Company Drug & Alcohol Policy Drug & Alcohol Policy BuilderName(Required) First Last Email(Required) Company Name(Required) Purpose of PolicyPlease check the box if the statement below is true and would like this added to the policy. This company has additional provisions that are not DOT-mandated but reflect our company policy. These additional provisions are identified by double asterix (**) at the beginning and end of each additional provision. Covered EmployeesThis section describes which employees are covered under the FTA.If your company falls under the jurisdiction of the FTA, please select the box below. Under FTA (Part 655), you are a covered employee if you perform any of the following safety-sensitive functions. (1) Operating a revenue service vehicle, in or out of revenue service. (2) Operating a non-revenue vehicle requiring a commercial driver’s license. (3) Controlling movement or dispatch of a revenue service vehicle. (4) Maintaining (including repairs, overhaul, and rebuilding) of a revenue service vehicle or equipment used in revenue service. (5) Carrying a firearm for security purposes. This section describes which volunteers are covered.If your company uses volunteers, please select the box below. A volunteer is a covered employee if the volunteer is required to have a commercial driver’s license to operate the vehicle; or the volunteer performs a safety-sensitive function and receives remuneration more than his or her actual expenses incurred. Prohibited BehaviorThe DOT-mandated minimum amount of time required between alcohol consumption and performing safety-sensitive job functions is four (4) hours.(Required)Please select your preferred amount of time between work and alcohol consumption.Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within four (4) hoursPrior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **five (5) hours**.Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **six (6) hours**.Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **seven (7) hours**.Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **eight (8) hours**.Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **nine (9) hours.**Prior to the performance of safety-sensitive job functions, all covered employees are prohibited from consuming alcohol within **ten (10) hours**. Consequences for ViolationsThis 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) The FMCSA requires that following a BAC of 0.02 or greater, but less than 0.04, the employee will be immediately removed from safety-sensitive duties until the start of the employee’s next regularly scheduled duty period, but for not less than 24 hours following administration of the test. The FTA requires that following a BAC of 0.02 or greater, but less than 0.04, the employee will be immediately removed from safety-sensitive duties until the start of the employee’s next regularly scheduled duty period (but for not less than eight hours) unless a retest results in the employee’s alcohol concentration being less than 0.02. The FMCSA requires that following a BAC of 0.02 or greater, but less than 0.04, the employee will be immediately removed from safety-sensitive duties until the start of the employee’s next regularly scheduled duty period, but for not less than 24 hours following administration of the test. The FTA requires that following a BAC of 0.02 or greater, but less than 0.04, the employee will be immediately removed from safety-sensitive duties until the start of the employee’s next regularly scheduled duty period (but for not less than eight hours) unless a retest results in the employee’s alcohol concentration being less than 0.02. Other Determine who pays for rehabilitation services.(Required) The company will pay for rehabilitation services. The employee will pay for rehabilitation services. Determine if the employee can use paid/unpaid leave during the rehabilitation program.(Required) The employee can use paid/unpaid leave during the rehabilitation program. The employee cannot use paid/unpaid leave during the rehabilitation program. Circumstances for TestingPre-employment alcohol testing is optional. Please select the box below if your company requires pre-employment alcohol testing. ** Pre-employment alcohol tests are conducted after making a contingent offer of employment or transfer. All pre-employment alcohol tests will be conducted using the procedures set forth in 49 CFR Part 40. An alcohol test result of less than 0.02 is required before an employee can first perform safety-sensitive functions. If a pre-employment alcohol test is cancelled, the individual will be required to undergo another test with a result of less than 0.02 before performing safety-sensitive functions. ** Post-Accident TestingThe 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) FMCSA requires an alcohol test to be conducted on each driver who receives a citation within eight (8) hours of the occurrence and a drug test to be conducted on each driver who receives a citation within thirty-two (32) hours of the occurrence under State or local law for a moving traffic violation arising from the accident, if (1) The accident results in injuries requiring immediate medical treatment away from the scene; or (2) One or more motor vehicles incur disacling damage and must be transported away from the scene by a tow truck or other motor vehicle. FTA requires that both drug and alcohol tests will be conducted on each covered employee operating the public transportation vehicle at the time of the accident if at least one of the following conditions is met: (1) The accident results in injuries requiring immediate medical treatment away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident (2) One or more vehicles incurs disabling damage and must be towed away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident. (3) The vehicle is a rail car, trolley car or bus, or vessel, and is removed from operation, unless the covered employee can be completely discounted as a contributing factor to the accident. FMCSA requires an alcohol test to be conducted on each driver who receives a citation within eight (8) hours of the occurrence and a drug test to be conducted on each driver who receives a citation within thirty-two (32) hours of the occurrence under State or local law for a moving traffic violation arising from the accident, if (1) The accident results in injuries requiring immediate medical treatment away from the scene; or (2) One or more motor vehicles incur disacling damage and must be transported away from the scene by a tow truck or other motor vehicle. FTA requires that both drug and alcohol tests will be conducted on each covered employee operating the public transportation vehicle at the time of the accident if at least one of the following conditions is met: (1) The accident results in injuries requiring immediate medical treatment away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident (2) One or more vehicles incurs disabling damage and must be towed away from the scene, unless the covered employee can be completely discounted as a contributing factor to the accident. (3) The vehicle is a rail car, trolley car or bus, or vessel, and is removed from operation, unless the covered employee can be completely discounted as a contributing factor to the accident. Testing ProceduresIt 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. If there is a negative dilute test result, it will be accepted and there will be no retest, unless the creatinine concentration of a negative dilute specimen was greater than or equal to 2 mg/dL, but less than or equal to 5 mg/dL. If there is a negative dilute test result, it will not be accepted, and one additional retest must be conducted. The result of the second test will be the test of record. 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. It will be the responsibility of the company to pay this second test. It will be the responsibility of the employee to pay this second test. Contact PersonName(Required) First Last Phone(Required)Email of Contact Person Attachment A: Covered Positions Click here for a list of covered positions by DOT agency.List of Covered Positions(Required) Add Remove
