Template

Drug and Alcohol Testing Consent Form

by SafetyCulture

200+

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Use this form as consent for conducting Drug and Alcohol Testing

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

SafetyCulture

Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.

Template
Random Drug and Alcohol Test
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.
by Martin Lawrie, from the Community
Downloads: 10+
Get
Template
Random Drug and Alcohol Test Checklist
This random drug and alcohol test checklist helps workplaces conduct compliant screenings and keep clear records. Capture test details including location, date, type of test and equipment used. Record employee identification, witness selection, and pre-screening questions on recent alcohol or drug use, medications, and timing. Document mouth swab screening as the primary sample, results, employee comments, and actions taken if positive. Include signatures from the employee and company representative to complete the audit trail.
by natalie cavanagh, from the Community
Downloads: 10+
Get
Template
Elderly Home Safety Checklist
Use this elderly home safety checklist to assess all areas of the nursing home. From the entrance to the grounds, take/attach photos of identified hazards in the nursing home, create actions for fall risk areas/items such as flooring, lighting, etc., and validate the elderly home safety checklist with a digital signature.
by SafetyCulture
Downloads: 300+
Get
Template
Home Visit Assessment Checklist
Conduct home visit assessments using this checklist and ensure that the patient home is safe and conducive to the patient's wellness. Include optional photos so you can show to patients or their family members what need to be addressed or what is the ideal situation for the patient.
by SafetyCulture
Downloads: 200+
Get

Random Drug and Alcohol Test

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.

by Martin Lawrie, from the Community

10+

Get

Template

Random Drug and Alcohol Test Checklist

This random drug and alcohol test checklist helps workplaces conduct compliant screenings and keep clear records. Capture test details including location, date, type of test and equipment used. Record employee identification, witness selection, and pre-screening questions on recent alcohol or drug use, medications, and timing. Document mouth swab screening as the primary sample, results, employee comments, and actions taken if positive. Include signatures from the employee and company representative to complete the audit trail.

by natalie cavanagh, from the Community

10+

Get

Template

Elderly Home Safety Checklist

Use this elderly home safety checklist to assess all areas of the nursing home. From the entrance to the grounds, take/attach photos of identified hazards in the nursing home, create actions for fall risk areas/items such as flooring, lighting, etc., and validate the elderly home safety checklist with a digital signature.

by SafetyCulture

300+

Get

Template

Home Visit Assessment Checklist

Conduct home visit assessments using this checklist and ensure that the patient home is safe and conducive to the patient's wellness. Include optional photos so you can show to patients or their family members what need to be addressed or what is the ideal situation for the patient.

by SafetyCulture

200+

Get

Drug and Alcohol Testing Consent Form

About author

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Random Drug and Alcohol Test

Random Drug and Alcohol Test Checklist

Elderly Home Safety Checklist

Home Visit Assessment Checklist

You might also like

Random Drug and Alcohol Test

Random Drug and Alcohol Test Checklist

Elderly Home Safety Checklist

Home Visit Assessment Checklist