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.