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Chapter 5 - TYPES OF TESTING
The FMCSA regulations require you to implement the following types of
controlled substances and alcohol tests:
Pre-employment (controlled substances
only)
Reasonable suspicion
Post-accident
Random
Return-to-duty
Follow-up.
This chapter describes the major requirements of each of these types of tests.
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Section 1. PRE-EMPLOYMENT TESTING
All applicants for employment on a permanent or temporary basis as a CMV
driver, or current employees who wish to remain
CDL drivers, must be given pre-employment tests for controlled substances. Prior to
conducting the test, you must inform the applicant
or driver in writing of the testing requirements (§382.601).
The purpose of pre-employment testing is to deter and detect controlled
substances abuse by driver-applicants.
Pre-employment testing identifies drivers who could bring
a controlled substances problem into your organization.
A driver-applicant shall not be allowed to perform as a driver unless the employer
has a verified negative controlled substances test result from the MRO for the driver-applicant.
You are required to conduct pre-employment tests each time a driver returns
to work after a layoff period when the driver has not been subjected to random
controlled substances testing for more than 30 days or
has been employed by another entity. You
must notify a driver-applicant of the results of a
pre-employment controlled substances test if the driver-applicant requests the results within
60 days of being notified of the disposition of
the
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Types of Testing
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5 - 1 |
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employment application. For examples illustrating whether or not you need to
conduct pre-employment tests, please refer to table
5.1, Pre-employment Testing Examples.
Exceptions for Pre-employment Controlled Substances Testing
You may elect not to administer a pre-employment controlled substances test if
The driver-applicant has participated
in a controlled substances testing program that meets the requirements of 49
CFR part 382 and part 40 (or another DOT agency's controlled substances
testing program) within the previous 30 days, and
While participating in that program,
the driver-applicant either was tested for controlled substances within the past
6 months or participated in a random testing program for the previous
12 months, and
The employer verifies that no
prior employer of the driver-applicant has records of a violation of Part
382, subpart B or the controlled substance prohibited conduct rules of
another DOT agency within the previous 6 months (§382.301(c)).
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Pre-employment Controlled Substances Testing Exception Recordkeeping
You must obtain enough information to show that the driver is qualified under
the regulations. If you operate under either of
the two exceptions mentioned above, you must contact the previous testing program to
verify the following:
Name(s) and address(es) of
the program(s),
That the driver participates
or participated in the program(s),
That the program is in compliance
with 49 CFR part 40,
That the driver has not refused to
be tested for controlled substances,
The date the driver was last tested
for controlled substances, and
The results of any tests taken within
the previous 6 months.
You must obtain a release form signed by the driver-applicant authorizing the
previous testing program to share this information
with you and forward that release form to each of the driver's previous employers.
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Types of Testing
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Table 5.1 Pre-employment Testing Examples
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REQUIRED TO TEST
The following are some examples that describe situations in which an
employer MUST conduct pre-employment tests, unless the employer utilizes an exception.
A new employer just
started operating CMVs. All drivers hired to drive CMVs subject to this
rule will fall under the pre-employment testing requirements.
A driver usually operates CMVs
that do not require a CDL, but then is required to operate a CMV
that requires a CDL for the same employer. A pre-employment test
is required.
Any driver who is hired and has
not been part of a controlled substances program that complies with
the FMCSA regulations for the previous 30 days must undergo a
controlled substances test.
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NOT REQUIRED TO TEST
The following are some examples that describe situations in which an
employer may not have to conduct pre-employment tests.
Employer A purchases employer
B. Employer B drivers who are now Employer A drivers do not need
to be tested because their employment status has not been interrupted.
Pre-employment tests are
not required when an employer's name changes.
If a driver is transferred from
one division to another within the same company, the
pre-employment requirements do not apply.
However, when a driver transfers from one wholly owned
subsidiary or independently operated company to another, a pre-employment test
is needed, unless the driver is subject to one of the exceptions.
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Drivers Who Drive for You Sporadically, but Are Regularly Employed by
Another Employer
If you use, but do not employ, a driver more than once a year, you must
assure yourself once every 6 months that the
driver participates in a controlled substances
testing program that meets the requirements of the regulations. This means that if a driver
is regularly employed by another employer
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subject to part 382, and you use the driver to operate your commercial motor vehicles
for two or more times in a 365-day period, you need only check with the driver's
regular employer once every 6 months to obtain the pre-employment exception testing
information, if you do not want to preemployment test
the driver each time.
For example, a motor coach tour employer regularly employs a driver to
operate
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Types of Testing
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5 - 3
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motor coach tours along the Eastern
seaboard. The driver has some extra days off from
the employer. The driver asks you if you have
any trips that will take 3 days to complete.
You have a load to be delivered and have the
driver go through your hiring process.
For controlled substances testing under your program, the driver states that he/she
has had a negative controlled substances test in
the last month. The driver provides you with
a written authorization requesting that his/her regular employer release the information
about his/her test results for the last 6 months to
your employer. You obtain all of the records required by the exception and verify that
the driver did have a controlled substances test
in the last month. It was verified negative and
the driver has no subsequent violations of the prohibited conduct in subpart B.
You use the driver for the trip and the driver returns to the motor coach
employer after completing your trip. You use the
driver again in 1 month and again after 4
months. You are not required by the regulations
to check the driver's testing records at the motor coach employer when you use the driver at
the one month and four month intervals. The driver, however, returns 7 months after
you first used him/her and since the last time you checked the driver's testing records. Now
you must again check with the motor coach employer to verify that the driver continues
to
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participate in the motor coach employer's testing programs and the driver has not
violated the prohibited conduct regulations of the FMCSA or similar DOT agencies.
Two-Year Prior Employer Checks (49 CFR 382.413/40.25)
You must also request the following information from previous
employers concerning the driver-applicant's
participation in a controlled substances and alcohol
program within the preceding 2 years:
1. Did the employee have alcohol tests with a result of 0.04 or higher?
2. Did the employee have verified positive drug tests?
3. Did the employee refuse to be tested?
4. Did the employee have other violations of DOT agency drug and alcohol
testing regulations?
5. If you answered "yes" to any of
the above items, did the employee complete the return-to-duty process?
6. Did a previous employer report a drug and alcohol rule violation to you?
You must as an employer ask prospective driver-applicants if they have
failed or refused a DOT drug or alcohol
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Types of Testing
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5 - 4
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pre-employment test within the past 2 years from an employer who did not hire
them (§40.25(j)). With respect to any driver-applicant who violated a DOT drug and
alcohol regulation, you must obtain documentation
of the individual's successful completion of DOT return-to-duty requirements (including
follow-up tests).
You must obtain the driver-applicant's written consent (see sample forms) to
obtain the information from the driver-applicant's previous employers as a
condition of employment. The FMCSA expects you
to obtain the information as soon as possible and prior to using the driver to perform any
safety-sensitive functions other than initial road testing of the driver. However, if this is
not
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feasible, you will have up to 30 days after the driver initially performs
safety-sensitive functions to obtain the information.
If you make a good-faith effort to obtain the information as soon as possible
and you are unable to obtain this information within the 30-day period, you may continue
to use the driver after the 30-day period, if you properly document your good-faith effort
to request and obtain the information.
However, if you failed to request the information
from any prior employer of the driver, you must
stop using the driver. See table 5.2 for an
example of a good-faith effort to obtain a driver's
prior employers' testing records.
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Types of Testing
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5 - 5
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Table 5.2. An Example of a Good-Faith Effort
for Obtaining Prior Testing Information
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A good-faith effort might begin with obtaining the driver's written consent
on your release of information form. The driver should complete the document at
the time the driver prepares other documents in the hiring process (e.g.,
§391.21, Application for Employment.)
Immediately after you make your conditional offer
of employment, send the written consent, along with how you would like
the information transmitted to you (e.g., by secure and confidential fax, by
certified mail, by telephone to a designated
person) to the previous employer by certified mail.
After a reasonable period, you should contact the driver's previous
employers' alcohol and drug testing program manager(s) to ask about the status of
your request to obtain the driver's testing records
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the previous employer(s). You should not wait until a few days before the first
time you will use the driver to perform safety-sensitive functions to make a
follow-up contact with the previous employers.
Previous employers are required to forward their testing information immediately
upon receipt of the specific written consent to
you or the third-party administrator designated to receive the information.
If a driver's previous employer has gone out of business, refuses to comply with 49
CFR section 40.25 requirements to forward their testing information about the driver to
you, or if for some other reason you cannot obtain the testing information from a
particular employer, document the facts and any
related information and retain them in your files.
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The information should be provided on the release of information form sent to
them. They should sign, answer the questions, and send it back. You are
required to maintain a written, confidential record with respect
to each past employer contacted for three years.
Once you have determined that you will hire the driver-applicant and the
driver-applicant has provided the written consent,
you must provide to each employer the written request authorizing release of the
informaation to you. You may wish to fax the consent
form
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to ensure the previous employer receives the driver's consent and request for information.
It is important to document the request for, and inability to receive, information from
the driver's prior employers. In the event of
an FMCSA investigation of your program, you may be asked to produce this
documentation for the FMCSA investigator. (See
sample forms.)
If you have not heard from the driver's previous employer(s) after a day or so,
you
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5 - 6
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should contact them and determine the status of your information request. In the event
that you do not get an answer from the prior employer, or they ignore your
request, document the attempt and file the information.
If you receive information indicating that the driver has tested positive for
controlled substances, tested at or above 0.04
alcohol concentration, or refused to be tested, you
must not use that driver to perform
safety-sensitive functions unless the driver has followed
the requirements of 49 CFR part 40, subpart O and has been advised by a substance
abuse professional that the driver may return to work. These requirements include
being evaluated by a substance abuse professional, complying with any recommended
treatment, passing a return-to-duty test, and having
at least six follow-up tests within the first 12 months of returning to work as a driver.
If you obtain records from the driver's previous employers verifying that the
driver has violated 49 CFR Part 382, subpart B
within 30 days of your use of the driver, you must immediately stop using the driver
and determine what, if anything, the driver has complied with in part 40, subpart O.
If the driver has not had a follow-up evaluation by
an SAP, after any alcohol test above 0.04, any verified positive controlled substances test,
or the driver is refusing to test, you may not use
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the driver until you have received a follow- up letter from the SAP. The letter must follow
the format shown in 49 CFR section 40.311(d).
If the driver has not had a return-to-duty test after obtaining a letter of compliance
from an SAP, a return-to-duty test is necessary.
A pre-employment negative controlled substances test and an alcohol test result of less than
0.02 alcohol concentration conducted by you will satisfy the requirement for a return-to-duty
test in this instance. However, you will be responsible for ensuring that at least
six follow-up tests are conducted within the first 12 months that the driver is employed or
used at your organization.
If the driver has provided a previous employer with proper documentation for
return to work and the driver has taken a
return-to-duty test or a pre-employment test at
the previous employer, but the previous employer did not complete all of the required
follow-up tests within the first 12 months, you will
be responsible for ensuring the remaining tests
are conducted.
Section 2. REASONABLE SUSPICION TESTING
The FMCSA regulations require you to test a driver if a trained supervisor
has reasonable suspicion that the driver has used
a controlled substance or has misused alcohol as defined in the regulations (§382.307).
The request to undergo a reasonable suspicion test
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5 - 7
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must be based on specific, contemporaneous, articulable observations concerning
the appearance, behavior, speech, or body odor of the driver. These observations may
include indications of the chronic and withdrawal effects of controlled substances. The
chronic and withdrawal effects of controlled
substances may not be the sole indicator for
reasonable suspicion, but may be used in conjunction
with other indicators.
Reasonable suspicion testing is designed to provide you with a tool to
identify affected drivers who, through alcohol or controlled substances misuse, may pose
a danger to themselves and others in their performance of safety-sensitive
functions. Drivers may be at work in a condition
that raises concern regarding their safety or productivity. A supervisor must then make
a decision as to whether reasonable suspicion exists that a controlled substance
and/or alcohol may be causing the behavior.
Supervisory Observations
Only one qualified supervisor or company official is required to witness
the conduct of the driver; however, it is a good business practice to have at least two
qualified supervisors or company officials witness
the conduct. Supervisors or company
officials who make the determination of whether to
test must be trained in the physical, behavioral,
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speech, and performance indicators of probable alcohol misuse and use of
controlled substances (see Chapter 4, education
and Training.)
To protect yourself and your drivers, supervisors who make the determination
that reasonable suspicion exists to conduct an alcohol test may not conduct the alcohol test
on that driver, unless they have been trained.
Reasonable suspicion alcohol testing is permissible only if the
supervisor's observations are made during, just
preceding, or just after the driver is performing
safety-sensitive functions or is attempting to
perform safety-sensitive functions. In contrast, you
may test a driver for controlled substances under reasonable suspicion based on observations
at any time the driver is on duty.
Besides recognizing valid objective signs and symptoms of controlled
substances use and alcohol misuse, supervisors must
also know the proper procedures for confronting and referring the driver for testing.
If supervisors are not trained, or are not fair
and objective in requesting reasonable suspicion tests, driver complaints of harassment
will result. Be careful not to expect that
training alone will make your supervisors experts
in detecting substance abuse.
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Types of Testing
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5 - 8
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The overt signs and symptoms of substance abuse can often be masked and
may be subtle enough to avoid direct detection.
If a supervisor, trained to identify the signs and symptoms of controlled
substances use and alcohol misuse, reasonably
concludes that objective facts indicate controlled substances use or alcohol misuse, this
is sufficient justification for testing. A
final practical check is whether the supervisor would
have been less responsible in not taking action than in asking the driver to submit to
testing. Remember, safety is the first priority!
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If the alcohol test is not administered within 2 hours following
observations triggering the request to test, you must
prepare and maintain a record stating the reasons
the alcohol test was not done promptly. If the
test is not conducted within 8 hours of the observations triggering the request to
test, attempts to administer the test must cease,
and the supervisor shall indicate in the record
the reason the test was not conducted. If
the alcohol test is not conducted within 8 hours, the driver shall be placed out of service for
24 hours.
For controlled substances, the driver must report for collection within a
reasonable time. However, you are encouraged to
collect the specimen as soon as possible following
the observations triggering the request to test, because the test's ability to detect
controlled substances declines with the passage of time.
Supervisors making reasonable suspicion determinations shall document
those observations within 24 hours of the observed behavior or before the results of the
controlled substances test are released, whichever
is earlier.
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5 - 9
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Prohibited Conduct
Drivers shall not perform safety-sensitive functions if under the influence of
or impaired by alcohol, as determined by their trained supervisor. Following a
reasonable suspicion determination, resulting in a
positive test, supervisors shall not permit the driver
to perform or continue to perform safety-sensitive functions until 24 hours have elapsed. If
an evidential breath test device is unavailable,
the motor carrier is required to remove the driver from performing safety-sensitive
functions until 24 hours have elapsed. You
are prohibited from taking any additional action under FMCSA authority against a driver
based solely on the driver's behavior and appearance. You may have,
however, additional policies under your own
authority. Flow charts detailing the reasonable
suspicion testing process for alcohol and
controlled substances appear in the appendix at the end
of this chapter.
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Section 3. POST-ACCIDENT TESTING
The FMCSA regulations require testing in specific CMV accidents (§382.303).
An accident is defined as an occurrence involving a CMV operating on a public road that
results in (1) a fatality; or (2) bodily injury to a
person who, as a result of the injury, immediately receives medical treatment away from
the scene of the accident; or (3) one or more
motor vehicles incurring disabling damage as a
result of the accident, requiring the vehicle(s) to
be transported away from the scene by a tow truck or other vehicle.
There is a significant difference between reasonable suspicion testing and
post-accident testing. Reasonable suspicion requires some indication of a link
between witnessed behavior and substance abuse
before a test can be requested. Post-accident testing
is mandatory when certain criteria are met.
Drivers subject to post-accident testing are those who
While performing
safety-sensitive functions are involved in an
accident resulting in the loss of human life, or
While performing
safety-sensitive functions are involved in a
nonfatal accident resulting in the driver receiving a citation under State or
local law for a moving traffic violation arising from the accident.
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5 - 10
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Type of Accident Involved |
Citation Issued to the CMV Driver |
Test Must Be Performed by Employer |
Human Fatality |
Yes |
Yes |
Human Fatality |
No |
Yes |
Bodily Injury With
Immediate Medical Treatment Away From the Scene |
Yes |
Yes |
Bodily Injury With
Immediate Medical Treatment Away From the Scene |
No |
No |
Disabling Damage to Any Motor Vehicle Requiring Tow Away |
Yes |
Yes |
Disabling Damage to Any Motor Vehicle Requiring Tow Away |
No |
No |
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Post-accident tests must be performed as soon as possible. Controlled
substances tests must be performed within 32 hours following the accident. Alcohol tests must
be performed within 8 hours of the accident.
If an alcohol test is not administered within 2 hours following the accident,
the employer shall prepare and maintain a record stating the reasons the test was not
promptly administered. If an alcohol test is
not administered within 8 hours or a controlled substances test is not administered within
32 hours following the accident, the employer shall cease attempts to administer the test
and shall prepare and maintain the same
record. For employers requested by
FMCSA to submit their annual calendar year summary,
see Chapter 9, Section 5, Annual Calendar Year Summary-reporting Requirements
for instructions on reporting required
post-accident tests that were not to be administered.
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Drivers subject to post-accident testing shall remain readily available for such
testing or they may be deemed to have refused to submit to testing. Drivers subject
to postaccident testing must refrain from using alcohol for 8 hours following the accident
or until completing a post-accident alcohol test, whichever comes first. It is imperative
that you provide drivers with necessary post-accident information, procedures,
and instructions prior to their operating a CMV,
so that they and you will be able to comply with the regulations. This requirement is
especially important if your operations occur in
remote areas.
In the rare event that Federal, State, or local law enforcement officials
administer alcohol or controlled substances tests on
a driver involved in an accident, and the
results are available to you, those results may
meet the requirements of the FMCSA regulations, provided such tests conform to
applicable Federal, State, or local requirements
and certain conditions are met.
Alcohol tests conducted by law enforcement officials using breath or
blood specimens will satisfy the postaccident
alcohol test requirement when you obtain the
test result. Controlled substances tests
conducted by law enforcement officials must use urine
as the body fluid tested. For examples
illustrating this concept, please refer to table
5.3, Postaccident Law Enforcement Tests.
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5 - 11
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Table 5.3 Post-Accident Law Enforcement Tests
The following examples describe situations where an employer may use test results from
law enforcement agencies in lieu of its own test results.
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An airport shuttle bus driver
is involved in an accident on an airport access road with a
non-CMV driver and the non-CMV driver is killed instantly. The shuttle
bus driver must be tested under the FMCSA rules for both alcohol
and controlled substances. Before the employer learns of the
accident, however, an airport police officer at the scene determines that the
shuttle bus driver should be tested for alcohol use under the airport
police department's authority. The police officer requires the driver to
submit to a blood test at the airport health clinic using procedures
developed by the airport police department for alcohol testing. When the
airport shuttle bus company receives the results of the alcohol test, the
test results will be allowed to substitute for the FMCSA-required
test. However, the airport shuttle bus company will have to require
its CMV driver to also submit to a controlled substances test under
this rule, since both tests are required after a fatality.
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A State CMV snowplow
driver runs a red light, in full view of a State police officer who
witnesses the snowplow impact a small automobile, injuring
the automobile driver and completely destroying the
automobile. During the investigation, the State police officer issues
a moving traffic citation to the CMV driver. The officer, who is
a drug recognition expert (DRE), determines that the CMV driver
is probably under the influence of a substance, most
likely amphetamines, and requests the driver to provide a
urine specimen for analysis. The driver is placed under arrest and
the State will not allow the poice to conduct an alcohol test on
the driver while the driver is in jail.
The State's crime laboratory determines the urine specimen does contain
amphetamines and will release the test results to you.
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The requirement to test for alcohol and controlled substances following an
accident should in no way delay necessary medical attention for injured people or prohibit a
driver from leaving the scene of an accident to
obtain assistance in responding to an accident or
to obtain necessary emergency medical care.
The
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following steps should be taken in a postaccident situation:
1. Treat injuries
first. Accident victims' health and safety are
always a higher priority than conducting an alcohol or controlled substances test.
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5 - 12
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2. Cooperate with law
enforcement officers. Allow law
enforcement officers to conduct their investigation. For purposes of
their investigation, the police may require a controlled substances or alcohol
test for a determination of the presence of controlled substances or alcohol.
3. Explain the need for
testing. Tell your driver that a test is to
be conducted. Point out to the driver that a negative finding
will objectively put to rest any suspicion of controlled substances or alcohol
as a cause of the accident.
4. Conduct tests
promptly. The FMCSA regulations require
that specimen collection be performed as soon as possible following
the accident, but within 32 hours for controlled substances and within
8 hours for alcohol.
Flow charts detailing the post-accident testing processes may be found in the
appendix at the end of this chapter.
Section 4. RANDOM TESTING
The FMCSA regulations require random testing for all drivers subject to
the CDL requirements (§382.305). Random testing identifies drivers who use
controlled substances or misuse alcohol but are unable to
predict the test as they would in the case of
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post-accident or pre-employment testing.
More importantly, it is widely believed that
random testing serves as a strong deterrent
against drivers beginning or continuing prohibited controlled substances use and misuse
of alcohol.
Selection Techniques
You must use a scientifically valid random selection method to select drivers
for testing. Drivers can be chosen from
selection pools in several ways. These
include semiautomatic methods (using personal computers) or manual methods (using
random number tables). The computer-based
methods are generally more efficient, but the
manual methods can be equally fair and credible.
Commercially available computer-based random number-generating
software programs enable you to match drivers to numbers and to select names from those
lists for random controlled substances and alcohol tests. Some of these programs
are comprehensive, including scheduling and recordkeeping functions.
Alternatively, spreadsheet programs, commonly used
for financial and operational analyses, often include a routine that provides
random numbers. Those random numbers can be assigned to your driver list and used
for selecting drivers to be tested. Because
your driver pool may fluctuate, the list of driver names must be updated each time the
pool
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5 - 13
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fluctuates for smaller employers and at least monthly for larger employers.
If a computer program is not available for random selection, a manual
sampling technique that uses a random number table
may be used. These tables are found in many statistics textbooks available in libraries
and bookstores. The scientific community does
not consider drawing names out of a hat or container to be a scientifically valid method
for sampling. While this technique is simple and appears fair because it can be done in full
view of the affected drivers, it is actually less random than using a computer or a
random number table because of inconsistencies in paper size, as well as the lack of control
over the names included or excluded. Also, it
is very difficult to document how a selection is made and who is selected for testing.
The test dates must be spread reasonably throughout the year and should
not establish a predictable pattern (e.g., the
first Monday of each month). The number of
tests conducted weekly, monthly, or quarterly
should remain relatively constant to the extent possible; however, drivers selected for
that testing cycle must be tested. Conducting all
of your tests in one month, for example, does not achieve the goal of random testing.
Likewise, the testing should be performed on
different days of the week and at different times throughout the annual cycle. This helps
to
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prevent drivers from coordinating their controlled substances and alcohol use to
the random testing schedule.
Random Testing Rates
The current random testing rates under FMCSA regulations are 50 percent
for controlled substances and 10 percent for alcohol. This means that the number of tests
to be administered each year is equal to at least
50 percent and 10 percent, respectively, of the average number of driver positions subject
to these regulations. Remember, a driver is anyone who operates a CMV for you.
The driver positions will include other employees in your organization who occasionally drive
or drive in rare circumstances.
A slightly higher percentage may have to be selected for testing to compensate
for cancelled tests or drivers unavailable for
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Types of Testing
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5 - 14
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testing. If you join a consortium, the
annual rate may be applied to each consortium-member employer or to all the
DOT-covered safety-sensitive drivers within the consortium.
Because the random rates for controlled substances and alcohol are different and
may vary on a yearly basis, you may wish to conduct separate selections for your
alcohol and controlled substances random tests; however, you are not required to do so.
You may select for alcohol testing the first 20 percent of those drivers selected for
controlled substances testing. Other combinations
for selecting drivers for alcohol and controlled substances testing may be used, provided
you can prove that the method is scientifically
valid and impartial toward the drivers (e.g., two-stage selections).
The FMCSA's random testing rates may be adjusted based on analysis of
positive random test results within the entire CMV industry. If this occurs, the change will
be published in the Federal Register. If the minimum annual percentage rate changes,
the change will take effect starting January 1 of
the year following publication in the Federal Register.
Only drivers performing safety-sensitive functions are permitted in the
random pools. If you decide to randomly test
drivers who do not drive CMVs, those drivers must
be placed in a separate pool and tested under
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separate authority, not the DOT's or the FMCSA's. The pool may, however,
contain drivers subject to other DOT agency regulations.
How to Compute the Average Number of Driver Positions for Random Testing
There will be fluctuations in your driver work force, which will make an
accurate computation of a testing rate important.
Your random testing program plan should take into account these fluctuations by estimating
the number of random tests needed to be performed over the course of a calendar
year. If your driver work force is expected to
be relatively constant (i.e., the total number of driver positions is approximately the same
or changes at a relatively constant rate), then
the number of tests to be performed in any given year could be determined by multiplying
the average number of driver positions by the testing rate.
If there is a large fluctuation of driver positions throughout the year, you must
base driver positions on the number of drivers eligible to be tested at the time of
each selection period. The total random tests
taken for the year, however, must equal or exceed
the average number of driver positions.
For example, if you decided to perform random selections four times a year, the
number of controlled substances tests, to be
performed
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during each of the four testing periods must equal or exceed
50 percent of the number of driver positions eligible to be tested
(D), divided by the number of test periods per
year (P). As a formula, this may be expressed as:
T = 50% x D/P
T = Total random tests (must equal or exceed)
D = Driver positions eligible to be tested
P = Number of test periods per year Note: 10 percent for alcohol
At the time of selecting the individuals to be tested, you determined that there were
an average of 60 drivers eligible for testing
during the period covered by the February
selection, 80 drivers in May, 100 drivers in August,
and 70 drivers in November. Using the
formula given above, you would have to perform 8 controlled substances tests in February
(50% times 60 divided by 4 equals 7.5, rounded up
to the nearest whole number), 10 tests in May, 13 tests in August, and 9 tests in November, for
a total of 40 controlled substance tests.
However, throughout the year you needed to perform only 39
controlled substances tests in order to assure testing at
the 50 percent rate. This figure was
computed using the same formula with D equal to
the summation of the number of drivers eligible
for testing in each of the selection periods (D =
60 + 80 + 100 + 70 = 310 drivers), and by
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completing the formula, T = 50% times 310 divided by 4 = 38.75) and rounding up to
the nearest whole number, 39. In this
example, you could perform one less controlled substances test in the last testing period.
Since driver populations may vary during any given period in a year,
conducting random testing only during low-driver
periods would not enable you to meet the 50 percent
random testing ratio.
Your random testing policy or plan must be documented. The FMCSA
emphasizes that each selection for random testing
must include all your drivers to whom the
rule applies, regardless of whether or not your drivers have been tested in the past.
This would include individuals who do not
regularly drive (such as clerks, mechanics,
supervisors, officials), but whom you expect to be immediately available to perform the
safety-sensitive function of driving a CMV. It is
quite likely with a large driver turnover that, over
the course of the year, you will be
employing/using more drivers than there are driver positions.
In determining the number of tests, you should use the number of driver positions, not
the number of CMV drivers used/employed during the testing period.
To illustrate using the previous example, in the February selection
(which represents the quarter January 1 through
March 31), the employer determined that there were
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an average of 60 CMV driver positions.
However, during the same quarter (at least up to the date the employer performed
the random selection of drivers to be tested, say February 12) the employer used/employed
a total of 75 individuals as drivers or persons expected to be drivers. Of these
75 individuals, 15 were no longer used by the employer at the time the selection was
made (February 12). As noted earlier, eight individuals will be selected for
controlled substances testing and two individuals will
be selected for alcohol testing.
Random Testing Pools
To ensure that each of your drivers has an equal chance of being selected and
tested, random testing pools must be established
and maintained. A random testing pool may include any persons who are subject to
random testing under any DOT rule, as decided by
the employer. Likewise, a person who is subject
to more than one rule may be included in more than one pool. For example, a person
who works for a railroad company subject to both FRA and FMCSA rules may be included in
two separate pools or in one pool, at the
discretion of the railroad company.
A single pool may be established for alcohol and controlled substances, provided
all drivers have an equal chance of being selected
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and tested using the applicable random testing rate (currently 10 percent for alcohol
testing and 50 percent for controlled substances testing). As stated above, you may select
for alcohol testing the first 20 percent of the
drivers selected for controlled substance testing.
Other combinations for selecting drivers for
alcohol and drug testing may be used, provided that
you can prove that the method is scientifically
valid and impartial toward the drivers (e.g.,
two-stage selections). Examples of a variety of
random testing pools may be found in the appendix
at the end of this chapter.
Sampling With Replacement
To ensure that the process is in fact random, all drivers, whether or not they
have been chosen for testing in the past, will
remain in the pool for each subsequent selection period. This procedure ensures that
the probability of any driver being selected each period is always the same, whether or not
the driver was selected in a previous period.
This requirement is expected to serve as a
deterrent for those drivers who, believing that they are
in the clear, might otherwise consider using controlled substances or misusing
alcohol following a recent negative test.
Driver Notification
After a list of drivers for random testing has been generated, you should test
those drivers as soon as possible.
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Drivers should be notified in person, although this is not required by
the regulations. The notification should be
both oral and in writing, with a written acknowledgment of the
notification. Random testing is nonpresumptive: that is, the driver
is not being accused of using controlled substances or alcohol just because he/she
is selected for the test. If possible, the notification should be conducted away
from other drivers, preferably in a private office
or outside of a vehicle.
You are responsible for ensuring that a selected driver, once notified,
proceeds immediately to a collection site.
Immediately, in this context, means that all the
driver's actions, after notification, lead to an
immediate specimen collection. This ensures that a
driver selected for testing will not have an opportunity to do anything that may affect
the outcome of the test. Any activity that does
not directly lead to submitting a specimen should not be performed until after the specimen
has been collected. You should clearly indicate,
in your random testing procedures, what these activities are so that there will be
no misunderstandings among your drivers.
If you choose to notify your drivers while they are "on the road," you
should establish procedures that will allow them
to report to a nearby collection facility before continuing their current trip. This may
require a driver to detour from a planned
route.
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Notifying drivers at terminals and while they are in heavily populated areas with
testing facilities should minimize any negative
effect these procedures may have on your operations.
Testing Time Frames
A driver shall be subject to random testing for alcohol only while the driver
is performing safety-sensitive functions, just before the driver is to perform, or just after
the driver has ceased performing such
functions. Performing a safety-sensitive function
includes being immediately available to perform
such functions.
Obviously, the best time to test for alcohol is before the driver begins to
perform the safety-sensitive function. However, if
the driver understands that a random test will
only be administered before he/she begins work and there is an opportunity to drink during
work, deterrence is limited.
Controlled substances testing may be performed at any time the driver is at
work. The driver may be performing clerical
or mechanical repair duties at the time of notification by the employer. The
driver should not be required to report for a test in
the middle of vacation time, while sick, or on
other types of excused leave.
Availability of Drivers
When drivers are off work due to long-
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term layoffs, illnesses, injuries, or vacations, will not return before the next selection,
and are selected for random testing, you have the following two options:
The driver's name could be skipped
if the driver selected is going to be gone throughout the entire testing
period. You then may select an alternate by using a scientifically valid
method, selecting one of the other available drivers in the pool, then testing
that driver.
The name could be set aside until
the driver comes back from the extended leave, and you would conduct the test
at that time, as long as the driver returns before the next selection.
You may not require a driver to submit to a test while on an extended leave. If
you experience seasonal fluctuations in the number of drivers available for testing, you
should adjust each random selection episode to
reflect the fluctuation, thereby ensuring an equal chance of all drivers being selected.
If a driver leaves your employment or is reassigned to nondriving duties, and at
some later point is rehired or reassigned to
driving duties, the pre-employment testing
provisions of this regulation apply. If a driver
primarily does other nondriving work for you and is
on call to drive at any time you need the driver,
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the driver must be in the random testing selection pool(s) at all times.
Flow charts detailing the random selection process may be found at the end
of this chapter.
Section 5. RETURN-TO-DUTY TESTING
Before you allow a driver to return to duty to perform a safety-sensitive
function following certain prohibited conduct_a
verified positive controlled substances test result,
an alcohol result of 0.04 or greater, a refusal to submit to a test, or any other activity
that violates provisions of subpart B_that driver must first be evaluated by a SAP, participate
in any treatment program prescribed, and pass a controlled substances and/or alcohol
return-to-duty test (Section 40.305). In
pre-employment testing situations, a verified positive
controlled substances test or an alcohol result of 0.04
or greater does require a visit to the SAP if you hire the person to perform safety
sensitive functions.
The purpose of the return-to-duty test and the evaluation of an individual's
return-to-duty status by the SAP is to ensure that
the driver receives proper care, if needed. It is
also to provide some degree of assurance to the
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employer that the individual is free of
alcohol and/or controlled substances and is able
to return to work without undue concern about continued substance abuse.
The driver must have a verified negative controlled substances test result or
an alcohol test result of less than 0.02 to return
to a safety-sensitive function. As in any
DOT test, if a controlled substances test is
cancelled, you shall require your driver to submit to
and pass another controlled substances test.
Flow charts detailing the return-to-duty process can be found at the end of this chapter.
Section 6. FOLLOW-UP TESTING
Once allowed to return to duty, a driver for whom treatment was recommended must
be subject to unannounced follow-up testing for at least 12, but not more than 60, months.
The frequency and duration of the follow-up
testing will be recommended by the SAP as long as
a minimum of six tests are performed during the first 12 months after the driver has returned
to duty (§40.307).
It is important to remember that follow-up testing is separate from and in addition
to the regular random testing program.
Drivers subject to follow-up testing must remain in
the standard random pool and must be tested
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whenever their names come up for
random testing, even if this means being tested twice
in the same day, week, or month.
If the driver is subject to controlled substances follow-up tests, the SAP may
also require the driver to take one or more follow-up alcohol tests. If the driver is subject
to alcohol follow-up tests, the SAP may require the driver to take one or more
follow-up controlled substances tests.
Flow charts detailing the follow-up testing process may be found at the end of
this chapter.
Section 7. PROFICIENCY TESTING
In addition to the six major driver testing categories described above, you
are required to perform proficiency testing as a quality assurance measure for the
testing laboratory that conducts your controlled substances testing.
As an employer or C/TPA with an aggregate of 2,000 or more
DOT-covered drivers, you must send blind specimens
to laboratories you use. If you have an aggregate of fewer than 2,000 DOT-covered drivers,
you are not required to provide blind specimens. To each laboratory to which you send at
least 100 specimens in a year, you must transmit a
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number of blind specimens equivalent to
1 percent of the specimens you send to that laboratory up to a maximum of 50 per
quarter. These specimens are called blind
performance tests because the testing laboratory does
not know they are quality control specimens rather than actual driver specimens.
The blind quality control specimens must not be distinguishable from
driver specimens. Approximately 75 percent of
the specimens you submit must be blank (negative) and approximately 15 percent must be
positive for one or more of the five controlled substances, and approximately 10 percent
must be adulterated with a substance cited in HHS guidance or substituted. If a laboratory
reports a positive on a quality control specimen
that was a blank (negative), you must notify the DOT immediately by phone or e-mail:
Office of Drug and Alcohol Program Compliance
U.S. Department of Transportation
(202) 366-3784 or
e-mail: www.dot.gov./ost/dapc
If a laboratory reports a negative on a quality control specimen that was a
spike (positive), you should notify the laboratory
and attempt to discover the cause of the
error. Repeated false negative errors should
be reported to the DOT at the above address.
If the laboratory reports conflicting results on
the
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two parts of a non-safety-sensitive split
sample, you must report this to the DOT.
If your laboratory repeatedly reports inaccurate or conflicting results, you
should consider changing laboratories.
DOT and FMCSA regulations do not specify where to obtain blind
performance specimens. However, you are encouraged
to obtain blind specimens from specimen vendors. A list of vendors is available from
the Department of Health and Human Services (DHHS).
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Chapter 5 Appendix
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Terms and Definitions Used in Chapter 5
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Terms and Definitions
Accident An accident is defined as an occurrence involving a CMV operating
on a public road which results in, (1) a fatality; or (2) a bodily
injury to a person who, as a result of the injury, immediately
receives medical treatment away from the scene of the accident; or
(3) one or more motor vehicles incurring
disabling damage as a result of the accident, requiring the vehicle to be transported
away from the scene by a tow truck or other vehicle.
Unless an occurrence involving a CMV meets this definition of an
accident, the accident is not considered to be an accident for
purposes of Federal post-accident alcohol and controlled substances
testing by employers of CMV drivers.
Alcohol Concentration The alcohol in a volume of breath expressed in terms of grams of
alcohol per 210 liters of breath, as indicated by an evidential breath
test. In law enforcement, this is referred to as blood alcohol
concentration (BAC).
Blind Sample, Blind
Performance, or Proficiency
Test Specimen A test submitted to a laboratory for quality control testing purposes,
with a fictitious identifier, so that the laboratory cannot distinguish
it from driver specimens, and which is spiked with known
quantities of specific controlled substances or is blank, containing
no controlled substances.
Disabling Damage Damage that precludes departure of a motor vehicle from the
scene of the accident in its usual manner in daylight after simple
repairs.
(1)
Inclusions. Damage to motor vehicles that could have been
driven, but would have been further damaged if so driven.
(2) Exclusions.
(i) Damage which can be remedied temporarily
at the scene of the accident without special tools or parts. (ii) Tire
disablement without other damage, even if no spare tire is
available. (iii) Headlamp or taillamp damage. (iv) Damage to turn
signals, horn, or windshield wipers that makes them inoperative.
Follow-Up Test Unannounced alcohol and/or controlled substances testing given to
drivers who previously tested positive for a controlled substances or
alcohol and are returning to duty.
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Postaccident Test A test administered to a driver in certain CMV accidents. Drivers
subject to postaccident testing are those who
While performing safety-sensitive functions are involved in an
accident resulting in the loss of human life,
or
While performing safety-sensitive functions are involved in a
nonfatal accident resulting in
the CMV receiving a citation under State or local law for a moving traffic violation arising
from the accident, and
(1) There is bodily injury to a person who, as a result of the injury,
immediately receives medical treatment away from the scene of
the accident; or
(2) One or more motor vehicles incurs
disabling damage as a result of the accident, requiring the vehicle to be transported
away from the scene by a tow truck or other vehicle.
Pre-employment Test A test given to an applicant or driver who is being considered for a
safety-sensitive position.
Random Test A test administered to a predetermined percentage of drivers who
perform safety-sensitive functions and who are selected on a
scientifically defensible random and unannounced basis.
Reasonable Suspicion Test A test given to a driver who performs a safety-sensitive function and
who is reasonably suspected by a trained supervisor of using a
controlled substance or misusing alcohol.
Return-to-Duty Test A controlled substances and/or alcohol test prior to return to duty.
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Flow Charts
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Random Testing Pools
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Random Testing Pools
There are many ways to establish a random testing pool. The rules allow for a variety of
pool types to account for the variety of employer arrangements among employers regulated by
the FMCSA. The physical form of the pool is not specified. However, there must be some method
of identifying all the individuals in the pool for each selection (e.g., a hard copy or electronic list
of each person's name, social security number, driver identification number, or other unique
identifier). The following examples illustrate several possible pool arrangements. They
are not the only acceptable arrangements.
Example 1: Company-Based Pool for Random Drug and Alcohol Testing
This pool consists of all drivers subject to random testing. Drivers are selected using
one of the following methods:
1. Names are drawn for controlled substances testing and the first 20% of the
selected group of names are selected for alcohol testing. It is imperative that after the
first draw for the controlled substances testing, the names are not alphabetized
before selection for the alcohol testing.
2. Names are drawn for controlled substances tests and then the names are returned
to the pool for a second selection of names for alcohol testing.
Example 2: Company-Based Program With Separate Pools for Random Controlled
Substances and Alcohol Testing
These pools are maintained separately for random controlled substances and random
alcohol testing. This situation would be necessary when some persons are not subject
to random alcohol testing but are subject to random controlled substances testing (as is
the case with a person who is subject to both FMCSA and RSPA rules, or FMCSA and
USCG rules).
Example 3: Company-Based Pool for "Full-Time" Drivers and a Variety of Pools for
"Part- Time" Drivers
This arrangement would be applicable for employer operations that use "trip-lease"
drivers.
Example 4: Consortia-Based Pool
These pools are maintained by a consortium. Part of the services provided by a
consortium may involve maintaining the random testing pool(s) by using payroll
information from each member system to update the pool membership. Because
drivers of all employers are pooled together, the pool is large enough that the
likelihood of any one driver being repeatedly selected is lessened. Likewise, since no
employer representative is involved in the selection process (all selection is done by
the consortium), no driver need fear that he or she has been unfairly singled out for
testing.
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Manual Random Sampling Technique
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Manual Random Sampling Technique
The following manual procedure can be used for randomly selecting drivers for testing. However,
it is recommended that a software program be used for random number generation.
Make a copy of table 5.4 and Worksheets 1 and 2, which follow these instructions.
Worksheet 1
1. Enter the current date on Line A.
2. On Line B, enter the total number of drivers who are subject to random selection for testing.
3. Below Line B, list the badge numbers, identification (ID) numbers, or Social
Security numbers of all drivers who must be randomly tested in numerical order from the smallest
to the largest. Assign numbers in sequence to these badge, ID, or Social Security
numbers. (For example, assign the number "1" to the driver with the smallest ID number, the
number "2" to the driver with the next highest number, etc.) Use continuation pages of Worksheet
1 if necessary. Alternatively, you can write the numbers in sequence next to the driver
badge, ID, or Social Security number on a computer printout.
Worksheet 2
1. Complete Lines A through D. (The total number of drivers on Line C should be the same
as the number on Line B of Worksheet 1.)
2. Select any number on any one of the four pages of table 5.4. This can be done by
placing your finger, with your eyes closed, on one of the four pages. Write the number selected
in this way on Line E.
3. Write the first two digits of the number you selected on Line F. This is your "row
number" key.
4. Write the next two digits on Line G. This is your "column number" key.
5. Pick the range of column headings on table 5.4 that contains the number on Line G and
enter it on Line H.
6. Find the page of table 5.4 on which your row and column numbers (from Lines F and
G) appear and enter the page number (1, 2, 3, or 4) on Line I.
7. On the page recorded on Line I, find the five-digit number across from the row
number (recorded on Line F) and the column number (recorded on Line H) and enter it on Line
J. This is your "starting location." Place an asterisk beside it.
8. On Line K, enter the fifth digit of the number on Line E. This number gives you
the direction in which to move from your starting location (marked with an asterisk) on
table 5.4. If the number is 1, 2, or 3, you move up; if the number is 4 or 5, you move to the
right; if the number is 6, 7, or 8, you move down; and if the number is 9 or 0, you move to the
left. Circle the direction on Worksheet 2.
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9. Count the number of digits in the number of drivers from which you are selecting a group
to be tested (on Line C). Enter a "1" on Line L if the total number of drivers is between 1 and
9; enter a "2" if the total number is between 10 and 99; enter a "3" if the number is between
100 and 999, etc. This is your "scanning size."
10. Move from your starting location (marked with an asterisk) in the direction indicated by
the number on Line K. In each five-digit entry that you come to, scan the number of digits
that correspond to the number entered on Line L until you come to a number that is less than
your total number of affected drivers. Record those digits at the bottom of Worksheet 2 until
you have selected as many numbers as drivers to be tested (that is, as many numbers as are
listed on Line D).
Do not select the same number twice. Continue until you have chosen enough different
random numbers for all your drivers. You may have to skip many numbers because
they are larger than the number of your drivers.
If the scanning direction is to the
right, continue on the next row down. If the scanning
direction is to the left, continue on the next row
up. If the scanning direction is
down, continue on the next column to the
right. If the scanning direction is
up, continue on the next column to the
left. If you run out of numbers on the page, continue to the
following page if you are scanning to the
right or down. Continue on the preceding
page if you are scanning to the left or
up.
11. The list of numbers you select in this random manner corresponds to the numbers you
earlier assigned in sequence to your drivers. The drivers whose sequence numbers were selected
by this method are the drivers to be tested on the proposed date.
Add the ID number of new drivers to Worksheet 1. If a driver leaves the random number
pool, remove the ID number.
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Table 5.4
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Row Number
|
Column Heading
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00-04
|
05-09
|
10-14
|
15-19
|
20-24
|
25-29
|
30-34
|
25-29
|
30-34
|
35-39
|
40-44
|
45-49
|
00
|
35944
|
66132
|
45677
|
87728
|
79084
|
19868
|
66940
|
24287
|
23963
|
40769
|
76876
|
45105
|
01
|
19146
|
91425
|
05248
|
56715
|
81013
|
22544
|
64615
|
94653
|
51125
|
09601
|
61137
|
94067
|
02
|
89393
|
93297
|
16988
|
16323
|
90882
|
02224
|
84973
|
49253
|
63855
|
67913
|
32283
|
91568
|
03
|
39952
|
53053
|
31339
|
42811
|
64354
|
91551
|
53919
|
02770
|
19347
|
16836
|
96066
|
84251
|
04
|
85439
|
70582
|
20047
|
26806
|
04678
|
03530
|
32685
|
66702
|
75759
|
77382
|
94645
|
21023
|
05
|
85996
|
80397
|
37340
|
29043
|
32193
|
44715
|
52908
|
64160
|
91429
|
75102
|
08903
|
45392
|
06
|
38184
|
40546
|
73595
|
34493
|
72417
|
40332
|
36428
|
52487
|
58802
|
43803
|
48769
|
03970
|
07
|
62504
|
70916
|
17714
|
31543
|
20743
|
65848
|
50144
|
64556
|
98032
|
06130
|
72019
|
25022
|
08
|
16027
|
92981
|
20849
|
47517
|
31371
|
10090
|
75479
|
96698
|
36008
|
30154
|
37210
|
58547
|
09
|
81426
|
34245
|
12239
|
25280
|
53111
|
99077
|
90345
|
06568
|
90271
|
04556
|
90896
|
13825
|
10
|
26846
|
58222
|
08497
|
86110
|
47089
|
89304
|
39908
|
95065
|
95770
|
79059
|
91363
|
69475
|
11
|
11494
|
47828
|
22460
|
60243
|
34377
|
42492
|
35697
|
61635
|
15514
|
54149
|
50300
|
74346
|
12
|
84927
|
52241
|
87675
|
12204
|
74444
|
63284
|
60505
|
00247
|
47009
|
96303
|
93487
|
40599
|
13
|
84472
|
23603
|
67569
|
13653
|
89986
|
14992
|
15133
|
56994
|
96152
|
65552
|
40549
|
60214
|
14
|
34505
|
10993
|
39749
|
66564
|
07067
|
77597
|
55816
|
11862
|
33280
|
46778
|
07401
|
21387
|
15
|
42338
|
66021
|
77761
|
54041
|
78466
|
83304
|
12985
|
80336
|
40428
|
01360
|
95841
|
58037
|
16
|
86303
|
17774
|
43968
|
72562
|
80850
|
94424
|
48253
|
18331
|
87929
|
66164
|
15136
|
38872
|
17
|
99028
|
31125
|
75968
|
59317
|
48962
|
85669
|
93747
|
96792
|
34754
|
27399
|
93407
|
36587
|
18
|
68763
|
25467
|
00293
|
41013
|
15812
|
42585
|
08212
|
97320
|
24747
|
95643
|
02135
|
34249
|
19
|
13015
|
28239
|
39739
|
08504
|
64800
|
29894
|
27138
|
60809
|
27671
|
72333
|
96176
|
28072
|
20
|
58928
|
25119
|
05898
|
27389
|
02104
|
39275
|
09120
|
23639
|
80967
|
07567
|
36195
|
22587
|
21
|
13346
|
85837
|
39909
|
41109
|
73947
|
99425
|
85988
|
16271
|
15803
|
79117
|
42530
|
29742
|
22
|
08848
|
76887
|
60895
|
19245
|
27360
|
47131
|
12143
|
74941
|
11582
|
22504
|
10005
|
76031
|
23
|
23436
|
50487
|
72721
|
53798
|
41756
|
38550
|
99041
|
48863
|
60518
|
27368
|
69116
|
58587
|
24
|
91021
|
44376
|
37589
|
94667
|
08518
|
21163
|
94556
|
52623
|
37433
|
85386
|
41110
|
76759
|
25
|
04272
|
35671
|
71646
|
73571
|
62942
|
01048
|
04511
|
37904
|
41997
|
90006
|
40710
|
90973
|
26
|
01578
|
30072
|
63659
|
12546
|
73380
|
23361
|
23595
|
59479
|
50996
|
31815
|
22490
|
98723
|
27
|
29136
|
26169
|
31145
|
75325
|
99308
|
44268
|
61382
|
75761
|
00735
|
20601
|
93384
|
45889
|
28
|
92614
|
25427
|
63297
|
02512
|
84414
|
24160
|
50201
|
28970
|
61081
|
43649
|
13288
|
62336
|
29
|
76787
|
64760
|
48941
|
20493
|
50041
|
64784
|
39753
|
06111
|
03045
|
23401
|
33248
|
81161
|
30
|
64252
|
22283
|
57775
|
28962
|
53889
|
29280
|
37608
|
10081
|
77712
|
12838
|
14686
|
76958
|
31
|
91309
|
20209
|
39837
|
80079
|
28474
|
19267
|
87126
|
43096
|
14651
|
79173
|
31780
|
42601
|
32
|
37614
|
57818
|
47627
|
91310
|
70368
|
28070
|
38746
|
14879
|
53170
|
76114
|
42752
|
06574
|
33
|
90708
|
61212
|
77036
|
52790
|
90227
|
81618
|
06122
|
77299
|
35690
|
54395
|
35215
|
89469
|
34
|
41372
|
01251
|
58166
|
42479
|
52990
|
55728
|
04250
|
74424
|
53700
|
20353
|
62284
|
09896
|
35
|
42561
|
33036
|
06380
|
60091
|
06039
|
33290
|
43004
|
57397
|
45246
|
82250
|
22458
|
38325
|
36
|
38746
|
41586
|
34937
|
65167
|
10454
|
16876
|
80680
|
77222
|
61105
|
82071
|
56073
|
32481
|
37
|
17391
|
41294
|
99307
|
74420
|
04621
|
46824
|
03612
|
74694
|
06365
|
77826
|
31134
|
10110
|
38
|
05511
|
28643
|
61054
|
79254
|
79972
|
83425
|
16478
|
84843
|
80317
|
32548
|
81019
|
31729
|
39
|
39108
|
14491
|
36051
|
25022
|
93348
|
29566
|
47226
|
72441
|
01523
|
37920
|
94394
|
84605
|
40
|
91005
|
51283
|
23124
|
57794
|
05720
|
24869
|
35332
|
26230
|
99743
|
26844
|
83140
|
66667
|
41
|
35157
|
16089
|
49560
|
46736
|
49525
|
81510
|
36773
|
56789
|
96119
|
82834
|
40669
|
74356
|
42
|
95810
|
10606
|
66718
|
04682
|
69039
|
50789
|
56954
|
67096
|
86929
|
93547
|
38838
|
06928
|
43
|
86769
|
56447
|
40848
|
06338
|
55119
|
20283
|
29312
|
93884
|
18976
|
57782
|
51899
|
40749
|
44
|
32638
|
20331
|
34219
|
35114
|
95898
|
01777
|
59372
|
18054
|
35992
|
57722
|
74941
|
72376
|
45
|
55668
|
11116
|
30632
|
74444
|
58413
|
69180
|
69214
|
37471
|
27695
|
48715
|
43465
|
28236
|
46
|
21255
|
28620
|
46542
|
90990
|
51092
|
11385
|
84947
|
90370
|
76670
|
57762
|
17856
|
68032
|
47
|
33954
|
17842
|
33266
|
83365
|
11396
|
48929
|
14117
|
59594
|
05833
|
21643
|
21353
|
22903
|
48
|
67006
|
84642
|
02971
|
22629
|
32651
|
63753
|
79835
|
96971
|
43353
|
66170
|
82618
|
40546
|
49
|
76216
|
82754
|
39361
|
25662
|
73868
|
99685
|
87388
|
93666
|
48783
|
29577
|
72921
|
64695
|
|
|
|
|
|
|
|
Types of Testing
|
|
|
5 - 45
|
|
|
|
|
Table 5.4 (Continued)
|
|
|
|
Row Number
|
Column Heading
|
|
00-04
|
05-09
|
10-14
|
15-19
|
20-24
|
25-29
|
30-34
|
25-29
|
30-34
|
35-39
|
40-44
|
45-49
|
50
|
65329
|
63270
|
40355
|
02999
|
07942
|
11645
|
38129
|
44998
|
08787
|
13543
|
90923
|
33593
|
51
|
93526
|
80088
|
58689
|
08276
|
85897
|
27481
|
48514
|
85816
|
84145
|
28738
|
54734
|
03574
|
52
|
95143
|
49809
|
96751
|
00624
|
78549
|
78860
|
85900
|
11768
|
40905
|
06094
|
29200
|
77232
|
53
|
75386
|
42921
|
05982
|
00447
|
80071
|
11088
|
22841
|
96979
|
04479
|
28338
|
64435
|
51151
|
54
|
22748
|
85904
|
49216
|
27675
|
69340
|
56561
|
05030
|
42643
|
91149
|
87953
|
63719
|
01584
|
55
|
28710
|
96698
|
80867
|
48458
|
02130
|
31998
|
42100
|
06256
|
56271
|
27764
|
37566
|
27838
|
56
|
32037
|
13983
|
32058
|
45073
|
11336
|
91786
|
86687
|
59805
|
57801
|
39470
|
81011
|
81429
|
57
|
60896
|
13965
|
00685
|
49638
|
27110
|
57937
|
54239
|
54624
|
62248
|
80091
|
57501
|
93308
|
58
|
89058
|
22117
|
20514
|
75796
|
54156
|
61471
|
04730
|
81174
|
10359
|
01856
|
29380
|
30391
|
59
|
09568
|
25382
|
94676
|
08981
|
04980
|
50222
|
98457
|
96442
|
11970
|
08674
|
96858
|
85324
|
60
|
22196
|
00675
|
30458
|
58436
|
12432
|
87919
|
71959
|
14639
|
90006
|
87978
|
97650
|
41393
|
61
|
49945
|
53796
|
19047
|
44949
|
57842
|
67113
|
22511
|
53350
|
45931
|
57670
|
13596
|
93886
|
62
|
29476
|
50406
|
39614
|
58507
|
62957
|
72171
|
58818
|
65498
|
75309
|
75942
|
16021
|
43748
|
63
|
18703
|
74764
|
03056
|
41567
|
25299
|
86109
|
54614
|
40856
|
28969
|
58242
|
76673
|
89184
|
64
|
49873
|
62207
|
72534
|
20702
|
16556
|
49276
|
10316
|
73538
|
90644
|
82928
|
59321
|
18203
|
65
|
19985
|
25369
|
84812
|
46227
|
61888
|
88301
|
81836
|
61107
|
65104
|
79408
|
12059
|
53842
|
66
|
03154
|
90677
|
36455
|
53677
|
55678
|
83915
|
19290
|
28003
|
15858
|
25563
|
82237
|
25088
|
67
|
25578
|
18710
|
13424
|
65929
|
85388
|
60134
|
16455
|
55994
|
30488
|
41961
|
61383
|
58570
|
68
|
99273
|
72840
|
28541
|
71743
|
18139
|
87311
|
70662
|
99117
|
22685
|
54271
|
75276
|
97177
|
69
|
87901
|
28559
|
96271
|
85456
|
70702
|
45054
|
20963
|
75628
|
67280
|
49463
|
73672
|
66568
|
70
|
63443
|
98416
|
42737
|
67833
|
95052
|
35696
|
37817
|
90977
|
87826
|
31048
|
21500
|
09798
|
71
|
00761
|
90586
|
85762
|
84934
|
53279
|
47885
|
97586
|
65287
|
04768
|
40276
|
56284
|
87226
|
72
|
95124
|
84830
|
05748
|
92443
|
61790
|
10450
|
40238
|
87931
|
49136
|
26589
|
71698
|
18313
|
73
|
57237
|
52741
|
11781
|
03523
|
05425
|
42234
|
81913
|
61161
|
44743
|
83906
|
29459
|
02148
|
74
|
93276
|
23749
|
16958
|
22242
|
90455
|
39647
|
26914
|
46398
|
95636
|
17589
|
30496
|
02133
|
75
|
92318
|
55306
|
27869
|
31793
|
91112
|
61083
|
44868
|
15589
|
55596
|
23807
|
57671
|
58321
|
76
|
91390
|
32323
|
07289
|
49282
|
21185
|
22059
|
03410
|
12377
|
03072
|
27518
|
78435
|
01068
|
77
|
93205
|
58549
|
22523
|
85906
|
60906
|
48768
|
18085
|
25739
|
45691
|
11518
|
66181
|
55147
|
78
|
01071
|
39567
|
56473
|
31132
|
57168
|
57782
|
61630
|
01772
|
43001
|
91806
|
18784
|
65182
|
79
|
03579
|
10414
|
54608
|
40789
|
28104
|
43665
|
23271
|
93758
|
24532
|
97310
|
05340
|
27265
|
80
|
60477
|
35811
|
98288
|
50701
|
48956
|
93693
|
17079
|
94874
|
12059
|
95117
|
65205
|
57421
|
81
|
39681
|
86748
|
36782
|
45102
|
08913
|
15043
|
55716
|
56000
|
77215
|
37127
|
02358
|
90606
|
82
|
22033
|
84934
|
09148
|
41396
|
16459
|
40141
|
26964
|
98296
|
53585
|
95995
|
42686
|
21741
|
83
|
14101
|
00047
|
52602
|
55407
|
40129
|
62935
|
86167
|
75095
|
03341
|
92998
|
35762
|
04599
|
84
|
06873
|
92484
|
87149
|
35994
|
63525
|
56983
|
23715
|
23862
|
57883
|
33680
|
54883
|
97219
|
85
|
30797
|
92813
|
17274
|
51500
|
66217
|
16708
|
89997
|
63219
|
44764
|
67689
|
33433
|
72050
|
86
|
15747
|
10396
|
36476
|
75160
|
22022
|
19820
|
86886
|
27470
|
50174
|
56334
|
10351
|
49636
|
87
|
61998
|
32653
|
60143
|
30542
|
35514
|
21819
|
03840
|
99554
|
83167
|
14558
|
69962
|
35498
|
88
|
09684
|
04756
|
23555
|
19460
|
85547
|
26428
|
44293
|
14592
|
01970
|
91553
|
63148
|
20910
|
89
|
61404
|
34976
|
94332
|
66889
|
99632
|
79871
|
40258
|
60827
|
25993
|
45670
|
38481
|
46632
|
90
|
25245
|
57862
|
39826
|
16944
|
15981
|
04018
|
29136
|
28150
|
65239
|
83628
|
60395
|
55419
|
91
|
09484
|
87160
|
66976
|
79755
|
06238
|
42612
|
92961
|
27993
|
85152
|
46068
|
74000
|
40002
|
92
|
98011
|
99251
|
82349
|
43715
|
45699
|
85124
|
03911
|
93499
|
56695
|
75753
|
20000
|
20716
|
93
|
76638
|
13665
|
49438
|
20357
|
64420
|
79414
|
37568
|
45791
|
88321
|
88727
|
49952
|
87973
|
94
|
64423
|
68413
|
06440
|
46531
|
14931
|
14156
|
09510
|
20126
|
20417
|
41024
|
51343
|
71800
|
95
|
61707
|
18827
|
41733
|
54540
|
48588
|
36569
|
39203
|
67613
|
58873
|
91631
|
33064
|
56484
|
96
|
10486
|
38306
|
17680
|
66579
|
21226
|
30958
|
90600
|
85520
|
93744
|
53787
|
07026
|
32207
|
97
|
47555
|
13139
|
63109
|
09541
|
57782
|
23091
|
25448
|
47825
|
66126
|
98921
|
98785
|
19546
|
98
|
72026
|
34279
|
76997
|
68348
|
58053
|
02899
|
16268
|
97317
|
95836
|
81952
|
81638
|
10556
|
99
|
48001
|
41086
|
99695
|
26225
|
12763
|
36369
|
31577
|
17714
|
17060
|
67833
|
04756
|
27266
|
|
|
|
|
|
|
|
Types of Testing
|
|
|
5 - 46
|
|
|
|
|
Table 5.4 (Continued)
|
|
|
|
Row Number
|
Column Heading
|
|
50-54
|
55-59
|
60-64
|
65-69
|
70-74
|
75-79
|
80-84
|
85-89
|
90-94
|
95-99
|
00
|
73137
|
45987
|
77079
|
42671
|
57474
|
40782
|
42681
|
34880
|
29982
|
44007
|
01
|
18484
|
12788
|
71464
|
88004
|
80105
|
34482
|
46110
|
33828
|
20194
|
34524
|
02
|
77228
|
43460
|
99853
|
89432
|
30668
|
48410
|
76366
|
56971
|
16466
|
52707
|
03
|
74064
|
47482
|
30684
|
86869
|
47448
|
29043
|
98906
|
25613
|
46286
|
54060
|
04
|
93832
|
33562
|
09926
|
14854
|
65178
|
38543
|
27224
|
87954
|
42083
|
88169
|
05
|
42096
|
79561
|
26902
|
64081
|
52927
|
02348
|
67981
|
57788
|
96808
|
65315
|
06
|
15225
|
90935
|
41981
|
15978
|
58895
|
73271
|
63773
|
57887
|
52412
|
56796
|
07
|
95849
|
47924
|
83559
|
56475
|
49014
|
76723
|
37698
|
08789
|
90322
|
79588
|
08
|
48093
|
73731
|
83515
|
75826
|
79328
|
93155
|
97177
|
21357
|
47951
|
52282
|
09
|
09967
|
04011
|
44935
|
23539
|
68271
|
71622
|
65741
|
63627
|
12806
|
11152
|
10
|
27591
|
12901
|
31792
|
33932
|
35284
|
57792
|
19408
|
81105
|
37001
|
45143
|
11
|
28077
|
30438
|
28612
|
01385
|
23467
|
26144
|
95304
|
34932
|
82686
|
20257
|
12
|
99131
|
79046
|
94608
|
91136
|
21009
|
02454
|
84859
|
04655
|
20139
|
69458
|
13
|
08771
|
30330
|
77476
|
29295
|
06517
|
57614
|
41927
|
43044
|
86599
|
92762
|
14
|
22763
|
65483
|
45791
|
64638
|
33907
|
34887
|
80043
|
45285
|
78601
|
55673
|
15
|
94472
|
88988
|
12427
|
74496
|
90499
|
57289
|
90409
|
08428
|
62542
|
11887
|
16
|
00171
|
24440
|
73891
|
68558
|
30951
|
65579
|
12954
|
62591
|
57333
|
94155
|
17
|
77503
|
70628
|
96565
|
62934
|
98758
|
99571
|
21447
|
74319
|
11400
|
78879
|
18
|
09183
|
49458
|
73690
|
45164
|
40982
|
93785
|
61612
|
83259
|
11476
|
28203
|
19
|
46479
|
40760
|
14186
|
81494
|
87979
|
60959
|
29446
|
44333
|
83009
|
23045
|
20
|
84974
|
54583
|
27562
|
80223
|
67484
|
39051
|
07053
|
19900
|
38065
|
28487
|
21
|
58091
|
85789
|
46174
|
14255
|
11174
|
37610
|
40665
|
70658
|
72431
|
90617
|
22
|
42327
|
66659
|
51903
|
94623
|
11756
|
12266
|
70926
|
59140
|
50334
|
00353
|
23
|
90545
|
48354
|
39981
|
29604
|
84328
|
64429
|
59050
|
81367
|
71308
|
46846
|
24
|
96948
|
01154
|
61945
|
61943
|
16247
|
61538
|
60879
|
44465
|
88601
|
46322
|
25
|
15081
|
97304
|
24765
|
89003
|
78487
|
80204
|
98675
|
25251
|
23899
|
39496
|
26
|
80726
|
88712
|
41544
|
79621
|
31206
|
97924
|
36707
|
93675
|
80946
|
10251
|
27
|
65126
|
88820
|
38191
|
99672
|
82740
|
21379
|
46805
|
02613
|
73551
|
00152
|
28
|
74802
|
12716
|
89447
|
87669
|
19226
|
20328
|
62370
|
25331
|
72030
|
68437
|
29
|
00681
|
23400
|
45797
|
65906
|
42471
|
65721
|
60113
|
47352
|
10855
|
29314
|
30
|
51818
|
90150
|
24191
|
90189
|
13531
|
83141
|
32221
|
51986
|
46109
|
90064
|
31
|
21741
|
64279
|
86121
|
15747
|
22778
|
55853
|
44068
|
42037
|
57768
|
07804
|
32
|
04743
|
51845
|
42808
|
70484
|
31354
|
22147
|
66622
|
25310
|
12507
|
66779
|
33
|
17515
|
73527
|
81034
|
36107
|
67558
|
26224
|
32749
|
91331
|
06737
|
56475
|
34
|
75188
|
81409
|
43443
|
64255
|
59351
|
56197
|
28121
|
11157
|
31807
|
79833
|
35
|
88798
|
41465
|
52327
|
39584
|
18591
|
11905
|
44991
|
31491
|
95710
|
57733
|
36
|
38415
|
04433
|
62111
|
88999
|
65731
|
98678
|
78365
|
76674
|
03088
|
28296
|
37
|
49759
|
16898
|
11606
|
15457
|
44562
|
87908
|
90013
|
62978
|
00351
|
84388
|
38
|
12253
|
20197
|
64374
|
87115
|
62194
|
80169
|
64829
|
79667
|
11628
|
14685
|
39
|
46530
|
56684
|
50377
|
57435
|
08598
|
07948
|
97387
|
76604
|
39429
|
14502
|
40
|
39056
|
92672
|
87833
|
22799
|
22790
|
95141
|
85024
|
88590
|
91106
|
46777
|
41
|
19066
|
46713
|
15104
|
97993
|
40299
|
48765
|
03448
|
37406
|
30523
|
85345
|
42
|
44411
|
08105
|
55720
|
78858
|
10811
|
96961
|
64975
|
93300
|
00861
|
00388
|
43
|
29062
|
36691
|
93014
|
75198
|
08001
|
37206
|
43816
|
05449
|
73994
|
32228
|
44
|
46246
|
77789
|
99330
|
63726
|
76353
|
33614
|
32298
|
89766
|
33246
|
59878
|
45
|
68334
|
00824
|
54832
|
52672
|
72328
|
53138
|
35463
|
06908
|
66724
|
70735
|
46
|
03240
|
62813
|
67785
|
59876
|
29335
|
99386
|
38278
|
11450
|
41907
|
51384
|
47
|
57040
|
05371
|
75986
|
47217
|
40540
|
87306
|
42301
|
41017
|
42216
|
11719
|
48
|
76415
|
82540
|
09893
|
80330
|
67264
|
63861
|
68330
|
80941
|
35476
|
61634
|
49
|
14783
|
60615
|
77332
|
17725
|
06514
|
23220
|
22661
|
88541
|
58100
|
83133
|
|
|
|
|
|
|
|
Types of Testing
|
|
|
5 - 47
|
|
|
|
|
Table 5.4 (Continued)
|
|
|
|
Row Number |
Column Heading
|
|
50-54
|
55-59
|
60-64
|
65-69
|
70-74
|
75-79
|
80-84
|
85-89
|
90-94
|
95-99
|
50
|
73332
|
63452
|
19036
|
17987
|
97357
|
71591
|
70281
|
21729
|
96772
|
23313
|
51
|
07125
|
43322
|
51153
|
17584
|
95875
|
36386
|
15139
|
01406
|
57256
|
29704
|
52
|
55805
|
21704
|
33656
|
50958
|
78536
|
55083
|
44755
|
34241
|
12376
|
50093
|
53
|
30450
|
85984
|
69694
|
60633
|
56777
|
91361
|
08410
|
93312
|
16785
|
16213
|
54
|
79266
|
34754
|
52040
|
61618
|
64706
|
06121
|
47134
|
99721
|
09389
|
98740
|
55
|
35257
|
13931
|
41548
|
30513
|
26683
|
75826
|
93846
|
12820
|
05709
|
24857
|
56
|
65320
|
42448
|
10530
|
46587
|
64422
|
24065
|
75098
|
71139
|
53258
|
87333
|
57
|
43583
|
34411
|
80069
|
01115
|
45060
|
73271
|
79331
|
46079
|
17004
|
06189
|
58
|
02121
|
61321
|
30230
|
41134
|
29611
|
78063
|
24139
|
62321
|
87091
|
23315
|
59
|
59700
|
27260
|
81495
|
55324
|
75035
|
12425
|
04631
|
39136
|
51349
|
70949
|
60
|
82465
|
58923
|
00420
|
34123
|
23195
|
31253
|
36499
|
62936
|
34740
|
41082
|
61
|
01038
|
21773
|
60671
|
18735
|
52087
|
78695
|
49111
|
76936
|
80201
|
80700
|
62
|
58674
|
50958
|
09717
|
92001
|
39943
|
35895
|
12164
|
72299
|
45328
|
39070
|
63
|
47207
|
63363
|
22134
|
76801
|
27527
|
88267
|
52163
|
35589
|
34827
|
54922
|
64
|
23607
|
55153
|
21076
|
06020
|
48044
|
11653
|
13788
|
50331
|
50321
|
80349
|
65
|
73518
|
61210
|
35079
|
90891
|
89598
|
56527
|
38846
|
16500
|
53375
|
26612
|
66
|
21410
|
69618
|
82958
|
19425
|
78792
|
52834
|
88222
|
16317
|
74198
|
72487
|
67
|
48693
|
83604
|
77960
|
81259
|
71478
|
85003
|
52750
|
44267
|
62537
|
95078
|
68
|
87029
|
35995
|
79974
|
20486
|
41923
|
55126
|
79209
|
08207
|
63508
|
79175
|
69
|
02926
|
69190
|
34393
|
20266
|
07625
|
17868
|
69314
|
51310
|
83781
|
98299
|
70
|
93179
|
90023
|
55650
|
17508
|
58102
|
22226
|
74201
|
78952
|
12631
|
11409
|
71
|
64558
|
25251
|
21637
|
66793
|
21347
|
57796
|
01309
|
52703
|
01767
|
59199
|
72
|
36060
|
06353
|
59656
|
90432
|
85911
|
90241
|
14864
|
88610
|
11316
|
71914
|
73
|
75873
|
80676
|
52896
|
04703
|
13088
|
96939
|
28108
|
77108
|
02121
|
64082
|
74
|
12033
|
30392
|
27350
|
45432
|
78199
|
65203
|
11250
|
64687
|
60657
|
39536
|
75
|
42473
|
14701
|
83902
|
86015
|
98514
|
79468
|
83938
|
03338
|
69537
|
85217
|
76
|
53067
|
81634
|
57100
|
61799
|
37554
|
20963
|
57021
|
07012
|
11569
|
47846
|
77
|
12222
|
34023
|
81396
|
71121
|
73353
|
41315
|
65854
|
62294
|
51585
|
60436
|
78
|
22760
|
32884
|
29544
|
42737
|
52215
|
94978
|
24351
|
91140
|
04641
|
63316
|
79
|
30430
|
84286
|
50513
|
89190
|
77806
|
95817
|
71861
|
03175
|
02316
|
68536
|
80
|
39604
|
03405
|
87105
|
32453
|
87042
|
98522
|
73645
|
68204
|
27074
|
95431
|
81
|
34712
|
40513
|
83655
|
42473
|
31263
|
73869
|
59228
|
13177
|
46565
|
12092
|
82
|
21018
|
11689
|
91983
|
51581
|
47609
|
19624
|
45289
|
79938
|
26643
|
46819
|
83
|
65452
|
65559
|
59616
|
33196
|
76515
|
32353
|
87737
|
32379
|
99970
|
00113
|
84
|
63848
|
60431
|
82004
|
33309
|
91254
|
70613
|
00767
|
97987
|
05231
|
09811
|
85
|
96701
|
79966
|
45075
|
32770
|
19855
|
07123
|
00851
|
77967
|
17801
|
06214
|
86
|
60235
|
91092
|
84473
|
67106
|
11982
|
30995
|
14371
|
95264
|
91620
|
50856
|
87
|
75986
|
98749
|
50491
|
54363
|
83264
|
42508
|
41134
|
04397
|
64230
|
43547
|
88
|
98450
|
88188
|
08270
|
87246
|
34841
|
34834
|
42815
|
02091
|
14231
|
99744
|
89
|
55931
|
75741
|
10173
|
49042
|
88651
|
68473
|
97277
|
50865
|
94366
|
11837
|
90
|
48495
|
84779
|
91922
|
65460
|
68407
|
39901
|
34749
|
00554
|
24043
|
54269
|
91
|
58795
|
84649
|
45846
|
98520
|
18591
|
21066
|
31496
|
18774
|
94556
|
01144
|
92
|
74678
|
96980
|
37154
|
33190
|
68084
|
65983
|
54926
|
36887
|
03956
|
43052
|
93
|
29467
|
44134
|
47557
|
38817
|
97975
|
90661
|
43553
|
72160
|
97565
|
84138
|
94
|
68106
|
64205
|
94530
|
98131
|
72715
|
44929
|
99481
|
04524
|
88964
|
12404
|
95
|
73446
|
02619
|
71757
|
90688
|
24693
|
31089
|
89948
|
48977
|
31907
|
85536
|
96
|
11255
|
27475
|
33676
|
96130
|
25898
|
18738
|
61813
|
60297
|
66556
|
07364
|
97
|
65586
|
73333
|
94015
|
68728
|
81326
|
45366
|
00831
|
21149
|
13402
|
79755
|
98
|
11842
|
08167
|
12212
|
23410
|
57127
|
80363
|
68895
|
54522
|
51663
|
52529
|
99
|
42818
|
76639
|
48297
|
67582
|
42621
|
76470
|
34321
|
61958
|
07237
|
71368
|
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Types of Testing
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5 - 48
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Worksheet 1
(A) Current Date: ______
(B) Total No. of Safety-Sensitive Functions:
SEQUENCE
NUMBER
DRIVER ID NUMBER
1. 2. 3. 4. 5. 6. 7. 8. 9.
10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.
22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
34. 35. 36. 37. 38. 39. 40.
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Types of Testing
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5 - 49
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Worksheet 2
(A) Current Date:
(B) Proposed Testing Date:
(C) Total No. of Drivers in Selection Pool:
(D) No. of Tests Needed on Proposed Test Date:
(E) Key to Starting Location:
(F) Row Number of Starting Location:
(Digits 1-2 of entry E)
(G) Column Number Key:
(Digits 3-4 of entry E)
(H) Column Heading of Starting Location using (G): (
- )
(I) Page of Table 5-4 which contains row from entry (F) and
column heading from Entry (H): (Page 1,2,3, or 4)
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(J) Starting Location Number found
on page (I), row number (F), and column heading (H):
(K) Code for Direction from Starting Location (Digit 5 from entry E):
(1,2,3 = up 4,5 = right 6,7,8
= down 9,0 = left)
(L) Scanning Size: Total no. of digits used to write entry (C) = 1,2,3,
or 4:
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ORDER OF SELECTION |
SELECTED NUMBERS |
1. |
___________________ |
2. |
___________________ |
3. |
___________________ |
4. |
___________________ |
5. |
___________________ |
6. |
___________________ |
7. |
___________________ |
8. |
___________________ |
9. |
___________________ |
10. |
___________________ |
11. |
___________________ |
12. |
___________________ |
13. |
___________________ |
14. |
___________________ |
15. |
___________________ |
16. |
___________________ |
17. |
___________________ |
18. |
___________________ |
19. |
___________________ |
20. |
___________________ |
|
ORDER OF SELECTION |
SELECTED NUMBERS |
21. |
___________________ |
22. |
___________________ |
23. |
___________________ |
24. |
___________________ |
25. |
___________________ |
26. |
___________________ |
27. |
___________________ |
28. |
___________________ |
29. |
___________________ |
30. |
___________________ |
31. |
___________________ |
32. |
___________________ |
33. |
___________________ |
34. |
___________________ |
35. |
___________________ |
36. |
___________________ |
37. |
___________________ |
38. |
___________________ |
39. |
___________________ |
40. |
___________________ |
|
ORDER OF SELECTION |
SELECTED NUMBERS |
41. |
___________________ |
42. |
___________________ |
43. |
___________________ |
44. |
___________________ |
45. |
___________________ |
46. |
___________________ |
47. |
___________________ |
48. |
___________________ |
49. |
___________________ |
50. |
___________________ |
51. |
___________________ |
52. |
___________________ |
53. |
___________________ |
54. |
___________________ |
55. |
___________________ |
56. |
___________________ |
57. |
___________________ |
58. |
___________________ |
59. |
___________________ |
60. |
___________________ |
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Types of Testing
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5 - 50
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Sample Forms
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Types of Testing
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5 - 51
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5 - 52
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Release of Information Form
I. To be completed by the new
employer, signed by the employee, and transmitted to the previous employer: Employee
Printed Name:_______
Employee SS or ID Number:_____
I hereby authorize release of
information from my Department of Transportation regulated drug and alcohol
testing records by my previous employer listed in Section IA. to the employer
listed in Section I- B. This release is in accordance with
DOT Regulation 49 CFR Part 40, Section 40.25. 1 understand that information to
be released in Section II-A by my
previous employer, is limited to the following items for the past two years:
1
. Alcohol tests with a result of 0.04 or higher;
2. Verified positive drug tests;
3. Refusals to be tested;
4. Other violations of DOT agency
drug and alcohol testing regulations;
5. Documentation, if any, of
completion of the return-to-duty process following a rule violation;
6. Information obtained from previous
employers of a drug and alcohol rule violation.
Employee
Signature:_______ Date:_______
A.
Previous Employer Name:
_______
Address:_______ _______
Phone
#:_______________ Fax #:_______
B.
New
Employer Name:_______
Address:_______ _______
Phone
#:_______ Fax #:_______ Designated Employer
Representative:_______
SectionII. To be completed
by the previous employer and transmitted to the new employer:
A. In the previous two years, for DOT-regulated testing
1.
Did the employee have alcohol tests with a result of 0.04 or higher? YES NO
2.
Did the employee have verified positive drug tests? YES NO
3.
Did the employee refuse to be tested? YES NO
4.
Did the employee have other violations of DOT agency drug and
alcohol
testing regulations? YES NO
5.
If you answered "yes" to any of the above items, did the
employee
complete the return-to-duty process? N/A YES NO
6.
Did a previous employer report a drug and alcohol rule
violation
to you'? YES NO
[NOTE: Previous employer, if you
answered "yes" to any item in Section II-A, you must also transmit a
copy / copies of the appropriate documentation (e.g., CCFs, MRO results reports, BATFs, SAP reports,
follow-up testing record) to the new employer.]
B.
Name of person providing
information in Section
II-A:
Title:__________
Phone
#:_______
Date:__________
Company
Add PHO:
City, ST, ZIP FAX:
Prior employer Check 49 CFR 382.413/40.25. Good Faith
Effort
1. Call
the prior employer and record who was contacted. Fax the required release. Go
to step 2.
2. Call the prior employer and record who was contacted.
Ask if they received the fax. If they say YES the fax was received, ask for the information that is
required.
If the prior employer refuses to release the information
record it below and file with the drivers original release of information.
Prior
Employer
Address
City,
St, Zip
PHO:
FAX:
DRIVER
NAME:
Social
Security Number
Date of contact:
|
By
Telephone/Fax?
|
Name of
contact at prior employer.
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1. NOTES
|
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|
Date of contact:
|
By
Telephone/Fax?
|
Name
of contact at prior employer.
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2. NOTES
|
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Conducted By:
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RELEASE & DOCUMENTATION OF PRE-EMPLOYMENT TESTING INFORMATION
BY APPLICANT/DRIVER REQUIRED BY PART 40.25(j).
PART 40.25(j) requires Employers to ask Applicant/Driver whether he/she has tested positive
or refused to test on any Pre-employment alcohol or drug test administered by an Employer to
which the Applicant/Driver applied but did not obtain safety sensitive transportation work covered
by DOT agency alcohol and drug testing rules during the past two (2) years.
NAME_____________________________________ DATE ___________________
SOCIAL SECURITY # ____________________________
Applicant/Driver to answer items listed below.
During the past two (2) years have you tested
positive on a Pre-employment alcohol or drug
test administered by Employer to which you applied for but did not obtain a safety sensitive
transportation work covered by Department of Transportation (DOT) drug and alcohol testing rules?
YES _________________
NO ___________________
During the past two (2) years have you refused to
test on a Pre-employment alcohol or drug test administered by an Employer to which you applied for but did not obtain a safety sensitive
transportation work covered by the Department of Transportation (DOT) drug and alcohol testing rules?
YES __________________
NO ___________________
If you answered YES to either of the questions above, please provide documentation of your
successful completion of the return to-duty process required by Part 40 Subpart O.
Date _____________________ Name (printed) _____________________________
Signature of Applicant/Driver_____________________________________________
Witness_______________________________________________________________
Record keeping requirements: If "Yes" to either question 5 year retention.
If "No" to either question-discard after employment terminates.
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Types of Testing
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5 - 55
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CONTROLLED SUBSTANCES TEST
RESULTS NOTIFICATION FORM
Purpose of Form
The alcohol and
controlled substances testing regulations require the employer to notify a driver of a verified positive
controlled substance test result following a random, reasonable suspicion, post-accident, return-toduty, or follow-up test. In the case of a
pre-employment controlled substance test, a driver-applicant requesting results within 60 days of notification
of the disposition of his or her
employment application must be notified
of the results by the employer (49 CFR 382.411 a).
Employer - Complete the following:
____________________________________
_________/_______/______
Name of Driver (Print)
(Month) (Day) (Year)
Type of Test: Pre-employment Reasonable Suspicion
Random
Post Accident Return-to-Duty Follow-up
Test Results:
Negative
Positive
If the driver is an employee who has tested positive,
indicate the drug identified:
Marijuana CocaineOpiates
Amphetamines Phencyclidine (PCP)
I have received the above
results.
_______________________
________/______/______
(Driver Signature)
(Month) (Day) (Year)
Witnessed by:
________________________________
________/_______/______
(Signature of
Employer Representative) (Month) (Day) (Year)
________________________________
(Title)
PRE-EMPLOYMENT
URINALYSIS AND BREATH ANALYSIS
CONSENT FORM
I understand that as
required by the Federal Highway Administration Regulations, Title 49 Code of Federal
Regulations, Section 382.301, all driver-applicants of this employer must be
tested for controlled substances and alcohol as a pre-condition for employment.
I consent to the urine sample collection and testing for
controlled substances, and the breath sample
collection and testing for alcohol.
I understand that a
verified positive test result for controlled substances and/or an alcohol concentration of 0.04 or higher will render me
unqualified to operate a commercial motor vehicle.
The medical review officer
will maintain the results of my controlled substance test. Negative and positive
results will be reported to the employer. If the results are positive, the
controlled substance will be identified.
Alcohol test results will be maintained by the employer.
The results will not be
released to any other parties without my written authorization.
I understand the above
conditions and hereby agree to comply with them.
_______________________
______/______/________
(Applicant's Name - print)
(Month) (Day) (Year)
_______________________
(Applicant's
Signature)
PRE-EMPLOYMENT VERIFICATION
382.301(c)(1)
Company:
Address:
City, State:
PHO:
FAX:
I
hereby authorize release of information from the testing program listed below
to release information listed in 382.301(c)(1).
DRIVER NAME:
Social Security Number:
Driver Signature
CONTROLLED SUBSTANCES TESTING PROGRAM
Company:
Address:
City. State:
FAX:
PHO:
This is to verify that
the above driver has participated in our controlled substances testing program for the past ____ Months.
The testing program
conformed to 49 CFR Part 40 and Part 382. The driver was properly qualified under part 382 and did not
refuse to take a test.
The last date the driver
was tested for controlled substances
was: __________________
The MRO verified results:
_____________________________
SIGNED:
____________________ DATE: ____________________
This form was developed to assist the employer's
controlled substances deterrence program administration.
ALCOHOL AND CONTROLLED SUBSTANCES ACCIDENT TESTING REPORT
Company
Add
City, ST, ZIP
PHO:
FAX:
Driver Name:
Type Of Accident: [ ]
Fatal [ ] Injury [ ] Towed Vehicle [
] Non DOT
Citation Issued?: [ ] Yes [ ] No (Injury &
Towed Vehicle)
Is Controlled substances
and Alcohol testing required? [ ] Yes [ ] No
Name of Collector:
Address:
City, ST:
Telephone No.:
Reason Alcohol Test Not
Completed within: [ ] 2 Hours. [
] 8 Hours.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Reason Controlled
Substances Test not completed within 32 hours:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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Types of Testing
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5 - 60
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Random Testing Documentation Form
Employer
Name
Address
City,
St Zip
PHO:
FAX :
Calendar Year (CY):
|
CY Average No. of Driver Positions =
|
Selection Periods
Per Year =
|
Selection period this report =
|
TOTAL TESTS REQUIRED =
|
Controlled Substances Test:
|
Alcohol Test:
|
TOTAL TESTS COMPLETED =
|
Controlled Substances Test:
|
Alcohol Test:
|
Name of Selected
Employee
|
CST Date and results
|
Alcohol test date & results
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Verified
by Date
This form was
developed to assist the employer's controlled substances deterrence program
administration. It documents the random selection
process, including checking that the appropriate number of tests are performed
each testing period in order to meet the annualized rate requirement.
Company
Add
City, St, Zip
PHO:
FAX:
No |
Driver Name |
Hire Date |
ID Number Used
|
Date In Random Pool |
Date Dropped from Random Pool |
1 |
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2 |
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3 |
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11 |
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29 |
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30 |
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This form was developed to assist the employer's controlled substances
deterrence program administration. It documents the random selection process,
including checking that the appropriate number of tests are performed each
testing period in order to meet the annualized rate requirement.
Company
Add
City, ST, ZIP
PHO:
FAX:
No
|
Name
|
Hire Date
|
ID No. Used on CCF
|
Selected for
|
1
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2
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3
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4
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5
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6
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25
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Selection
Period = Selection date
____________________
Verified
By____________________ DATE ____________________
This form was
developed to assist the employer's controlled substances deterrence program
administration. It documents the random selection process, including checking that the appropriate number of tests are
performed each testing period in order to meet the annualized rate requirement.
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Types of Testing
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5 - 64
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OBSERVED
BEHAVIOR-REASONABLE SUSPICION RECORD
Employee:
Name: _________________________
Identification Number: _________________________
Observation:
Date: _________ Time:
(from _____ am/pm: to____ am/pm)
Location: ____________________________________________________________
(Street) (City) (State) (Zip)
CAUSE
FOR SUSPICION
1.
Presence of Drugs, Alcohol, and/or Paraphernalia (specify): _________________________
2. Appearance: Normal Flushed Puncture
Marks
Disheveled Bloodshot
Eyes Inappropriate wearing of sunglasses
Dilated/Constricted
Pupils Profuse Sweating Tremors
Dry-mouth Symptoms Runny Nose/Sores Body Odor
Other ___________________________________
3. Behavior
Speech: Normal Incoherent Slurred Silent
Confused Slowed Whispering
Other
___________________________________________
Awareness: Normal Confused Mood Swings Euphoria
Lethargic Lack of Coordination Paranoid
Disoriented
Other
____________________________________________
4. Motor Skills
Balance: Normal Swaying Falling Staggering
Other
_____________________________________________
Walking &
Turning: Normal Swaying Arms Raised for Balance
Stumbling Falling Reaching
for Support
Other
______________________________________________
5.
Other
Observed Action or Behavior (specify): ____________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Witnessed by: (must be a supervisor or company official trained
in physical, behavioral, speech, and performance indicators of probable
alcohol misuse and use of controlled substances)
_________________________ _________________________ _________
______ am/pm
(Signature)
(Title) (Date) (Time)
_________________________ _________________________ _________
______ am/pm
(Optional 2nd
Signature) (Title) (Date) (Time)
This
document must be prepared and signed by the witnesses within 24 hours of the observed behavior
or before the
results of the test are released, whichever is earlier (49 CFR 382.307(f)).
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Types of Testing
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5 - 66
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