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s r <br />a= SAFETY & HEALTH MANUAL <br />DER. In addition, the MR- must determine whether there is a legitimate medical explanation for confirmed positive, <br />adulterated, substituted, and invalid drug test results from the laboratory [§40.123(c)]. <br />F.02.a. Verify that the MRO reports all drug test results to the operator [§40.163(a) and §199.109(d)] in accordance <br />with the requirements in §40.163, §40.165 and §40.167. These requirements include: Reporting all drug test results to <br />the DER, except in the circumstances provided for in §40.345, when a C/TPA may act as an intermediary [§40.165(a)]; <br />reporting the results in a confidential manner [§40.167(a)]; and reporting the results within the required time <br />constraints [§40.167(b) and (c)]. <br />E.01.e. Verify that when the MRO has verified a drug test as positive for a drug or drug metabolite, or as a refusal to <br />test because of adulteration or substitution, and the MRO must notify the employee of his or her right to have the split <br />specimen tested. The MRO must also notify the employee of the procedures for requesting a test of the split specimen, <br />and Inform the employee that he or she has 72 hours from the time of this notification to him or her to request a test <br />of the split specimen [§40.153]. <br />E.011 If additional testing is requested by the employee, verify that the split specimen is tested. The split testing <br />laboratory must be certified by HHS. (Note: Correction made to inspection language.) [§199.111(b) and (c)]. <br />J.01.16. If the operator chooses to conduct pre -employment alcohol testing, verify that the operator: 1) Conducts a pre- <br />employment alcohol test before the first performance of covered functions by every covered employee (whether a <br />new employee or someone who has transferred to a position involving the performance of covered functions) <br />[§399.209(b)(1)]; 2) Treats all covered employees the same for the purpose of pre -employment alcohol testing (i.e., <br />you must not test some covered employees and not others) [§199.209(b)(2)];and, 3) Conducts the pre -employment <br />tests after making a contingent offer of employment or transfer, subject to the employee passing the pre -employment <br />alcohol test [§199.209(b)(3)). <br />J.02.a. Verify that post -accident alcohol testing is performed: 1) As soon as practicable following an accident (§195.50) <br />or incident (§191.3) for each surviving covered employee if that employee's performance of a covered function either <br />contributed to the accident or cannot be completely discounted as a contributing factor to the accident <br />[§199.225(a)(1)]; and, 2) Within two hours following the accident (§395.50) or incident (§191.3), otherwise, the <br />operator shall prepare and maintain on file a record stating the reasons the test was not promptly administered. If a <br />post -accident test is not administered within eight hours following the accident, the operator shall cease attempts to <br />administer an alcohol test and shall state in the record the reasons for not administering the test [§199.225(a)(2)]. <br />J.03.a. Verify that decisions to test are based on specific, contemporaneous, articulable observations concerning the <br />appearance, behavior, speech, or body odors of the employee. The required observations shall be made by a <br />supervisor who is trained in detecting the symptoms of alcohol misuse (§199.225(b)(2)]. <br />J.03.b. Verify that a covered employee is directed by the operator to undergo reasonable suspicion testing for alcohol <br />only while the employee is performing covered functions; just before the employee is to perform covered functions; or <br />just after the employee has ceased performing covered functions. [§199.225(b)(3)]. <br />1.03.c. Verify that if a reasonable suspicion test is required and is not administered within 2 hours following the <br />determination under §199.225(b)(2), the operator shall prepare and maintain on file a record stating the reasons the <br />test was not promptly administered. If a test is not administered within 8 hours, the operator shall cease attempts to <br />administer an alcohol test and shall state in the record the reasons for not administering the test [§199.225(b)(4)(i)]. <br />J.04.a. Verify that a covered employee that engages in conduct prohibited by §§199.215 through 199.223 does not <br />return to duty for a covered function until the employee: 1) Completes a SAP evaluation, referral, and <br />education/treatment process [§40.285(a), §40.289(b), §199.235, and §199.243(b)]; and, 2) After completion of the SAP <br />process above, undergoes a return -to -duty alcohol test with a result indicating an alcohol concentration of less than <br />0.02 [§40.305(a), §199.225(c), and §199.243(c)]. <br />1.05.a. Verify that the SAP establishes a written follow-up testing plan for a covered employee that engages in conduct <br />prohibited by §§199.215 through 199.223 and seeks to return to the performance of a covered function [§40.307(a)]. <br />SECTION 42: Anti -Drug & Alcohol Misuse Prevention Plan Program I Page 46 of 49 <br />