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sensitive position): Does the operator obtain the employee's written consent prior to requesting DOT D&A testing information from
<br />prior DOT regulated employers? §40.25(a), §40.27, §40.321(b), §40.351(d), Note: a wet ink signature and separate request is required
<br />for each prior employer, Does the operator request DOT D&A testing information from each DOT regulated employer who has
<br />employed the employee during any period during the two years before the date of the employee's application or transfer? §40.25(b),
<br />Verify the operator does not permit an employee to perform a covered function after 30 days from the dale on which the employee
<br />first performed a covered function, unless the operator has obtained, or made and documented, a good faith effort to obtain the DOT
<br />D&A testing information from prior DOT regulated employers. §40.25(d), Verify the operator does not permit an employee who has
<br />violated any DOT agency D&A regulation to perform a covered function unless the operator also obtains information that the employee
<br />subsequently complied with the return -to -duly requirements in Part 40, Subpart 0 and PHMSA's drug and alcohol regulations.
<br />§40.25(e)
<br />Plan: IV. DOT Program Requirements — 3. History Check Requirements.
<br />A-8: DOT vs. Non -DOT Tests
<br />If a pipeline operator has a non -DOT drug and alcohol testing program: Does the operator have a process to ensure that all DOT
<br />D&A tests are completely separate from all non -DOT D&A tests in all respects? §40.13, Does the operator have a process to ensure
<br />that all DOT D&A tests take priority and must be conducted and completed before a non -DOT lest is begun? §40.13(b)
<br />Plan: 111. Policy and Responsibilities — 6. "NON -DOT" Tesfing Program.
<br />A-9' Contractor Anli-Druq and Alcohol Misuse Prevention Proarams
<br />If a pipeline operator allows contractors who perform covered functions on the operator's regulated pipeline or LNG facility to conduct
<br />their own D&A Programs: Does the operator have a process to oversee contractors to ensure they comply with Parts 199 and 40?
<br />§199.115, §199.245, Do the contractors allow access to property and records by the operator, PHMSA, and a representative of a
<br />state agency (if applicable) to allow for the monitoring the operator's compliance with Part 199? §199.115(b)
<br />Plan: Vll, Program Elements Common to Drug and Alcohol — 4. Contractor Monitoring,..
<br />Protocol Area B— Anti-Druq Program
<br />B-1 Written Anti-Druu Proaram
<br />Does the operator maintain and follow a written Anti -Drug Plan that conforms to the requirements of Part 199 and Part 40?
<br />§199.101(a), Ensure the Anti Drug Plan contains, at a minimum, the following: Methods and procedures for compliance with all the
<br />requirements of Part 199, including the Employee Assistance Program (EAP) §199.101(a)(1), The name and address of each
<br />laboratory that analyzes the specimens collected for drug testing.§199.101(a)(2), The name and address of the operator's Medical
<br />Review Officer (MRO), and Substance Abuse Professional (SAP) §199.101(a)(3), Procedures for notifying employees of the coverage
<br />and provisions of the plan §199.101(a)(4)
<br />Plan: 11. General— 3. Compliance, Plan Development, Plan Availability, VI1. Program Elements Common to Drug and Alcohol
<br />2, Employee Assistance Program, Vlll, Appendix A— Acknowledgment/Receipt Form, IX Appendix B — Designated Personnel
<br />And Service Agents
<br />B-2* Prohibited Drugs
<br />Does the operator conduct DOT drugtests only for the "prohibited drugs" specified in Part 40? §199.1-5, §199.105 and §40.1-3
<br />Marijuana, Cocaine, Amphetamines, Phencyclidine (PCP), Opioids
<br />Plan: 11. General— B. Definitions, Drugs, V. Anti -Drug Program— 5. Drug Testing Laboratory, Drug Testing, Table 1 Required
<br />DOT Drug Tests and Cutoffs
<br />B-3aPre-Employment Drug Testing '
<br />Does the oporator have a roo cess to ensure it does not hire or contract for the use of any person as a covered employee (e.g. new
<br />hire or transferred employee) to perform a covered function unless that person first passes a DOT drug lest or is covered by an anti-
<br />drug program that conforms to Part 199? §199.105(a), Note: The anti -drug programs of the other DOT agencies and the USCG meet
<br />the requirements for an anti -drug program that conforms to Part 199, Does the operator have a process to ensure that a covered
<br />employee removed from the random drug lest pool (for any length of time) passes a pre -employment DOT drug test before being
<br />placed back into the random drug lest pool? §199.105(a)
<br />Plan: It, General— 8, Definitions, DOT, The Department, DOT Agency, V Anti -Drug Program — 1. DOT -Required Drug Tests,
<br />Pre -Employment Testing
<br />3
<br />-3b� Post -Accident Drug Testing
<br />Does the operator have a process to ensure it completes a DOT post -accident drug lest as soon as possible but no later than 32
<br />hours after an accident of each surviving covered employee whose performance of a covered function either contributed to the accident
<br />or cannot be completely discounted as a contributing factor to the accident? §199.105(b)(1), If the operator did not administer a DOT
<br />drug lest within the 32 hours following an accident, does the operator have a Process to ensure it ceases attempts to administer a
<br />drug lest and stales in the record the reason for not promptly administering the test? §199.105(b)(2), If the operator decides not to
<br />conduct a post -accident drug lest of a covered employee, does the operator have a process to ensure it makes that decision based
<br />on specific information that the covered employee's performance had no role in the causes) or severity of the accident?
<br />§199.105(b)(1), If the operator decided not to conduct a post -accident drug test of a covered employee, does the operator have a
<br />process to ensure that it documents the decision and keeps that record for at least 3 years? §199.117(a)(5)
<br />Premium Concrete Services, Inc.- PHMSA DRUG/ALCOHOL PLAN
<br />C) NATIONAL COMPLIANCn MANAGEMENT SERVICE, INC. (NCM5)2011 (Update 2021) The NCMS plan is
<br />No subject of a ragls�eretl copyrlyhr and is protected by copynghl lav,s in Ihu 115. znd elsav�here All rlgM1ls
<br />reserved. 44
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