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57 <br />20 minutes of the first test). You will be asked not to eat, drink, belch or put anything in your <br />mouth. These steps prevent the buildup of mouth alcohol, which could lead to an artificially <br />high result. <br />6. If the screening and confirmation test results are not the same, the confirmation test result is <br />used. <br /> <br />If you refuse to be tested or to sign the testing form, the BAT will immediately notify your <br />employer. <br /> <br />How is Drug Testing Done? <br /> <br />1. Drug testing is done by analyzing a urine sample, which is collected in a private location. <br />2. Urine specimens are divided into two containers by the collection site person -- in your <br />presence. These two samples, called "primary" and "split", are sent to a testing laboratory <br />certified by the Department of Health and Human Services (DHHS). <br />3. At the laboratory, a screening test is performed on the primary sample. If this test is positive <br />for drugs, a confirmation test is required. <br />4. The confirmation test must use a specialized procedure called gas chromatography/mass <br />spectrometry, to ensure that over-the-counter drugs are not reported as positive. <br />5. If the first test is positive, the Medical Review Officer (MRO) will notify you to find out if <br />there is a medical reason for the drug use. If you can document why the substance is being <br />taken and the MRO finds it is a legitimate medical use, the test may be reported as negative to <br />the employer. <br />6. After being notified that the first test was positive, you have 72 hours to request a test of the <br />split specimen. If you make this request, the split specimen is sent to another DHHS-certified <br />lab for the test. <br />a. If you do not contact the MRO within 72 hours, but can prove to the MRO that you had <br />a legitimate reason for not doing so, the MRO can order the split specimen tested. <br /> <br />Removal from safety-sensitive duty as required by the DOT following a positive drug test is not <br />delayed to await the result of the split specimen test. <br /> <br />7. If the analysis of the split sample does not confirm the presence of a drug, the MRO cancels the <br />test and reports this to the DOT, to the employer, and to you. <br /> <br />What are the Consequences of Violating the Alcohol or Drug Prohibitions? <br /> <br />Alcohol violations: <br />a. Removal from safety-sensitive functions. <br />b. Following a violation, a driver cannot return to a safety-sensitive duty until an evaluation has <br />been done and any recommended treatment has been completed. <br />c. Anyone with an alcohol concentration of 0.02 or greater, but less than 0.04, cannot return to <br />safety-sensitive duties for at least 24 hours. <br /> <br />Drug violations: <br />a. Removal from safety-sensitive functions. <br />b. A driver cannot return to a safety-sensitive job until an evaluation has been done, recommended