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Plan: V Anti•Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections-
<br />0.03 c Are precautions taken to ensure that unadulterated specimens are obtained and correctly identified that meet the following
<br />requirements: Bluing agents in toilet tank and all water sources secure. §40.43(b)(1) and (2), Individual positively identified (photo ID,
<br />etc.). §40.61(c), Proper authority contacted if individual fails to arrive at the assigned time. §40.61(a), The donor shall remove any
<br />unnecessary outer garments. Purses or briefcases shall remain with outer garments. §40.61(f), Donor shall wash and dry his/her
<br />hands. §40.63(b), To the greatest extent possible, the collector must keep an employee's collection container within view of both
<br />himself/herself and the employee between the time the employee has urinated and the specimen is sealed. §40.43(d)(2), Any unusual
<br />behavior noted on the CCF. §40.63(e)
<br />Plan: V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03 d. Are procedures being followed at the collection site after the specimen has been provided in compliance with the requirements
<br />of §40.65?
<br />Plan: V. Anti -Drug Program, 4, PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03.e. Have provisions been made 1f the donor is unable to provide at least 45 milliliters of urine? §40.65(a)
<br />Plan, V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03 f. Are procedures in place for Immediately collecting urine specimens under direct observation for the situations identified in
<br />§40.67(c)? 1. As of August 31, 2009, verify that all collections for return -to -duty and follow-up testing were performed under DER
<br />directed direct observation §40.67(b)
<br />Plan: V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03.g. Are same gender collection personnel used if a collection is monitored under direct observation by non -medical personnel?
<br />§40.69(b)
<br />Plan: V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03.h. Is the CCF properly executed by authorized collection site personnel upon receipt and transfer of a urine specimen? §40.73(a)
<br />Plan: V. Anti•Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections,
<br />PHMSA Substance Abuse Program Comprehensive Audit and Inspection Protocol Form, Alcohol Testing Sites, Form No.r3.1:8,1
<br />Revision 2 (Dated Septemberl, 2017)
<br />Protocol Area P. Alcohol Testing Sites — Audit Information
<br />P.01 Alcohol Testing Personnel
<br />Verify that training and usage of personnelis in compliance with the applicable requirements of Part 40.
<br />P.01.a. Does the operator's plan specify training for BATS and STTs that is in compliance with §40.213 and does the documentation
<br />certify that all requirements are met? §40.213(g)
<br />Plan: Vl, Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Personnel
<br />P.01.1gDoes the plan specify that a supervisor shall not serve as the BAT or STT if that supervisor makes the reasonable cause
<br />determination? §40.211(c) §199.225(b)(2)
<br />Plan: VI. Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Personnel
<br />P.02 Alcohol Testing Sites Forms and Supplies
<br />Verify that alcohol testing sites, forms and supplies are in compliance with the applicable physical and security requirements of Part
<br />40,
<br />P.02.a. Does the alcohol testing site comply with the applicable physical and security requirements of §40.221 and §40.223?
<br />Plan: VI, Alcohol Misuse Prevention Program, 3. PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Sites, Forms and Supplies.
<br />P.02.b Does the plan specify that only EBTs and ASDs listed on the NHTSA CPL will be used for DOT alcohol testing §40 229? Also,
<br />does the plan specify that an EST must be used for conducting the confirmation tests §40.231(a)?
<br />Plan: Vl, Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Sites, Forms and Supplies-
<br />P.02.c. Does the operator follow the Quality Assurance Plan (QAP) for the EST that is used §40.233(c)(1)? If this service 1s contracted
<br />out does the operator ensure that the CAP is being followed §40.233(c)?
<br />Premium Concrete Services, Inc.- PHMSA DRUG/ALCOHOL PLAN
<br />0 NATIONAL COMPLIANCE MANAGEMENT SERVICE, INC. lNCII 2011 (dandle 2021(. Tire frCMS plan Is
<br />the subject of a registered copyrightann Is protected by copynghl laws In the U.S. and elsewhere All rights
<br />reserved
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