Drug and Alcohol Testing Manual For Municipalities with Commercial Motor Vehicle Operators VLCT PACIF Loss Control 1-800-649-7915 Drug and Alcohol Testing Manual for Municipalities with Commercial Motor Vehicle Operators Table of Contents I. II. Important Contact Information • Occupational Drug Testing, LLC • Invest EAP - Substance Abuse Professional (SAP) • VLCT Loss Control Consultants Guidance Documents • Frequently Asked Questions • Drug & Alcohol Policy - 11 Mandated Requirements (FMCSA) • Motor Vehicle Infractions - Driver Disqualification Chart • Summary of Invest EAP Role in SAP Referrals • Vermont CDL Medical Self-Certification Information III. Hiring Documents • CDL Qualification File Checklist - Pre-employment • Model CDL Employment Application • Pre-employment Drug Test Acknowledgment Form • Employment History and CDL Drug & Alcohol Testing Request Form • Vermont DMV Motor Vehicle Record Request Form IV. Recordkeeping • CDL Qualification File - Ongoing Recordkeeping Checklist • Annual Motor Vehicle Record Self Certification Form V. Model Policy • VLCT Model Drug and Alcohol Policy for Commercial Motor Vehicle Operators* • Appendices A-D *Please note that the Model Drug & Alcohol Policy for CMV Operators should be downloaded from www.vlct.org. INTRODUCTION This manual has been specifically developed for municipalities that have employees operating commercial motor vehicles (CMVs). It serves as an important resource to help your municipality comply with DOT drug and alcohol testing requirements. If your municipality does not have CMVs that are driven by employees, you are not required to have a DOT Drug & Alcohol Testing Policy and do not need this manual. PACIF Risk Management Services is pleased to provide our members with this Drug & Alcohol Testing Manual. In it you will find numerous resources, forms, guidance and a model policy, all of which are designed to help you comply with Federal Motor Carrier Safety Administration (FMCSA) and Department of Transportation (DOT) requirements. Our goal is to demystify the process of complying with these regulations. Hopefully, you will agree that we have accomplished that objective. The manual is divided into 'functional sections' in an attempt to make it easier to find needed documents or information. If you need to hire a new CDL driver, you will find forms and a checklist in the Hiring section. A variety of commonly asked questions and related information are found in the Guidance section. Things that need to be done annually are outlined in the Recordkeeping section. We have updated our model Drug & Alcohol policy and have included a copy in this manual. Since the policy requires your municipality to make some decisions on certain issues (these decision points are highlighted within the policy), you will need to edit the document to reflect those decisions. While all sections of the manual will be available on the VLCT website, all municipalities who do not have a comprehensive Drug & Alcohol Policy in place or need to update an older policy, will want to download the updated model policy from the VLCT website so that it can edited. Simply go to our homepage www.vlct.org and enter "drug & alcohol policy" in the search box in the upper right hand corner. The first "hit" will be our policy. Save it to your computer and edit as needed. The policy will also show up if you do a Google search for "VLCT Drug & Alcohol Policy". Please keep in mind that all "CDL employers" must have a drug & alcohol policy in place that addresses 11 key elements established by the FMCSA (see the guidance section for the list of 11 elements). As always, your loss control consultant is available to help answer questions and provide guidance on this issue as well as other risk management practices. You may also contact our loss control support staff in the office at 802-229-9111 or via email at [email protected]. SERVING AND STRENGTHENING VERMONT LOCAL GOVERNMENTS UPDATED 12/2013 PACIF CDL Drug & Alcohol Testing Consortium Important Contact Information OCCUPATIONAL DRUG TESTING, LLC. www.occupationaldrugtesting.com 1-800-211-4469 Questions, Concerns, & Employer Contact Information Updates Drug and Alcohol Test Result Inquiries [email protected] [email protected] Danielle Riley Account Manager 800-211-4469 x106 Lindsey Miller Drug Test Results 800-211-4469 x102 Invoice or Billing Inquiries Alternate Clinic Locations and Forms [email protected] Kassandra Melendez Accounting Manager 800-211-4469 x107 Remove Drivers Upon Termination/ Leave & Update Driver Information [email protected] [email protected] Gina St. Jean Local Clinic Scheduler and Supplies Manager 800-211-4469 x104 Primary Scheduling & Collections Random and Pre-Employment Tests James Bernier Program Administrator 800-211-4469 x103 24-Hour EMERGENCY Line Reasonable Suspicion . Post-Accident 1-800-967-3135 BE PREPARED TO PROVIDE THE FOLLOWING INFORMATION: YOUR NAME . PHONE NUMBER LOCATION OF INCIDENT . REASON FOR CALL [email protected] Wesley “Jamie” Davis Vermont Collection Manager 802-839-0171 VLCT PACIF Loss Control 1-800-649-7915 [email protected] POSITIVE DRUG AND ALCOHOL TEST If an employee has a confirmed positive drug and/or alcohol test, you will need to refer the employee to a substance abuse professional (SAP). You should call the EAP Clinical Manager at: (888) 392-0050 or (802) 951-5156 The Clinical Manager will help you get all the information you need and answer any questions you have. 89 Main Street, Suite 4 Montpelier, VT 05602 Phone: (800) 649-7915 Fax: (802) 229-2211 [email protected] 1-800-649-7915 [email protected] FAQ for Municipal Drug & Alcohol Testing Programs This list of frequently asked questions (FAQs) arises from the many commonly asked questions we receive from designated employer representatives (DERs), selectboard members and others charged with administering or complying with drug and alcohol testing requirements. It is in no way an exhaustive list, so please contact us if you have a specific situation or question regarding the operation of this important program. Policy requirements, covered vehicles, employer responsibility Q: Why must our municipality comply with drug and alcohol testing requirements? A: All licensed commercial motor vehicle drivers who are employed by and drive CMVs (commercial motor vehicles) for a municipality are subject to the controlled substance and alcohol testing rules as outlined in the Code of Federal regulations, Title 49. This includes all local governmental entities. NOTE: Fire trucks are not CMVs and therefore are exempt from this requirement. Failure to fully comply could subject the municipality to fines from Federal DOT. Individuals who only operate non-CMVs must not be included in the testing program as they are not covered by the Federal drug & alcohol testing requirements. Q: What is a commercial motor vehicle (CMV)? A: A commercial motor vehicle means a motor vehicle or combination of motor vehicles used in commerce to transport passengers or property if the motor vehicle• • • • Has a gross combination weight rating of 11,794 or more kilograms (26,001 or more pounds) inclusive of a towed unit with a gross vehicle weight rating of more than 4,536 kilograms (10,000 pounds); or Has a gross vehicle weight rating of 11,794 or more kilograms (26,001 or more pounds); or Is designed to transport 16 or more passengers, including the driver; or Is of any size and is used in the transportation of materials found to be hazardous for the purposes of the Hazardous Materials Transportation Act and which require the motor vehicle to be placarded under the Hazardous Materials Regulations (49 CFR part 172, subpart F). Individuals operating the above vehicles must have a valid CDL (commercial driver's license). Q: Does our municipality need to have a Drug & Alcohol Testing Policy in place? A: If the municipality has CMVs that are operated by municipal employees, a drug & alcohol policy must be established. The policy must be communicated to all affected employees and it must include the 11 mandatory elements outlined in the FMCSA rules, section 382.601. Q: Does the municipality need to document that employees understand the municipal drug & alcohol policy? A: Yes. Employees subject to the drug & alcohol policy must sign a statement confirming that they have received a copy of the testing policy. An acknowledgement form for this purpose is included in this manual. The completed form should be retained in the driver's personnel file. FAQ for Municipal Drug & Alcohol Testing Programs Q: What if our municipality does not employ the CDL drivers, but instead contracts with a vendor/contractor who supplies either the drivers for municipal vehicles or both the drivers and vehicles? A: In either of these situations, the contractor or vendor is the employer of the CDL drivers and is therefore responsible for complying with the drug & alcohol testing requirements. They have the burden to place their employees in a DOT random testing pool and establish a drug and alcohol testing policy. If your municipality contracts for these types of services, we recommend that you include contractual language that requires the vendor or contractor to comply with DOT/FMCSA drug & alcohol testing requirements. Q: Do I need a drug & alcohol testing policy if our municipality does not operate CMVs? A: No. It is the operation of commercial motor vehicles that triggers the requirement. Q: Are heavy equipment and similar construction vehicles such as bucket loader, backhoe, road grader, etc. considered CMVs? A: According to a written interpretation from the US DOT office in Vermont, these vehicles would typically NOT be considered commercial motor vehicles when their over-the-road use is limited to travel from the storage location to the work location and return. Work performed at a construction location (even if on a public roadway) is treated similarly and does not result in these vehicles being classified as CMVs. Policy Requirements, and Operational Issues Q: What needs to be included in a drug & alcohol testing policy to meet the Federal requirements? A: Please review the enclosed document entitled "Drug & Alcohol Testing Policy-11 Mandated Requirements". The sample policy developed by PACIF includes all 11 required elements. Q: Are municipalities required to check the motor vehicle records (MVRs) of their CDL drivers? A: Yes. This is an annual requirement for all employers with CMV operators and must also be completed at hire. PACIF does not obtain MVRs on behalf of municipalities. A copy of the Vermont Dept. of Motor Vehicles MVR form is included in the Hiring section of this manual. Note that there should be no charge for obtaining MVRs because municipalities are "governmental entities". Be sure to have the driver sign the authorization on the MVR form. CDL drivers are also required to "self-certify" the presence or absence of any motor vehicle violations in any state, on an annual basis. A sample self-certification form is enclosed in the Recordkeeping section of the manual. Both the self-certification and MVR must be kept in the driver qualification file. (See the driver qualification file documents in the Hiring and Recordkeeping sections for more information on these and similar requirements.) FAQ for Municipal Drug & Alcohol Testing Programs Q: If I have a current CDL driver who has a confirmed positive test result, can our municipality terminate the employee? A: According the FMCSA rules, the only requirement is that the individual be referred to a substance abuse professional (SAP). The municipality would initiate this process by contacting Invest EAP who will provide an appropriate SAP referral. Financial responsibility for SAP services is not dictated by US DOT regulation; therefore it should be clarified elsewhere in municipal personnel policy – or may be included in the Drug & Alcohol Policy for CMV Operators. The individual may be held responsible for any costs for those services (whether covered through health insurance or not). Since FMCSA regulations are silent on the issue of employee termination, Vermont laws may apply. Our current recommendation is to develop a policy that mirrors the Vermont statute, which in essence would not terminate the employee on the first positive test result. This will help avoid potential employment practice liability claims, until such time as case law or changes in the statute clarify legislative intent. Please reference language outlined in our model Drug & Alcohol Policy for CMV Operators. As is the case with any major employment action, consulting an attorney skilled in employment law before taking action is a risk management best practice that PACIF highly recommends. To take advantage of an initial, pre-loss consultation at no charge, please contact the Municipal Assistance Center (802-229-9111) who will provide a referral to an employment practices specialist, if appropriate. Q: We need to replace a CDL driver on our road crew and have decided to make an offer to an applicant for the position. What are we required to do? A: Any offer of employment to a CDL driver must be made contingent upon the individual satisfactorily completing a pre-employment drug test. In most cases, this test can be easily arranged in advance with the testing provider. We recommend that the prospective employee not do any work for the municipality until a negative test result is obtained. In no case should an individual be hired and be permitted to perform safety-sensitive duties before the preemployment drug test is completed and passed. If a positive test result is obtained from a preemployment test, do not hire the individual. In addition to pre-employment testing, your municipality must send a request to the prospective employee's current and/or former employer(s) in an attempt to obtain prior drug & alcohol testing information, as well as work history. This is a requirement. A form for this purpose is included in the Hiring section of this manual. Q: If we suspect one of our commercial motor vehicle operators of using or being under the influence of drugs or alcohol, can we have them tested right away? A: Reasonable suspicion tests are only permitted when managers and/or other supervisory personnel have completed a qualifying training program on the signs and symptoms of drug and alcohol use. VLCT/PACIF will periodically offer these training sessions at no cost, so contact us if you would like to schedule this for individuals serving this function. Reasonable suspicion training only needs to be completed once, with no requirement for a refresher. FAQ for Municipal Drug & Alcohol Testing Programs In order to legally conduct a reasonable suspicion test, a trained supervisor must have direct information or a reasonable suspicion that drug and/or alcohol is being used by a CDL operator. When requesting reasonable suspicion tests, the trained supervisor or manager should provide written documentation of the observations and findings that supported the request to conduct the testing. This documentation should be retained in the driver's personnel records. Q: If one of our CMV drivers has an accident while operating a commercial motor vehicle, must the employee undergo drug and alcohol testing? A: Maybe. It depends on the outcomes of the accident. If there was a fatality, then yes testing must occur. If citations were issued and there was medical treatment away from the scene, or a vehicle was disabled, then typically testing is required. Per FMCSA §382.303, alcohol testing can only be performed up to 8 hours after the incident. Beyond that timeframe, the employer must document the reason why the testing was not performed. If the alcohol test is delayed beyond 2 hours, the employer must document why the test was delayed. Drug testing can be performed up to 32 hours after the incident. Since the issuance of citations is often delayed, it will be important that the employer closely monitor the situation to determine whether citations are issued within the 32 hour drug testing window so that testing can be performed if required. Beyond 32 hours, the employer must document the reasons why the testing was not performed. Please review the post-accident testing section in the model drug and alcohol policy for additional guidance on this issue. Q: We have an existing employee who has not been in the drug and alcohol testing program, but now wants to apply for a position on the road crew as a CMV driver. Do any testing requirements apply? A: Yes. You should treat the employee as you would any job applicant and conduct preemployment drug testing. If you choose to offer the employee the CMV driver position, you should offer it contingent upon successful completion of a drug test. If the person fails the test, you should rescind the offer of employment. There is no requirement to refer the employee to EAP (employee assistance program), but that would seem to be a prudent course of action. A positive drug test result that arose from an existing (non-CMV operator) employee may have some impact on the person's current employment, depending on your existing personnel policy. Prior to considering any type of employment action (disciplinary action, termination, etc.), please discuss the situation with an attorney skilled in employment law. Q: We use seasonal drivers at various times during the year to supplement our highway crew. Do these drivers need to be in the drug and alcohol testing program? A: Yes. All drivers (including seasonal, part time or full time) of commercial motor vehicles need to be in your drug and alcohol testing program. Each time seasonal drivers are hired (for their "season"), they should undergo a pre-employment drug test and then be added to the drug & alcohol random testing pool. When they leave employment they should be removed from the pool. It is important that seasonal drivers understand that they need to be available for random testing if their name is drawn. Failure to complete a random test could result in a refusal to test result which is a prohibited conduct under the drug and alcohol regulations. FAQ for Municipal Drug & Alcohol Testing Programs In some cases, seasonal drivers may have concurrent employment with other CDL employers. Since there is no mechanism to share drug testing information between the concurrent employers, the municipality must complete pre-employment drug testing and place the seasonal driver in their drug and alcohol testing pool as described above. This interpretation was confirmed by the Federal DOT office in Montpelier. Q: Do our CMV operators need medical cards? A: Technically, municipal CMV operators who only operate their CDL vehicles on municipal business are exempt from this requirement. These are called excepted drivers and there are two classes–intrastate and interstate. Please review the CDL Medical Self-Certification document from Vermont DMV that is located in the Guidance section. Employees who want to retain the ability to work for non-municipal employers will need to get a medical card at least every two years, or as per the physician's recertification timeline. From a risk management perspective, we do encourage municipalities to establish medical card requirements for the CMV operators, despite the exemption. The rationale is that the medical examinations required to obtain the medical certification cards will provide the municipality with a reasonable level of assurance that the drivers have no medical conditions that would make them a safety risk to the general public. We believe that implementing a medical card requirement is a reasonable risk management measure. As a side benefit, your CMV drivers will also retain their ability to drive CMVs for non-municipal employers, if they ever have a need to. (This makes it a good selling point to them as well.) Q: What are the consequences for an employer who does not fully comply with the Federal DOT and FMCSA requirements regarding Drug & Alcohol testing for commercial motor vehicle operators? A: All employers subject to these standards (including municipalities) can be inspected by Federal DOT personnel. Employers found to be in non-compliance could be subjected to fines. Q: Who is responsible for reimbursing the SAP for services rendered? Who is responsible for paying for return to duty testing or follow-up testing recommended by the SAP? A: The DOT regulations do not affix responsibility for payment for SAP services upon any single party. The DOT has left discussions regarding payment to employer policies and to labormanagement agreements. Therefore, in some instances, this issue has become part of labormanagement negotiations. Employer policies should address this payment issue. Regarding follow-up testing recommended by the SAP, this occurs only after an acceptable return to duty test is obtained. US DOT regulations do not affix payment responsibility for either of these tests and therefore responsibility for payment, employee reimbursement of the employer, etc. should be addressed by employer policy. This may be within the context of the Drug & Alcohol policy or located in other personnel or reimbursement policies. There is no requirement that it be outlined within the CMV Drug & Alcohol Policy. Lastly, whether the employer pays FAQ for Municipal Drug & Alcohol Testing Programs or the employee pays, the employer must ensure that follow-up testing occurs as required. The employer will be held accountable if the follow-up testing plan is not followed. Drug & Alcohol Testing Policy–11 Mandated Requirements (FMCSA) § 382.601–Employer obligation to promulgate a policy on the misuse of alcohol and use of controlled substances. (a) General requirements. Each employer shall provide educational materials that explain the requirements of this part and the employer's policies and procedures with respect to meeting these requirements. (1) The employer shall ensure that a copy of these materials is distributed to each driver prior to the start of alcohol and controlled substances testing under this part and to each driver subsequently hired or transferred into a position requiring driving a commercial motor vehicle.(2) Each employer shall provide written notice to representatives of employee organizations of the availability of this information. (b) Required content. The materials to be made available to drivers shall include detailed discussion of at least the following: 1. The identity of the person designated by the employer to answer driver questions about the materials 2. The categories of drivers who are subject to the provisions of this part 3. Sufficient information about the safety-sensitive functions performed by those drivers to make clear what period of the work day the driver is required to be in compliance with this part 4. Specific information concerning driver conduct that is prohibited by this part 5. The circumstances under which a driver will be tested for alcohol and/or controlled substances under this part, including post-accident testing under §382.303(d) 6. The procedures that will be used to test for the presence of alcohol and controlled substances, protect the driver and the integrity of the testing processes, safeguard the validity of the test results, and ensure that those results are attributed to the correct driver, including postaccident information, procedures and instructions required by §382.303(d) 7. The requirement that a driver submit to alcohol and controlled substances tests administered in accordance with this part 8. An explanation of what constitutes a refusal to submit to an alcohol or controlled substances test and the attendant consequences 9. The consequences for drivers found to have violated subpart B of this part, including the requirement that the driver be removed immediately from safety-sensitive functions, and the procedures under part 40, subpart O, of this title 10. The consequences for drivers found to have an alcohol concentration of 0.02 or greater but less than 0.04 11. Information concerning the effects of alcohol and controlled substances use on an individual's health, work, and personal life; signs and symptoms of an alcohol or a controlled substances problem (the driver's or a co-worker's); and available methods of intervening when an alcohol or a controlled substances problem is suspected, including confrontation, referral to any employee assistance program and or referral to management. (c) Optional provision. The materials supplied to drivers may also include information on additional employer policies with respect to the use of alcohol or controlled substances, including any consequences for a driver found to have a specified alcohol or controlled substances level, that are based on the employer's authority independent of this part. Any such Drug & Alcohol Testing Policy–11 Mandated Requirements (FMCSA) additional policies or consequences must be clearly and obviously described as being based on independent authority. (d) Certificate of receipt. Each employer shall ensure that each driver is required to sign a statement certifying that he or she has received a copy of these materials described in this section. Each employer shall maintain the original of the signed certificate and may provide a copy of the certificate to the driver. Driver Disqualification Chart–Motor Vehicle Violations (per §383.51) 1 year 1 year For a first conviction or refusal to be tested while operating a CMV transporting hazardous materials required to be placarded under the Hazardous Materials Regulations (49 CFR part 172, subpart F), a person required to have a CDL and CDL holder must be disqualified from operating a CMV for… 3 years 1 year 1 year 3 years Life Life 1 year Not applicable 3 years Life Not applicable 1 year 1 year 3 years Life Life 1 year 1 year 3 years Life Life For a first conviction or refusal to be tested while operating a CMV, a person If a driver operates required to a motor vehicle and have a CDL is convicted of: and a CDL holder must be disqualified from operating a CMV for… (1) Being under the influence of alcohol as prescribed by State law. (2) Being under the influence of a controlled substance. (3) Having an alcohol concentration of 0.04 or greater while operating a CMV (4) Refusing to take an alcohol test as required by a State or jurisdiction under its implied consent laws or regulations as defined in §383.72 of this part. (5) Leaving the scene of an accident. For a first conviction or refusal to be tested while operating a non-CMV, a CDL holder must be disqualified from operating a CMV for… For a second conviction or refusal to be tested in a separate incident of any combination of offenses in this Table while operating a CMV, a person required to have a CDL and a CDL holder must be disqualified from operating a CMV for… For a second conviction or refusal to be tested in a separate incident of any combination of offenses in this Table while operating a non-CMV, a CDL holder must be disqualified from operating a CMV for… Life Life Driver Disqualification Chart–Motor Vehicle Violations (per §383.51) (6) Using the vehicle to commit a felony other than a felony described in paragraph (b)(9) of this table. 1 year 1 year 3 years Life Life (7) Driving a CMV when, as a result of prior violations committed operating a CMV, the driver’s CDL is revoked, suspended, or canceled, or the driver is disqualified from operating a CMV. (8) Causing a fatality through the negligent operation of a CMV, including but not limited to the crimes of motor vehicle manslaughter, homicide by motor vehicle and negligent homicide. (9) Using the vehicle in the commission of a felony involving manufacturing, distributing, or dispensing a controlled substance. 1 year Not applicable 3 years Life Not applicable 1 year Not applicable 3 years Life Not applicable Life-not eligible for 10-year reinstatement. Life-not eligible for 10-year reinstatement. Life-not eligible for 10-year reinstatement. Life-not Life-not eligible eligible for 10- for 10-year year reinstatement. reinstatement. Driver Disqualification Chart–Motor Vehicle Violations (per §383.51) If a driver operates a motor vehicle and is convicted of a second offense: (1) Speeding excessively, involving any speed of 24.1 kmph (15 mph) or more above the posted speed limit. (2) Driving recklessly, as defined by State or local law or regulation, including but not limited to, offenses of driving a motor vehicle in willful or wanton disregard for the safety of persons or property. (3) Making improper or erratic traffic lane changes. (4) Following the vehicle ahead too closely. (5) Violating State or local law relating to motor vehicle traffic control 60 days For a second conviction of any combination of offenses in this Table in a separate incident within a 3-year period while operating a non-CMV, a CDL holder must be disqualified from operating a CMV, if the conviction results in the revocation, cancellation, or suspension of the CDL holder’s license or non-CMV driving privileges, for… 60 days 120 days For a third or subsequent conviction of any combination of offenses in this Table in a separate incident within a 3-year period while operating a nonCMV, a CDL holder must be disqualified from operating a CMV, if the conviction results in the revocation, cancellation, or suspension of the CDL holder’s license or non-CMV driving privileges, for… 120 days 60 days 60 days 120 days 120 days 60 days 60 days 120 days 120 days 60 days 60 days 120 days 120 days 60 days 60 days 120 days 120 days For a second conviction of any combination of offenses in this Table in a separate incident within a 3year period while operating a CMV, a person required to have a CDL and a CDL holder must be disqualified from operating a CMV for… For a third or subsequent conviction of any combination of offenses in this Table in a separate incident within a 3year period while operating a CMV, a person required to have a CDL and a CDL holder must be disqualified from operating a CMV for… Driver Disqualification Chart–Motor Vehicle Violations (per §383.51) (other than a parking violation) arising in connection with a fatal accident. (6) Driving a CMV without obtaining a CDL. (7) Driving a CMV without a CDL in the driver’s possession.1 (8) Driving a CMV without the proper class of CDL and/or endorsements for the specific vehicle group being operated or for the passengers or type of cargo being transported. (9) Violating a State or local law or ordinance on motor vehicle traffic control prohibiting texting while driving a CMV.2 (10) Violating a State or local law or ordinance on motor vehicle traffic control restricting or prohibiting the use of a hand-held mobile telephone while driving a CMV.2 60 days Not applicable 120 days Not applicable 60 days Not applicable 120 days Not applicable 60 days Not applicable 120 days Not applicable 60 days Not applicable 120 days Not applicable 60 days Not applicable 120 days Not applicable 1 Any individual who provides proof to the enforcement authority that issued the citation, by the date the individual must appear in court or pay any fine for such a violation, that the individual held a valid CDL on the date the citation was issued, shall not be guilty of this offense. 2 Driving, for the purpose of this disqualification, means operating a commercial motor vehicle on a highway, including while temporarily stationary because of traffic, a traffic control device, or other momentary delays. Driving does not include operating a commercial motor vehicle when the driver has moved the vehicle to the side of, or off, a highway and has halted in a location where the vehicle can safely remain stationary. Summary of Invest EAP's role in Positive Test Referrals from the CDL Drug & Alcohol Program Once the municipality's Designated Employer Representative (DER) is notified of a positive test result from the testing provider, Invest EAP should be contacted to help facilitate the next steps in the process. The process begins when the municipality's DER contacts Myra Handy at Invest EAP to advise that a CDL employee has tested positive on a DOT drug/alcohol screening. Once this notification has occurred, EAP's role is as follows: Note: The Invest EAP contact person for all CDL drug and/or alcohol referrals is Myra Handy at 802.951.5156 or 888-392-0050. 1. EAP obtains from DER the name & contact info for employee, as well as name & contact info for the DER who is phoning in the case. 2. EAP will then provide the DER with the names of 2 substance abuse professionals (SAPs) that the DER should then provide to the employee. EAP can assist to assure that the connection has been facilitated, and that communication will then occur as per 49 CFR Part 40, between the SAP and DER. 3. EAP calls the SAPs to advise that an employee will be calling them for SAP services. a. EAP provides the DER's name & phone to SAP to facilitate their communication going forward. b. EAP advises SAP that EAP may be billed for the cost of the service. 4. EAP can do a follow up call if requested (to the employee) to advise him/her to call SAP directly to make appointment. 5. EAP calls the DER to check in. Future communication on the case will be directed from SAP to DER as outlined in the FMCSA regulations. EAP stands by as a limited facilitator as needed, while SAP, Employee, and DER each fulfills their procedural obligations. CDL Medical Self-Certification Information DEPARTMENT OF MOTOR VEHICLES Agency of Transportation dmv.vermont.gov New Federal Motor Carrier Safety Regulations go into effect for commercial driver’s license (CDL) holders on January 30, 2012. Starting on January 30, when you: • • • • • Apply for a CDL (A, B or C class) Renew a CDL Apply for a higher class of CDL Apply for a new endorsement on a CDL Apply for a duplicate CDL You must self-certify that you operate in one of the following: 1. Non-excepted Interstate (NI), you operate or expect to operate in interstate commerce. You are subject to 49 CFR part 391. (Must provide a current medical examiner's certificate plus any waivers indicated on the certificate) 2. Non-excepted Intrastate (NA), you operate or expect to operate only in intrastate commerce and are required to meet FMCSA driver qualification requirements. (Must provide a current medical examiner's certificate ("Vermont only", which can be found on our website plus any waivers indicated on the certificate) If you are under 21, or are insulin dependent diabetic, or have monocular vision a K restriction will be added to your license/permit. 3. Excepted Interstate (EI), you operate or expect to operate in interstate commerce, but engage exclusively in operations that qualify for exception of the requirement to maintain a federal medical certificate. 4. Excepted Intrastate (EA), you operate or expect to operate in a city, county state or federal vehicle ONLY and are exempt from the FMCSA driver qualification requirements. NOTE: If you certify as Excepted a restriction J or K will be added to your license/permit. Federal Motor Carrier Safety Regulations require self-certification. Reference 49 CFR 383.71 and 383.73 Those certifying in non-excepted interstate or non-excepted intrastate commerce (1 or 2 above) must also provide their medical examiner’s certificate or DOT card to DMV where it will be added to the driver’s personal driving history. Failure to present valid medical documentation will result in the denial of the issuance or renewal of the CDL. Failure to maintain current medical documentation on file with DMV may result in a suspension and/or downgrade of your CDL. CDL holders can no longer claim exemption from medical certification requirements because they are not currently operating in non-excepted interstate or non-excepted intrastate commerce. If not specifically included in 3 or 4 above, they must maintain their medical certification or downgrade to a non-commercial license. All CDL holders must continue to carry all medical certification documents with them at all times even after completing the self-certification process with DMV. To read more about the new Medical Certification (http://1.usa.gov/NewCDLRules). Federal Requirement click here, CDL Medical Self-Certification Information Attention School Bus Drivers All CDL holders with a school bus endorsement are still required to submit the complete medical. Keeping Things Current You must ensure that your medical documentation on file with DMV remains current and accurate. If you self-certify in a category exempt from medical certification requirements (3 and 4 above), and later change to a non-excepted type of operation (1 or 2), you must recertify in the appropriate category and provide proof of current medical certification to avoid potential enforcement actions and the loss of your commercial driving privilege. Need more information? Call 802.828.2085 or Email [email protected] Determining What Category Applies to You For the purpose of complying with the new requirements for self-certification, it is important to know how you are using the commercial motor vehicle. To help you accurately determine this, you must determine how you are using the commercial motor vehicle (CMV). Follow these easy steps 1. Do you, or will you, use a CDL to operate a CMV in interstate or intrastate commerce? Interstate commerce is when you drive a CMV: • • • From one state to another state or a foreign country; Between two places within a state, but during part of the trip, the CMV crosses into another state or foreign country; or Between two places within a state, but the cargo is part of a trip that began or will end in another state or foreign country. You must be 21 years of age or older Intrastate commerce is when you drive a CMV within a state and you do not meet any of the descriptions above for interstate commerce. If you operate in both intrastate commerce and interstate commerce, you must choose interstate commerce. 2. Once you decide you operate or will operate in interstate commerce or intrastate commerce, you must decide whether you operate (or expect to operate) in an excepted or non-excepted status. This decision will tell you to which of the four types of commerce you must self-certify. INTERSTATE COMMERCE: You operate in excepted interstate commerce when you drive a CMV in interstate commerce only for the following exempted activities: • • • • As federal, state or local government employees The transportation of human corpses or sick or injured persons The operation of fire truck or rescue vehicles while involved in emergency and related operations Primarily in the transportation of propane winter heating fuel when responding to an TA-VL-33a 5M 01/2012 MTC Page 2 CDL Medical Self-Certification Information • • • • • emergency condition requiring immediate response such as damage to a propane gas system after a storm or flooding; In response to a pipeline emergency such as a leak or rupture In custom harvesting on a farm or to transportation of farm machinery and supplies used in the custom harvesting operation to and from a farm or within 150 miles of the farm (does not apply to the transport of hazardous materials requiring a placard or to combination vehicles) Beekeeper in the seasonal transportation of bees As a private motor carrier of passengers for non-business purposes To transport migrant workers If you answered yes to one or more of the above activities as the only operation in which you drive, you operate in excepted interstate commerce and do not need a federal medical examiner’s certificate. If you answered no to all of the above activities, you operate in non-excepted interstate commerce and are required to provide a current medical examiner’s certificate (49 CFR 391.45), commonly referred to as a medical certificate or DOT card. Most CDL holders who drive in interstate commerce are non-except interstate commerce drivers. If you operate in both excepted and non- excepted interstate commerce, you must select non-excepted interstate commerce to be qualified to operate in both types of interstate commerce. INTRASTATE COMMERCE: You operate in excepted intrastate commerce when you drive a CMV only in intrastate commerce activities for which Vermont statutes do not require you to meet medical certification requirements. Most CDL drivers operating in Vermont operate in non-excepted intrastate commerce and are required to obtain a medical certificate. This includes: • • • Drivers of vehicles over 26, 000 pounds gross vehicle weight Drivers of vehicles that carry hazardous materials that require a placard Drivers of vehicle designed to transport 16 or more persons including the driver A Word about Waivers If your medical examiner’s certificate is only valid with a vision, diabetes or a skills performance evaluation waiver granted by the Federal Motor Carrier Safety Association (FMCSA ), you must also provide a copy of your waiver. TA-VL-33a 5M 01/2012 MTC Page 3 Pre-Employment CDL Driver Qualification File Checklist This document can serve as a hiring checklist to help the municipality make sure that it is complying with the Federal CDL hiring requirements. Each driver's qualification file (DQF) must be retained for as long as a driver is employed and for three years thereafter §391.51(c). The DQF must include documents from ongoing recordkeeping (see the Recordkeeping section for more details) as well as the pre-employment documents listed below: A completed CDL job application for each CMV driver, in accordance with §391.21 (required). (This is not a standard job application). A sample is provided in the later pages of this section. The driver qualification file elements from previous employers (§391.23). This includes employment record, accident history, and alcohol and controlled substance testing records for the preceding 3 years from any DOT regulated employer. If the records are not obtained from prior employer(s), evidence of the attempt must be retained. All above documents must be maintained per §391.53. An employment history/drug & alcohol testing request form is provided in the later pages of this section. Acceptable pre-employment drug test results or exemption form filled out by previous employer (required). NOTE: VLCT recommends each new employee undergo pre-employment drug testing and that the municipality not utilize the exemption. Contact Occupational Drug Testing to schedule the pre-employment test. Pre-employment motor vehicle records check results for prior 3 years from each state in which the driver has operated a commercial motor vehicle (required by§391.23(a)(1)). This may require contacting states other than Vermont. A copy of the Vermont DMV motor vehicle records request form is provided in the later pages of this section and is also available on the Vermont DMV website (note that the document is 2 pages). The certificate of driver's road test issued to the driver, or a copy of the commercial driver license (required by §391.31(e)). VLCT/PACIF recommends that an actual road test be given to potential new hires. (OPTIONAL) The DOT certified medical examiner's certificate of his/her physical qualification to drive a commercial motor vehicle as required by §391.43(f) or a legible photographic copy of the certificate. (Note: this is a "best practice" recommendation, as municipalities are typically exempt from this requirement). We suggest that the municipality establish a policy requiring CDL drivers to maintain their medical certification card. This best practice should start at hire and continue though the duration of employment. NOTES • • • Driver records must be maintained in a secure manner, similar to personnel records-but should be separate. Additional information can be obtained from VLCT loss control staff and at: http://www.fmcsa.dot.gov/safetysecurity/eta/index.htm In the event that Occupational Drug Testing is unable to meet an urgent schedule for hiring a new CDL driver, they will direct you to the nearest certified clinic so that the pre-employment testing can be performed within a reasonable timeframe. Pre-Employment-Driver Qualification File Checklist COMMERCIAL MOTOR VEHICLE OPERATOR Applicant Acknowledgement of Drug & Alcohol Testing Requirement Job Title Applied for: _________________________________________ Municipality: ________________________________________________ I understand that as a condition of employment, I must successfully complete a drug test as required by 49 CFR Part 655, Part 382 and Part 40, when requested by the employer. I also understand that the employer may administer an optional pre-employment alcohol test if they so desire. I understand that a negative drug test is required before I will be permitted to perform safetysensitive duties. If a pre-employment alcohol test is administered, I understand that it must also be negative. I also understand that if I fail the required drug test or optional alcohol test that I will be eliminated from consideration for the above position and any contingent offer of employment for that position will be withdrawn. Printed Applicant Name: ______________________________________ Applicant Signature: _________________________________________ Printed Name (Witness): ______________________________________ Witness Signature: ___________________________________________ Date: _____________________ Form: Pre-employment testing acknowledgement Employment History and CDL Drug & Alcohol Testing Request Form Your Entity Name Mailing Address Telephone & Fax #s Contact Person Email Address Driver Applicant Name Social Security # I hereby authorize and request [Enter Name of Prior Employer, Address & Telephone #] ______________________________________________________________________________ to release any and all information pertaining to my employment records to the above requesting prospective employer as required by 49 CFR Section 391.23 and Section 40.25(b). You are released from any and all liability which may result from releasing such information. The Federal Motor Carrier Safety Regulations require that this information be released as part of the Driver Qualification Process. Per 49 CFR Section 40.25(h), you are required to immediately release this information to the above requesting employer. Guidance to Prior Employers Per 391.23(f) the driver's written consent is provided to the previous employer to ensure the proper release of information required by FMCSA regulations. (g) Employers must: (g)(1) Respond to each request for the DOT defined information in paragraphs (d) and (e) of this section within 30 days after the request is received (Drug and Alcohol Testing Information must be immediately released). If there is no safety performance history information to report for that driver, previous motor carrier employers are nonetheless required to send a response confirming the non-existence of any such data, including the driver identification information and dates of employment. (g)(2) Take all precautions reasonably necessary to ensure the accuracy of the records. (g)(3) Provide specific contact information in case a driver chooses to contact the previous employer regarding correction or rebuttal of the data. (g)(4) Keep a record of each request and the response for one year, including the date, the party to whom it was released, and a summary identifying what was provided. Driver Printed Name: __________________________________ Driver Signature: _____________________________________ Witnessed by: __________________________________ Page 1 Date: ________________ Employment History and CDL Drug & Alcohol Testing Request Form Employment History If the individual listed was not a CDL driver or in a safety sensitive position that required him/her to be in a DOT Drug & Alcohol Testing program, check here: The above applicant states that he/she was employed by you between the following dates: From: ___________ To ___________ Please indicate the following: 1. Commercial Motor Vehicle Type Straight Truck Tractor/Semi trailer Van Bus Flatbed Cargo/Tanker Dump Truck/Logging Truck Other (please indicate vehicle type(s) ________________________________________ 2. Was the applicant safe and efficient? Yes No Remarks: 3. Did the applicant have any motor vehicle accidents while in your employ? If yes, please describe details, outcome, and severity of accident. 4. Reason for leaving your employ: Other (please describe): Discharged Laid off Yes Resigned Please rate the driver for the following characteristics, using a check mark: Characteristics Quality of work Cooperation with others Safety Habits Personal Habits Driving Skills Attitude Excellent Average Page 2 Poor No Employment History and CDL Drug & Alcohol Testing Request Form Controlled Substance and Alcohol Testing Information–sections 382.413 and 40.259(b) 1. Was the above named individual in a random DOT compliant drug & alcohol testing program during his/her employment with your company? Yes No 2. Has the above named individual had an alcohol test with a breath alcohol concentration of 0.04 or greater while in your employ? Yes No 3. Has the above named individual had a controlled substance test with a positive result while in your employ? Yes No 4. Has the above individual refused a controlled substance test or alcohol test while in your employ? Yes No 5. Other violations of DOT Agency Drug and Alcohol testing regulations? Yes No Addition Info Attached Yes No 6. Do you have documentation of the employee’s successful completion of the 49 CFR Subpart O return to duty requirements? Yes No Not Applicable With Reference to question number 5, please identify the Substance Abuse Professional you referred the driver to if he/she tested positive or refused testing. Name: Mailing Address Phone # Signed by: __________________________________________ Date: _________________ Printed Name: _______________________________________ Prior Employer Official Title: __________________________________________________ NOTE: You are required to release this information immediately per 49 CFR 382.405(f) & 40.25(h). Fines and penalties for not releasing this information is found in 49 CFR 382.507 under 49 USC 521(b). Fines and penalties for not releasing this information is found in 49 CFR 382.507 under 49 USC 521(b). We reserve the right to notify the US DOT Federal Motor Carrier Safety Administration in the event the above information is not received. Reply Mailed On: ___________________ Verified by Phone: Yes No Person Contacted: _________________________________________________ Signature: ____________________________________________ Date: ________________ Page 3 Ongoing Recordkeeping: CDL Driver Qualification File Checklist Once the CDL driver is hired, several of the following documents must be obtained annually to comply with DOT requirements. Some are generated only when they the situation arises (such as testing results or disciplinary action related to the operation of a motor vehicle). Each driver's qualification file must be retained for as long as a driver is employed and for three years thereafter §391.51(c). Each of the documents below must be retained in the driver qualification file, along with documents obtained from the pre-employment process. A copy of the annual motor vehicle records check results (required by §391.25(a)). Use the Vermont DMV motor vehicle record request form for this purpose. A copy of this form is provided in the Hiring section of this manual. Note that the driver's signature is required on the form. A note relating to the annual review of the driver's driving record. This simply consists of a note (from you the employer) that contains the name of the person reviewing the driver's records and the date of review. This note is required by §391.25(c)(2)). The driver's self-certification that lists all motor vehicle violations of motor vehicle laws and ordinances occurring within last 12 months (required by §391.27). This form is used by the CMV driver to self-certify any violations they have had or the absence thereof. The driver record annual self-certification form is included later in this section. The results of any random, reasonable suspicion or post-accident drug and alcohol tests that have been performed on the employee. Return to duty and follow-up testing results must also be retained. Note that not all motor vehicle accidents require post-accident testing. Review the model Drug & Alcohol Policy for additional guidance. Any disciplinary actions related to the operation of a commercial motor vehicle. Notes: • • Driver records must be maintained in a secure manner, but should be separate from personnel records. Additional information can be obtained from VLCT and at: http://www.fmcsa.dot.gov/safety-security/eta/index.htm Ongoing Recordkeeping-Driver Qualification File Checklist Driver Record Annual Self Certification Form This form provides documentation that the employee noted below has provided a certification of his/her driving record in accordance with 391.27 of the FMCSA standards. This form is to be completed annually by the CDL driver to certify his/her driving record for the past year. Name of driver making certification: ________________________________ I certify that the following is a true and complete list of motor vehicle traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months that have occurred in any motor vehicle in any of the 50 states. Date of conviction #1:________________________________________________ Offense location: ___________________________________________________ Type of motor vehicle operated: ________________________________________ Date of conviction #2:_________________________________________________ Offense location: ____________________________________________________ Type of motor vehicle operated: _________________________________________ **Provide additional details on the back page for any additional convictions as required above. Attach additional sheets if needed. If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation required to be listed during the past 12 months. Driver's signature: _______________________________ Date of certification: ________________ Municipality name: ____________________________________________________ Municipality's address: _________________________________________________ Reviewer signature & title: _______________________________________ Note: This form should be retained by the employer in the driver qualification file. MEMORANDUM To: Municipal Officials From: PACIF and the VLCT Municipal Assistance Center 89 Main Street, Suite 4 Montpelier, Vermont 05602-2948 Tel.: (802) 229-9111 Fax: (802) 229-2211 e-mail: [email protected] web: www.vlct.org Date: March 6, 2014 RE: Model Drug and Alcohol Policy for Municipalities with Commercial Motor Vehicle (CMV) Operators This memorandum and revised Model Drug & Alcohol Policy outlines changes to our recently recommended policy document, based on a more comprehensive review of federal regulations and Vermont statutes. This revised policy should replace the policy that you may have obtained from PACIF or the VLCT website. An editable version of this document is also available on the VLCT website. PACIF has developed the attached model policy to assist municipalities that are regulated by the U.S. Department of Transportation (DOT). A municipality is a DOT-regulated employer if any of its employees operate commercial motor vehicles (CMVs). Even among the employees of a DOT-regulated municipality, the provisions of this policy only apply to those municipal employees who operate or are expected to be able to operate CMVs as part of their municipal employment. The policy also applies to potential CMV operators during the pre-employment process. Municipal employees who hold CDLs but are otherwise not expected to operate CMVs are not subject to this policy. This policy has been developed based on the requirements articulated by DOT in Title 49, Part 40 of the Code of Federal Regulations (CFR). Your municipality is responsible for editing this document so that it reflects the practices and policies that have been adopted by your municipality which conform to federal and state requirements. Your opportunities for editing are limited to the sections within this policy that are marked with "guidance" and are accompanied by bolded text. You must replace this guidance language with language that reflects your municipality's policies. We suggest that you have your municipal attorney review the final language in the document to ensure that the choices you have made regarding personnel and other issues do not conflict with any federal or state law, other municipal personnel policies or otherwise place the municipality in an adverse position relative to employment practices liability or other risks or legal issues. Please note: Federal regulations provide little guidance in regard to the consequences of a positive test. Under Vermont law, an employee may not be terminated for a positive test if s/he agrees to participate in and then successfully completes the municipality's employee assistance program (EAP). Until there is more clarity about whether state law applies in the context of testing for CMV operators, PACIF recommends that municipalities take a conservative approach and assume that they are bound by the restrictions of state law. Sponsor of: VLCT Health Trust, Inc. VLCT Municipal Assistance Center VLCT Property and Casualty Intermunicipal Fund, Inc. VLCT Unemployment Insurance Trust, Inc. Because of the various and significant compliance issues regarding testing and because of the risk of a claim for wrongful termination, we recommend that a municipality take only the following action after receiving notice of a confirmed positive test result: immediately suspend the employee with pay while the municipality consults with PACIF or with the municipality's attorney about the possibility of unpaid suspension or other disciplinary measures. As always, please call us if you have questions about this policy or if you would like to arrange for some onsite training on these matters. [Name of municipality] Drug & Alcohol Policy for CMV Operators Introduction This policy applies to employees and prospective employees of [Name of Municipality] who operate commercial motor vehicles (CMVs) or who will operate CMVs if they are hired, transferred or promoted. Employees and prospective employees are not subject to this policy by virtue of holding a CDL unless their job duties may require them to operate a CMV. All other municipal employees are subject to the provisions of the municipality's personnel policy regarding alcohol and drug use and testing, if applicable. The policy was developed based on the requirements articulated by the U.S. Department of Transportation (DOT) in Title 49, of the Code of Federal Regulations (CFR). This personnel policy does not constitute a contract of employment. Employment with [Name of Municipality] is at will and not for any definite period or succession of periods of time. The Town or the employee may terminate employment at any time, with or without notice. The selectboard reserves the right to amend any of the provisions of this personnel policy for any reason and at any time, with or without notice. Section 1: Applicability This policy applies to all [name of municipality] employees and prospective employees who operate commercial motor vehicles (CMVs) while engaged in any municipal business. This policy supersedes any provisions in the town's personnel policy regarding the consequences of the possession or use of drugs and alcohol as they pertain to CMV operators. For purposes of this policy, Commercial motor vehicle or CMV means a motor vehicle or combination of motor vehicles used in commerce to transport passengers or property if the motor vehicle: • • • • Has a gross combination weight rating of 11,794 or more kilograms (26,001 or more pounds) inclusive of a towed unit with a gross vehicle weight rating of more than 4,536 kilograms (10,000 pounds); or Has a gross vehicle weight rating of 11,794 or more kilograms (26,001 or more pounds); or Is designed to transport 16 or more passengers, including the driver; or Is of any size and is used in the transportation of materials found to be hazardous for the purposes of the Hazardous Materials Transportation Act and which require the motor vehicle to be placarded under the Hazardous Materials Regulations (49 CFR part 172, subpart F). Individuals operating the above vehicles must have a valid commercial driver's license (CDL). Each employee who is subject to this policy is required to sign an acknowledgement that he or she has been provided a copy of this policy. This acknowledgement will be maintained in the town's personnel files as part of the driver qualification file. An acknowledgement form is included as Appendix C. Given the varied nature of municipal needs, employees who are employed to operate CMVs have the potential to serve in safety-sensitive functions during any part of their job. Therefore, employees are 2 [Name of municipality] Drug & Alcohol Policy for CMV Operators subject to this policy at all times while they are actively working and during periods when they may be called into work (e.g. to respond to weather-related incidents, respond to emergency situations, etc.). Safety-sensitive functions and other terms are defined in Appendix A: Definitions. Guidance: Insert here a reference to the page or section of your personnel policy that addresses being on-call for duty, if such a policy exists. As a minimum, address the issue that CMV operators will need to remain substance-free during expected winter events and other anticipated emergency incidents, given the likelihood that they will be called in to work and thus must be in compliance with elements of this Drug & Alcohol Policy. Section 2: Responsibility for Employee Information The [Name of Municipality] has assigned [responsible person's title here] as the individual who can provide employees with information regarding this Drug & Alcohol Policy and answer related questions on the pertinent issues. Employees may also obtain information about applicable Federal regulations from 49 CFR. Sources of information are provided in Appendix B of this policy. Guidance: This individual may or may not be the same person as your designated employer representative (DER). The DER is the person that receives the calls from the vendor that performs the testing pursuant to this policy. It is important that the person named above understand the municipality's drug & alcohol policy and also have access to the FMCSA requirements online. One document that may be helpful to download from DOT/FMCSA is entitled "A Motor Carrier's Guide to Improving Highway Safety". Section 3: Prohibited Conduct Conduct listed in this section is prohibited. • • • • • • • Having a verified positive, adulterated or substituted drug test result. Performing safety-sensitive functions after notification of a verified positive, substituted or adulterated drug test result or an EBT alcohol test result indicating a measured alcohol concentration of 0.02% or greater, regardless of when the drug or alcohol was ingested and regardless of whether or not the driver is under the influence of alcohol or using drugs, as defined in federal, state or local law. Reporting for duty or remaining on duty any time there is a quantifiable presence of a prohibited drug in the body above the minimum thresholds defined in 49 CFR PART 40, as amended. Consuming alcohol while performing safety-sensitive job functions or while on-call to perform safety-sensitive job functions. An on-call employee who has consumed alcohol must acknowledge the use of alcohol at the time that he/she is called to report for duty. Consuming alcohol within four (4) hours prior to the performance of safety-sensitive job functions. Misusing or being impaired by authorized or prescribed use of drugs or over-the counter medications which may affect work performance or pose a danger to the safety of the driver or to others. Drivers are required to inform the employer’s designated representative of any therapeutic drug use that has the potential to impact the safe operation of equipment or motor vehicles. In cases where prescribed medication labeling suggests that machinery operation or driving may be compromised in any way, the driver shall obtain written authorization from the prescribing physician indicating that the driver is able to safely operate a CMV while using the substance. This 3 [Name of municipality] Drug & Alcohol Policy for CMV Operators • • • • must be provided to the municipality prior to operation of said CMV while using the prescribed substance(s). Reporting to work or remaining on duty requiring while having an alcohol concentration of 0.02% or greater regardless of when the alcohol was consumed. Consuming alcohol for eight (8) hours following involvement in an accident or before submitting to any required post-accident drug/alcohol testing, whichever occurs first. Engaging in the unlawful manufacture, distribution, dispensing, possession, or use of prohibited substances in the work place including municipal premises, vehicles, while in uniform or while on municipal business. Refusal to submit to alcohol or drug testing, as defined in Section 4, below. Section 4: "Testing Refusal" Defined Under federal law, a test refusal is considered as a positive test and has the same consequences. An employee or prospective employee is considered to have refused a test when s/he does any of the following: • • • • • • • • • • Fails to appear for any test within a reasonable time, as determined by the employer or testing pool administrator, after being directed to do so by the employer; Fails to remain at the testing site until the testing process is complete; Fails to provide a urine specimen for any drug test required by Part 40 or DOT agency regulations; In the case of an observed collection in a drug test, fails to permit the observation or monitoring of the collection of a specimen; Fails to provide a sufficient amount of urine when directed, and it has been determined, through a required medical evaluation, that there was no adequate medical explanation for the failure; Fails to provide an adequate amount of saliva or breath for any alcohol test required, and it has been determined, through a required medical evaluation, that there was no adequate medical explanation for the failure; Fails or declines to take a second test that the employer or collector has directed the employee to take; Fails to undergo a medical examination or evaluation, as directed by the medical review officer (MRO) as part of the verification process, or as directed by the DER as part of the "shy bladder'' procedures; Fails to cooperate with any part of the testing process (e.g., refuses to empty pockets when so directed by the collector, behaves in a confrontational way that disrupts the collection process); If the MRO reports that there is verified adulterated or substituted test result. Section 5: Testing All testing and specimen collection prescribed under this policy will be done in accordance with federal requirements. Prescribed testing includes: pre-employment, random, reasonable suspicion, post-accident, return to duty, and follow-up, if applicable. Testing shall be conducted in a manner to assure a high degree of accuracy and reliability and using techniques, equipment, and laboratory facilities which have been approved by the U.S. Department of Health and Human Service (DHHS). All testing will be conducted consistent with the procedures set forth in 49 CFR Part 40, as amended. The procedures will be performed in a private, confidential 4 [Name of municipality] Drug & Alcohol Policy for CMV Operators manner, and every effort will be made to protect the employee, the integrity of the drug testing procedure, and the validity of the test result. Section 5a: The Drug Testing Process The drug testing process will screen for drugs including marijuana, cocaine, opiates, amphetamines, and phencyclidine. The use of certain over-the-counter medications and other substances may result in a positive test. After the identity of the donor is checked using picture identification, a urine specimen will be collected using the split specimen collection procedure. Each specimen will be accompanied by a DOT Chain of Custody and Control Form and identified using a unique identification number that attributes the specimen to the correct individual. The specimen analysis will be conducted at a DHHS certified laboratory. An initial drug screen and validity test will be conducted on the primary urine specimen. For those specimens that are not negative, a confirmatory Gas Chromatography/Mass Spectrometry (GC/MS) test will be performed. The test will be considered positive if the amounts of the drug(s) and/or its metabolites identified by the GC/MS test are above the minimum thresholds established in 49 CFR Part 40, as amended. Guidance: If a drug test produces a result of negative dilute the employer may require the donor to submit to another specimen collection. The re-collection cannot be done under direct observation. If the employer adopts a policy of re-collection for negative-dilute results, all employees must be treated the same. However, the employer may elect to treat different types of tests differently (e.g. re-collect for pre-employment tests, but not for random tests). If a second test is performed and is also negative-dilute, the employer must accept that result and cannot continue re-collections. The second test is the test of record. Under federal law, an applicant/employee's refusal to submit to a recollection for a negative-dilute result is a refusal to test. You should state your municipal policy on this issue here. The test results from the DHHS certified laboratory will be reported to a Medical Review Officer (MRO). The MRO is a licensed physician with detailed knowledge of substance abuse disorders and drug testing. The MRO will review the test results to ensure the scientific validity of the test and to determine whether there is a legitimate medical explanation for a verified positive, substituted, or adulterated test result. The MRO will: • • Attempt to contact the employee to notify the employee of the non-negative laboratory result and provide the employee with an opportunity to explain the confirmed laboratory test result. Review any medical history and/or medical records that have been offered by the employee to determine whether there is a legitimate medical explanation for a non-negative laboratory result. If no legitimate medical explanation is found, the test will be confirmed as a verified positive or a refusal to test and reported to the [Name of Municipality] Designated Employer Representative (DER). If a legitimate explanation is found, the MRO will report the test result as negative to the DER and no further action will be taken. If the test is invalid without a medical explanation, a retest will be conducted under direct observation. 5 [Name of municipality] Drug & Alcohol Policy for CMV Operators Any covered employee who questions the results of a required drug test performed under this policy may request that the split specimen be tested. The employee's request for a split specimen test must be made to the MRO within 72 hours of notice of the original specimen verified test result. Requests after 72 hours will only be accepted at the discretion of the MRO if the delay was due to documentable facts beyond the control of the employee. The original collected urine specimen is split into 2 specimens (primary specimen and split specimen) prior to testing, expressly for this purpose. The split specimen test must be conducted at a second DHHS-certified laboratory with no affiliation with the laboratory that analyzed the primary specimen. The test must be conducted on the split specimen that was provided by the employee at the same time as the primary specimen. The method of collecting, storing, and testing the split specimen will be consistent with the procedures set forth in 49 CFR Part 40, as amended. Guidance: The municipality should decide who will pay for the cost of the split specimen test and may require the employee to cover these costs. Federal guidance suggests that an employee's inability to fund the cost of the split sample test upfront should not impact the timeline for testing. It also states that employers may recoup the cost of the test. An example of policy language that reflects option is provided below: Any covered employee, who elects to have a split specimen tested, agrees to fully reimburse the municipality for all costs associated with the testing. Reimbursement may be recouped via payroll deduction, or any other mutually agreeable method(s). Whether the municipality adopts this language, or some other reimbursement or cost sharing arrangement, this policy language should be clearly stated here. • If the analysis of the split specimen fails to confirm the presence of the drug(s) detected in the primary specimen, if the split specimen is not able to be analyzed, or if the results of the split specimen are not scientifically adequate, the MRO will declare the original test to be canceled and will direct a retest of the employee under direct observation. The retest must occur as quickly after notification as possible. • The split specimen will be stored at the initial laboratory until the analysis of the primary specimen is completed. If the primary specimen tests negative, the split specimen will be discarded. If the primary specimen tests positive, the split specimen will be retained for testing if so requested by the employee through the MRO. If the primary specimen is positive, both the primary and split specimens will be retained in frozen storage for one year. Section 5b: Observed Collections Consistent with 49 CFR Part 40, collection under direct observation by a person of the same gender with no advance notice will occur in any of the following circumstances: • • • The laboratory reports to the MRO that a specimen is invalid, and the MRO reports to the municipality that there was not an adequate medical explanation for the result; The MRO reports to the municipality that the original positive, adulterated, or substituted test result had to be cancelled because the test of the split specimen could not be performed; The test is a return-to-duty test or a follow-up test; 6 [Name of municipality] Drug & Alcohol Policy for CMV Operators • • • The collector observes materials brought to the collection site or the employee's conduct clearly indicates an attempt to tamper with a specimen; The temperature of the original specimen was out of range; or The original specimen appeared to have been tampered with. Section 5c: The Alcohol Testing Process Tests for breath alcohol concentration will be conducted by a trained Breath Alcohol Technician (BAT) using a National Highway Traffic Safety Administration (NHTSA)-approved Evidential Breath Testing device (EBT). If the initial test results indicate that alcohol is present, a confirmatory test will be conducted at least fifteen minutes after the completion of the initial test and will be performed by a trained BAT using a NHTSA-approved EBT. The EBT will identify each test with a unique sequential identification number. This number, time, and unit identifier will be provided on each EBT printout. The EBT printout, along with an approved alcohol testing form, will be used to document the testing, all results, and to attribute the test to the correct employee. The test will be performed in a private, confidential manner as required by 49 CFR Part 40, as amended. The procedure will be followed as prescribed to protect the employee, to maintain the integrity of the alcohol testing procedures and ensure the validity of the test result. An employee who has a confirmed alcohol concentration of 0.04% or higher will be considered to have a positive alcohol test and will be in violation of this policy. The consequences of a positive alcohol test are described in Section 6: Consequences of a Positive Test. An employee undergoing alcohol testing who does not to provide a sufficient amount of breath to permit a valid breath test will be directed to obtain an evaluation within 5 days, from a licensed physician who has expertise in the medical condition raised by the employee's failure to provide a sufficient specimen. The results of this evaluation will be reviewed by the MRO to determine the result of the test. Even though an employee who has a confirmed alcohol concentration of 0.02% to 0.039% is not considered to have had a positive test, the employee shall still be removed from safety-sensitive duties for twenty-four hours. Subsequent to the required 24-hour removal, the employee will: • • Meet with [list representatives appropriate for your municipality here-e.g. selectboard member, HR Mgr, DPW director, Road Foreman, etc.] to review the need to avoid alcohol use from any source during or proceeding work hours. If the employee has an alcohol test result of 0.02% to ≤ 0.039% two or more times within a six month period, the employee will again meet with a municipal representative from the list above to review the need to avoid alcohol use. The employee will be provided with contact and related information for the EAP program (currently Invest EAP). There is no requirement that the employee access those services. Guidance: The above bullets are a recommended risk management practice, as they attempt to educate the employee and provide a conduit for substance abuse assistance. 7 [Name of municipality] Drug & Alcohol Policy for CMV Operators An alcohol concentration of less than 0.02% will be considered a negative test. The municipality affirms the need to protect individual dignity, privacy, and confidentiality throughout the testing process. If at any time the integrity of the testing procedures or the validity of the test results is compromised, the test will be canceled. Minor inconsistencies or procedural flaws that do not affect the test result will not result in a cancelled test. Section 5d: Pre-employment Testing Guidance: There are some circumstances in which an employer is not required to administer a controlled substances pre-employment test. See 49 CFR Part 40. However, given the complexity of assuring the compliance with those conditions and the fact that PACIF will cover the cost of pre-employment drug testing, we strongly encourage the adoption of a policy that requires preemployment drug testing for all new hires. An employer may conduct, but is not required to conduct pre-employment alcohol testing. If an employer chooses to conduct pre-employment alcohol testing, it must comply with the provisions of 40 CFR 382.301(d) and include applicable policy language here. The model policy proposes that only pre-employment drug testing be performed. When an individual applies to work for the town in a position that involves the operation of a CMV, or when a municipal employee is under consideration for a position that involves the operation of a CMV, that person will be required to undergo pre-employment urine drug testing. All offers of employment and offers for transfer for covered positions shall be conditional upon the applicant passing the drug test. Pre-employment testing must be completed prior to the individual working in the new position. Pre-employment drug testing will be accomplished by providing advance notice of the test schedule and location to the position applicant. The length of the advance notice period will be kept as short as is reasonably feasible to coordinate and complete the test. If an applicant fails a pre-employment drug test, the conditional offer of employment shall be rescinded. Prior to future consideration for employment performing safety sensitive duties, the municipality must receive evidence from a substance abuse professional that meets with the requirements 49 CFR part 40 as amended, regarding the absence of drug dependency. A negative preemployment drug test will also be required. Any applicant who fails a pre-employment drug test will be provided the results of the test along with the current Invest EAP brochure. This serves to provide the individual with information about substance abuse treatment opportunities. Guidance: If you have chosen to require job applicants that have a negative dilute drug test to undergo a second test as outlined in this section 5a, you must add that policy language here. When an existing employee is being placed, transferred, or promoted into a position that is covered by this policy and that person submits a drug test with a verified positive result, the employee may be subject to disciplinary action as outlined in the municipal personnel policies. That employee will also 8 [Name of municipality] Drug & Alcohol Policy for CMV Operators be eliminated from consideration for the position which triggered the need for the pre-employment test. If a pre-employment/pre-transfer test is canceled for any reason, the applicant will be required to take and pass a pre-employment drug test before the individual is placed into a covered CDL position or performs safety sensitive duties. Section 5e: Random Testing All municipal CDL drivers are placed in the VLCT PACIF-sponsored Drug & Alcohol Testing Consortium that is operated by the third party administrator, Occupational Drug Testing, LLC (ODT). These employees are subject to random, unannounced testing. There is no discretion on the part of the employer or supervisor in the selection and notification of the individuals who are to be tested. The selection of employees is made by a scientifically valid method of randomly generating an employee identifier from the pool of covered employees. The dates for administering unannounced testing are randomly selected each quarter, with a minimum percentage of the pool's drivers selected for drug testing, alcohol testing, or both as required by Federal regulations. Random drug tests can be conducted at any time during an employee’s shift. Random alcohol tests can be performed just before, during, or just after the performance of a safety-sensitive duty. Employees are required to proceed immediately to the collection site or make themselves immediately available to collectors when they notified that they have been selected for testing. Section 5f: Reasonable Suspicion Testing All covered employees will be subject to a reasonable suspicion drug and/or alcohol test when there is a reasonable suspicion to believe that drug or alcohol use is occurring, has recently occurred, or that the person is under the influence of drugs or alcohol. "Reasonable suspicion" shall mean that there is objective evidence, based upon specific, contemporaneous, describable observations of the employee's appearance, behavior, speech or body odor that are consistent with possible drug use and/or alcohol misuse. Reasonable suspicion drug test referrals will only be made by a supervisor or other designated individual with employee monitoring and assignment responsibilities who has received "reasonable suspicion training" in accordance with FMCSA regulations. The training ensures that supervisors or other designated employees with similar responsibilities have the skills and knowledge to objectively detect the signs and symptoms of drug and alcohol use in employees covered by this policy. Guidance: Municipalities should contact their PACIF loss control consultant if reasonable suspicion training is needed for select employees. A reasonable suspicion alcohol test can only be conducted just before, during, or just after the performance of a safety-sensitive job function. A reasonable suspicion drug test can be performed any time the covered employee is on duty. The [Name of Municipality] shall be responsible for transporting the employee who will be tested to a suitable testing site identified by ODT. Transport shall include travel to and from the location and to 9 [Name of municipality] Drug & Alcohol Policy for CMV Operators the individual's residence, as they should not be permitted to work when they may be under the influence of a drug or alcohol. Supervisors should avoid placing themselves and/or others into a situation which might endanger the physical safety of those present. An employee who refuses an instruction to submit to a reasonable suspicion drug/alcohol test shall not be permitted to finish his or her shift and will be subject to other employment consequences. Failure to submit to a reasonable suspicion test is prohibited conduct (test refusal), the consequences of which are outlined in Section 6: Consequences of a Positive Test. A written record of the observations that led to a reasonable suspicion drug/alcohol test shall be prepared and signed by the supervisory individual making the observation. This record shall be prepared prior to the release of the test results. This written record shall be submitted to [title of person who retains HR-related records]. Guidance: Because it may be used to support termination and compliance with FMCSA regulations, this record should go to the individual(s) responsible for human resource matters. This document should also be retained in both the personnel folder and the driver qualification file. Section 5g: Post Accident Testing All covered employees will be required to undergo post-accident urine and breath testing if they are involved in an accident with a CMV that meets the criteria outlined in the following chart: If the accident involved any of the following: Qualifying event: Was a citation issued to the CMV driver? Must test be performed by employer? Human fatality YES YES Human fatality NO YES Bodily injury with immediate medical treatment away from the scene. YES YES Bodily injury with immediate medical treatment away from the scene. NO NO Disabling damage to any motor vehicle requiring tow away. YES YES Disabling damage to any motor vehicle requiring tow away. NO NO If an alcohol test required by this section is not administered within two hours following the accident, the municipality will document and maintain a record stating the reason(s) why the test was not promptly administered. If an alcohol test required by this section is not administered within eight hours following the accident, the municipality will cease attempts to administer an alcohol test and will document the conditions that led to the time delay and failure to test. 10 [Name of municipality] Drug & Alcohol Policy for CMV Operators If a drug test required by this section is not administered within 32 hours following the accident, the municipality will cease attempts to administer a controlled substances test and will document and maintain a record stating the reasons the test was not given within the required timeframe. Section 6: Consequences of a Positive Test The medical review officer will report positive test results to the DER only after the verifying the test results as outlined in 49 CFR, Part 40 as amended. When the DER is notified of this positive test result, the employee will be immediately suspended from operating CMVs and other safety-sensitive duties for the municipality and will be referred to a Substance Abuse Professional (SAP) for substance abuse assessment and/or treatment. On the day that the positive test results are received, the employee will be suspended from all duties with pay. Subsequent to that, the employee may be suspended without pay. The employee's length of suspension will run the period of time in which it takes the individual to satisfactorily complete the treatment (as confirmed by the treating SAP), and last for up to 3 months from the date the positive test result was received. After that period, if the employee has not successfully completed treatment, the employee may be terminated. Guidance: The employer may choose to allow the employee who had a positive test to perform non-safety-sensitive duties. The decision to use the employee in this manner or suspend the employee from all duties as outlined above, is a policy decision and should be stated here. Initial suspension with pay is implemented to allow the municipality time to consult with PACIF or an employment attorney to ensure that the employment decision that is made is legally sound. Since employees have 72 hours in which to request testing of the split sample (which could prove the positive test result incorrect), it is advisable to suspend the employee with pay for at least this timeframe. The decision whether to terminate employment at the end of the 3 month period (if the employee has not completed treatment) should be made after consultation with an attorney and with reference to any labor agreements that are in place. Any employee who has an initial positive test and has the split sample tested and obtains a negative result will immediately be permitted to return to their normal job duties. An employee who provides written documentation from an SAP that substance abuse treatment has been satisfactorily completed within the 3 month suspension period must fulfill all return to duty testing requirements in Section 7: Return to Duty Testing prior to performing any safety-sensitive duties. Follow-up testing will also be required as directed by the SAP. An employee who has a second positive test after completing return to duty testing may be terminated. Guidance: Payment for substance abuse evaluations and services is left for employers and employees to decide and may be governed by existing management-labor agreements and/or health care benefits. Your municipal policy should state who is responsible for the costs of treatment, as well as the costs of return to duty and follow-up testing. This policy with regard to 11 [Name of municipality] Drug & Alcohol Policy for CMV Operators the costs of testing may be similar or identical to the split specimen testing reimbursement policy in Section 5a, if not otherwise specified in existing labor agreements. Section 7: Return to Duty Testing Guidance: As outlined in Section 6: Consequences of a Positive Test, an employee with a positive test must undergo and complete treatment with a SAP, prior to returning to safety-sensitive duties. This individual must also undergo return to duty testing required by the SAP and receive a negative result, before returning to safety sensitive duties. While employers do have the option of using this individual to perform non-safety sensitive functions while they are undergoing treatment, they are not obligated to do so. Municipalities may prefer to suspend an employee with a positive test (as outlined in Section 6: Consequences of a Positive Test) and have the employee complete return to duty testing when authorized by the SAP. Note that collective bargaining agreements may affect municipal policy on this issue. The following policy language is recommended: Covered employees having a positive test will not be permitted to return to duty (to safety sensitive functions) until after a substance abuse professional has determined that the employee has successfully complied with prescribed education and/or treatment. The SAP will authorize the return to duty testing only when the employee is known to be drug and alcohol-free and there is no risk to public safety. The SAP will provide written documentation that the treatment has been completed and that the employee may undergo return to duty testing. The employee will then be allowed to take a return-to-duty test, as directed by the treating SAP. The employee must have a negative drug test result and/or an alcohol test with an alcohol concentration of less than 0.02 before they may return to duty. For an initial positive drug test, a return to duty drug test is required and an alcohol test is allowed. For an initial positive alcohol test, a return to duty alcohol test is required and a drug test is allowed. Return to duty testing MUST be performed under direct observation. Section 8: Follow-Up Testing After satisfactory completion of return to duty testing, the driver is required to submit to at least 6 follow up tests during the first 12 months after resuming safety sensitive duties. Follow-up testing may be required for up to 60 months unless the substance abuse professional determines that testing is no longer warranted. The number and frequency of follow-up tests will follow the written guidance provided by the treating SAP. All follow-up tests are unannounced and may include testing for drugs and/or alcohol. Follow-up alcohol testing will be conducted only when the driver is performing or just before performing safety sensitive functions, or just after the driver has ceased performing safety-sensitive functions. Follow-up testing MUST be performed under direct observation. Follow-up testing is separate from and in addition to random, post-accident, reasonable suspicion, and return to duty testing. 12 [Name of municipality] Drug & Alcohol Policy for CMV Operators Section 9: Employee Information Employees are encouraged to seek information regarding the effects of alcohol and controlled substances and their health, employment, and personal life. Such information is available at: http://www.higheredcenter.org/resources/national-clearinghouse-alcohol-and-drug-information-ncadi http://www.samhsa.gov/; http://www.fmcsa.dot.gov/rules-regulations/topics/drug/drug.htm http://www.investeap.org/ http://www.dot.gov/odapc/employee-handbook-english APPENDIX A: Definitions Accident means an occurrence associated with the operation of a CMV, if as a result: • An individual dies, or • An individual suffers a bodily injury and immediately receives medical treatment away from the scene of the accident, or, • One or more vehicles incur disabling damage as the result of the occurrence and are transported away from the scene by a tow truck or other vehicle. For purposes of this definition, disabling damage means damage that precludes departure of any vehicle from the scene of the occurrence in its usual manner in daylight after simple repairs. Disabling damage includes damage to vehicles that could have been operated but would have been further damaged if so operated, but does not include: o damage which can be remedied temporarily at the scene of the occurrence without special tools or parts, or o tire disablement without other damage even if no spare tire is available, or o damage to headlights, taillights, turn signals, horn, mirrors or windshield wipers that makes them inoperative. Adulterated specimen is a specimen that has been altered, as evidenced by test results showing either a substance that is not normally found in that type of specimen or showing an abnormal concentration of a substance that is normally found in that specimen. Alcohol means the intoxicating agent in beverage alcohol, ethyl alcohol, or other low molecular weight alcohols contained in any beverage, mixture, mouthwash, candy, food, preparation or medication. Alcohol Concentration is expressed in terms of grams of alcohol per 210 liters of breath as measured by an evidential breath-testing device (EBT). Commercial motor vehicle means a motor vehicle or combination of motor vehicles used in commerce, to transport passengers, or property if the motor vehicle: 13 [Name of municipality] Drug & Alcohol Policy for CMV Operators • • • • Has a gross combination weight rating of 11,794 or more kilograms (26,001 or more pounds) inclusive of a towed unit with a gross vehicle weight rating of more than 4,536 kilograms (10,000 pounds); or Has a gross vehicle weight rating of 11,794 or more kilograms (26,001 or more pounds); or Is designed to transport 16 or more passengers, including the driver; or Is of any size and is used in the transportation of materials found to be hazardous for the purposes of the Hazardous Materials Transportation Act and which require the motor vehicle to be placarded under the Hazardous Materials Regulations (49 CFR part 172, subpart F). Covered Employee means an employee who performs a safety-sensitive function including an applicant or transferee who will be hired to perform a safety-sensitive function. Employees who operate CMVs are considered to be performing safety-sensitive functions. Medical Review Officer (MRO) means a licensed physician (medical doctor or doctor of osteopathy) who is responsible for receiving laboratory results generated by the drug testing program who has knowledge of substance abuse disorders and has appropriate medical training to interpret and evaluate an individual's confirmed positive test result, together with his/her medical history and any other relevant bio-medical information. Negative test result for a drug test means a verified presence of the identified drug or its metabolite below the minimum levels specified in 49 CFR Part 40, as amended. An alcohol concentration of less than 0.02% BAC is a negative test result. Negative Dilute is a drug test specimen showing a creatinine level of greater than 5mg/dl and less than 20 mg/dl. Non-negative test result is a test result found to be adulterated, substituted, invalid, or positive for a drug or drug metabolites. Non-negative results are considered a positive test or a refusal to test if the MRO cannot determine a legitimate medical explanation for the result or the refusal. Observed Collection means the donor will provide his or her sample under the direct observation of either a collector or another individual of the same gender. The donor must raise his or her shirt, blouse, or dress/skirt, as appropriate, above the waist; and lower clothing and underpants to show the observer, by turning around, that he/she does not have a prosthetic device. After the observer has determined that the donor does not have a prosthetic device, the donor may return his/her clothing to its proper position for observed urination. Positive test result for a drug test means a verified presence of the identified drug or its metabolite at or above the minimum levels specified in 49 CFR Part 40, Section 40.87 as amended. A positive alcohol test result means a confirmed alcohol concentration of 0.04% BAC or greater. Any positive test result reported to the DER by the medical review officer is verified by the MRO prior to reporting. Primary specimen. In drug testing, the primary specimen is the urine specimen bottle that is opened and tested by a first laboratory to determine whether the employee has a drug or drug metabolite in his or her system; and for the purpose of validity testing. The primary specimen is distinguished from the split specimen, defined in this section. 14 [Name of municipality] Drug & Alcohol Policy for CMV Operators Prohibited drug means marijuana, cocaine, opiates, amphetamines, phencyclidine, or MDMA (ecstasy) at levels above the minimum thresholds specified in 49 CFR Part 40, as amended. Safety-sensitive function includes the timeframe that begins when a driver starts work or is required to be in readiness to work until the time he/she is relieved from work and all responsibility for performing work. Safety-sensitive functions shall include: • • • • • • All time at an employer or shipper plant, terminal, facility, or other property, or on any public property, waiting to be dispatched, unless the driver has been relieved from duty by the employer; All time inspecting, servicing, or conditioning any commercial motor vehicle at any time; All time spent at the driving controls of a commercial motor vehicle in operation; All time, other than driving time, in or upon any commercial motor vehicle except time spent resting in a sleeper berth; All time loading or unloading a vehicle, supervising, or assisting in the loading or unloading, attending a vehicle being loaded or unloaded, remaining in readiness to operate the vehicle, or in giving or receiving receipts for shipments loaded or unloaded; and All time repairing, obtaining assistance, or remaining in attendance upon a disabled vehicle. Shy Bladder refers to any time a safety-sensitive employee is unable to provide a 45ml. sample of urine in a single void within a three hour time period. Split specimen. In drug testing, a part of the urine specimen that is sent to a first laboratory and retained unopened, and which is transported to a second laboratory in the event that the employee requests that it be tested following a verified positive test of the primary specimen or a verified adulterated or substituted test result. Substance Abuse Professional (SAP) means a licensed physician (medical doctor or doctor of osteopathy) or licensed or certified psychologist, social worker, employee assistance professional, or addiction counselor (certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission or by the International Certification Reciprocity Consortium/Alcohol and other Drug Abuse) with knowledge of and clinical experience in the diagnosis and treatment of drug and alcohol related disorders. Verified negative test means a drug test result reviewed by a medical review officer and determined to have no evidence of prohibited drug use above the minimum cutoff levels established in DOT Rule 49 CFR Part 40 Section 40.87 as revised. Validity testing is the evaluation of the specimen to determine if it is consistent with normal human urine. The purpose of validity testing is to determine whether certain adulterants or foreign substances were added to the urine, if the urine was diluted, or if the specimen was substituted. APPENDIX B: Contacts & Information OCCUPATIONAL DRUG TESTING, LLC Manchester, NH 800-211-4469 15 [Name of municipality] Drug & Alcohol Policy for CMV Operators VLCT/PACIF Risk Management Services 89 Main St. Montpelier, Vermont 05602 802-229-9111 INVEST EAP 108 Cherry Street, Suite 203 Burlington, Vermont 05401 MAIN OFFICE: 888.392.0050 FAX: 802.863-7515 [email protected] Employee Access to Information 49 CFR part 40 and 49 CFR part 382 must be available upon request to covered employees and representatives of employee organizations. 49 CFR part 40 is accessible on line at http://www.dot.gov/ost/dapc, by fax on demand at 1-800-225-3784 requesting document 151, by phone at 1-866-512-1800, or by writing to U.S. Department of Transportation, Office of Drug and Alcohol Policy and Compliance, 400 Seventh Street SW, Room 10403, Washington, D.C. 20590. 16 [Name of municipality] Drug & Alcohol Policy for CMV Operators APPENDIX C: CMV Drug & Alcohol Testing Policy-Acknowledgement Form [Name of Municipality] I HEREBY ACKNOWLEDGE that I have received a copy of and read and understand my employer’s CMV Drug & Alcohol Testing Policy. I understand that I must abide by its terms as a condition of employment. I understand that during my employment I may be required to submit to a controlled substances and/or alcohol test based on U.S. Department of Transportation (DOT) and Federal Motor Carrier Safety Administration (FMCSA) regulations. I also understand that refusal to submit to a controlled substances or alcohol test is a violation of DOT regulations and the above referenced policy and may result in disciplinary action, including suspension (with or without pay) or termination of employment for gross and willful misconduct. I further understand the consequences of controlled substances and/or alcohol use as outlined in this policy. I acknowledge that the provisions of my employer's CDL Drug and Alcohol Policy are part of the terms and conditions of my employment, and that I agree to abide by them. By signing below, I also acknowledge that I understand the meaning of this form and agree that it will be used to document my understanding of the CDL Drug & Alcohol Testing Policy. Printed Name of Employee/Applicant: __________________________________________ Signature of Employee/Applicant: ______________________________________________ _________________________________ Employee/Applicant CDL ID # Date: ______________________ Witness Signature: ___________________________________________________________ Date: ______________________ Original Acknowledgment of Receipt and Understanding will be kept in the Driver's Qualification File. Check here to confirm copy given to employee/applicant. 17 [Name of municipality] Drug & Alcohol Policy for CMV Operators APPENDIX D: Drug Cutoff & Testing Limits as per DOT Rule 49 CFR Part 40 Section 40.87 Initial test cutoff concentration Confirmatory test analyte Confirmatory test cutoff concentration Marijuana metabolites 50 ng/mL THCA1 15 ng/mL. Cocaine metabolites 150 ng/mL Benzoylecgonine 100 ng/mL. 2000 ng/mL Codeine 2000 ng/mL. Morphine 2000 ng/mL. 10 ng/mL 6–Acetylmorphine 10 ng/mL. 25 ng/mL Phencyclidine 25 ng/mL. 500 ng/mL Amphetamine 250 ng/mL. Methamphetamine5 250 ng/mL. MDMA 250 ng/mL. MDA7 250 ng/mL. MDEA8 250 ng/mL Initial test analyte Opiate metabolites Codeine/Morphine2 6–Acetylmorphine Phencyclidine Amphetamines3 AMP/MAMP4 MDMA6 500 ng/mL 1 Delta-9-tetrahydrocannabinol-9-carboxylic acid (THCA). 2 Morphine is the target analyte for codeine/morphine testing. 3 Either a single initial test kit or multiple initial test kits may be used provided the single test kit detects each target analyte independently at the specified cutoff. 4 Methamphetamine is the target analyte for amphetamine/methamphetamine testing. 5 To be reported positive for methamphetamine, a specimen must also contain amphetamine at a concentration equal to or greater than 100 ng/mL. 6 Methylenedioxymethamphetamine (MDMA). 7 Methylenedioxyamphetamine (MDA). 8 Methylenedioxyethylamphetamine (MDEA). Note: These cutoff limits may be subject to periodic revision by DOT. 18 Vermont League of Cities and Towns Property and Casualty Intermunicipal Fund, Inc. 89 Main Street, Suite 4 Montpelier, Vermont 05602 Tel: Fax: (802) 229 - 9111 (800) 649 - 7915 (802) 229 - 2211 Email: [email protected] Website: www.vlct.org March 2014
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