have read or will
read, or have had or will have read to
me, all sections of this Drug Free
Workplace program. I understand
that violation of any provision of this
policy may lead to disciplinary action
up to and including termination of
employment.
I further state that I have read or will
read, or have had or will have read to
me, all sections of this Drug Free
Workplace program. I understand
that violation of any provision of this
policy may lead to disciplinary action
up to and including termination of
employment.
Finally, I agree that neither the issuance of these policies, nor the acknowledgement of its receipt, constitutes or implies a contract of employment or a guaranteed right to recall.
_________________________________Date Receive Employee’s Signature
_________________________________Date Witness Signature
Finally, I agree that neither the issuance of these policies, nor the acknowledgement of its receipt, constitutes or implies a contract of employment or a guaranteed right to recall.
_________________________________Date Receive Employee’s Signature
_________________________________Date Witness Signature
Example 2DRUG TESTING CONSENT FORM
PLEASE READ CAREFULLYI __________________________ understand that this Company has a Drug Free Workplace Program in
effect which includes a urinalysis drug screening test and blood alcohol test. I do hereby give consent, refuse to consent, to the company to collect a urine or blood sample (check one) from me on ________________________ (date) and further give my consent to forward the urine or blood sample to a laboratory for the performance of appropriate tests the result of such test to the Company’s Medical Review Officer (for drug testing results) and / or the Director of Personnel / Risk Management Department or his designee.
I understand that i) refusal to submit to a urinalysis drug screen or blood alcohol test; ii) failure to meet the minimum screening standards established by the company; iii) submission of an adultempted urine sample, or iv) hampering with the urine sample, will disqualify me from empliyment with the company, and I will forfeit my workers compensation medical and indemnity benefits if I test positive after I am injured during the course of my employment.
Testing may occurat any of the times listed below :* As part of the pre-employment process* Upon reasonable suspicion of drug use* During a regular firness of duty medical examination or annual medical update.* Upon the return from a leave of absencedue to suspected alcohol or drug abuse or a drug or alcohol
rehabilitation program.* As follow-up to a rehabilitation program
I have read (or have had read to me) and fully understand all of the terms and conditions of this agreement and consent form, and agree in full with them.
__________________________________Date Employee Signature_________________________________
PLEASE READ CAREFULLY
I __________________________ understand that this Company has a Drug Free Workplace Program in effect which includes a urinalysis drug screening test and blood alcohol test. I do hereby give consent, refuse to consent, to the company to collect a urine or blood sample (check one) from me on ________________________ (date) and further give my consent to forward the urine or blood sample to a laboratory for the performance of appropriate tests the result of such test to the Company’s Medical Review Officer (for drug testing results) and / or the Director of Personnel / Risk Management Department or his designee.
I __________________________ understand that this Company has a Drug Free Workplace Program in effect which includes a urinalysis drug screening test and blood alcohol test. I do hereby give consent, refuse to consent, to the company to collect a urine or blood sample (check one) from me on ________________________ (date) and further give my consent to forward the urine or blood sample to a laboratory for the performance of appropriate tests the result of such test to the Company’s Medical Review Officer (for drug testing results) and / or the Director of Personnel / Risk Management Department or his designee.
EXAMPLE 2EXAMPLE 2
DRUG TESTING CONSENT FORMDRUG TESTING CONSENT FORM
i) refusal to submit to a urinalysis drug screen or blood alcohol
test;
ii) failure to meet the minimum screening standards
established by the company;
iii) submission of an adultempted urine sample, or
iv) hampering with the urine sample, will disqualify me from
employment with the company, and I will forfeit my workers
compensation medical and indemnity benefits if I test positive
after I am injured during the course of my employment.
i) refusal to submit to a urinalysis drug screen or blood alcohol
test;
ii) failure to meet the minimum screening standards
established by the company;
iii) submission of an adultempted urine sample, or
iv) hampering with the urine sample, will disqualify me from
employment with the company, and I will forfeit my workers
compensation medical and indemnity benefits if I test positive
after I am injured during the course of my employment.
I understand thatI understand that
* As part of the pre-employment process
* Upon reasonable suspicion of drug use
* During a regular firness of duty medical
examination or annual
medical update.
* Upon the return from a leave of
absencedue to suspected alcohol or
drug abuse or a drug or
alcohol rehabilitation program.
* As follow-up to a rehabilitation program
* As part of the pre-employment process
* Upon reasonable suspicion of drug use
* During a regular firness of duty medical
examination or annual
medical update.
* Upon the return from a leave of
absencedue to suspected alcohol or
drug abuse or a drug or
alcohol rehabilitation program.
* As follow-up to a rehabilitation program
Testing may occurat any of the times listed below :Testing may occurat any of the times listed below :
I have read (or have had read to me) and fully
understand all of the terms and conditions of this
agreement and consent form, and agree in full with
them.
__________________________________
Date Employee Signature
_________________________________
I have read (or have had read to me) and fully
understand all of the terms and conditions of this
agreement and consent form, and agree in full with
them.
__________________________________
Date Employee Signature
_________________________________
DRUG SCREENING / TESTINGDRUG SCREENING / TESTING
Standard Operating ProcedureStandard Operating Procedure
Pre - employment Medical ExaminationPre - employment Medical Examination
Periodic Medical ExaminationPeriodic Medical Examination
Suspicious EmployeeSuspicious Employee
ISO RequirementISO Requirement
Witness
Witness
Mass Screening - At WorkPlaceMass Screening - At WorkPlace
Individual / Small Group - Clinic Or Hospital
Individual / Small Group - Clinic Or HospitalLetter Of Instruction From Company
Letter Of Instruction From Company
Laboratory - Acceredation / CertifyLaboratory - Acceredation / Certify
Medical Review Office - Medical Officer / Medical DoctorMedical Review Office - Medical Officer / Medical Doctor
Notification Of Positive Test - Active EmployeeNotification Of Positive Test - Active Employee
Notification Of Positive Test - New EmployeeNotification Of Positive Test - New Employee
HOW TO CHALLENGE A POSITIVE TEST HOW TO CHALLENGE A POSITIVE TEST
Drugs or metaboliteDrugs or metabolite
? Medications / Prescription? Medications / Prescription
? Reanalysis - requested by employee / company / doctor? Reanalysis - requested by employee / company / doctor
If reanalysis result is negative,the report shall as ? NEGATIVEIf reanalysis result is negative,the report shall as ? NEGATIVE
Drug free workplace doesn’t happen. Even the best plan don’t work if you don’t know how to make it work.
Drug free workplace doesn’t happen. Even the best plan don’t work if you don’t know how to make it work.