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same, the confirmation test result is used. <br />If you refuse to be tested or to sign the testing form, the BAT <br />will immediately notify your employer. <br />How is Drug Testing Done? <br />1. Drug testing is done by analyzing a urine sample, which is <br />collected in a private location. <br />2. Urine specimens are divided into two containers by the <br />collection site person -- in your presence. These two <br />samples, called "primary" and "split ", are sent to a testing <br />laboratory certified by the Department of Health and Human <br />Services (DHHS). <br />3. At the laboratory, a screening test is performed on the <br />primary sample. If this test is positive for drugs, a <br />confirmation test is required. <br />4. The confirmation test must use a specialized procedure <br />called gas chromatography /mass spectrometry, to ensure that <br />over - the - counter drugs are not reported as positive. <br />5. If the first test is positive, the Medical Review Officer <br />(MRO) will notify you to find out if there is a medical <br />reason for the drug use. If you can document why the <br />substance is being taken and the MRO finds it is a <br />legitimate medical use, the test may be reported as negative <br />to the employer. <br />6. After being notified that the first test was positive, you <br />have 72 hours to request a test of the split specimen. If <br />you make this request, the split specimen is sent to another <br />DHHS- certified lab for the test. <br />a. If you do not contact the MRO within 72 hours, but can <br />prove to the MRO that you had a legitimate reason for <br />not doing so, the MRO can order the split specimen <br />tested. <br />Removal from safety- sensitive duty as required by the DOT <br />following a positive drug test is not delayed to await the result <br />of the split specimen test. <br />7. If the analysis of the split sample does not confirm the <br />presence of a drug, the MRO cancels the test and reports <br />this to the DOT, to the employer, and to you. <br />What are the Consequences of Violating the Alcohol or Drug <br />Prohibitions? <br />Alcohol violations: <br />a. Removal from safety- sensitive functions. <br />b. Following a violation, a driver cannot return to a safety - <br />sensitive duty until an evaluation has been done and any <br />recommended treatment has been completed. <br />c. Anyone with an alcohol concentration of 0.02 or greater, but <br />-7- <br />Page 59 <br />