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the MRO will report to third parties the employee is medically unqualified or poses a significant safety risk if allowed to continue safety- <br /> sensitive functions. <br /> During the verification process, if the covered employee can give the MRO a legitimate medical explanation for the positive, adulterated or <br /> substituted test result, the MRO will report the verified test result as negative. If the covered employee cannot give the MRO a legitimate <br /> medical explanation, the verified positive test result will be reported as positive and the verified adulterated or substituted test result will be <br /> reported as a refusal to test. If the test result is invalid or contains an unexplained interfering substance and the covered employee cannot <br /> give the MRO an acceptable explanation or a valid prescription and the covered employee does not admit to adulterating or substituting the <br /> specimen, the verified test result will be reported as a cancelled test with a second collection to take place immediately on the covered <br /> employee under direct observation. If the covered employee can give the MRO an acceptable explanation, the verified test result will be a <br /> cancelled test with no further testing needed unless a negative result is needed for pre-employment,return to duty or follow-up testing. If the <br /> covered employee admits to adulterating or substituting the specimen, the verified test result will be reported as a refusal to test. <br /> All verified negative, positive, refusal to test(adulterated or substituted), and invalid and cancelled test results will be released by the MRO <br /> to the Consortium,who will forward the results to the employer. <br /> (B)DILUTE SPECIMENS:The employer will conduct second collections on all negative dilute test results. <br /> (C) SHY BLADDER: After a covered employee's first unsuccessful attempt to provide a minimum of 45 mL of urine, the shy bladder time <br /> starts. The collector will document on the remarks line of the CCF and inform the employee of the time in which the 3-hour period begins <br /> and ends. Any insufficient specimen shall be discarded. The covered employee will be urged to drink up to 40 oz. of fluids, reasonably <br /> through a period of up to 3 hours; however, it is not considered a refusal to test if the covered employee chooses not to drink fluids. If the <br /> covered employee does not provide a sufficient amount of specimen within 3 hours,the collection will be discontinued and the employer will <br /> be notified. The employer will consult with the MRO,then direct the covered employee to obtain,within 5 working days, an evaluation from <br /> a licensed physician, acceptable to the MRO, who has expertise in the medical issues associated with the covered employee's inability to <br /> provide an adequate amount of specimen. The physician must provide to the MRO a written statement of his/her recommendations and the <br /> basis for them. If the covered employee has a medical condition that could have prevented him/her from providing a sufficient amount of <br /> urine, and the MRO agrees with the physician's recommendation, the MRO will report the test result as a cancelled test. If the covered <br /> employee does not have a medical condition that could have prevented him/her from providing a sufficient amount of urine and the MRO <br /> agrees with the physician's recommendation,the MRO will report the test result as a refusal to test. <br /> (D)SPLIT SPECIMEN TESTS: In the event of a verified positive test result,or a verified adulterated or substituted result,the employee can <br /> request that the split specimen be tested at a second laboratory. The employer guarantees that the split specimen test will be conducted in <br /> a timely fashion. The employee shall reimburse the employer for the cost of the split specimen test. <br /> Section 6 -ALCOHOL TESTING <br /> (A)ALCOHOL TESTING PROCEDURES: Alcohol testing procedures will be followed in accordance with 49 CFR Part 40. <br /> If both a drug and alcohol test is to be conducted on the covered employee, the alcohol test must be completed before the urine collection <br /> process begins. A covered employee shall only be tested for alcohol while the covered employee is performing a safety-sensitive function, <br /> just before a covered employee is to perform a safety-sensitive function,or just after the covered employee has ceased performing a safety- <br /> sensitive function. <br /> To ensure the security of the alcohol testing site, only authorized personnel shall be allowed to enter the testing site. The BAT/STT shall <br /> ensure that the covered employee is given privacy while an alcohol test is being conducted to prevent unauthorized persons from seeing or <br /> hearing the test result. Alcohol testing will be conducted on one covered employee at a time. The screening test and confirmation test, if <br /> needed,will be completed on a covered employee before the BAT/STT starts an alcohol test on another covered employee to be tested. <br /> A covered employee shall appear at the collection site at the time specified by the employer. If the covered employee does not appear at <br /> the specified time, the BAT/STT shall notify the employer to determine how long it should take for the covered employee to arrive at the <br /> collection site. If the covered employee has not arrived by that time, the BAT/STT will contact the employer to inform him/her the covered <br /> employee has not reported for testing. <br /> When the covered employee arrives at the collection site, the testing process will begin without undue delay. The employee must have <br /> positive identification either by photo identification or by the identification of the employee by the employer representative. The BAT/STT will <br /> explain the testing procedures and show the instructions on the back of the DOT Alcohol Testing Form(hereinafter called ATF)to the covered <br /> employee. The BAT/STT shall complete Step 1 on the ATF. The covered employee will then be directed to complete Step 2 on the ATF and <br /> sign the certification. If the covered employee refuses to sign the certification, the BAT/STT will document on the ATF that the covered <br /> employee has refused to test and the employer will be immediately notified. <br /> If an ASD is used for the screening test,the BAT/STT will check the expiration date on the ASD and show it to the covered employee. If it is <br /> beyond the expiration date,the ASD shall be disposed of and a new ASD shall be used. The BAT or STT shall open an individually sealed <br /> package containing the ASD in view of the employee. The BAT/STT shall provide a small clean cup and have the donor spit into the cup. <br /> The BAT/STT shall ensure the test pad collects enough saliva to completely wet the test pad. The BAT/STT will immediately start the timer <br /> for 4 minutes. If a distinct colored line appears, the alcohol concentration is greater than or equal to 0.02. The BAT will then conduct a <br /> confirmation test using an EBT. <br /> 7 1 P 1 9 e ©2020 Mid-West Truckers Association FTA-89056 Rev.03.13.2024 <br />