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Drug Testing Frequently Asked Questions (FAQ)

Get the answers you need.

FREQUENTLY ASKED QUESTIONS

We understand drug testing may be foreign to you, and that you may have a few questions.

Search the answers below or ask your own by emailing info@aliadrugtesting.com.

  • FAQ for Employers – Mandated & Non-Mandated »
  • FAQ for Employers – Mandated Only »
  • FAQ for Individual Donors »

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Our Methods

We use a variety of drug testing methods that provide you efficiency, reduced exposure to risk and excellent customer service.

CERTIFICATIONS

The name Alia is a variant of a Hebrew word which means “to ascend” it embodies all that we stand for—the highest standard for accuracy in clinic collections, 24/7 mobile operations, business-to-business due diligence, and all the other related services that we provide.

Without a doubt, we are confident that we can help you meet your DOT and NON-DOT program goals while offering you improved efficiency, reduced exposure to risk, remarkable personal service, and the latest technology. Take the Alia Challenge today and experience how we rise above the rest.

DBE Certification
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CMSDC Certification
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FAQ for Employers - Mandated & Non-Mandated

Why do employers drug test?
  • Deter employees from abusing alcohol and drugs
  • Prevent hiring individuals who use illegal drugs
  • Be able to identify early and appropriately refer employees who have drug and/or alcohol problems
  • Provide a safe workplace for employees
  • Protect the general public and instill consumer confidence that employees are working safely
  • Comply with state laws or federal regulations
  • Benefit from Workers’ Compensation premium discount programs
When do employers drug test?

There are a variety of circumstances under which an organization may require a drug test. Following are the most common:

Pre-Employment

Pre-employment testing is conducted to prevent hiring individuals who illegally use drugs. It typically takes place after a conditional offer of employment has been made. Applicants agree to be tested as a condition of employment and are not hired if they fail to produce a negative test. However, it is possible for employees to prepare for a pre-employment test by stopping their drug use several days before they anticipate being tested. Therefore, some employers test probationary employees on an unannounced basis.

Reasonable Suspicion

Reasonable suspicion testing is similar to, and sometimes referred to, as “probable-cause” or “for-cause” testing and is conducted when supervisors document observable signs and symptoms that lead them to suspect drug use or a drug-free workplace policy violation. It is extremely important to have clear, consistent definitions of what behavior justifies drug and alcohol testing and any suspicion should be corroborated by another supervisor or manager. Since this type of testing is at the discretion of management, it requires careful, comprehensive supervisor training. In addition, it is advised that employees who are suspected of drug use or a policy violation not return to work while awaiting the results of reasonable suspicion testing.

Post-Accident

Since property damage or personal injury may result from accidents, testing following an accident can help determine whether drugs and/or alcohol were a factor. It is important to establish objective criteria that will trigger a post-accident test and how and by whom they will be determined and documented. Examples of criteria used by employers include: fatalities; injuries that require anyone to be removed from the scene for medical care; damage to vehicles or property above a specified monetary amount; and citations issued by the police. Although the results of a post-accident test determine drug use, a positive test result in and of itself cannot prove that drug use caused an accident. When post-accident testing is conducted, it is a good idea for employers not to allow employees involved in any accident to return to work prior to or following the testing. Employers also need to have guidelines to specify how soon following an accident testing must occur so results are relevant. Substances remain in a person’s system for various amounts of time, and it is usually recommended that post-accident testing be done within 12 hours. Some employers expand the test trigger to incidents even if an accident or injury was averted and hence use term “post-incident.”

Random

Random testing is performed on an unannounced, unpredictable basis on employees whose identifying information (e.g., social security number or employee number) has been placed in a testing pool from which a scientifically arbitrary selection is made. This selection is usually computer generated to ensure that it is indeed random and that each person of the workforce population has an equal chance of being selected for testing, regardless of whether that person was recently tested or not. Because this type of testing has no advance notice, it serves as a deterrent.

Periodic

Periodic testing is usually scheduled in advance and uniformly administered. Some employers use it on an annual basis, especially if physicals are required for the job. Such tests generally are more accepted by employees than unannounced tests, but employees can prepare them by stopping their drug use several days beforehand.

Return-to-Duty

Return-to-duty testing involves a one-time, announced test when an employee who has tested positive has completed the required treatment for substance abuse and is ready to return to the workplace. Some employers also use this type of testing for any employee who has been absent for an extended period of time.

Other

Other types of tests are also used by some employers. For example, follow-up testing or post-rehabilitation testing is conducted periodically after an employee returns to the workplace upon completing rehabilitation for a drug or alcohol problem. It is administered on an unannounced, unpredictable basis for a period of time specified in the drug-free workplace policy. Another type of testing, blanket testing, is similar to random testing in that it is unannounced and not based on individual suspicion; however, everyone at a worksite is tested rather than a randomly selected percentage. Other types of testing include voluntary, probationary, pre-promotion and return-after-illness testing.

How is drug testing conducted, and how accurate is it?

Generally, most private employers have a fair amount of latitude in implementing drug testing as they see fit for their organization, unless they are subject to certain Federal regulations, such as the U.S. Department of Transportation’s (DOT) drug-testing rules for employees in safety-sensitive positions. However, Federal agencies conducting drug testing must follow standardized procedures established by the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services (DHHS).

While private employers are not required to follow these guidelines, doing so can help them stay on safe legal ground. Court decisions have supported following these guidelines, and as a result, many employers choose to follow them. These Mandatory Guidelines for Federal Workplace Drug Testing (also called SAMHSA’s guidelines) include having a Medical Review Officer (MRO) evaluate tests. They also identify the five substances tested for in Federal drug-testing programs and require the use of drug labs certified by SAMHSA.

The most common method of drug testing, urinalysis, can be done at the workplace (at a health unit, for example), a doctor’s office or any other site selected by the employer. An employee or applicant provides a sample to be tested. Usually precautions are taken, such as putting blue dye in the toilet and turning off the water supply, to prevent adulteration or substitution of specimens so that collection can be completed in privacy without any direct visual observation by another person. Under SAMHSA’s guidelines, once a sample is provided, it is sent to a certified laboratory. The accuracy of drug tests done by certified laboratories is very high, but this certification applies only to the five substances tested for in Federal drug-testing programs and alcohol.

What do I need to consider before implementing drug testing?

Who pays for a drug test? Does an employee have to be paid for time spent having a drug test?
According to SAMHSA, an employer normally pays for a drug test. Also, time spent having a required drug test is generally considered hours worked (and thus compensable time) under the Fair Labor Standards Act (FLSA), a U.S. Department of Labor (DOL) regulation, for employees who are covered by the Act. These types of issues are overseen by DOL’s Wage and Hour Division. For further guidance, please contact the closest DOL Wage and Hour District Office.

Is drug testing legal?

In most cases it is legal for employers to test employees for drugs. No Federal laws prohibit the practice. However, there are several states that restrict or question an employer’s ability to randomly drug test employees who are not in safety-sensitive positions. Thus, it is very important that employers familiarize themselves with the various state laws that may apply to their organization before implementing a drug-testing program. Furthermore, under certain circumstances, someone with a history of alcoholism or drug addiction may be considered a qualified individual with a disability under the Americans with Disabilities Act (ADA) and other Federal non-discrimination statues. As a result, testing for alcohol without individualized suspicions (e.g. pre-employment or random) is not allowable.

How do I start a drug testing program?

Drug testing is only one component of a comprehensive drug-free workplace program, which also includes a written policy that clearly outlines employer expectations regarding drug use; training for supervisors on the signs and symptoms of drug use and their role in enforcing the policy; education for employees about the dangers of drug use; and an Employee Assistance Program (EAP) to provide counseling and referral to employees struggling with drug problems.

A comprehensive drug-free workplace program contributes to a workplace free of the health, safety and productivity hazards caused by employees’ abuse of alcohol or drugs. By educating employees about the dangers of alcohol and drug abuse and encouraging individuals with related problems to seek help, employers can protect their businesses from such dangers, retain valuable employees and help play a part in making communities safer and healthier.

FAQ for Employers - Mandated Only

What type of drug testing is approved for mandated testing?

Urine testing is the only drug test type approved for federally mandated testing.

By following standardized procedures by the Substance Abuse and Mental Health Services Administration (SAMHSA), we are able to provide Department of Transportation (DOT) approved testing in accordance with rule 49 CFR Part 40.

FAQ for Individual Donors

Who is allowed access to the result of a drug test?

The result of a drug test may be considered personal health information. Consequently, there may be restrictions on how and whether such information (as well as other information related to an employee’s history of alcohol or drug use) can be shared with others. This is why employees who undergo a drug test generally must sign a release (usually at the time of the test) in order for their employer to receive the results.

What do drug tests detect?

Testing conducted according to SAMHSA’s guidelines checks for five illicit drugs plus, in some cases, alcohol (ethanol, ethyl alcohol, booze). These five illicit drugs are:

  • Amphetamines (meth, speed, crank, ecstasy)
  • THC (cannabinoids, marijuana, hash)
  • Cocaine (coke, crack)
  • Opiates (heroin, opium, codeine, morphine)
  • Phencyclidine (PCP, angel dust)

However, most private employers are not limited in the number of substances they can test for and may include drugs that individuals legitimately and/or therapeutically take based on a physician’s prescription. Although most private employers can test for any combination of drugs, there are commonly selected “panels.”

What are the commonly selected panels?

The typical 8-Panel Test includes the above-mentioned substances plus:

  • Barbiturates (phenobarbital, butalbital, secobarbital, downers)
  • Benzodiazepines (tranquilizers like Valium, Librium, Xanax)
  • Methaqualone (Quaaludes)

The typical 10-Panel Test includes the 8-Panel Test plus:

  • Methadone (often used to treat heroin addiction)
  • Propoxyphene (Darvon compounds)

Testing can also be done for:

  • Hallucinogens (LSD, mushrooms, mescaline, peyote)
  • Inhalants (paint, glue, hairspray)
  • Anabolic steroids (synthesized, muscle-building hormones)
  • Hydrocodone (prescription medication known as Lortab, Vicodin, Oxycodone)
  • MDMA ( commonly known as Ecstasy)
How long are drugs in one’s system?

Drugs have certain “detection windows”—the amount of time after ingestion during which evidence of their use can be detected by a drug test. Though it might not be wise to publicize detection windows and invite employees who may use drugs to push their limits, when implementing drug testing, it is important to understand them. For instance, alcohol is absorbed and eliminated more quickly than other drugs. This is why post-accident testing procedures often require testing for alcohol to occur within two hours. Other drugs are eliminated from the system at different rates and thus detectable for different periods of time, often long after the drug’s effect has worn off.

The following are estimates of the length of time that certain drugs are detectable:

  • Alcohol – 1 oz. for 1.5 hours
  • Amphetamines – 48 hours
  • Barbiturates – 2-10 days
  • Benzodiazepines – 2-3 weeks
  • Cocaine – 2-10 days
  • Heroin Metabolite – less than 1 day
  • Morphine – 2-3 days
  • LSD – 8 hours
  • Marijuana – casual use, 3-4 days; chronic use, several weeks
  • Methamphetamine – 2-3 days
  • Methadone – 2-3 days
  • Phencyclidine (PCP) – 1 week
How does a drug test determine if a person has been using substances? What are cut-off levels and what do they determine?

Aside from a breath alcohol test, drug testing does not determine impairment or current drug use. Rather, drug testing determines a specified amount or presence of a drug or its metabolite in urine, blood or an alternative specimen. There is a minimum measurement applied to drug testing so that only traces of a drug or its metabolite above a specified level is reported as positive. This measure is known as a “cut-off level,” and it varies for each drug.

Setting cut-off levels involves understanding the expected results of testing and determining the needs of the employer’s drug-free workplace program. For instance, if a cut-off level is set low, test results will come back with more “false positives” as some “passive” users could test positive. (For example, a low cut-off level could cause a positive result from consuming poppy seeds.)

Conversely, a high cut-off level will result in more “false negatives,” and thus some users may go undetected. However, a high cut-off level lessens the likelihood of taking action against someone based on “passive” exposure, and for this reason SAMHSA’s guidelines set cut-off levels on the high side.

CERTIFICATIONS

The name Alia is a variant of a Hebrew word which means “to ascend” it embodies all that we stand for—the highest standard for accuracy in clinic collections, 24/7 mobile operations, business-to-business due diligence, and all the other related services that we provide.

Without a doubt, we are confident that we can help you meet your DOT and NON-DOT program goals while offering you improved efficiency, reduced exposure to risk, remarkable personal service, and the latest technology. Take the Alia Challenge today and experience how we rise above the rest.

DBE Certification
[Logo/Link coming soon]
CMSDC Certification
[Logo/Link coming soon]
ANYTIME. ANYPLACE. DRUG TESTING.

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About Us

  • Alia is a provider of drug testing solutions primarily for business-to-business companies. We provide services for DOT mandated agencies, non-mandated businesses, and TPAs. We respond immediately with our 24/7 mobile service, so you don’t have to wait for normal business hours to make critical business decisions.

CONTACT US

  • Alia Drug Testing
  • 7036 W Belmont Ave
    Chicago, IL 60634
  • 708.320.2334
  • info@aliadrugtesting.com
  • aliadrugtesting.com

OUR BLOG

  • DOT Random Testing Rates for 2020
  • The DOT Mandate for Non-Mandated Companies
  • The History of Workplace Drug Testing in the U.S.

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