Use this random drug and alcohol test checklist to conduct fair, compliant workplace screening. The template guides safety officers through pre-screening questions on recent alcohol use, illicit drugs, medications, and oral intake; records testing equipment used (saliva swab and breath analysis), location, witness, and test numbers; captures employee awareness of policy and signatures; logs results and employee comments; and documents next actions such as referral to pathology, counseling, or dismissal. Intended as a starting point for site safety programs in construction and other high-risk environments.
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