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B. INFORMED CONSENT AND RELEASE OF LIABILITY FORM <br />The execution of an "Informed Consent and Release of Liability (Testing /Release of Results)" form will be <br />required of each applicant /employee submitting to a drug test. Refusal to comply will result in the applicant's <br />& isqualification for further employment consideration, or the employee's termination from the Company's employment. <br />C. REFUSAL TO SUBMIT TO TESTING <br />Job applicants and employees are expected to cooperate fully in providing specimens and explanations which <br />may be subsequently required by this Policy. Failure to provide specimens, attempts to contaminate specimensor <br />otherwise interfere with Company procedures will be grounds for disciplinary action up to and including discharge or <br />disqualification for further employment consideration. An employee who is injured in the course and scope of <br />his employment and who refuses to submit to a drug test, or who tests positive, in addition to the <br />above, forfeits his or her eligibility for Florida Workers' Compensation medical and Indemnity <br />benefits. Any company group health /medical insurance in effect does not cover injuries sustained in the course and <br />scope of employment. <br />VII. TESTING PROCEDURES <br />A. HRS- LICENSED LABORATORY <br />All drug testing will be conducted by a Company- designated laboratory which is licensed by the State of Florida <br />Department of Health and Rehabilitative Services (HRS). The testing will be conducted with appropriate chain of custody <br />procedures in place to ensure accuracy and continuity in specimen collection, handling, transfer and storage. <br />B. DRUGS TO BE TESTED <br />When testing is conducted in conjunction with this program CSI may test for any or all of the following drugs: <br />amphetamines, barbiturates, benzodiazepines, cannanbinoids, cocaine, ethyl alcohol, methadone, methaqualone, <br />�piates, phencyclidine, and propoxphene. <br />C. REPORTING MEDICATION WHICH MAY ALTER OR AFFECT A DRUG TEST RESULT <br />1. Each applicant /employee shall be provided a form entitled "Pre- -and Post - Testing Report of Use of <br />Medication" which will enable them to report, both before and after being tested, the use of prescription or non- <br />prescription medication which may alter or affect the outcome of a drug test as well as any other information relevant to the <br />drug test result. The reverse side of the above referenced form shall contain a list, developed by HRS of the most <br />common medications, by brand name or common name, as well as by chemical name, which may alter or affect a drug test <br />result. The information provided by the employee or job applicant shall be reviewed by a Medical Review Officer (MRO) <br />interpreting any confirmed positive results. <br />2. Job applicants and employees have the right to consult the Company- designated, HRS- licensed laboratory for <br />technical information regarding prescription and non - prescription drugs. <br />D. COST OF TESTING <br />CSI, shall pay the costs of initial and confirmation drug testing which it requires of both job applicants and <br />employees. Applicants and employees shall pay the cost of any additional drug testing not required by the Company. <br />E. COLLECTION SITE AND LABORATORY ANALYSIS PROCEDURES <br />Security of the collection site, chain of custody procedures, privacy of the individual, collection control, integrity <br />and identity of the specimen and transportation of the specimen to the laboratory, as well as all laboratory security, <br />laboratory chain of custody, transporting and receiving of specimens, specimen processing, retesting, storage of <br />specimens, instrument calibration and reporting of results, shall be in accordance with 112.0455 (F.S.), and its attendant <br />*les as established by the Department of Health and Rehabilitive Services in F.A.C., Ch. 10E -18. These procedures are <br />tended to ensure that specimens are properly collected, identified and tested. <br />3 <br />