FCCI Insurance Group s Drug-Free Workplace Program*

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1 WE WORK FREE FCCI Insurance Group s Drug-Free Workplace Program* Substance abuse is a real concern for businesses. By establishing a certified drug-free workplace, you have taken positive action against behavior that puts all employees at risk. Implementing a drug-free workplace can benefit both employers and employees. Your business may benefit with an increase in productivity and safety awareness and a decrease in accidents, turnover, absenteeism, healthcare costs, employee theft and workplace violence. Your employees may benefit from a safer, more enjoyable working environment with increased motivation and improved morale. Setting up a drug-free workplace is not difficult, and your FCCI loss control counselor will make every reasonable effort to assist you when needed. Thousands of companies have found that a drug-free workplace program is an effective way to help control the cost of workers compensation insurance. We think you will too. We Work Free is a program that provides you with turn-key tools for implementing a drug-free program and policies at your company. The program was developed to be user-friendly, but it is important that you examine this material thoroughly and have your own legal counsel review and approve the program prior to actual implementation. FCCI Insurance Group ( FCCI ) is a strong supporter of We Work Free and believes it is good for business and employee relations. In this program kit you ll find prepared policy statements, checklists, and other program aids. We have also included state-specific regulations presented as a footnote index, categorized by number and by state, and referenced throughout the program to help guide you with legal requirements for your state. For ease of reading, please print this kit in color; also consider placing the footnote index alongside this kit for ease of reference. Note that We Work Free is designed for use in a limited number of states, your use is limited to those states, and you should have your legal counsel review this before you implement the program.** FCCI supports the drug-free workplace program for the applicable states and will apply the credit once the program is certified. The program must be certified each year. If the program is not certified, the credit should not be given. If it is discovered the program does not meet certification, the credit must be removed. For multi-state policies, the drug-free program must be certified to meet each specific state s requirements. Once certified in a state, the credit may be applied to the premium calculation for that state. If you have any questions about the material in this kit, please contact your loss control counselor, or call FCCI at (800) Don t forget to hang the enclosed drug-free poster in an area where employees can see it (full size poster, 11x17, available on ExpressServe / Resources / Posters). Disclaimer of Liability The information in this kit is advisory only and does not attempt to list or address all of the potential hazards or identify all possible remedial actions. FCCI Insurance Group is not responsible for the safety of your premises, operations, or products. FCCI Insurance Group assumes no liability whatsoever for any loss, injury, death, damage, or expense arising out of the use of this kit. You acknowledge that FCCI Insurance Group has no supervisory or inspection duties or safety obligations regarding your business operations or premises. *FCCI Insurance Group includes the following insurance companies offering workers compensation coverage: Brierfield Insurance Company, FCCI Insurance Company, Monroe Guaranty Insurance Company and National Trust Insurance Company. **This kit is designed for use in, and your use is limited to, the states of Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, South Carolina, Tennessee and Virginia. Copyright 2014 FCCI Services, Inc. No part of this drug-free workplace kit may be reproduced without permission from FCCI Insurance Group. Rev. 03/14

2 Table of Contents General Information Introduction... 1 Employer Checklist... 2 Definitions Policies A & B Policy Statement A (Strict)... Policy Statement B (Moderate)... A1 A7 B1 B7 Set-Up Employee Assistance Program... 5 Education Program Policy Statement Employee Education Program Applicant Information Notice To Applicants Applicant Drug and Alcohol Testing Consent and Release Employee Information Notice To Employees (print: legal size) Employee Agreement and Acknowledgement Employee Drug and Alcohol Testing Consent and Release Note to Employers Footnote Index ~ by Number Footnote Index ~ by State Appendix: State Workers Compensation Commission Contact Information We Work Free! Poster (print: legal size) (full size poster, 11x17, available on ExpressServe / Resources / Posters) Applications Drug-Free Workplace Premium Credit Program Certification / Recertification* *Alabama, Arkansas, Florida, Kentucky, Mississippi, South Carolina, Tennessee, and Virginia: Complete the required application for your state. Copies available on ExpressServe: Resources, Risk Management Tools, Other Tools and Resources, We Work Free Drug-Free Workplace State Programs. Copyright 2014 FCCI Services, Inc. No part of this drug-free workplace kit may be reproduced without permission from FCCI Insurance Group. Rev. 03/14

3 General Information

4 Introduction Here are some considerations to keep in mind as you begin the process of becoming a drug-free workplace: It is extremely important for your legal counsel to review the drug-free workplace policy so he/she can advise you regarding its application to your specific business. This program is provided to you as a general service by FCCI, is designed for use in a limited number of states, and may only be used in those states.* There is no warranty or guarantee that this program will provide you with any financial or other benefits. Implementing a drug-free workplace program has potential benefits (such as a possible premium discount) and potential risks (such as an increased likelihood of legal action against your company by employees). Your own legal counsel can best advise you about these risks and benefits so that you can make an informed decision about this program. The drug-free workplace policy permits you, as the employer, to take a stand against the use of alcohol and drugs. The program that we are providing to you takes this approach (Policy A). If you wish to use a more moderate strategy, there is an optional version (Policy B) included in this kit. Examine the policy statements in this kit and choose your position, keeping in mind the needs of your particular business. When you implement your program, it is necessary that all employees read and understand the Notice to Employees. If any employee cannot read due to illiteracy, physical disability, or some other cause, you need to have the notice and policy read to the employee. Once your drug-free workplace policy is in effect, do not depart from the policy as adopted. If you make an exception to the policy for any individual(s), this could expose you to the risk of a lawsuit by other employees who are not provided the same treatment. Any hiring announcements or advertisements for positions in your company should state that you are a drug-free workplace. *This kit is designed for use in, and your use is limited to, the states of Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, South Carolina, Tennessee and Virginia. Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, South Carolina, Tennessee, and Virginia: As a certified drug-free workplace, you may be entitled to a credit on your FCCI premium after you implement the program (percentage/amount of credit may vary by state). Mail the premium credit application to the address indicated on the application. Payment of a fee for a drug-free workplace certificate may be required and the fee amount and need for renewal may vary by state. Arkansas, Georgia and South Carolina: Minimum premium policies do not qualify for a drug-free workplace premium credit. Copyright 2014 FCCI Services, Inc. No part of this drug-free workplace kit may be reproduced without permission from FCCI Insurance Group. 1

5 Employer Checklist There are 10 easy steps to set up a drug-free workplace at your company: 1) Review this drug-free workplace kit thoroughly. 2) Review this program with your own legal counsel so you understand the potential benefits and risks of applying this program to your business. Keep in mind that the program is designed for use in, and your use is limited to, certain states.* 3) Establish an Employee Assistance Program (EAP). ** 4) Arrange for drug and alcohol testing services. 5) Develop an Employee Substance Abuse Education Program (see pages 6-10 in this kit). 6) Undertake necessary written notices and documentation including: give advance notice before testing current employees*** notice to employees posted in a prominent location on your premises drug-free policy distributed to all employees policy acknowledgement statement signed by management and all employees/job applicants drug-free workplace application for premium credit and/or state certification mailed to FCCI**** a general statement of confidentiality (in Mississippi) 7) Post the Notice to Applicants in a prominent location in your personnel office. Include the notice in all applications for employment and in any internal vacancy announcements or advertisements for available positions. 8) Begin drug and alcohol testing of current employees *** days after posting the Notice to Employees. Begin testing applicants immediately upon implementation of your drug-free program. 9) Begin operating under the drug-free workplace policy. A copy of your program should be included in your employee handbook and/or posted in a prominent place in your office. 10) Review the contents of your drug-free workplace program regularly to ensure familiarity and consistent implementation of the program. Note for Alabama: Alabama Code states that the premium discount shall continue for a period not to exceed four (4) years. Thereafter, any premium discount shall be determined from the experience rating plan of the insured or, if not rated on experience, discounts will be determined by the State Insurance Commissions. *This kit is designed for use in, and your use is limited to, the states of Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, South Carolina, Tennessee and Virginia. **Alabama, Arkansas, Mississippi, Virginia: As an alternative, maintain a resource file of employee assistance providers including drug and alcohol abuse and mental health providers, etc. ***Alabama, Arkansas, Florida, Georgia, Kentucky, South Carolina, Tennessee, Virginia: 60 days / Mississippi: 30 days ****Mail whichever premium credit application corresponds to your state to the address on that application. If you are in a state that certifies the drug-free workplace, forward your state certification to FCCI, Attention: Loss Control, 6300 University Parkway, Sarasota, FL

6 Definitions The following are definitions to be used for the purposes of this kit. Drug and Alcohol Testing Terms A. A positive result means that the presence of alcohol or a drug was detected, and the person failed the test. B. A negative result means the threshold levels for alcohol or a drug were not met, and the person passed the test. C. An invalid test is one in which the Medical Review Officer (MRO)/Human Resources Designate (HRD) determines that the test results cannot be used for some reason such as improper documentation. Alcohol: ethyl alcohol, hydrated oxide of ethyl, or spirits of wine, from whatever source or by whatever process produced. Chain of Custody: the process of control established by the drug and alcohol testing laboratory to ensure that drug and alcohol testing samples remain tamper-free and properly identified, including ensuring that at all times a designated individual has responsibility for the samples and tests. The laboratory may create forms for tracking and proving the chain of custody.* Conditional Offer of Employment: means the offer given to a job applicant pending a drug and alcohol test. An applicant cannot be required to take a physical examination or drug and alcohol test prior to getting a conditional offer of employment. If the applicant passes every stage of the hiring process, an offer may be made conditional upon the applicant passing the drug and alcohol test. If the drug and alcohol test is passed, the applicant may begin his employment. If the drug and/or alcohol test is failed, the offer must be withdrawn, and the applicant may not work for your company. Employee: any person employed by your company in any capacity, including managerial and supervisory personnel.** Employer: a person or entity that is subject to the workers compensation law.*** Human Resources Designate (HRD) (term used only in Mississippi): a person employed or retained by the company who has knowledge of substance abuse disorders and shall be knowledgeable in the medical use of prescription drugs and in the pharmacology and toxicology of illegal drugs. Illegal Drug: any drug which (a) is not legally obtainable; (b) may be legally obtainable but which has not been legally obtained; or (c) is being used in a manner or for purposes other than as prescribed or intended. Legal Drug: prescribed drugs and over-the-counter drugs which have been legally obtained or are being used solely for the purpose for which they were prescribed or manufactured. Medical Review Officer (MRO): a licensed physician****, employed or retained by the company who has knowledge of substance abuse disorders and shall be knowledgeable in the medical use of prescription drugs and in the pharmacology and toxicology of illegal drugs. Reasonable Suspicion: a belief that an employee is using or has used drugs or alcohol in violation of the company s policy. A reasonable suspicion will be based on specific, objective, and easily stated facts and reasonable inferences drawn from those facts in light of the company s experience. Among other things, such facts and inferences may be based upon: observable phenomenon while at work, including a workplace accident; abnormal conduct or erratic behavior while at work or significant deterioration of work performance; or report of drug use, provided by a reliable and credible source which has been confirmed by another person. Safety Sensitive Position: any position, including a supervisory or management position, in which drug or alcohol impairment would constitute an immediate and direct threat to public health and safety. Examples include positions that require the employee to carry a firearm, to perform life-threatening procedures, work with confidential information or documents, work with controlled substances, or where a momentary lapse of attention could result in injury or death to another person. 3

7 Special Risk Position (In Florida): employees who are required as a condition of employment to be certified under Chapter 633 (fire prevention and control) or Chapter 943 (Department of Law Enforcement Act of 1974), Florida Statutes. Test (Drug and Alcohol or Substance Abuse): any chemical, biological, or physical instrumental analysis administered for the purpose of determining the presence or absence of a drug or its metabolites or of alcohol. *Tennessee: Covered employers are required to use the chain of custody form developed by the Department of Labor specifically for the Tennessee drug-free workplace program (Rule (3)). **Arkansas: any person employed by your company in any capacity, including managerial and supervisory personnel, and temporary and/or leased employees. ***Georgia: Employer means a person or entity that is subject to the provisions of Chapter 9 but shall not include the state or any department, agency, or instrumentality of the state; any county; any county or independent school system; any municipal corporation; or any employer which is self-insured for the purposes of this chapter. / Mississippi: In the state of Mississippi as found in Miss. Code Ann ****Alabama: a licensed physician who is certified by either the American College of Occupational and Environmental Medicine or the American Association of Medical Review Officers. 4

8 Policy A (Strict)

9 Drug-Free Policy A (Strict) Because (the Company ) is committed to a safe and healthy workplace, we hereby announce our intention to establish a drug-free workplace program and adopt the following policy on drug and alcohol abuse. The Company is doing this because it recognizes that drug and alcohol abuse in the workplace increases the risk of accidents to all employees and is a significant factor leading to decreased productivity, high turnover, and morale. This policy conforms to applicable law(s). 1 Policy A General Statement The Company will not tolerate the use 2 of illegal drugs by its employees, either on or off the job, or the use of alcohol on the job. Therefore, the Company will test, at the Company s expense, all job applicants for drug or alcohol use as outlined in this policy. 3 Further, if a reasonable suspicion exists that a current employee is in violation of this policy, the Company will test, at the Company s expense, any such employee for drug or alcohol use. Such testing may take place as a regular part of fitness for duty examinations, after a work-related injury, and/or as a follow-up procedure to any drug or alcohol treatment program. A positive drug or alcohol test can lead to withdrawal of an offer of employment to an applicant or termination of an employee. All drug and alcohol testing will conform to the requirements of this policy and to state and federal laws. Possession of Drugs and Alcohol on Premises Employees who bring illegal drugs or alcohol to work are subject to immediate dismissal. Illegal drugs and alcohol will not be permitted in the workplace. Any employee in possession of or using alcohol or illegal drugs on Company premises during working hours will be subject to immediate dismissal and will be reported, as appropriate, to law enforcement agencies. Company premises include parking lots and other outlying areas. Use or possession of alcohol or illegal drugs on Company premises will be reported to a supervisor who will verify and report the incident to the person responsible for terminating employees. Visible Impairment Employees will not be allowed to work while impaired by drugs or alcohol. Any employee who reports to work visibly impaired or becomes visibly impaired while at work will not be allowed to continue work. An employee or other supervisor who observes another employee who appears to be visibly impaired should seek the opinion of a supervisor or competent co-worker regarding the nature and degree of the employee s impairment. The supervisor of the visibly impaired employee should consult privately with that employee to determine the reason for the impairment. If, in the opinion of two supervisors or a supervisor and an additional competent co-worker, the employee s visible impairment is the result of alcohol or illegal drugs, the affected employee will be required to submit to drug and alcohol testing as outlined in the reasonable suspicion portion of the Active Employee Drug and Alcohol Testing section of this policy. On the occasion when the visible impairment is observed, the employee will be sent home immediately by taxi or other safe transportation, including transportation by another employee, if necessary. Further, the employee will be subject to penalty that may include termination of employment. Pre-Employment Drug and Alcohol Testing Job offers are conditional pending pre-employment, drug and alcohol test results. If the Company extends an offer of employment to a job applicant who otherwise satisfactorily meets company standards for employment, the offer will be conditional upon the job applicant submitting to a drug and alcohol test to determine the presence of illegal drugs or alcohol abuse. This test will be administered in compliance with both state and federal laws and will be conducted only by the designated entity. 4 Job applicants shall receive a list of common medications which may alter or affect a drug or alcohol test. 5 In addition, job applicants will be given the names, addresses, and telephone numbers of approved, local alcohol and drug rehabilitation programs. Drug-Free Policy A 1

10 Persons receiving a conditional job offer will have an opportunity to confidentially report to the MRO/HRD concerning the use of any prescription or non-prescription medications both before and after being tested. 6 A drug or alcohol test indicating the use of illegal drugs or alcohol abuse will result in revocation of an offer of employment. Job applicants will have the right to challenge any drug and/or alcohol test or request a retest at the job applicant s expense. The procedures for challenging a drug and/or alcohol test or requesting a retest are outlined under the Review of Test Results section of this Policy. Active Employee Drug and Alcohol Testing The Company reserves the right to ask any employee to submit to drug and alcohol testing under the following conditions: A. When an employee is involved in an accident which causes injury to himself/herself or to any other person or damage to any property. 7 If, because of the accident, an employee is unable to submit to drug and alcohol testing 8, the employee will authorize the release of any medical reports or documentation to the MRO/HRD regarding the presence of illegal drugs or alcohol in the employee s body at the time of the accident. Refusal to agree to this release of information will result in termination of the employee. B. When, in the opinion of two supervisors or a supervisor and an additional competent co-worker, a reasonable suspicion exists that an employee may be abusing or under the influence of illegal drugs or alcohol. In such circumstances, the supervisory personnel will document, in writing, the basis for their reasonable suspicion. 9 If the reasonable suspicion is based on a report by another person, this report must be confirmed by a supervisor. 10 C. When an employee has sold or otherwise solicited any other person to obtain, use, or purchase illegal drugs or alcohol during working hours or there is a reasonable suspicion by a supervisor that such activities have taken place. In such circumstances, the supervisory personnel will document, in writing, the basis for the reasonable suspicion. If the reasonable suspicion is based on a report by another person, this report must be confirmed by a supervisor. Nothing herein shall prevent the Company from immediately terminating any employee who sells or otherwise solicits illegal drugs or provides or sells alcohol to any other person during working hours upon a report by the supervisor to the person in charge of terminating employees. 11 D. When it is a routine part of any required employee fitness for duty examination. 12 E. When it is a follow-up procedure that is part of a referral to the Employee Assistance Program or enrollment in a drug or alcohol abuse program. This follow-up testing will continue at random. 13 The Company reserves the right to waive follow-up testing in the event an employee voluntarily submits to an Employee Assistance Program or substance abuse program. F. Where required by law. Loss of Workers Compensation Benefits Drug and Alcohol Rule Statement Employees who are injured on the job will be drug and alcohol tested. Results may cause loss of workers compensation benefits. If an employee is injured in the scope of his or her employment and drug and/or alcohol tests or other medical evidence indicates the presence of drugs or alcohol in the employee s body at the time of the accident, the employee may be required to forfeit any medical or indemnity benefits under applicable law(s). 14 This penalty is in addition to any others that might apply either under this policy or under applicable law. Confidentiality Statement All drug and alcohol test results are strictly confidential. All test results of active employees will be strictly confidential, except in the following circumstances: When the employee has given consent to make test results known; or When placed at issue by the employee in any legal, administrative, or other proceeding to determine compensability of a workers compensation claim or as otherwise provided by law. Any test result indicating the use of illegal drugs or alcohol abuse will result in termination as provided herein. Drug-Free Policy A 2

11 Medication Disclosure Procedure Disclosure of the use of medications to the MRO/HRD is confidential. An employee will have an opportunity to confidentially report the use of prescription or non-prescription medications to the MRO/HRD at the drug and alcohol testing laboratory. 15 Such reports by an employee will not become a part of the employee s personnel file. Each employee will also receive a list of common medications which may alter or affect a drug or alcohol test. 5 In addition, an employee will be given the names, addresses, and telephone numbers of approved, local alcohol and drug rehabilitation programs and will be given access to an Employee Assistance Program. Further, an employee has the right to challenge any drug and/or alcohol test or request a retest at the employee s expense. The procedures for challenging a drug or alcohol test or requesting a retest are outlined under the Review of Test Results section of this Policy. Consequences of Refusing a Drug and/or Alcohol Test or Treatment Refusal to cooperate will result in termination. 1. Refusal to Cooperate Job Applicants Any person receiving a conditional offer of employment who refuses to submit to drug and alcohol testing or who alters, changes in any way, or otherwise interferes with drug and alcohol testing collection, samples, or analysis, is immediately disqualified from employment by the Company. Employees Any employee who refuses to submit to drug and/or alcohol testing when required or who alters, changes in any way, or otherwise interferes with drug or alcohol testing collection, samples, or analysis, will be immediately terminated Refusal to Accept Treatment or Failure to Rehabilitate Any employee who rejects a treatment program offered through the Employee Assistance Program or who leaves a treatment program prior to being properly discharged will be immediately terminated from employment with the Company. This sanction applies regardless of whether the Company referred the employee to the treatment program or Employee Assistance Program or whether the employee voluntarily sought treatment. 3. Limitations on Referral to Employee Assistance Program The Company wishes to make every effort to rehabilitate an employee who may be experiencing drug or alcohol problems. Therefore, the Company will not retaliate in any manner against an employee who is referred to an Employee Assistance Program or treatment program or who voluntarily refers himself/herself to the Employee Assistance Program or submits to treatment in a drug or alcohol abuse program. However, should an employee be referred to an Employee Assistance Program for drug or alcohol treatment or enroll in a drug or alcohol treatment program two times within a three-year period, that employee will be immediately terminated. EAP Program Name of provider: Phone number: Address: Drug-Free Policy A 3

12 Review of Drug and/or Alcohol Test Results and Employee Right to Contest or Explain Drug and/or Alcohol Test Results An employee has the right to contest test results. Review of Test Results All test results of either job applicants or employees will be reviewed by the MRO/HRD. Verification of Test Results 17 The MRO/HRD shall evaluate the drug and alcohol test results of an employee or job applicant and verify that the specimens were collected, transported, and analyzed under proper procedures. The MRO/HRD shall make this determination by checking any chain of custody forms for required signatures, procedures, and information. 18 If an employee or job applicant fails a drug or alcohol test, the MRO/HRD shall also determine if any alternative medical explanation caused the employee or job applicant to fail. The MRO/HRD shall maintain the confidentiality of any information received from drug and/or alcohol tests, except: as authorized by the employee or job applicant; as otherwise provided by law; or, if placed at issue by the employee or job applicant in any legal, administrative, or other proceeding. Contact with Employee or Job Applicant In the event a job applicant or employee fails a drug or alcohol test, the MRO/HRD will inform the employee or job applicant of the result within the time prescribed by law 19 after the MRO/HRD receives the test result from the testing laboratory or clinic. The employee or job applicant will have five days after written notification from the MRO/HRD to discuss the test results with the MRO/HRD, submit documentation of any prescription drugs relevant to the test result to the MRO/HRD, or request a retest at the employee or job applicant s expense. Inability of MRO/HRD to Contact Employee / Job Applicant MRO/HRD contact with employee / job applicant If the MRO/HRD is unable to contact an employee or job applicant within the time prescribed by law 19, the MRO/HRD shall contact the Company and request that the Company direct the employee or job applicant to contact the MRO/HRD as soon as possible. If the employee or job applicant does not contact the MRO/HRD within the time prescribed by law 20 from the date of the Company request, the MRO/HRD shall verify that the job applicant or employee failed the drug or alcohol test. Should the job applicant or employee present satisfactory documentation that serious illness, injury, or other circumstances unavoidably prevented contact with the MRO/HRD within the specified time limit and provide legitimate explanations for the failure of the drug or alcohol test, the MRO/HRD may change the test result. If, however, the job applicant or employee refuses to talk with the MRO/HRD regarding a drug or alcohol test failure, the MRO/HRD shall validate the failure and record the refusal to discuss the failure in the remarks section of the verification form. Explanations for Drug and Alcohol Test Results The MRO/HRD will review all results carefully. After contacting an employee or job applicant, the MRO/HRD will inquire whether prescription or over-thecounter medications were taken that could cause a positive test result. If the MRO/HRD determines that the employee s information is not a legitimate medical explanation for the positive test result, the MRO/HRD will, within the time prescribed by law 21, give a written explanation of the test findings to the employer. If the MRO/HRD determines that a legitimate medical explanation exists for the test result, the MRO/HRD shall report to the Company that the employee or job applicant passed the drug or alcohol test. If, however, the legitimate medical explanation is caused by legal use of a prescription or over-the-counter medication and the MRO/HRD feels that the legal use of the drug would endanger the employee or job applicant, or if the employee or job applicant is in a safety-sensitive or special-risk position, the MRO/HRD may recommend that the employee or job applicant passed the drug or alcohol test; however, the MRO/HRD shall request that the Company place the employee or job applicant in a position which would not threaten the safety of the employee or job applicant. Drug-Free Policy A 4

13 Retest Requests Retesting conducted after written test results received. Retest Request by an Employee or Job Applicant 22 The retest will conform to all the same requirements and procedures applicable to the original test. The retest will occur at another laboratory 23 and be selected by the employee or job applicant. The employee or job applicant shall bear the cost of this retest. Any retest must be done on the original specimen because the original test results cannot be verified using a new specimen. Retest Requests by the MRO/HRD Should the MRO/HRD question the validity of the testing procedure, the MRO/HRD may, at his or her sole discretion, (1) order a re-analysis of the original sample at any laboratory or clinic 24, or (2) request additional samples from the employee or job applicant for retesting. Employee Right to Contest Test Results 25 Types of Tests Conducted Initial tests for all drugs other than alcohol shall use an immunoassay method. Initial tests for alcohol shall use an enzyme oxidation method. All tests to confirm an initial positive result for drugs other than alcohol shall use a gas chromatography/mass spectrometry method. All tests to confirm positive results for alcohol shall use a gas chromatography method. Notification of the Company How and when the company is notified of results After contacting the employee or job applicant, as outlined in this section, and conducting any retests, the MRO/HRD will notify the Company, in writing 26, of the verified test results, whether negative, positive, or invalid. If the MRO/HRD, employee, or job applicant requests a retest, the MRO/HRD will report only the verified results of the retest to the Company. The MRO/HRD will file any required chain of custody forms under confidential procedures. The MRO/HRD will maintain these forms for five years from the date of the test. How Employer Notifies Employee of Positive Test Results Within the time prescribed by law 27 and after the receipt of the positive confirmed test results from the laboratory, the employer shall inform the employee in writing of such positive test results, the consequences of such results, and the options available to the employee including the right to file an administrative or legal challenge. (Sample letter is enclosed.) Employee Notice to Laboratory of Legal Action Concerning Test Results The employee may have an obligation to notify the laboratory of legal action concerning test results. 28 Complete List of Substances Tested The Company may test for the following substances: Alcohol (beer, wine, booze, liquor, etc.) Amphetamines (speed, eve, Biphetamine, Desoxyn, Dexedrine, etc.) Barbiturates (phenobarbital, butabarbital, secobarbital, tuinal, amytal, etc.) Benzodiazepine (Librium, Valium, Ativan, Azene, Clonopin, Dalmone, Diozepam, Halcion, Poxipam, Restoril, Serax, Transene, Vertron, Xanax, etc.) Cannabinoids (marijuana, hashish, hash, hash oil, pot, joint, reefer, roach, spleaf, grass, weed, etc.) Cocaine (coke, blow, snow, flake, crack, etc.) Designer drugs (ecstasy, etc.) Drug-Free Policy A 5

14 Hallucinogens (LSD, acid, mushrooms, shrooms, etc.) Methaqualone (Quaaludes, ludes, etc.) Opiates (heroin, codeine, morphine, opium, Dover s powder, paregoric, parepectolin, etc.) Phencyclidine (PCP, angel dust, hog, etc.) Propoxyphene* (Darvon, Puvules, Darvon-N) Synthetic narcotics, including methadone (dolophine, methadose, etc.) *Tested for in Alabama. The Company reserves the right to expand or otherwise modify the number or types of drugs tested at any time. The Company will provide employees with 60 days written notice of any expansion or modification of the drugs tested under the Company s Policy. Collective Bargaining Statement Nothing in this Policy is intended to affect those rights provided for by any collective bargaining agreement between the Company and its employees. Employee s Right to Consult Laboratory Employee legal rights. All employees may consult with the testing laboratory or MRO/HRD for technical information regarding the effects of prescription and non-prescription medications on drug or alcohol testing. Any consultation by an employee with the testing laboratory or MRO/HRD for the purpose of gaining technical information shall be confidential. An MRO/HRD must supply technical information to any employee who fails a drug or alcohol test. Report of Drug Convictions Employees shall report any drug conviction to the Company within five days from the date of conviction. The Company will report the conviction to any federal agency with which the Company has a contract, or if otherwise required by federal law, within 10 days from the notification of the conviction by the employee. The employee will be referred to the Employee Assistance Program immediately upon notification of the conviction. A failure to report a drug conviction to the Company within the applicable time periods will result in immediate termination of the employee, unless good cause exists for the employee s failure to report the conviction to the Company. Arrest for a drug or alcohol offense shall be considered reasonable suspicion, allowing the Company to test the arrested employee for the presence of alcohol or illegal drugs. Drug-Free Workplace Workers Compensation Premium Reduction Act 29 Drug-Free Policy A 6

15 Sample Letter Dear Employee: This letter is to inform you that we have received a positive confirmed test result on your recent drug and/or alcohol test. In accordance with our drug-free policy, your employment has been terminated. A copy of the test results will be provided to you upon request. Within the time prescribed by law and after your receipt of this notice 30, you may submit information to the Company explaining or contesting the test result and explaining why the result does not constitute a violation of the drug-free workplace policy. If your explanation or challenge of the positive test result is unsatisfactory to the Company, you will be provided with a written response as to why your explanation is unsatisfactory, along with the report of the positive test result pursuant to rules adopted by the designated entity. 31 During the period set out by law and following this notice 32, you have the right to have a portion of the specimen retested, at your expense, at another laboratory 33 chosen by you. Sincerely, Name Title Drug-Free Policy A 7

16 Policy B (Moderate)

17 Drug-Free Policy B (Moderate) Because (the Company) is committed to a safe and healthy workplace, we hereby announce our intention to establish a drug-free workplace program and adopt the following policy on drug and alcohol abuse. The Company is doing this because it recognizes that drug and alcohol abuse in the workplace increases the risk of accidents to all employees and is a significant factor leading to decreased productivity, high turnover, and morale. This policy conforms to applicable law(s). 1 Policy B General Statement The Company will not tolerate the use 2 of illegal drugs by its employees, either on or off the job, or the use of alcohol on the job. Therefore, the Company will test, at the Company s expense, all job applicants for drug or alcohol use as outlined in this policy. 3 Further, if a reasonable suspicion exists that a current employee is in violation of this policy, the Company will test, at the Company s expense, any such employee for drug or alcohol use. Such testing may take place as a regular part of fitness for duty examinations, after a work-related injury, and/or as a follow-up procedure to any drug or alcohol treatment program. A positive drug or alcohol test can lead to withdrawal of an offer of employment to an applicant or termination of an employee. Any current employee who tests positive for illegal drugs or alcohol will be referred to the Employee Assistance Program (EAP). All drug and alcohol testing will conform to the requirements of this policy and to state and federal laws. Possession of Drugs and Alcohol on Premises Employees who bring illegal drugs or alcohol to work are subject to immediate referral to the Employee Assistance Program. Illegal drugs and alcohol will not be permitted in the workplace. Any employee in possession of or using alcohol or illegal drugs on Company premises during working hours will be subject to immediate referral to the Employee Assistance Program (EAP), a program to help employees overcome drug and/or alcohol addiction. Company premises include parking lots and other outlying areas. A second incident involving possession of drugs or alcohol on Company premises during working hours shall result in immediate termination. A second incident of use of alcohol or illegal drugs on Company premises during working hours shall result in immediate termination. Such use or possession of alcohol or illegal drugs for a second time on Company premises will be reported to a supervisor who will verify and report the incident to the person responsible for terminating employees. Visible Impairment Employees will not be allowed to work while impaired by drugs or alcohol. Any employee who reports to work visibly impaired or becomes visibly impaired while at work will not be allowed to continue work. An employee or other supervisor who observes another employee who appears to be visibly impaired should seek the opinion of a supervisor or competent co-worker regarding the nature and degree of the employee s impairment. The supervisor of the visibly impaired employee should consult privately with that employee to determine the reason for the impairment. If, in the opinion of two supervisors or a supervisor and an additional competent co-worker, the employee s visible impairment is the result of alcohol or illegal drugs, the affected employee will be required to submit to drug and alcohol testing as outlined in the reasonable suspicion portion of the Active Employee Drug and Alcohol Testing section of this policy. On the occasion when the visible impairment is observed, the employee will be sent home immediately by taxi or other safe transportation, including transportation by another employee, if necessary. Drug-Free Policy B 1

18 Pre-Employment Drug and Alcohol Testing Job offers are conditional pending pre-employment, drug and alcohol test results. If the Company extends an offer of employment to a job applicant who otherwise satisfactorily meets company standards for employment, the offer will be conditional upon the job applicant submitting to a drug and alcohol test to determine the presence of illegal drugs or alcohol abuse. This test will be administered in compliance with both state and federal laws and will be conducted only by the designated entity. 4 Job applicants shall receive a list of common medications which may alter or affect a drug or alcohol test. 5 In addition, job applicants will be given the names, addresses, and telephone numbers of approved, local alcohol and drug rehabilitation programs. Persons receiving a conditional job offer will have an opportunity to confidentially report to the MRO/HRD concerning the use of any prescription or non-prescription medications both before and after being tested. 6 A drug or alcohol test indicating the use of illegal drugs or alcohol abuse will result in revocation of an offer of employment. Job applicants will have the right to challenge any drug and/or alcohol test or request a retest at the job applicant s expense. The procedures for challenging a drug and/or alcohol test or requesting a retest are outlined under the Review of Test Results section of this Policy. Active Employee Drug and Alcohol Testing The Company reserves the right to ask any employee to submit to drug and alcohol testing under the following conditions: A. When an employee is involved in an accident which causes injury to himself or to any other person or damage to any property. 7 If, because of the accident, an employee is unable to submit to drug and alcohol testing 8, the employee will authorize the release of any medical reports or documentation to the MRO/HRD regarding the presence of illegal drugs or alcohol in the employee s body at the time of the accident. Refusal to agree to this release of information will result in termination of the employee. B. When, in the opinion of two supervisors or a supervisor and an additional competent co-worker, a reasonable suspicion exists that an employee may be abusing or under the influence of illegal drugs or alcohol. In such circumstances, the supervisory personnel will document, in writing, the basis for their reasonable suspicion. 9 If the reasonable suspicion is based on a report by another person, this report must be confirmed by a supervisor. 10 C. When an employee has sold or otherwise solicited any other person to obtain, use, or purchase illegal drugs or alcohol during working hours or there is a reasonable suspicion by a supervisor that such activities have taken place. In such circumstances, the supervisory personnel will document, in writing, the basis for the reasonable suspicion. If the reasonable suspicion is based on a report by another person, this report must be confirmed by a supervisor. Nothing herein shall prevent the Company from immediately terminating any employee who sells or otherwise solicits illegal drugs or provides or sells alcohol to any other person during working hours upon a report by the supervisor to the person in charge of terminating employees. 11 D. When it is a routine part of any required employee fitness for duty examination. 12 E. When it is a follow-up procedure that is part of a referral to the Employee Assistance Program or enrollment in a drug or alcohol abuse program. This follow-up testing will continue at random. 13 The Company reserves the right to waive follow-up testing in the event an employee voluntarily submits to an Employee Assistance Program or substance abuse program. F. Where required by law. Loss of Workers Compensation Benefits Drug and Alcohol Rule Statement Employees who are injured on the job will be drug and alcohol tested. Results may cause loss of workers compensation benefits. Drug-Free Policy B 2

19 If an employee is injured in the scope of his or her employment and drug and/or alcohol tests or other medical evidence indicates the presence of illegal drugs or alcohol in the employee s body at the time of the accident, the employee may be required to forfeit any medical or indemnity benefits under applicable law(s). 14 This penalty is in addition to any others that might apply either under this policy or under applicable law. Confidentiality Statement All drug and alcohol test results are strictly confidential. All test results of active employees will be strictly confidential, except in the following circumstances: When the employee has given consent to make test results known; or When placed at issue by the employee in any legal, administrative, or other proceeding to determine compensability of a workers compensation claim or as otherwise provided by law. Any test result that indicates the use of illegal drugs or alcohol abuse will result in termination as provided herein. Medication Disclosure Procedure Disclosure of the use of medications to the MRO/HRD is confidential. An employee will have an opportunity to confidentially report the use of prescription or non-prescription medications to the MRO/HRD at the drug and alcohol testing laboratory. 15 Such reports by an employee will not become a part of the employee s personnel file. Each employee will also receive a list of common medications which may alter or affect a drug or alcohol test. 5 In addition, an employee will be given the names, addresses, and telephone numbers of approved, local alcohol and drug rehabilitation programs and will be given access to an Employee Assistance Program. Further, an employee has the right to challenge any drug and/or alcohol test or request a retest at the employee s expense. The procedures for challenging a drug or alcohol test or requesting a retest are outlined under the Review of Test Results section of this Policy. Consequences of Refusing a Drug and/or Alcohol Test or Treatment Refusal to cooperate will result in termination. 1. Refusal to Cooperate Job Applicants Any person receiving a conditional offer of employment who refuses to submit to drug and alcohol testing or who alters, changes in any way, or otherwise interferes with drug and alcohol testing collection, samples, or analysis, is immediately disqualified from employment by the Company. Employees Any employee who refuses to submit to drug and/or alcohol testing when required will be referred to an EAP. An employee who alters, changes in any way, or otherwise interferes with drug or alcohol testing collection, samples, or analysis, will be immediately terminated. 16 An employee referred to EAP for refusal to submit to drug or alcohol testing will be required to submit to follow-up drug or alcohol testing 60 days after the first refusal to submit to drug or alcohol testing as outlined in the follow-up provisions of the Active Employee Drug and Alcohol Testing section of this policy. A second refusal to submit to drug or alcohol testing or a refusal to submit to testing after any previous positive test or treatment for alcohol or illegal drugs will result in termination of employment. 2. Refusal to Accept Treatment or Failure to Rehabilitate Any employee who rejects a treatment program offered through the Employee Assistance Program or who leaves a treatment program prior to being properly discharged will be immediately terminated from employment with the Company. This sanction applies regardless of whether the Company referred the employee to the treatment program or Employee Assistance Program or whether the employee voluntarily sought treatment. Drug-Free Policy B 3

20 3. Limitations on Referral to Employee Assistance Program The Company wishes to make every effort to rehabilitate an employee who may be experiencing drug or alcohol problems. Therefore, the Company will not retaliate in any manner against an employee who is referred to an Employee Assistance Program or treatment program or who voluntarily refers himself/herself to the Employee Assistance Program or submits to treatment in a drug or alcohol abuse program. However, should an employee be referred to an Employee Assistance Program for drug or alcohol treatment or enroll in a drug or alcohol treatment program two times within a three-year period, that employee will be immediately terminated. EAP Program Name of provider: Phone number: Address: Review of Drug and/or Alcohol Test Results and Employee Right to Contest or Explain Drug and/or Alcohol Test Results An employee has the right to contest results. Review of Test Results All test results of either job applicants or employees will be reviewed by the MRO/HRD. Verification of Test Results 17 The MRO/HRD shall evaluate the drug and alcohol test results of an employee or job applicant and verify that the specimens were collected, transported, and analyzed under proper procedures. The MRO/HRD shall make this determination by checking any chain of custody forms for required signatures, procedures, and information. 18 If an employee or job applicant fails a drug or alcohol test, the MRO/HRD shall also determine if any alternative medical explanation caused the employee or job applicant to fail. The MRO/HRD shall maintain the confidentiality of any information received from drug and/or alcohol tests, except: as authorized by the employee or job applicant; as otherwise provided by law; or, if placed at issue by the employee or job applicant in any legal, administrative, or other proceeding. Contact with Employee or Job Applicant In the event a job applicant or employee fails a drug or alcohol test, the MRO/HRD will inform the employee or job applicant of the result within the time prescribed by law 19 after the MRO/HRD receives the test result from the testing laboratory or clinic. The employee or job applicant will have five days after written notification from the MRO/HRD to discuss the test results with the MRO/HRD, submit documentation of any prescription drugs relevant to the test result to the MRO/HRD, or request a retest at the employee or job applicant s expense. Inability of MRO/HRD to Contact Employee / Job Applicant MRO/HRD contact with employee / job applicant. If the MRO/HRD is unable to contact an employee or job applicant within the time prescribed by law 19, the MRO/HRD shall contact the Company and request that the Company direct the employee or job applicant to contact the MRO/HRD as soon as possible. If the employee or job applicant does not contact the MRO/HRD within the time prescribed by law 20 from the date of the Company request, the MRO/HRD shall verify that the job applicant or employee failed the drug or alcohol test. Should the job applicant or employee present satisfactory documentation that serious illness, injury, or other circumstances unavoidably prevented contact with the MRO/HRD within the specified time limit and provide legitimate explanations for the failure of the drug or alcohol test, the MRO/HRD may change the test result. If, however, the job applicant or employee refuses to talk with the MRO/HRD regarding a drug or alcohol test failure, the MRO/HRD shall validate the failure and record the refusal to discuss the failure in the remarks section of the verification form. Drug-Free Policy B 4

21 Explanations for Drug and Alcohol Test Results The MRO/HRD will review all results carefully. After contacting an employee or job applicant, the MRO/HRD will inquire whether prescription or over-thecounter medications were taken that could cause a positive test result. If the MRO/HRD determines that the employee s information is not a legitimate medical explanation for the positive test result, the MRO/HRD will, within the time prescribed by law 21, give a written explanation of the test findings to the employer. If the MRO/HRD determines that a legitimate medical explanation exists for the test result, the MRO/HRD shall report to the Company that the employee or job applicant passed the drug or alcohol test. If, however, the legitimate medical explanation is caused by legal use of a prescription or over-the-counter medication and the MRO/HRD feels that the legal use of the drug would endanger the employee or job applicant, or if the employee or job applicant is in a safety-sensitive or special-risk position, the MRO/HRD may recommend that the employee or job applicant passed the drug or alcohol test; however, the MRO/HRD shall request that the Company place the employee or job applicant in a position which would not threaten the safety of the employee or job applicant. Retest Requests Retesting conducted after written test results received. Retest Request by an Employee or Job Applicant 22 The retest will conform to all the same requirements and procedures applicable to the original test. The retest will occur at another laboratory 23 and be selected by the employee or job applicant. The employee or job applicant shall bear the cost of this retest. Any retest must be done on the original specimen because the original test results cannot be verified using a new specimen. Retest Requests by the MRO/HRD Should the MRO/HRD question the validity of the testing procedure, the MRO/HRD may, at his or her sole discretion, (1) order a re-analysis of the original sample at any laboratory or clinic 24 ; or (2) request additional samples from the employee or job applicant for retesting. Employee Right to Contest Test Results 25 Types of Tests Conducted The types of drug and alcohol tests required by law. Initial tests for all drugs other than alcohol shall use an immunoassay method. Initial tests for alcohol shall use an enzyme oxidation method. All tests to confirm an initial positive result for drugs other than alcohol shall use a gas chromatography/mass spectrometry method. All tests to confirm positive results for alcohol shall use a gas chromatography method. Notification of the Company How and when the company is notified of results. After contacting the employee or job applicant, as outlined in this section, and conducting any retests, the MRO/HRD will notify the Company, in writing 26, of the verified test results, whether negative, positive, or invalid. If the MRO/HRD, employee, or job applicant requests a retest, the MRO/HRD will report only the verified results of the retest to the Company. The MRO/HRD will file any required chain of custody forms under confidential procedures. The MRO/HRD will maintain these forms for five years from the date of the test. How Employer Notifies Employee of Positive Test Results Within the time prescribed by law 27 and after the receipt of the positive confirmed test results from the laboratory, the employer shall inform the employee in writing of such positive test results, the consequences of such results, and the options available to the employee including the right to file an administrative or legal challenge. (Sample letter is enclosed.) Drug-Free Policy B 5

22 Employee Notice to Laboratory of Legal Action Concerning Test Results The employee may have an obligation to notify the laboratory of legal action concerning test results. 28 Complete List of Substances Tested The Company may test for the following substances: Alcohol (beer, wine, booze, liquor, etc.) Amphetamines (speed, eve, Biphetamine, Desoxyn, Dexedrine, etc.) Barbiturates (phenobarbital, butabarbital, secobarbital, tuinal, amytal, etc.) Benzodiazepine (Librium, Valium, Ativan, Azene, Clonopin, Dalmone, Diozepam, Halcion, Poxipam, Restoril, Serax, Transene, Vertron, Xanax, etc.) Cannabinoids (marijuana, hashish, hash, hash oil, pot, joint, reefer, roach, spleaf, grass, weed, etc.) Cocaine (coke, blow, snow, flake, crack, etc.) Designer drugs (ecstasy, etc.) Hallucinogens (LSD, acid, mushrooms, shrooms, etc.) Methaqualone (Quaaludes, ludes, etc.) Opiates (heroin, codeine, morphine, opium, Dover s powder, paregoric, parepectolin, etc.) Phencyclidine (PCP, angel dust, hog, etc.) Propoxyphene* (Darvon, Puvules, Darvon-N) Synthetic narcotics, including methadone (dolophine, methadose, etc.) *Tested for in Alabama. The Company reserves the right to expand or otherwise modify the number or types of drugs tested at any time. The Company will provide employees with 60 days written notice of any expansion or modification of the drugs tested under the Company s Policy. Collective Bargaining Statement Nothing in this Policy is intended to affect those rights provided for by any collective bargaining agreement between the Company and its employees. Employee s Right to Consult Laboratory Employee legal rights. All employees may consult with the testing laboratory or MRO/HRD for technical information regarding the effects of prescription and non-prescription medications on drug or alcohol testing. Any consultation by an employee with the testing laboratory or MRO/HRD for the purpose of gaining technical information shall be confidential. An MRO/HRD must supply technical information to any employee who fails a drug or alcohol test. Report of Drug Convictions Employees shall report any drug conviction to the Company within five days from the date of conviction. The Company will report the conviction to any federal agency with which the Company has a contract, or if otherwise required by federal law, within 10 days from the notification of the conviction by the employee. The employee will be referred to the Employee Assistance Program immediately upon notification of the conviction. A failure to report a drug conviction to the Company within the applicable time periods will result in immediate termination of the employee, unless good cause exists for the employee s failure to report the conviction to the Company. Arrest for a drug or alcohol offense shall be considered reasonable suspicion, allowing the Company to test the arrested employee for the presence of alcohol or illegal drugs. Drug-Free Workplace Workers Compensation Premium Reduction Act 29 Drug-Free Policy B 6

23 Sample Letter Dear Employee: This letter is to inform you that we have received a positive confirmed test result on your recent drug and/or alcohol test. In accordance with our drug-free policy, your employment is conditioned on satisfactory completion of a rehabilitation program. A copy of the test results will be provided to you upon request. Within the time prescribed by law and after your receipt of this notice 30, you may submit information to the Company explaining or contesting the test result and explaining why the result does not constitute a violation of the drug-free workplace policy. If your explanation or challenge of the positive test result is unsatisfactory to the Company, you will be provided with a written response as to why your explanation is unsatisfactory, along with the report of the positive test result pursuant to rules adopted by the designated entity. 31 During the period set out by law and following this notice 32, you have the right to have a portion of the specimen retested, at your expense, at another laboratory 33 chosen by you. Sincerely, Name Title Drug-Free Policy B 7

24 Set-Up

25 Employee Assistance Program Setting Up an Employee Assistance Program 34 An Employee Assistance Program (EAP) is a component of a drug-free workplace and can be beneficial for both employer and employee. When your company loses a valuable worker due to lack of assistance for a short-term problem, this can be damaging to the individual, the employer, and overall staff morale. An EAP is a structured way to help an employee overcome drug and/or alcohol addiction and dependency as well as other personal problems. Keep in mind that an employer can choose to financially support an EAP but is not required to pay for such a program. Established EAP services are available in most major metropolitan areas and offer the skills of trained counselors, doctors specializing in dependency treatment, and other support programs. You can get more information on setting up an EAP from mental health counselors, agencies, and organizations listed in your local yellow pages or your local Chamber of Commerce. 35 5

26 Substance Abuse Education Program Policy Statement 36 The following are typical components of a substance abuse education program in the workplace. After you select those items you plan to include in your program, you can adapt all or part of this document as your customized policy statement. As part of its effort to implement a drug-free workplace Program, (the Company) will conduct a Substance Abuse Employee Education Program for the benefit of all of its employees. This Program will contain the following elements: Alabama: A semi-annual, one-hour education session for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. A presentation on the legal, social, physical, and emotional consequences of alcohol/drug abuse. A demonstration of the effects and dangers of commonly abused substances in the workplace. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. All supervisory personnel shall receive an additional two hours of annual training regarding: 1) how to recognize signs of employee substance abuse; 2) how to document and corroborate signs of employee substance abuse; and 3) how to refer substance abusing employees to the proper treatment providers. Arkansas: Employee educational materials to be distributed to all employees, which explain the requirements of the drug-free program and the Company s policy and procedures. All supervisory employees must receive at least 60 minutes of training on alcohol misuse and an additional 60 minutes of training on drug use. Such training shall include: How to determine whether reasonable suspicion exists to require an employee to undergo testing. Physical, behavioral, speech and performance indicators of alcohol and drug abuse. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. 6

27 Florida: An annual education session for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. A presentation on the legal, social, physical, and emotional consequences of alcohol/drug abuse. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. Georgia: A semi-annual, one-hour education session for all employees to inform them about substance abuse and, in general, its effects on the workplace, specifically. During the initial year, the first hour of the education program must include but is not limited to: 1) the explanation of the disease model of addiction for alcohol and drugs; 2) the effects and dangers of the commonly abused substances in the workplace; and 3) the company s policies and procedures regarding substance abuse in the workplace and how employees who wish to obtain substance abuse treatment can do so. During the second and any consecutive subsequent years of certification, an employer must provide all employees with an annual education program. All supervisory personnel shall also receive a minimum of two hours per year of substance abuse training, which must include: 1) how to recognize signs of employee substance abuse; 2) how to document and corroborate signs of employee substance abuse; and 3) how to refer substance abusing employees to the proper treatment providers. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. Kentucky: An annual education session of at least one hour initial, and at least 30 minutes refresher each year thereafter, for all employees and supervisors to include alcohol and substance abuse education and awareness training concerning: 1) alcohol and drug testing; 2) the effects of alcohol and drug use on an individual s health, work, and personal life; 3) the disease of alcohol or drug addiction; 4) signs and symptoms of an alcohol or drug problem; 5) the role of co-workers and supervisors in addressing alcohol or substance abuse; and 6) referrals to an employee assistance program. All supervisory personnel shall receive an additional 30 minutes each year of alcohol and substance abuse education and awareness training to include: 1) recognizing the signs of alcohol and substance abuse in the workplace; 2) how to document signs of employee alcohol or substance abuse; 3) how to refer employees to an employee assistance program or other alcohol and substance abuse treatment; and 4) legal and practical aspects of reasonable suspicion testing for the presence of drugs and alcohol. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. 7

28 Mississippi: An annual education session that is at least one hour in duration for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. A presentation on the legal, social, physical, and emotional consequences of alcohol/drug abuse. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. South Carolina: An annual education session for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. A presentation on the legal, social, physical, and emotional consequences of alcohol/drug abuse. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. Tennessee: An annual one hour education session for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. A presentation on the effects and dangers of the commonly abused substances in the workplace. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. All supervisory personnel shall also receive a minimum of two hours per year of substance abuse training to include: 1) recognizing the signs of substance abuse in the workplace; 2) how to document and corroborate signs of employee substance abuse; and 3) how to refer substance abusing employees to the proper treatment providers. 8

29 Virginia: An annual education session for all employees to inform them about personal and emotional factors which may lead to alcohol or drug dependency. - Supervisor training (approximate time required: two hours) You should conduct one hour supervisor training prior to applying for your drug-free workplace certification. The second hour can be conducted within six months. - Employee education (approximate time required: two hours) You should conduct at least two hours of employee drug education in the first year of certification. A presentation on the legal, social, physical, and emotional consequences of alcohol/drug abuse. A list of services that can be accessed by employees, including alcohol and drug abuse counseling programs, mental health providers, and other agencies and organizations that can assist with personal or behavioral problems that might trigger drug or alcohol abuse. This information may be reviewed by any employee on a confidential basis. A resource file of pamphlets, brochures, and other information designed to educate employees about the known effects of drug and alcohol abuse. This file may be reviewed by any employee on a confidential basis. The Company believes that with proper treatment and personal motivation an employee with a drug or alcohol problem can overcome substance abuse and return to a productive and healthy lifestyle. Any information about an employee referral to a counselor or other provider in conjunction with this Substance Abuse Employee Education Program will be strictly confidential unless released by the employee or otherwise provided by law. Participation in the Substance Abuse Employee Education Program will not protect an employee from disciplinary action due to substandard job performance. (Signature of Owner/Officer) ) 9

30 Employee Substance Abuse Education Program Setting Up an Employee Substance Abuse Education Program It is strongly recommended that you undertake an educational program even where it may be an optional component for certification of your drug-free workplace program. 37 FCCI recommends that you obtain materials which you can present to your employees regarding drug and alcohol awareness and education. To see drug use statistics in the workplace, follow this link: By taking steps to combat substance abuse and addiction among employees, a company can increase productivity; reduce workers compensation claims, absenteeism, employee thefts, accidents, legal liability, and turnover; lower medical and health benefit costs; and improve morale and employee health. And because Americans spend so much time in the workplace, businesses are in an excellent position to help employees, their families, and their communities combat the nation s number-one health problem. A structured presentation, repeated annually, is an effective way to reinforce the policy you have established. Contact your FCCI loss control representative for assistance in setting up your education program. Resources: Alcohol & Drug Abuse Crisis Helpline, a 24-hour crisis line with counselors available 24/7 and providing recovering addicts support Drug Information, Treatment and Referral Hotline of the Center for Substance Abuse Treatment (CSAT) of the U.S. Department of Health and Human Services, providing free information, advice and local referrals for substance abuse treatment nationwide HELP / Employee Assistance Professionals Association, the world s most relied upon source of information and support for and about the employee assistance profession. Join Together The Partnership at Drugfree.org, a wealth of information, tools and opportunities to help prevent and get help for drug and alcohol abuse. The National Clearinghouse for Alcohol and Drug Information (NCADI), a resource for information about substance abuse prevention and treatment. The materials available come from a wide variety of government agencies, and most are free or low-cost. English and Spanish-speaking staff is available. NCADI is a service of the Substance Abuse and Mental Health Administration (SAMHSA). (800) (English) / (877) (Spanish) / Substance Abuse and Mental Health Services Administration (SAMHSA), offers services in substance abuse prevention, alcohol and drug addiction treatment, and mental health services. The Workplace Helpline of the Center for Substance Abuse Prevention (CSAP), an agency of the U.S. Department of Health and Human Services providing technical assistance for employers and community organizations, including sample drug-free workplace policies; employee assistance program information; drug testing information; complimentary drug-free workplace resource materials WORKPLACE / Ref: Substance Abuse Prevention in the Workplace An Employer s Guide; Moyers on Addiction: Close to Home, 1998: 10

31 Applicant Information

32 Notice to Applicants This Notice should be included in any application for employment, posted in an appropriate and conspicuous location on your premises, and be available in your personnel office for inspection by the general public during regular business hours. This form should be provided and completed by an applicant at the time of the employment application. (the Company) has established and maintains a drug-free workplace program. This drug-free workplace program is in conformity with applicable law(s). 38 As part of this program, offers of employment are conditional upon passing a drug and alcohol test. In addition, employees of the Company may be subject to drug and alcohol testing under those conditions outlined in the Company s Drug and Alcohol Policy Statement. For a person receiving a conditional offer of employment, failure of a drug or alcohol test or refusal to submit to drug and alcohol testing when required by the Company shall cancel or terminate any job offer. For an employee, failing a drug or alcohol test or refusing to submit to a drug or alcohol test will result in action against an employee up to and including termination of employment. A person who receives a conditional offer of employment will have an opportunity to confidentially report to the Medical Review Officer (MRO)/Human Resources Designate (HRD) regarding the use of prescription or non-prescription medications. 39 Additionally, a job applicant shall receive a list of common medications which may alter or affect a drug or alcohol test. 5 A job applicant will also be given names, addresses, and telephone numbers of local alcohol and drug rehabilitation programs. Any person receiving a conditional offer of employment who fails a drug or alcohol test may challenge or explain the result within the time prescribed by law 40 and after written notification of the test result. A job applicant will also have an opportunity to request a retest at the job applicant s expense. If a job applicant s explanation or challenge is unsatisfactory, the job applicant may contest the drug or alcohol test results pursuant to applicable law(s). 41 The job applicant also has a right to consult the testing laboratory or clinic for technical information regarding prescription and non-prescription medication. In addition, each job applicant will be given a list prior to administration of the drug and alcohol tests of the substances to be tested. All test results will remain confidential except as allowed by law. The Company will provide each job applicant with a copy of the Company s Drug and Alcohol Abuse Policy Statement prior to the administration of a drug or alcohol test. Nothing in this Notice will affect these rights provided in any collective bargaining agreement between the Company and its employees. Refusal to complete or sign this document will result in a withdrawal of any offer of employment. Name of Company: Applicant Name: Applicant Signature: Date: Witness: 38 Alabama: Ala. Code et seq., its implementing regulations and federal law / Arkansas: Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule / Florida: Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law / Georgia: O.C.G.A et seq., its implementing regulations and federal law / Kentucky: KRS , its implementing regulations and federal law / Mississippi: Miss. Code Ann et seq., its implementing regulations, and federal law / South Carolina: S.C. Code Ann ; / Tennessee: Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law / Virginia: Va. Code Ann Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee: both before and after being tested. / Arkansas: after being tested and having received a positive result for the presence of drugs and/or alcohol. 40 Alabama, Arkansas, Florida, Georgia, South Carolina, Tennessee: five working days / Mississippi: 10 working days. 41 Alabama: the rules adopted by the Alabama Department of Industrial Relations or the State Insurance Commissioner. / Arkansas: the rules adopted by the Arkansas Workers Health and Safety Division of the Workers Compensation Commission. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Florida: the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Georgia: the rules adopted by the Georgia Department of Labor and Industrial Relations. / Mississippi: the rules adopted by the Mississippi State Board of Health. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. / Tennessee: the rules adopted by the Tennessee Department of Labor. Note: applicable in AR, FL, MS and TN: The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. 11

33 Applicant Drug Testing Consent and Release This form must be completed when the employee is given a conditional job offer. As part of my application for employment, I understand that all job offers are expressly conditioned upon submitting to and passing a drug and/or alcohol test to detect the presence of illegal drugs or alcohol use. I hereby consent to submit to a urinalysis or other tests as required by (the Company) for the purposes of testing for the presence of illegal drugs or alcohol abuse. I agree that a clinic or laboratory approved by an entity designated by law 42 may collect and test any specimens I provide for these tests. I further agree to authorize the release of the results of these tests to the Medical Review Officer/Human Resources Designate employed or retained by the Company, to the of the Company, and to such other management personnel as may require this information on a need-to-know basis. My understanding is that any information derived from these tests will be confidential between the laboratory, the of the Company, and the Medical Review Officer/Human Resources Designate, except as otherwise provided by law, or if I place the test or its results in issue in any administrative, legal, or other proceeding. I have carefully read this Consent and Release form and understand it completely. I also understand that execution of this Consent and Release is a condition of employment with the Company and my refusal to sign will result in withdrawal of any offer of employment I may receive. I am signing this form voluntarily and have not been coerced or placed under duress by any person. Applicant Date: Applicant Name: Applicant Signature: Social Security #: Witness 1 Print Name: Signature: Witness 2 Print Name: Signature: 42 Alabama: the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists / Florida: the Florida Agency for Health Care Administration / Georgia: the National Institute on Drug Abuse or the College of American Pathologists / Kentucky: the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Mississippi: the Mississippi State Board of Health / Tennessee: the Tennessee Department of Health / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 12

34 Employee Information

35 Notice to Employees Drug-Free Workplace The notice should be posted in one or more prominent locations around the workplace. This form should also be distributed to all employees and signed on an individual basis. It is required for review by current and future employees. (Name of Company) intends to promote and establish a drug-free workplace program to support a safe and productive environment for each employee. In addition, this program will contribute to the overall productivity of the Company, enhance our competitive position in the marketplace, and help all of us achieve more personal success without the tragic consequences, costs, and delays associated with work-related accidents resulting from employee drug or alcohol abuse. A drug-free workplace means that all employees must remain drug-free both on and off the job and refrain from using alcohol on the job. The Company discourages alcohol abuse and the use of illegal drugs. An employee who engages in the use of illegal drugs or alcohol on the job faces the risk of termination and forfeiture of workers compensation benefits. This drug-free workplace program is in conformity with applicable law(s). 43 Because the Company also feels that drug use and alcohol abuse are treatable dependencies, the Company announces its intention to undertake a drug and alcohol education program for all employees and an employee assistance program to encourage rehabilitation by any employee who experiences such a problem. In connection with these programs, the Company intends to immediately begin testing all applicants for Company employment for the use of illegal drugs or alcohol abuse. These tests will be administered in compliance with applicable law(s). 44 Further, the Company intends to undertake drug and alcohol testing of existing employees under those conditions outlined in the Company s Substance Abuse Education Program Policy Statement. This testing will begin no sooner than the applicable number of days 45 as measured from the effective date of. Employees will have an opportunity to confidentially report to the Medical Review Officer (MRO)/Human Resources Designate (HRD) the use of prescription or non-prescription medications. 46 In conjunction with testing, all employees will receive a list of common medications which may alter or affect a drug or alcohol test. 5 Employees will also be given the names, addresses, and telephone numbers of local alcohol and drug rehabilitation programs and access to an employee assistance program. Any employee who fails a drug or alcohol test may challenge or explain the result within the time prescribed by law 47 and after receiving written notification of the test result. An employee will also have an opportunity to request a retest at the employee s expense. 48 The employee also has a right to consult the testing laboratory or clinic for technical information regarding prescription and non-prescription medication. Prior to administration of a drug and/or alcohol test, an employee will be given a list of substances for which the test is being conducted. All test results will remain confidential except as allowed by law. The Company will provide all employees with a copy of the Company s Substance Abuse Education Program Policy Statement prior to commencement of its drug and alcohol testing program. Nothing in this Notice will affect the rights provided in any collective bargaining agreement between the Company and its employees. I understand that failure to comply with any of the requirements of the Company s Drug and Alcohol Abuse Policy, including my refusal to read and sign this Notice, will be grounds for termination. Employee Witness 1 Employee Name: Print Name: Employee Signature: Signature: Title: Witness 2 Date: Print Name: Signature: 5 Florida: This list will include the index of such medications as developed and updated periodically by the Florida Agency for Health Care Administration or the Department of Labor and Employment Security. 43 Alabama: Ala. Code et seq., its implementing regulations and federal law / Arkansas: Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule / Florida: Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law / Georgia: O.C.G.A et seq., its implementing regulations and federal law / Kentucky: KRS , its implementing regulations and federal law / Mississippi: Miss. Code Ann et seq., its implementing regulations, and federal law / South Carolina: S.C. Code Ann ; / Tennessee: Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law / Virginia: Va. Code Ann Alabama: both Alabama and federal law and will be conducted by a testing laboratory approved by the National Institute on Drug Abuse or the College of American Pathology. / Arkansas: both Ark. Code , et seq. and federal law, and will be conducted only by a licensed testing laboratory approved by the Arkansas Department of Health and Human Services or by a laboratory certified by the U.S. Department of Health and Human Services or the College of American Pathologists. / Florida: both Fla. Stat and federal law, and will be conducted only by a testing laboratory approved by the Florida Agency for Health Care Administration. / Georgia: both state and federal law, and conducted by a testing laboratory approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health. / Kentucky: both state and federal law, and conducted by a testing laboratory approved by the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. / Mississippi: Miss. Code Ann through , its implementing regulations and federal law and will be conducted only by a testing laboratory approved by the Mississippi State Board of Health. / Tennessee: Tenn. Code Ann et seq., and federal laws, and will be conducted only by a certified testing laboratory approved by the Tennessee Department of Health. 45 Alabama, Florida, Georgia, South Carolina, Tennessee: 60 days / Mississippi: 30 days 46 Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee: before and after any such substance abuse test. / Arkansas: after any such drug or alcohol test and having received a positive result for the presence of drugs or alcohol. 47 Alabama, Arkansas, Florida, Georgia, South Carolina, Tennessee: five working days / Mississippi: 10 working days 48 Arkansas: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Arkansas Health and Safety Division of the Workers Compensation Commission. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Florida: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Mississippi: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Mississippi State Board of Health. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Tennessee: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Tennessee Department of Labor. Note: applicable in AR, FL, MS, and TN: The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 13

36 Employee Agreement and Acknowledgement Every employee must sign after receiving and reviewing this policy. I hereby acknowledge that I have received and read a copy of (the Company s) Drug-Free Policy. I recognize the Company may modify or supplement this Policy at any time, and that I will continue to be subject to the conditions of any modified or supplemented Policy. I understand that I may be required to submit to drug and/or alcohol testing if required by this Policy and to execute a Consent and Release to this drug and/or alcohol testing. I further understand that this Acknowledgment and Agreement will become a permanent part of my employee personnel file and that any failure to comply with the requirements of the Company s Drug and Alcohol Abuse Policy, including my refusal to sign this Employee Agreement and Acknowledgment, will be grounds for dismissal. Employee Date: Employee Name: Employee Signature: Social Security #: Witness 1 Print Name: Signature: Witness 2 Print Name: Signature: 14

37 Employee Drug and Alcohol Testing Consent and Release This form should be completed by every employee. Pursuant to my continued employment, I understand that (the Company) requires all employees to submit to and pass a drug and/or alcohol test under certain conditions as part of its drug-free workplace program. I hereby consent to submit to a urinalysis or other tests as required by the Company for the purposes of testing for the presence of illegal drugs or alcohol abuse. I agree that a clinic or laboratory approved by an entity designated by law 49 may collect and test any specimens I provide for these tests. I further agree to authorize the release of the results of these tests to the Medical Review Officer/Human Resources Designate employed or retained by the Company, to the of the Company, and to such other management personnel as may require this information on a need-to- know basis. My understanding is that any information derived from these tests will be confidential between the laboratory, the Company, and the Medical Review Officer/Human Resources Designate, except as otherwise provided by law. If I place the test or its results in issue in any administrative, legal, or other proceeding, I acknowledge that I waive my right to confidentiality. I have carefully read this Consent and Release form and understand it completely. I understand that failure to comply with any of the requirements of the Company s Drug and Alcohol Abuse Policy, including my refusal to read and sign this Consent and Release, will be grounds for dismissal. I am signing this form voluntarily and have not been coerced nor placed under duress by any person. Employee Date: Employee Name: Employee Signature: Social Security #: Witness 1 Print Name: Signature: Witness 2 Print Name: Signature: 49 Alabama: the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists / Florida: the Florida Agency for Health Care Administration / Georgia: the National Institute on Drug Abuse or the College of American Pathologists / Kentucky: the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Mississippi: the Mississippi State Board of Health / Tennessee: the Tennessee Department of Health / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 15

38 Note to Employers Drug-Free Policy A (Strict) and Drug-Free Policy B (Moderate) differ in the degree of penalty. Policy B offers employees a second chance. If employees are found to be in possession of drugs or alcohol on company premises, they will be referred to an EAP program. The employee will be terminated after a second incident. All other elements of the policy are the same as in Policy A. 16

39 Footnote Index ~ by Number

40 Footnote Index ~ by Number 1 Alabama: Ala. Code et seq., its implementing regulations and federal law / Arkansas: Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule , its implementing regulations and federal law / Florida: Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law / Georgia: O.C.G.A et seq., its implementing regulations and federal law / Kentucky: KRS , its implementing regulations and federal law / Mississippi: Miss. Code Ann et seq., its implementing regulations, and federal law / South Carolina: S.C. Code Ann ; , its implementing regulations and federal law / Tennessee: Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., its implementing regulations and federal law / Virginia: Va. Code Ann , its implementing regulations and federal law 2 Mississippi: use means the use of, sale, unlawful manufacture, distribution, solicitation or possession with intent to sell or distribute. 3 South Carolina: Further, all persons who receive wages or compensation in any form from the Company may be randomly tested for drug or alcohol use. 4 Alabama: the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists / Florida: the Florida Agency for Health Care Administration / Georgia: the National Institute on Drug Abuse or the College of American Pathologists / Kentucky: the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Mississippi: the Mississippi State Board of Health / Tennessee: the Tennessee Department of Health / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 5 Florida: This list will include the index of such medications as developed and updated periodically by the Florida Agency for Health Care Administration or the Department of Labor and Employment Security. 6 Arkansas: after being tested and having received a positive result for the presence of drugs and/or alcohol. / Mississippi: or other relevant information both before and after being tested. This information shall be taken into account in interpreting any positive confirmed results. 7 Arkansas: An employee involved in an accident is required to submit a specimen for alcohol testing within eight hours of the accident and submit a specimen for drug testing within 32 hours of the accident. 8 Alabama, Florida, Mississippi, Tennessee: immediately / Arkansas: within the time frame in footnote #7. 9 Arkansas: within 24 hours of the observed behavior or before the test results are revealed, whichever is earlier. 10 Arkansas: An employee reasonably suspected of abusing or being under the influence of drugs or alcohol must submit a specimen for testing within eight hours of the incident and/or submit a specimen for drug testing within 32 hours of the incident. 11 Florida, Mississippi, South Carolina: The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence. An extended absence is defined as a continuous absence of three or more months. / Tennessee: The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence and said employee has not been tested or has tested positive within the preceding 12 months from the date re-employment is to begin, job applicant testing is required. 12 Tennessee: An employee who is not in a safety-sensitive position may be tested for alcohol only when such test is based on reasonable suspicion. 13 Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee: for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. / Arkansas: at least once a year for two years after the successful completion of an Employee Assistance Program or a drug or alcohol abuse program. / Kentucky: at follow-up testing at least once per quarter for one year after the employee s successful completion of an Employee Assistance Program for drug-related problems, or a drug rehabilitation program, or as recommended by the person administering the drug rehabilitation program. 14 Alabama: Ala. Code / Arkansas: Ark. Code (b) / Florida: Fla. Stat (2) / Tennessee: Tenn. Code Ann (b). 15 Alabama, Florida, Georgia, Kentucky, Mississippi: both before and after being tested. / Arkansas: after being tested and having received a positive result for the presence of drugs and/or alcohol. 17

41 16 Alabama: The employee may also forfeit any workers compensation medical or indemnity benefits (Ala. Code ). / Arkansas: The employee may also forfeit any workers compensation medical or indemnity benefits (Ark. Code (b)). / Florida: The employee may also forfeit any workers compensation medical or indemnity benefits (Fla. Stat (2)). / Tennessee: The employee may also forfeit any workers compensation medical or indemnity benefits (Tenn. Code Ann (b)). 17 South Carolina: A second test may be administered, in which case a single sample may be split for use in the first and second tests. 18 Arkansas: An initial test having a positive result must be confirmed and verified by the MRO/HRD. All confirmation tests must be conducted by a laboratory that is also certified by the Substance Abuse and Mental Health Administration or the College of American Pathologists. 19 Alabama, Arkansas, Florida, Georgia, Kentucky, Mississippi, Tennessee, Virginia: three days / South Carolina: 24 hours. 20 Alabama, Arkansas, Mississippi, Tennessee: five days / Florida, South Carolina: two days. 21 Alabama: seven days after receipt of the sample / Florida, South Carolina: 15 days. 22 Alabama: An employee or job applicant may request a retest of an original specimen within 72 hours of receiving a confirmed positive test result. / Arkansas: An employee or job applicant may request a retest of an original specimen. / Florida: Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request within 180 days after the original test. / Mississippi: An employee or job applicant may request a retest of an original specimen within 90 days from the time the results of a positive confirmed test are delivered to the employer. / South Carolina: Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request after the original test. A single sample may be split for use in the first test and the second/re-test. / Tennessee: Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request. 23 Alabama: approved by the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. / Florida: approved by the Florida Agency for Health Care Administration / Georgia: approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health / Kentucky: certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration / Mississippi: approved by the Mississippi State Board of Health / Tennessee: approved by the Tennessee Department of Health. / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 24 Alabama: approved by the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. / Florida: approved by the Florida Agency for Health Care Administration / Georgia: approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health / Kentucky: certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration / Mississippi: approved by the Mississippi State Board of Health / Tennessee: approved by the Tennessee Department of Health. / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 25 Arkansas: Within 30 days of termination, an employee is entitled to contest the test results before the Arkansas Department of Labor. In order to contest the test results, the employee must file a written notice with the Arkansas Department of Labor (Arkansas Rule ). 26 Alabama, Georgia: within seven working days after receipt of the sample. 27 Alabama: five working days (Ala. Code (c)(6)) / Arkansas: five working days / Florida: five working days (F.A.C. 59A (2)) / Mississippi: five working days (Miss. Code Ann ) / South Carolina: within 24 hours / Tennessee: five working days. 28 Arkansas: An employee is required to notify the drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. (Ark. Code (a)(8)). / Florida: An employee is required to notify the Company and the drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. Such notification shall be a condition precedent to any such legal action. (Fla. Stat (3)(a)(9)). / Tennessee: An employee is required to notify the Company and drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. Such notification shall be a condition precedent to any such legal action. 18

42 29 Mississippi: The Mississippi legislature enacted Mississippi Code sections through to promote drugfree workplaces in order that employers in this state be afforded the opportunity to maximize their levels of productivity, enhance their competitive positions in the marketplace, and reach their desired levels of success without experiencing the costs, delays, and tragedies associated with work-related accidents resulting from substance abuse by employees. Mississippi Code sections through are known as the Drug-Free Workplace Workers Compensation Premium Reduction Act. 30 Alabama, Arkansas, Florida, South Carolina, Tennessee: within five days / Mississippi: within 10 working days. 31 Alabama: the Alabama Department of Industrial Relations or the State Insurance Commissioner / Arkansas: the Arkansas Workers Health and Safety Division of the Workers Compensation Commission / Florida: the Department of Labor and Employment Security / Mississippi: the Mississippi statutes and regulations / South Carolina: the Department of Labor and Employment Security / Tennessee: the Department of Labor. 32 Florida: a period of 180 days / Mississippi: a period of 90 days. 33 Alabama: approved by the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. / Florida: approved by the Florida Agency for Health Care Administration / Georgia: approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health / Kentucky: certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration / Mississippi: approved by the Mississippi State Board of Health / Tennessee: approved by the Tennessee Department of Health. / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 34 Florida: An Employee Assistance Program (EAP) is a mandatory component of a drug-free workplace and can be beneficial for both employer and employee. / Georgia: The Employee Assistance Program (EAP) is a worksite focused program designed to assist: (i) employer work organizations in addressing employee productivity issues; and (ii) employee clients in the identification and resolution of job performance problems associated with employees impaired by personal concerns, including, but not limited to, health, marital, family, financial, alcohol, drug, legal, emotional, stress, or other personal issues that may affect job performance. A minimum level of core services must include consultation, training and assistance to work organization leadership in policy development, organizational development, and critical incident management; professional, confidential, appropriate, and timely problem assessment services; constructive intervention and short-term problem resolution; referrals for appropriate diagnosis, treatment, and assistance; follow-up, monitoring, and case management with providers and insurers; employee education and supervisory training; and quality assurance. An optimum level of core services must include, in addition to the minimum level core services, the designation of an individual who shall be responsible to administer the employer s EAP and to certify that the employer work organization s drug-free workplace program contains all elements of the drug-free workplace program required by O.C.G.A and that such program satisfies the annual certification requirements of O.C.G.A ; provided, however, that such individual shall have training and experience with EAPs in accordance with rules and regulations prescribed by the State Board of Workers Compensation. 35 Tennessee: If your company chooses not to contract with a designated EAP, you shall maintain a resource information file on various means of employee assistance in your community, including but not limited to drug and alcohol abuse programs. All employees should be made aware of this file and its location. 36 Alabama: An employee education program on substance abuse is a mandatory component of the Alabama drug-free workplace. / Arkansas: An employee education program is a mandatory component of an Arkansas drug-free workplace. / Tennessee: An employee education program is a mandatory component of a Tennessee drug-free workplace. 37 Alabama: It is mandatory that you undertake an educational program. / Arkansas: Arkansas requires that you undertake an educational program. / Mississippi: It is required by Mississippi law that you undertake an educational program. (Miss. Code Ann and ) / Tennessee: Tennessee requires that you undertake an educational program. 38 Alabama: Ala. Code et seq., its implementing regulations and federal law / Arkansas: Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule / Florida: Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law / Georgia: O.C.G.A et seq., its implementing regulations and federal law / Kentucky: KRS , its implementing regulations and federal law / Mississippi: Miss. Code Ann et seq., its implementing regulations, and federal law / South Carolina: S.C. Code Ann ; / Tennessee: Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law / Virginia: Va. Code Ann Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee: both before and after being tested. / Arkansas: after being tested and having received a positive result for the presence of drugs and/or alcohol. 40 Alabama, Arkansas, Florida, Georgia, South Carolina, Tennessee: five working days / Mississippi: 10 working days. 19

43 41 Alabama: the rules adopted by the Alabama Department of Industrial Relations or the State Insurance Commissioner. / Arkansas: the rules adopted by the Arkansas Workers Health and Safety Division of the Workers Compensation Commission. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Florida: the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. / Georgia: the rules adopted by the Georgia Department of Labor and Industrial Relations. / Mississippi: the rules adopted by the Mississippi State Board of Health. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. / Tennessee: the rules adopted by the Tennessee Department of Labor. Note: applicable in AR, FL, MS and TN: The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. 42 Alabama: the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists / Florida: the Florida Agency for Health Care Administration / Georgia: the National Institute on Drug Abuse or the College of American Pathologists / Kentucky: the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Mississippi: the Mississippi State Board of Health / Tennessee: the Tennessee Department of Health / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 43 Alabama: Ala. Code et seq., its implementing regulations and federal law / Arkansas: Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule / Florida: Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law / Georgia: O.C.G.A et seq., its implementing regulations and federal law / Kentucky: KRS , its implementing regulations and federal law / Mississippi: Miss. Code Ann et seq., its implementing regulations, and federal law / South Carolina: S.C. Code Ann ; / Tennessee: Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law / Virginia: Va. Code Ann , its implementing regulations and federal law. 44 Alabama: both Alabama and federal law and will be conducted by a testing laboratory approved by the National Institute on Drug Abuse or the College of American Pathology. / Arkansas: both Ark. Code , et seq. and federal law, and will be conducted only by a licensed testing laboratory approved by the Arkansas Department of Health and Human Services or by a laboratory certified by the U.S. Department of Health and Human Services or the College of American Pathologists. / Florida: both Fla. Stat and federal law, and will be conducted only by a testing laboratory approved by the Florida Agency for Health Care Administration. / Georgia: both state and federal law, and conducted by a testing laboratory approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health. / Kentucky: both state and federal law, and conducted by a testing laboratory approved by the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. / Mississippi: Miss. Code Ann through , its implementing regulations and federal law and will be conducted only by a testing laboratory approved by the Mississippi State Board of Health. / Tennessee: Tenn. Code Ann et seq., and federal laws, and will be conducted only by a certified testing laboratory approved by the Tennessee Department of Health. 45 Alabama, Florida, Georgia, South Carolina, Tennessee: 60 days / Mississippi: 30 days. 46 Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee: before and after any such substance abuse test. / Arkansas: after any such drug or alcohol test and having received a positive result for the presence of drugs or alcohol. 47 Alabama, Arkansas, Florida, Georgia, South Carolina, Tennessee: five working days / Mississippi: 10 working days. 48 Arkansas: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Arkansas Health and Safety Division of the Workers Compensation Commission. / Florida: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. / Mississippi: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Mississippi State Board of Health. / Tennessee: If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Tennessee Department of Labor. Note: applicable in AR, FL, MS and TN: The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 49 Alabama: the National Institute on Drug Abuse or the College of American Pathologists / Arkansas: the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists / Florida: the Florida Agency for Health Care Administration / Georgia: the National Institute on Drug Abuse or the College of American Pathologists / Kentucky: the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Mississippi: the Mississippi State Board of Health / Tennessee: the Tennessee Department of Health / South Carolina, Virginia: Where state law(s) do not specify a testing entity, an approved laboratory will be used. 20

44 Footnote Index ~ by State

45 ALABAMA: 1 Ala. Code et seq., its implementing regulations and federal law. 4 the National Institute on Drug Abuse or the College of American Pathologists. 8 immediately. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 14 Ala. Code both before and after being tested. 16 The employee may also forfeit any workers compensation medical or indemnity benefits (Ala. Code ). 19 three days. 20 five days. 21 seven days after receipt of the sample. 22 An employee or job applicant may request a retest of an original specimen within 72 hours of receiving a confirmed positive test result. 23 approved by the National Institute on Drug Abuse or the College of American Pathologists. 24 approved by the National Institute on Drug Abuse or the College of American Pathologists. 26 within seven working days after receipt of the sample. 27 five working days (Ala. Code (c)(6)). 30 within five days. 31 the Alabama Department of Industrial Relations or the State Insurance Commissioner. 33 approved by the National Institute on Drug Abuse or the College of American Pathologists. 36 An employee education program on substance abuse is a mandatory component of the Alabama drug-free workplace. 37 It is mandatory that you undertake an educational program. 38 Ala. Code et seq., its implementing regulations and federal law. 39 both before and after being tested. 40 five working days. 41 the rules adopted by the Alabama Department of Industrial Relations or the State Insurance Commissioner. 42 the National Institute on Drug Abuse or the College of American Pathologists. 43 Ala. Code et seq., its implementing regulations and federal law. 44 both Alabama and federal law and will be conducted by a testing laboratory approved by the National Institute on Drug Abuse or the College of American Pathology days. 46 before and after any such substance abuse test. 47 five working days. 49 the National Institute on Drug Abuse or the College of American Pathologists. 21

46 ARKANSAS: 1 Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule , its implementing regulations and federal law. 4 the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists. 6 after being tested and having received a positive result for the presence of drugs and/or alcohol. 7 An employee involved in an accident is required to submit a specimen for alcohol testing within eight hours of the accident and submit a specimen for drug testing within 32 hours of the accident. 8 within the time frame in Footnote #7. 9 within 24 hours of the observed behavior or before the test results are revealed, whichever is earlier. 10 An employee reasonably suspected of abusing or being under the influence of drugs or alcohol must submit a specimen for testing within eight hours of the incident and/or submit a specimen for drug testing within 32 hours of the incident. 13 at least once a year for two years after the successful completion of an Employee Assistance Program or a drug or alcohol abuse program. 14 Ark. Code (b). 15 after being tested and having received a positive result for the presence of drugs and/or alcohol. 16 The employee may also forfeit any workers compensation medical or indemnity benefits (Ark. Code (b)). 18 An initial test having a positive result must be confirmed and verified by the MRO/HRD. All confirmation tests must be conducted by a laboratory that is also certified by the Substance Abuse and Mental Health Administration or the College of American Pathologists. 19 three days. 20 five days. 22 An employee or job applicant may request a retest of an original specimen. 23 approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. 24 approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. 25 Within 30 days of termination, an employee is entitled to contest the test results before the Arkansas Department of Labor. In order to contest the test results, the employee must file a written notice with the Arkansas Department of Labor (Arkansas Rule ). 27 five working days. 28 An employee is required to notify the drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. (Ark. Code (a)(8)). 30 within five days. 31 the Arkansas Workers Health and Safety Division of the Workers Compensation Commission. 33 approved by the Arkansas Department of Health and Human Services, or the U.S. Department of Health and Human Services, or the College of American Pathologists. 36 An employee education program is a mandatory component of an Arkansas drug-free workplace. 37 Arkansas requires that you undertake an educational program. 38 Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule after being tested and having received a positive result for the presence of drugs and/or alcohol. 40 five working days. 41 the rules adopted by the Arkansas Workers Health and Safety Division of the Workers Compensation Commission. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 42 the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists. 43 Ark. Code et seq., and Arkansas Health and Safety Division of the Workers Compensation Commission, Rule both Ark. Code , et seq. and federal law, and will be conducted only by a licensed testing laboratory approved by the Arkansas Department of Health and Human Services or by a laboratory certified by the U.S. Department of Health and Human Services or the College of American Pathologists. 46 after any such drug or alcohol test and having received a positive result for the presence of drugs or alcohol. 47 five working days. 48 If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Arkansas Health and Safety Division of the Workers Compensation Commission. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 49 the Arkansas Department of Health and Human Services, the U.S. Department of Health and Human Services or the College of American Pathologists. 22

47 FLORIDA: 1 Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law. 4 the Florida Agency for Health Care Administration. 5 This list will include the index of such medications as developed and updated periodically by the Florida Agency for Health Care Administration or the Department of Labor and Employment Security. 8 immediately. 11 The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence. An extended absence is defined as a continuous absence of three or more months. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 14 Fla. Stat (2). 15 both before and after being tested. 16 The employee may also forfeit any workers compensation medical or indemnity benefits (Fla. Stat (2)). 19 three days. 20 two days days. 22 Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request within 180 days after the original test. 23 approved by the Florida Agency for Health Care Administration. 24 approved by the Florida Agency for Health Care Administration. 27 five working days (F.A.C. 59A (2)). 28 An employee is required to notify the Company and the drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. Such notification shall be a condition precedent to any such legal action. (Fla. Stat (3)(a)(9)). 30 within five days. 31 the Department of Labor and Employment Security. 32 a period of 180 days. 33 approved by the Florida Agency for Health Care Administration. 34 An EAP is a mandatory component of a drug-free workplace and can be beneficial for both employer and employee. 38 Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law. 39 both before and after being tested. 40 five working days. 41 the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 42 the Florida Agency for Health Care Administration. 43 Fla. Stat , F.A.C. 59A , et seq., its implementing regulations and federal law. 44 both Fla. Stat and federal law, and will be conducted only by a testing laboratory approved by the Florida Agency for Health Care Administration days. 46 before and after any such substance abuse test. 47 five working days. 48 If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Department of Labor and Employment Security or the Florida Agency for Health Care Administration. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 49 the Florida Agency for Health Care Administration. 23

48 GEORGIA: 1 O.C.G.A et seq., its implementing regulations and federal law. 4 the National Institute on Drug Abuse or the College of American Pathologists. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 15 both before and after being tested. 19 three days. 23 approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health. 24 approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health. 26 within seven working days after receipt of the sample. 33 approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health. 34 The Employee Assistance Program (EAP) is a worksite focused program designed to assist: (i) employer work organizations in addressing employee productivity issues; and (ii) employee clients in the identification and resolution of job performance problems associated with employees impaired by personal concerns, including, but not limited to, health, marital, family, financial, alcohol, drug, legal, emotional, stress, or other personal issues that may affect job performance. A minimum level of core services must include consultation, training and assistance to work organization leadership in policy development, organizational development, and critical incident management; professional, confidential, appropriate, and timely problem assessment services; constructive intervention and short-term problem resolution; referrals for appropriate diagnosis, treatment, and assistance; follow-up, monitoring, and case management with providers and insurers; employee education and supervisory training; and quality assurance. An optimum level of core services must include, in addition to the minimum level core services, the designation of an individual who shall be responsible to administer the employer s EAP and to certify that the employer work organization s drug-free workplace program contains all elements of the drug-free workplace program required by O.C.G.A and that such program satisfies the annual certification requirements of O.C.G.A ; provided, however, that such individual shall have training and experience with EAPs in accordance with rules and regulations prescribed by the State Board of Workers Compensation. 38 O.C.G.A et seq., its implementing regulations and federal law. 39 both before and after being tested. 40 five working days. 41 the rules adopted by the Georgia Department of Labor and Industrial Relations. 42 the National Institute on Drug Abuse or the College of American Pathologists. 43 O.C.G.A et seq., its implementing regulations and federal law. 44 both state and federal law, and conducted by a testing laboratory approved by the National Institute on Drug Abuse, the College of American Pathologists, or the Georgia Department of Community Health days. 46 before and after any such substance abuse test. 47 five working days. 49 the National Institute on Drug Abuse or the College of American Pathologists. 24

49 KENTUCKY: 1 KRS , its implementing regulations and federal law. 4 the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 13 at follow-up testing at least once per quarter for one year after the employee s successful completion of an Employee Assistance Program for drug-related problems, or a drug rehabilitation program, or as recommended by the person administering the drug rehabilitation program. 15 both before and after being tested. 19 three days. 23 certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 24 certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 33 certified in accordance with the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 38 KRS , its implementing regulations and federal law. 42 the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 43 KRS , its implementing regulations and federal law. 44 both state and federal law, and conducted by a testing laboratory approved by the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 49 the National Laboratory Certification Program by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 25

50 MISSISSIPPI: 1 Miss. Code Ann et seq., its implementing regulations, and federal law. 2 use means the use of, sale, unlawful manufacture, distribution, solicitation or possession with intent to sell or distribute. 4 the Mississippi State Board of Health. 6 or other relevant information both before and after being tested. This information shall be taken into account in interpreting any positive confirmed results. 8 immediately. 11 The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence. An extended absence is defined as a continuous absence of three or more months. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 15 both before and after being tested. 19 three days. 20 five days. 22 An employee or job applicant may request a retest of an original specimen within 90 days from the time the results of a positive confirmed test are delivered to the employer. 23 approved by the Mississippi State Board of Health. 24 approved by the Mississippi State Board of Health. 27 five working days (Miss. Code Ann ). 29 The Mississippi legislature enacted Mississippi Code sections through to promote drug-free workplaces in order that employers in this state be afforded the opportunity to maximize their levels of productivity, enhance their competitive positions in the marketplace, and reach their desired levels of success without experiencing the costs, delays, and tragedies associated with work-related accidents resulting from substance abuse by employees. Mississippi Code sections through are known as the Drug-Free Workplace Workers Compensation Premium Reduction Act. 30 within 10 working days. 31 the Mississippi statutes and regulations. 32 a period of 90 days. 33 approved by the Mississippi State Board of Health. 37 It is required by Mississippi law that you undertake an educational program. (Miss. Code Ann and ). 38 Miss. Code Ann et seq., its implementing regulations, and federal law. 39 both before and after being tested working days. 41 the rules adopted by the Mississippi State Board of Health. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. 42 the Mississippi State Board of Health. 43 Miss. Code Ann et seq., its implementing regulations, and federal law. 44 Miss. Code Ann through , its implementing regulations and federal law and will be conducted only by a testing laboratory approved by the Mississippi State Board of Health days. 46 before and after any such substance abuse test working days. 48 If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Mississippi State Board of Health. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 49 the Mississippi State Board of Health. 26

51 SOUTH CAROLINA: 1 S.C. Code Ann ; , its implementing regulations and federal law. 3 Further, all persons who receive wages or compensation in any form from the Company may be randomly tested for drug or alcohol use. 4 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 11 The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence. An extended absence is defined as a continuous absence of three or more months. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 17 A second test may be administered, in which case a single sample may be split for use in the first and second tests hours. 20 two days days. 22 Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request after the original test. A single sample may be split for use in the first test and the second/re-test. 23 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 24 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 27 within 24 hours. 30 within five days. 31 the Department of Labor and Employment Security. 33 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 38 S.C. Code Ann ; both before and after being tested. 40 five working days. 42 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 43 S.C. Code Ann ; days. 46 before and after any such substance abuse test. 47 five working days. 49 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 27

52 TENNESSEE: 1 Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., its implementing regulations and federal law. 4 the Tennessee Department of Health. 8 immediately. 11 The Company also reserves the right to ask any employee to submit to drug testing when an employee returns from any extended absence and said employee has not been tested or has tested positive within the preceding 12 months from the date re-employment is to begin, job applicant testing is required. 12 An employee who is not in a safety-sensitive position may be tested for alcohol only when such test is based on reasonable suspicion. 13 for two years after referral to an Employee Assistance Program or enrollment in a drug or alcohol abuse program. 14 Tenn. Code Ann (b). 16 The employee may also forfeit any workers compensation medical or indemnity benefits (Tenn. Code Ann (b)). 19 three days. 20 five days. 22 Should an employee or job applicant request a retest of an original specimen, the MRO/HRD will process this request. 23 approved by the Tennessee Department of Health. 24 approved by the Tennessee Department of Health. 27 five working days. 28 An employee is required to notify the Company and drug and alcohol testing laboratory prior to bringing any legal action concerning the results of a drug and/or alcohol test. Such notification shall be a condition precedent to any such legal action. 30 within five days. 31 the Department of Labor. 33 approved by the Tennessee Department of Health. 35 If your company chooses not to contract with a designated EAP, you shall maintain a resource information file on various means of employee assistance in your community, including but not limited to drug and alcohol abuse programs. All employees should be made aware of this file and its location. 36 An employee education program is a mandatory component of a Tennessee drug-free workplace. 37 Tennessee requires that you undertake an educational program. 38 Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law. 39 both before and after being tested. 40 five working days. 41 the rules adopted by the Tennessee Department of Labor. The job applicant also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action brought involving the drug and alcohol test conducted by that laboratory or clinic. 42 the Tennessee Department of Health. 43 Tenn. Code Ann et seq., and Tennessee Department of Labor, Division of Workers Compensation Rules , et seq., and federal law. 44 Tenn. Code Ann et seq., and federal laws, and will be conducted only by a certified testing laboratory approved by the Tennessee Department of Health days. 46 before and after any such substance abuse test. 47 five working days. 48 If an employee s explanation or challenge is unsatisfactory, the employee may contest the drug or alcohol test results pursuant to the rules adopted by the Tennessee Department of Labor. The employee also has the responsibility to notify the laboratory or clinic conducting the drug and alcohol test of any administrative or civil action involving the drug and alcohol test conducted by that laboratory or clinic. 49 the Tennessee Department of Health. 28

53 VIRGINIA: 1 Va. Code Ann , its implementing regulations and federal law. 4 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 19 three days. 23 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 24 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 33 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 38 Va. Code Ann Where state law(s) do not specify a testing entity, an approved laboratory will be used. 43 Va. Code Ann , its implementing regulations and federal law. 49 Where state law(s) do not specify a testing entity, an approved laboratory will be used. 29

54 Appendix: State Workers Compensation Commission Contact Information Rules, guidelines and application forms regarding participation and certification in these state specific programs can be obtained by calling or writing to: ALABAMA Alabama Department of Industrial Relations Workers Compensation Division 649 Monroe Street Montgomery, Alabama (334) (334) (fax) KENTUCKY Kentucky Office of Workers Claims Attn: Drug-Free Workplace Program 675 Chamberlain Avenue Frankfort, Kentucky (502) ARKANSAS Arkansas Workers Compensation Commission Health & Safety Division Voluntary Drug-Free Workplace Program PO Box 950 Little Rock, Arkansas MISSISSIPPI Mississippi Workers Compensation Commission Attn: Drug-Free Workplace Program PO Box 5300 Jackson, Mississippi (601) FLORIDA Florida Division of Workers Compensation Attn: Drug-Free Workplace Program 200 East Gaines Street Tallahassee, Florida SOUTH CAROLINA South Carolina Workers Compensation Commission Attn: Drug-Free Workplace Program PO Box 1715 Columbia, South Carolina (803) GEORGIA Georgia State Board of Workers Compensation Attn: Drug-Free Workplace Program 270 Peachtree Street NW Atlanta, Georgia (404) TENNESSEE Tennessee Department of Labor Division of Workers Compensation Attn: Drug-Free Workplace Program 710 James Robertson Parkway Nashville, Tennessee VIRGINIA Virginia Workers Compensation Commission Attn: Drug-Free Workplace Program 1000 DMV Drive Richmond, Virginia

55 NOTICE TO APPLICANTS WE WORK FREE! We are committed to a drug-free workplace. Screen testing for illegal drug use is required as a condition of employment.

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