1 Resources for Running a Successful Drug and Alcohol Program Michael Redington US DOT/Volpe Center.

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Resources for Running a Successful

Drug and Alcohol Program

Michael Redington

US DOT/Volpe Center

Definition of Resources

Something that can be used for support or help.

An available supply that can be drawn on when needed.

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Where Are the Available Where Are the Available Resources??Resources??

Federal Transit Administration (FTA)Federal Transit Administration (FTA) FTA Office of Safety and SecurityFTA Office of Safety and Security Department of Transportation Department of Transportation Office of Drug and Alcohol Policy and Compliance Office of Drug and Alcohol Policy and Compliance

(ODAPC)(ODAPC) Department of Health and Human Services Department of Health and Human Services

(DHHS)(DHHS) Government AgenciesGovernment Agencies State DOTsState DOTs Other FTA Covered EmployersOther FTA Covered Employers Various Industry Associations and OrganizationsVarious Industry Associations and Organizations Consultants, TPAs, Private IndustryConsultants, TPAs, Private Industry

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Where - FTAWhere - FTA Office of Safety and SecurityOffice of Safety and Security

http://transit-safety.fta.dot.gov

or http:// transit-safety.volpe.dot.govor http:// transit-safety.volpe.dot.gov Click Drug & AlcoholClick Drug & Alcohol

Legislation, Regulations & InterpretationsLegislation, Regulations & Interpretations NewslettersNewsletters Technical Assistance Materials & ToolsTechnical Assistance Materials & Tools PublicationsPublications

Best Practices Manual, Implementation GuidelinesBest Practices Manual, Implementation Guidelines

Training SchedulesTraining Schedules MIS ReportingMIS Reporting

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Where - ODAPCWhere - ODAPC http://www.dot.gov/ost/dapc

RegulationsRegulations Contact Phone #sContact Phone #s Question and AnswersQuestion and Answers Tools Assistance MaterialsTools Assistance Materials PublicationsPublications

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How Can I Get Started?How Can I Get Started?

Research - You Can Find Almost Everything HereResearch - You Can Find Almost Everything Here

(DOT) 49 CFR Part 40 – Procedures for Transportation (DOT) 49 CFR Part 40 – Procedures for Transportation Workplace Drug and Alcohol Testing ProgramsWorkplace Drug and Alcohol Testing Programs

(FTA) 49 CFR Part 655 - Prevention of Alcohol Misuse (FTA) 49 CFR Part 655 - Prevention of Alcohol Misuse and Prohibited Drug Use in Transit Operations and Prohibited Drug Use in Transit Operations

Best Place to Find The Regulations?Best Place to Find The Regulations? Part 40 (DOT) – ODAPC WebsitePart 40 (DOT) – ODAPC Website Part 655 (FTA) – FTA Office of Safety and Security WebsitePart 655 (FTA) – FTA Office of Safety and Security Website

These Both Include Current Updates, Regulatory Revisions, NPRMs, etc.These Both Include Current Updates, Regulatory Revisions, NPRMs, etc.

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How Do I Stay Up-to-Date?

FTA Drug and Alcohol Regulation Updates Newsletter

FTA ‘What’s New’ E-Mails Sign Up at http://transit-safety.fta.dot.gov Postcard in your packet

ODAPC – E-Mail Updates http://www.dot.gov/ost/dapc

I Just Need the Basics ODAPC

What Employees Need to Know About DOT Drug & Alcohol Testing WHO WHAT

Conduct is Prohibited Drugs are Tested for Happens with the Results

WHEN Will I be Tested

HOW Is the Test Conducted

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FTA - Where Can I Ask a FTA - Where Can I Ask a Question?Question?

FTA Office of Safety and SecurityFTA Office of Safety and Security Jerry Powers (617) 494-2395Jerry Powers (617) 494-2395

FTA Drug and Alcohol Project Office HotlineFTA Drug and Alcohol Project Office Hotline 617-494-6336617-494-6336 E-Mail: [email protected]: [email protected]

MIS QuestionsMIS Questions Regulatory InterpretationsRegulatory Interpretations Day-to-Day QuestionsDay-to-Day Questions

FTA Drug and Alcohol ForumFTA Drug and Alcohol Forum http://transit-safety.fta.dot.gov/DrugAndAlcohol/TechnicalAssista

nce/Forum Ask a Question, Review previous Questions,Ask a Question, Review previous Questions,

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ODAPC - Where Can I Ask a ODAPC - Where Can I Ask a Question?Question?

‘Have a Question?…Ask the Staff’ E-Mail - [email protected] NOTENOTE: “: “Response time to e-mails will vary depending on Response time to e-mails will vary depending on

the volume of e-mails and the complexity of the request”the volume of e-mails and the complexity of the request”

Phone/Fax and Staff E-Mails Phone No.: 202-366-3784 Fax No.: 202-366-3897Phone No.: 202-366-3784 Fax No.: 202-366-3897

Operating Administration’s Drug and Alcohol Program Information/Phone/E-Mail

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Another Resource - Other FTA Another Resource - Other FTA GranteesGrantees

How Do I Contact Them? Who are they?How Do I Contact Them? Who are they? Go to Go to http://www.fta.dot.gov Click ‘About FTA’Click ‘About FTA’ Click ‘FTA Grantees’Click ‘FTA Grantees’

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Other FTA Grantees…MoreOther FTA Grantees…More

National Transit DatabaseNational Transit Database http://www.ntdprogram.gov/ntdprogram Access EmployersAccess Employers

AddressAddress Type (Public, Private, State DOT, Unit of City, Type (Public, Private, State DOT, Unit of City,

Municipality, Modal (MB, DR, LR, etc.)Municipality, Modal (MB, DR, LR, etc.) E-mailE-mail # Safety-Sensitive Employees# Safety-Sensitive Employees

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Contact your FTA Regional OfficeContact your FTA Regional Office Go to Go to http://www.fta.dot.gov Click ‘Regional Offices’ – contact InformationClick ‘Regional Offices’ – contact Information

State DOTsState DOTs APTAAPTA ConsortiaConsortia Call the FTA ‘Hotline’Call the FTA ‘Hotline’

Other FTA Grantees…MoreOther FTA Grantees…More

Resource - Contractual Resource - Contractual RelationshipRelationship

If you are a Division of a National Contractor (MV, Veolia, First Transit, etc.) Most have standardized policies, forms, etc.

If you are a contractor utilize the grantee’s resources and vice-versa.

What Training is AvailableWhat Training is Available

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FTA – Drug and Alcohol National ConferenceFTA – Drug and Alcohol National Conference FTA – One-Day SeminarsFTA – One-Day Seminars

Contact the FTA D&A Hotline (617) 494-6336Contact the FTA D&A Hotline (617) 494-6336

Transportation Safety Institute (TSI)Transportation Safety Institute (TSI) Substance Abuse Management and Program Substance Abuse Management and Program

Compliance (FT00465)Compliance (FT00465) www.tsi.dot.gov

Private – DATIA, Consultants, On-line and Private – DATIA, Consultants, On-line and Many OthersMany Others

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Program RequirementsProgram Requirements

PolicyPolicy TrainingTraining TestingTesting ConsequencesConsequences Record-KeepingRecord-Keeping

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PolicyPolicy §655.12 Required elements of an anti-

drug use and alcohol misuse program. An anti-drug use and alcohol misuse program shall include

the following: Outlined in Section 655.15Outlined in Section 655.15

(a) Designated contact person (person, office, branch, and/or (a) Designated contact person (person, office, branch, and/or position) position)

(b) Categories of employees covered(b) Categories of employees covered (c) Prohibited behavior(c) Prohibited behavior (d) Testing circumstances(d) Testing circumstances (e) Testing procedures(e) Testing procedures (f) Requirements for testing(f) Requirements for testing (g) Test refusal(g) Test refusal (h) and (i) Consequence(h) and (i) Consequence (j) Employer-specific requirements(j) Employer-specific requirements

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PolicyPolicy FTA Policy ChecklistFTA Policy Checklist

http://transit-safety.fta.dot.gov

Click ‘Drug & Alcohol’Click ‘Drug & Alcohol’ Click ‘Technical Assistance’Click ‘Technical Assistance’

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Sample Compliant PoliciesSample Compliant Policies Click ‘Publications’ FTA Compliant Policies (MS-Word)

(1) Large Transit System (2) Rural Paratransit Contractor–Drug-Free Workplace (3) Medium Transit System (4) Large Transit System–Zero Tolerance (5) Small Transit System (6) City Government–FTA and FMCSA (7) Small Transit System (8) Large Transit System (9) State DOT–Statewide Policy (10) With Second Chance (template policy) (11) No Second Chance (template policy) (12) FTA and FMCSA (template policy)

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More Policy HelpMore Policy Help

FTA Sample Policies May Not Include Required Text for the Following Recent Rule Revisions Minimum Random Drug Test Rate Specimen Validity Testing Mandatory Direct Observation Collection

Procedures (Second Chance) Recommended Text Available in the FTA

Drug and Alcohol Regulation Updates Newsletters

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Training Training Covered Employees – 60 MinutesCovered Employees – 60 Minutes

655.14 (a) Education. The education component shall

include display and distribution to every covered employee of: informational material and a community service hot-line telephone number for employee assistance, if available.

(b) Training. (1) Covered employees. Covered employees must receive at least 60 minutes of training on the effects and consequences of prohibited drug use on personal health, safety, and the work environment, and on the signs and symptoms that may indicate prohibited drug use.

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Employee Assistance Program (Hotline)Employee Assistance Program (Hotline) Membership in a ConsortiaMembership in a Consortia VendorsVendors

Collection FacilityCollection Facility Third Party Administrator (TPA)Third Party Administrator (TPA) Substance Abuse Professional (SAP)Substance Abuse Professional (SAP)

Human Resource DepartmentHuman Resource Department

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Local Law EnforcementLocal Law Enforcement Community or Civic GroupsCommunity or Civic Groups Local Hospital or Medical ClinicLocal Hospital or Medical Clinic On-Line or in Yellow PagesOn-Line or in Yellow Pages

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NIDA – National Institute on Drug AbuseNIDA – National Institute on Drug Abuse http://www.nida.nih.gov

Americans for a Drug-Free America National Clearinghouse for Alcohol and

Drug Information http://ncadi.samhsa.gov

National Safety Alliance http://www.nationalsafetyalliance.com

Partnership for a Drug Free America http://www.drugfree.org

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Educational MaterialsEducational Materials

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Substance Abuse Professional Substance Abuse Professional (SAP)(SAP)

§655.62 Referral, evaluation, and treatment. (a) If a covered employee has a verified positive drug

test result, or has a confirmed alcohol test of 0.04 or greater, or refuses to submit to a drug or alcohol test required by this part, the employer shall advise the employee of the resources available for evaluating and resolving problems associated with prohibited drug use and alcohol misuse, including the names, addresses, and telephone numbers of substance abuse professionals (SAPs) and counseling and treatment programs.

§655.15(h) “mandatory requirements that the covered employee be removed immediately from his or her safety-sensitive function and be evaluated by a substance abuse professional, as required by 49 CFR Part 40”

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Substance Abuse Professional Substance Abuse Professional (SAP)(SAP)

• Employees Assistance Professionals Association• http://www.eapassn.org

• Substance Abuse Program Administrators Association• http://www.sapaa.com

• SAPList• http://www.saplist.com

• Drug and Alcohol Testing Industry Association• http://www.datia.org

• Reminder: Need to perform a face-to-face interview

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Training – Reasonable SuspicionTraining – Reasonable Suspicion

655.14(b)(2) Supervisors. Supervisors and/or other company officers authorized by the employer to make reasonable suspicion determinations shall receive at least 60 minutes of training on the physical, behavioral, and performance indicators of probable drug use and at least 60 minutes of training on the physical, behavioral, speech, and performance indicators of probable alcohol misuse.

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FTA – National ConferenceFTA – National Conference TSI - Reasonable Suspicion Determination for TSI - Reasonable Suspicion Determination for

Supervisors Seminar - (FT00546) Supervisors Seminar - (FT00546)

https://www.tsi.dot.gov/tsilms/reports/https://www.tsi.dot.gov/tsilms/reports/trainingschedule.aspxtrainingschedule.aspx

FTA – Reasonable Suspicion VideoFTA – Reasonable Suspicion Video Available on FTA Website ReasonableSuspicion-Available on FTA Website ReasonableSuspicion-

MediumQuality.wmvMediumQuality.wmv Accompanying Leader’s GuideAccompanying Leader’s Guide

Drug and Alcohol Testing Industry Association Drug and Alcohol Testing Industry Association (DATIA) and many others(DATIA) and many others

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Someone from the EmployerSomeone from the Employer Many of the same organizations Many of the same organizations

mentioned in the 60 minute covered mentioned in the 60 minute covered employee trainingemployee training

TPAs, Consultants, Collection Site, SAP, TPAs, Consultants, Collection Site, SAP, etc.etc.

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Medical Review Officer (MRO)Medical Review Officer (MRO)

American Association of Medical Review Officers http://www.aamro.com

American College of Occupational http://www.acoem.org

American Society of Addiction Medicine http://www.asam.org

Medical Review Officer Certification Council http://www.mrocc.org

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Collection Sites – How Do I Find Collection Sites – How Do I Find One Nearby?One Nearby?

LabCorpLabCorp Quest DiagnosticsQuest Diagnostics EMSI Management ServicesEMSI Management Services Foley ServicesFoley Services Nationwide Testing AssociationNationwide Testing Association United States Coast Guard - ReviewedUnited States Coast Guard - Reviewed

Most of these have search enginesMost of these have search engines

Collection Sites – How Do I Find Collection Sites – How Do I Find One Nearby?One Nearby?

Other FTA employers and other DOT Other FTA employers and other DOT employers (FMCSA)employers (FMCSA)

What About After-Hours?What About After-Hours? Local HospitalsLocal Hospitals Check with Individual CollectorsCheck with Individual Collectors

Note: Collectors are DOT Qualified not Collection SitesNote: Collectors are DOT Qualified not Collection Sites

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LaboratoryLaboratory

Department of Health and Human Department of Health and Human Services (HHS)Services (HHS) Substance Abuse and Mental Health Services Substance Abuse and Mental Health Services

Administration (SAMSHA)Administration (SAMSHA) Certified List of All LabsCertified List of All Labs Certified List of All Labs (by State) Certified List of All Labs (by State)

ODAPC maintains an updated list on web siteODAPC maintains an updated list on web site

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MaterialsMaterials

Collection CupsCollection Cups Chain of Custody Form (CCF) and Alcohol Chain of Custody Form (CCF) and Alcohol

Testing Form (ATF)Testing Form (ATF) Blind SamplesBlind Samples Saliva Screening DeviceSaliva Screening Device Evidential Breath Testing Device (EBT)Evidential Breath Testing Device (EBT)

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Forms (ATF & CCF)Forms (ATF & CCF) Alpha Pro Solutions, Inc. ~ ATF only Atlantic Business Forms Inc. ~ CCF only Intoximeters, Inc. ~ ATF only LAB Documents ~ CCF & ATF J. J. Keller & Associates, Inc. JK Data Corporation Standard Register Company

HHS Laboratories TPAs Collections Sites

Blind Quality Control SamplesBlind Quality Control Samples

From the DATIA web siteFrom the DATIA web site Abuse Control AssociateAbuse Control Associate A.T. Laboratories, Inc.A.T. Laboratories, Inc. Bensinger, DuPont & Associates, Inc.Bensinger, DuPont & Associates, Inc. Bio Rad LabBio Rad Lab Biomedical ProductsBiomedical Products Diversified Toxicology Consultants Inc.Diversified Toxicology Consultants Inc. Drug Testing ConsultantsDrug Testing Consultants Duo Research IncDuo Research Inc DynaGen, Inc.DynaGen, Inc.

ElSohly Laboratories, Inc. (ELI)ElSohly Laboratories, Inc. (ELI)

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Various FormsVarious Forms

Required Documentation, Best Practice Required Documentation, Best Practice Documentation, etc.Documentation, etc. FTA – Best Practices ManualFTA – Best Practices Manual

Receipt of D&A Policy FormReceipt of D&A Policy Form Shy Bladder LogShy Bladder Log Tracking Logs (Random, Post-Accident, etc.)Tracking Logs (Random, Post-Accident, etc.) Vendor (TPA, MRO, SAP, Collector, etc.) EvaluationVendor (TPA, MRO, SAP, Collector, etc.) Evaluation Test NotificationTest Notification

Many MoreMany More The CD included with your packageThe CD included with your package

Post-Accident Determination Form (suggested)Post-Accident Determination Form (suggested) Reasonable Suspicion Form (suggested)Reasonable Suspicion Form (suggested)

Various FormsVarious Forms

ODAPCODAPC Previous Employer - Release of Information Form Previous Employer - Release of Information Form

“49 CFR Part 40 – Drug and Alcohol Testing” “49 CFR Part 40 – Drug and Alcohol Testing” (suggested format) (suggested format)

MRO Split Specimen Cancellation Notification MRO Split Specimen Cancellation Notification (suggested format) (suggested format)

Drug and Alcohol MIS Data Collection FormDrug and Alcohol MIS Data Collection Form Drug and Alcohol MIS Data Collection Form (*Drug and Alcohol MIS Data Collection Form (*New New

for 2011for 2011)) Alcohol Testing Form (Required for use beginning Alcohol Testing Form (Required for use beginning

8/1/2010. Authorized for use effective 2/25/2010.) 8/1/2010. Authorized for use effective 2/25/2010.)

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Reviewing VendorsReviewing Vendors FTA Compliance Audit QuestionnairesFTA Compliance Audit Questionnaires

http://transit-safety.fta.dot.govhttp://transit-safety.fta.dot.gov Click Drug & AlcoholClick Drug & Alcohol Click Technical AssistanceClick Technical Assistance

FTA Best Practices ManualFTA Best Practices Manual Questions to AskQuestions to Ask What to ObserveWhat to Observe Suggested Checklists and FormsSuggested Checklists and Forms Review TPAs, Collectors, MROs, SAPsReview TPAs, Collectors, MROs, SAPs

ODAPC Website –breaks down Part 40ODAPC Website –breaks down Part 40 SAP GuidelinesSAP Guidelines Urine Specimen Collection GuidelinesUrine Specimen Collection Guidelines

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Reviewing Vendors – Collection Reviewing Vendors – Collection SitesSites

ODAPC DOT's 10 Steps to Collection Site Security

and Integrity DOT’s 10 Steps to Collection Site Security

and Integrity Poster

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Urine Specimen Collection GuidelinesUrine Specimen Collection Guidelines How to Conduct a DOT CollectionHow to Conduct a DOT Collection

Direct Observations - ODAPCDirect Observations - ODAPC

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FTA - Collection Site FTA - Collection Site Checklist Checklist

Newsletter ArticlesNewsletter Articles Back of the CCF/ATF Back of the CCF/ATF

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Breath Alcohol CollectionsBreath Alcohol Collections EBTs?EBTs?

Conforming Product List for Evidential Breath Conforming Product List for Evidential Breath Testing DevicesTesting Devices Federal Register – Updated PeriodicallyFederal Register – Updated Periodically Posted on ODAPC WebsitePosted on ODAPC Website

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Alcohol Screening DeviceAlcohol Screening DeviceASDs?ASDs?

Conforming Product list for Alcohol Screening Conforming Product list for Alcohol Screening Devices Devices Federal Register – Updated Periodically (ODAPC)Federal Register – Updated Periodically (ODAPC) AlcProAlcPro Quest DiagnosticsQuest Diagnostics Many MoreMany More

How Can I Become a Technician For DOT Alcohol Testing? ODAPC Web Site

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ToolsTools

Post-Accident Determination CardsPost-Accident Determination Cards

MIS RequirementMIS Requirement FTA Drug and Alcohol HotlineFTA Drug and Alcohol Hotline

617-494-6336617-494-6336 E-Mail: [email protected]: [email protected]

Submit to: http://DAMIS.dot.govSubmit to: http://DAMIS.dot.gov MIS Paper Forms MIS Paper Forms

ODAPC and FTA web sitesODAPC and FTA web sites

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Rx/OTCRx/OTC FTA Rx/OTC ToolkitFTA Rx/OTC Toolkit

Food and Drug AdministrationFood and Drug Administration www.fda.gov www.fda.gov

Consumer Healthcare Products AssociationConsumer Healthcare Products Associationwww.chpa-info.org www.chpa-info.org

CHPA Educational Foundation CHPA Educational Foundation www.otcsafety.orgwww.otcsafety.org

Be MedWise ® Be MedWise ® www.bemedwise.orgwww.bemedwise.org

The RxList © The RxList © www.rxlist.comwww.rxlist.com

Random Selections

Section 655.45(e) states:Section 655.45(e) states: “ “The The selection of selection of employees for random drug and alcohol testing employees for random drug and alcohol testing shall be made by a scientifically valid methodshall be made by a scientifically valid method, , such as a such as a random number tablerandom number table or a computer- or a computer-based based random number generatorrandom number generator that is matched that is matched with employees' Social Security numbers, payroll with employees' Social Security numbers, payroll identification numbers, or other comparable identification numbers, or other comparable identifying numbers. Under the selection process identifying numbers. Under the selection process used, used, each covered employee shall have an each covered employee shall have an equal equal chancechance of being tested of being tested each time selections are each time selections are made. made.

Random Selections

44thth FTA Drug and Alcohol National FTA Drug and Alcohol National Conference: “Developing Tools for the Conference: “Developing Tools for the random Selection Process”random Selection Process”FTA Web SiteFTA Web Site

Click “Technical Assistance”Click “Technical Assistance” Provided instruction on the use of random Provided instruction on the use of random

number tables.number tables.

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Random Number GeneratorsRandom Number Generators

http://stattrek.com/Tables/Random.aspxhttp://stattrek.com/Tables/Random.aspx http://www.randomizer.org/rrbox.htmhttp://www.randomizer.org/rrbox.htm http://www.random.org/http://www.random.org/ http://www.graphpad.com/quickcalcs/http://www.graphpad.com/quickcalcs/

randomN1.cfm randomN1.cfm

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1 Resources for Running a Successful Drug and Alcohol Program Michael Redington US DOT/Volpe Center.

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Transcript of 1 Resources for Running a Successful Drug and Alcohol Program Michael Redington US DOT/Volpe Center.