Appendix F to Part 40 - Report Format: Split Specimen Failure To Reconfirm  


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  • Appendix F to Part 40—Drug and Alcohol Testing Information that C/TPAs May Transmit to Employers

    1. If you are a C/TPA, you may, acting as an intermediary, transmit the information in the following sections of this part to the DER for an employer, if the employer chooses to have you do so. These are the only items that you are permitted to transmit to the employer as an intermediary. The use of C/TPA intermediaries is prohibited in all other cases, such as transmission of laboratory drug test results to MROs, the transmission of medical information from MROs to employers, the transmission of SAP reports to employers, the transmission of positive alcohol test results, and the transmission of medical information from MROs to employers.

    2. In every case, you must ensure that, in transmitting the information, you meet all requirements (e.g., concerning confidentiality and timing) that would apply if the party originating the information (e.g., an MRO or collector) sent the information directly to the employer. For example, if you transmit MROs' drug testing results to DERs, you must transmit each drug test result to the DER in compliance with the requirements for MROs set forth in § 40.167.

    Drug Testing Information

    § 40.25: Previous two years' test results

    § 40.35: Notice to collectors of contact information for DER

    § 40.61(a): Notification to DER that an employee is a “no show” for a drug test

    § 40.63(e): Notification to DER of a collection under direct observation

    § 40.65(b)(6) and (7) and (c)(2) and (3): Notification to DER of a refusal to provide a specimen or an insufficient specimen

    § 40.73(a)(9): Transmission of CCF copies to DER (However, MRO copy of CCF must be sent by collector directly to the MRO, not through the C/TPA.)

    § 40.111(a): Transmission of laboratory statistical report to employer

    § 40.127(f): Report of test results to DER

    §§ 40.127(g), 40.129(d), 40.159(a)(4)(ii); 40.161(b): Reports to DER that test is cancelled

    § 40.129 (d): Report of test results to DER

    § 40.129(g)(1): Report to DER of confirmed positive test in stand-down situation

    §§ 40.149(b): Report to DER of changed test result

    § 40.155(a): Report to DER of dilute specimen

    § 40.167(b) and (c): Reports of test results to DER

    § 40.187(a)–(e) Reports to DER concerning the reconfirmation of tests

    § 40.191(d): Notice to DER concerning refusals to test

    § 40.193(b)(3): Notification to DER of refusal in shy bladder situation

    § 40.193(b)(4): Notification to DER of insufficient specimen

    § 40.193(b)(5): Transmission of CCF copies to DER (not to MRO)

    § 40.199: Report to DER of cancelled test and direction to DER for additional collection

    § 40.201: Report to DER of cancelled test

    Alcohol Testing Information

    § 40.215: Notice to BATs and STTs of contact information for DER

    § 40.241(b)(1): Notification to DER that an employee is a “no show” for an alcohol test

    § 40.247(a)(2): Transmission of alcohol screening test results only when the test result is less than 0.02

    § 40.255(a)(4): Transmission of alcohol confirmation test results only when the test result is less than 0.02

    § 40.263(a)(3) and 263(b)(3): Notification of insufficient saliva and failure to provide sufficient amount of breath

    [65 FR 79526, Dec. 19, 2000, as amended at 66 FR 41955, Aug. 9, 2001; 73 FR 35975, June 25, 2008

    40—Report Format: Split Specimen Failure To Reconfirm

    Mail, fax, or submit electronically to: U.S. Department of Transportation, Office of Drug and Alcohol Policy and Compliance, 1200 New Jersey Avenue SE, Washington, DC 20590.

    Fax: (202) 366–3897.

    Submit Electronically: https://www.transportation.gov/odapc/mro-split-specimen-cancellation-notification.

    The following items are required on each report:

    1. MRO name, address, phone number, and fax number.

    2. Collection site name, address, and phone number.

    3. Date of collection.

    4. Specimen I.D. number.

    5. Specimen type.

    6. Laboratory accession number.

    7. Primary specimen laboratory name, address, and phone number.

    8. Date result reported or certified by primary laboratory.

    9. Split specimen laboratory name, address, and phone number.

    10. Date split specimen result reported or certified by split specimen laboratory.

    11. Primary specimen results (e.g., name of drug, adulterant) in the primary specimen.

    12. Reason for split specimen failure-to-reconfirm result (e.g., drug or adulterant not present, specimen invalid, split not collected, insufficient volume).

    13. Actions taken by the MRO (e.g., notified employer of failure to reconfirm and requirement for re-collection).

    14. Additional information explaining the reason for cancellation.

    15. Name of individual submitting the report (if not the MRO).

    [88 FR 27652, May 2, 2023]