TCM – Report Drug Test Problems

This form facilitates the documentation of a variety of problems that can occur in the testing process. These will be reviewed to include recommendations for corrective action when and if required. A copy of the following form will be stored by Health Enhancement Center in the event of a DOT audit.

This form is to be prepared in response to the following “problems”.

Reference numbers refer to DOT Part 40 sections. Refer to these for a detailed explanation.

Subpart I – Problems in Drug Tests

§40.191 What is a refusal to take a DOT drug test, and what are the consequences?
§ 40.193 What happens when an employee does not provide a sufficient amount of urine for a drug test?
§ 40.195 What happens when an individual is unable to provide a sufficient amount of urine for a pre-employment follow-up or return-to-duty test because of a permanent or long-term medical condition?
§ 40.197 What happens when an employer receives a report of a dilute specimen?
§ 40.199 What problems always cause a drug test to be cancelled?
§ 40.201 What problems always cause a drug test to be cancelled and may result in a requirement for another collection?
§ 40.203 What problems cause a drug test to be cancelled unless they are corrected?
§ 40.205 How are drug test problems corrected?
§ 40.207 What is the effect of a cancelled drug test?
§ 40.208 What problem requires corrective action but does not result in the cancellation of a test?
§ 40.209 What procedural problems do not result in the cancellation of a test and do not require corrective action?

Complete and submit the following form.

Drug Test Problem Reported By:
Reported By E-mail:
Problem Report Date:
 / 
 / 
Problem Narrative:
CCF Number:
Employer:
Employee Name:
Employee ID:
DER:
DER Phone:
-
DER E-mail:

Copyright © 2015 Health Enhancement Center

Health Enhancement Center
8615 Commerce Drive
Easton, MD 21601
Jim Proctor, President
410-822-8690 (office)
410-822-9434 (fax)

Leave a Reply

Your email address will not be published. Required fields are marked *