Post Incident Accident Flow Chart May 27th 2010 - tcrc821

POST INCIDENT/ACCIDENT SUBSTANCE TESTING FLOW CHARTMay 27 th 2010Significant accident or incident occurs which mayinclude near miss, cardinal rule violation and/or anindividuals judgment.NOYESNO TEST ISREQUESTEDDetermine if act or omission of individual(s) could be acontributing factor (and which individual may havereasonably been involved in or contributed to accident orincident)If NOIf YES, review circumstances with an experienced operating officer, must be SAM orhigher, to decide if a test should be done. (#3 QT)The circumstances must give rise to just and reasonable cause to warrant the requestNO TEST ISREQUESTEDSAM DECIDES NOTO TESTINGSAM DECIDES YESTO TESTIndividuals undergoing testing removed fromservice pending results of test. #5 Quick Tips.Request individuals consent to testNO consentto testYES consentto testManagement to document and witnessrefusal to test. Individual(s) removedfrom service pending investigationSupervisor calls Driver Check andrequest Post Accident /Incident Testas per #6 Quick Tips.#7, #8 & #9 of Quick TipsTesting is conducted for urine drugs and breath alcohol within 4 hours of Supervisor request to employee, understanding thatDriver Check will be contacted immediately to arrange testing following the employees consent to test. Only in exceptionalcircumstances that cause unavoidable delay will a test be performed later than 4 hours from the request to the employee. In nocircumstances shall an employee be required to submit to a test after 6 hours from the request to the employee.Technician informs Supervisor if Urine drug test results are Negative or Non Negative and if Breath Alcohol results areNegative or Positive. Non negative reasons or actual quantitative values are NOT released to Supervisor but are sent directly toDriver Check who forwards them to OHS. Supervisor MUST NOT assume a non negative urine test is a positive test. Supervisoradvises OHS of location and name of individual(s) tested and the results provided to them by the technician.If negative urine drug test and negativebreath alcohol Supervisor can consideran early RTWIn the case of a non-negativeurine drug test, regardless of thebreath alcohol test results,employee will remain out ofservice until analysis of urinedrug test is complete.If negative urine drug test andpositive breath alcoholemployee remains out ofservice pending investigation.May 27, 2010 - FINAL

Non Negative urine drug test technician forwardsurine sample and chain of custody documents toapproved lab for analysis.Non negative urine drug sample is sent to laboratoryfor confirmation testing. Confirmation Testing iscompleted on primary sample.Confirmation testing of non negative urine drugsample reported to Medical Review Officer (MRO)at Driver Check as either Negative or Non NegativeNegative. Reported toOHS as NegativeNon - Negative. MROreviews with individual viaconfidential phone interviewIs there a legitimate medicalreason for non negative result?NOYESReported to OHS asPositiveReported to OHS asNegativeAny positive result prompts OHS filereview and updated medical fitnessassessment and Fit or Unfit, Restrictionsas any other medical conditionACCOMODATIONAS REQUIREDOHS sends written confirmation toSupervisor of final results of urinedrug and breath alcohol testing aseither a negative or positive test foralcohol or drug as per 5.2 ofSubstance Testing Policy.Applicable LR processesimplemented.May 27, 2010 - FINAL