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Company Drug & Alcohol Policy

Drug & Alcohol Policy Builder

Name(Required)

Purpose of Policy

Please check the box if the statement below is true and would like this added to the policy.
 

Covered Employees

This section describes which employees are covered under the FTA.
If your company falls under the jurisdiction of the FTA, please select the box below.
This section describes which volunteers are covered.
If your company uses volunteers, please select the box below.
 

Prohibited Behavior

Please select your preferred amount of time between work and alcohol consumption.
 

Consequences for Violations

This section describes the consequences for violations. The first box is the FMCSA-mandated consequences. The second box is the FTA-mandated consequences. The third item contains both FMCSA & FTA mandated consequences. You can instead choose to create a more stringent policy by filling in the fourth "Other" box (make sure to leave the ** before and after the text you enter).(Required)

Determine who pays for rehabilitation services.(Required)
Determine if the employee can use paid/unpaid leave during the rehabilitation program.(Required)
 

Circumstances for Testing

Pre-employment alcohol testing is optional. Please select the box below if your company requires pre-employment alcohol testing.
 

Post-Accident Testing

The DOT-mandated procedures following a non-fatal accident are outlined below. Choose which agency's procedures to list by selecting either the FMCSA procedures, the FTA procedures, or both.(Required)
 

Testing Procedures

It is the employers decision whether or not to retest negative dilute test results. While the employer is authorized to obtain one additional test following a negative dilute result, a negative dilute result is a valid negative test for DOT’s purposes and does not require a retest. You must treat all employees the same for this purpose.(Required)
Select the first choice if retests will NOT be conducted. Select the second choice if retests will be conducted.
For positive test results, the employee can request that the split specimen be tested at a second laboratory. Will the company pay for the second test or will this be the responsibility of the employee?(Required)
Mark the first choice for company paying or the second choice for the employee to pay.
 

Contact Person

Name(Required)
 

Attachment A: Covered Positions

Click here for a list of covered positions by DOT agency.

List of Covered Positions(Required)
DOT Medical Examiners > Drug & Alcohol Policy Form

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Pendleton, OR 97801
Phone: (541) 276-6032
contact@teamcme.com

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