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LABORATORY TESTING
Are all drug test analyses that are completed in a laboratory certified by
the Department of Health and Human Services (DHHS)? The list of
DHHS-certified laboratories is updated monthly and is printed in the
Federal Register.
Has a second laboratory been selected to serve as a backup laboratory
and to be used for split-sample analysis?
Does the laboratory inspect specimens for fatal flaws?
Does the laboratory inspect specimens for correctable flaws? Does the
lab attempt to correct flaws?
Does the lab conduct validity testing (currently allowed; will be required
upon publication of DHHS Mandatory Guidelines) on both primary and
split specimens?
⎯ Creatinine level
⎯ Specific gravity
⎯ pH
⎯ Adulterants
Does the DHHS laboratory transmit test results to the Medical Review
Officer the same day they are certified?
Does the DHHS laboratory provide bi-annual statistical summaries to the
employer? Starting January 20, 2002, does the lab supply reports to
employers by January 20 and July 20?
If the laboratory is unable to identify an adulterant, do they send the
specimen to a second DHHS lab for analysis?
MEDICAL REVIEW OFFICER
Are all non-negative drug testing laboratory results reviewed by a
qualified MRO to verify and validate test results?
Are all negative results and fatal flaws reviewed for accuracy by the
MRO or designated staff?
If MRO review of negative test results is under the direct observation of
the MRO, does the MRO review 5 percent of the tests to verify
accuracy?
Appendix J. Self-Assessment Checklist J-15 August 2002
DRUG TESTING
PROCEDURES
Laboratory Testing
Medical Review
Officer