Implementation Guidelines - Federal Transit Administration - U.S. ...
Implementation Guidelines - Federal Transit Administration - U.S. ... Implementation Guidelines - Federal Transit Administration - U.S. ...
Do you maintain a copy of the new Part 40 regulations at this location? May I see a copy of the new Part 40 regulations? If someone doesn’t arrive for his or her scheduled appointment, what is done? What other types of alcohol tests (e.g., blood, urine) are permitted under DOT regulations? Was the Breath Alcohol Collection Site prepared for the audit team, and did the vendor cooperate with the audit team and facilitate the audit process, including producing the required records? END OF BREATH ALCOHOL TEST TECHNICIAN QUESTIONNAIRE Appendix K. Substance Abuse Management Oversight Questionnaires K-22 August 2002
SALIVA TEST TECHNICIAN QUESTIONNAIRE STANDARD COLLECTION WITH NEGATIVE RESULT: Did the collector complete a standard collection with no incorrect or missed steps? Upon arrival of an employee at the collection site, does the collector positively identify the individual by photo identification? Was the employee required to sign a consent form? If the employee is also going to take a DOT drug test, was the alcohol test administered first? Did the saliva test technician (STT) explain the testing procedure to the employee and/or show the employee the instructions on the back of the ATF? Did the STT use the breath alcohol testing form prescribed in Part 40? Did the STT complete Step 1 on the Breath Alcohol Testing Form? Did the STT then ask the employee to complete Step 2 on the form, signing the certification? Did the STT check the expiration date on the device and show it to the employee? Did the STT open an individually wrapped or sealed package containing the device in the presence of the employee? Did the STT offer the employee the opportunity to use the device? Did the STT note the fact that a saliva test was used in Step 3 of the ATF? Did the STT direct the employee to take a confirmation test, sign, and date Step 3 of the ATF? Did the STT advise the employee not to eat, drink, belch, or put anything (e. g. , cigarette, chewing gum) into his or her mouth? Did the STT note on the “Remarks” line of the ATF that the waiting period instructions were provided? Did the STT then distribute the three parts of the form as provided? Was Copy 1 (white) transmitted to the employer? Was Copy 2 (green) provided to the employee? Was Copy 3 (blue) retained by the STT? Were all necessary equipment, personnel, and materials for breath testing provided at the location where testing is conducted? Did the STT conduct alcohol testing in a location that affords visual and aural privacy to the individual being tested that is sufficient enough to prevent unauthorized persons from seeing or hearing the test results? Did the auditor observe that the STT did not leave the alcohol testing location while the testing procedure for a given employee was in progress? How does the employee get to the confirmation-testing site? Are results transmitted to the DER in a confidential manner? How? If the result of the screening test is negative, what parts of the ATF are completed? If the employee is unconscious or dead, would you conduct a post-accident test with the ATF? Can a confirmation test be conducted using a swab? What is done if the swab is accidentally dropped on the floor before test results are read? If the test is being repeated because the first swab was dropped on the floor before the reading was taken, is a notation made of why a second test is being conducted? What happens when an employee is unable to provide a sufficient amount of saliva for an alcohol-screening test? If the screening test is invalid, what do you tell the employee? If the employee refuses to sign step 2, is that a refused test? What is done if the employee terminates testing because of a refusal to provide a saliva sample? Appendix K. Substance Abuse Management Oversight Questionnaires K-23 August 2002
- Page 603 and 604: Are employees who are subject to te
- Page 605 and 606: LABORATORY TESTING Are all drug tes
- Page 607 and 608: ⎯ Direct the analysis of the spli
- Page 609 and 610: Is only one test conducted at a tim
- Page 611 and 612: Does the BAT notify the employer’
- Page 613 and 614: Does the SAP evaluate whether a saf
- Page 615 and 616: ADMINISTRATIVE REQUIREMENTS If a pr
- Page 617 and 618: Are procedures in place to have emp
- Page 619 and 620: hours following the accident, the e
- Page 621 and 622: Are random numbers substituted only
- Page 623 and 624: Are employees that are subject to f
- Page 625 and 626: OTHER TRAINING Consistent with the
- Page 627 and 628: ♦ Documents presented by a covere
- Page 629 and 630: CERTIFICATION ♦ Each year transit
- Page 631 and 632: A R DMINISTRATIVE EQUIREMENTS Do th
- Page 633 and 634: DRUG AND ALCOHOL POLICY REVIEW QUES
- Page 635 and 636: Meeting FTA thresholds; Meeting dru
- Page 637 and 638: CONSEQUENCES OF A FAILED OR REFUSED
- Page 639 and 640: How much notice is given to the emp
- Page 641 and 642: RECORDS MANAGEMENT QUESTIONNAIRE AP
- Page 643 and 644: If the information requested is not
- Page 645 and 646: Has the employer met the minimum an
- Page 647 and 648: Do the records indicate that any dr
- Page 649 and 650: Does the employer utilize the stand
- Page 651 and 652: If tests are cancelled because of a
- Page 653: If you conducted the initial test,
- Page 657 and 658: MEDICAL REVIEW OFFICER (MRO) QUESTI
- Page 659 and 660: What action would you take if the s
- Page 661 and 662: • • • As the SAP, can you sub
- Page 663: Do you assist your members in any w
Do you maintain a copy of the new Part 40 regulations at this location? May I see a copy of<br />
the new Part 40 regulations?<br />
If someone doesn’t arrive for his or her scheduled appointment, what is done?<br />
What other types of alcohol tests (e.g., blood, urine) are permitted under DOT regulations?<br />
Was the Breath Alcohol Collection Site prepared for the audit team, and did the vendor<br />
cooperate with the audit team and facilitate the audit process, including producing the<br />
required records?<br />
END OF<br />
BREATH ALCOHOL TEST TECHNICIAN QUESTIONNAIRE<br />
Appendix K. Substance Abuse Management Oversight Questionnaires<br />
K-22<br />
August 2002