Appendix D to Part 40—DOT Drug Testing Semi-Annual Laboratory Report to Employers

The following items are required on each laboratory report:

  • Reporting Period: (inclusive dates)

  • Laboratory Identification: (name and address)

  • Employer Identification: (name; may include Billing Code or ID code)

  • C/TPA Identification: (where applicable; name and address)

A. Urine Specimens

1. Urine Specimen Results Reported (Total Number) By Test Reason

  • (a) Pre-employment (number)

  • (b) Post-Accident (number)

  • (c) Random (number)

  • (d) Reasonable Suspicion/Cause (number)

  • (e) Return-to-Duty (number)

  • (f) Follow-up (number)

  • (g) Type of Test Not Noted on CCF (number)

2. Urine Specimens Reported

  • (a) Negative (number)

  • (b) Negative and Dilute (number)

3. Urine Specimens Reported as Rejected for Testing (Total Number) by Reason

  • (a) Fatal flaw (number)

  • (b) Uncorrected Flaw (number)

4. Urine Specimens Reported as Positive (Total Number) by Drug

  • (a) Marijuana Metabolite (number)

  • (b) Cocaine Metabolite (number)

  • (c) Opioids (number)

    • (1) Codeine (number)

    • (2) Morphine (number)

    • (3) 6-AM (number)

    • (4) Hydrocodone (number)

    • (5) Hydromorphone (number)

    • (6) Oxycodone (number)

    • (7) Oxymorphone (number)

  • (d) Phencyclidine (number)

  • (e) Amphetamines (number)

    • (1) Amphetamine (number)

    • (2) Methamphetamine (number)

    • (3) MDMA (number)

    • (4) MDA (number)

5. Urine Adulterated (Number)

6. Urine Substituted (Number)

7. Urine Invalid Result (Number)

B. Oral Fluid Specimens

1. Oral Fluid Specimen Results Reported (Total Number) by Test Reason

  • (a) Pre-employment (number)

  • (b) Post-Accident (number)

  • (c) Random (number)

  • (d) Reasonable Suspicion/Cause (number)

  • (e) Return-to-Duty (number)

  • (f) Follow-up (number)

  • (g) Type of Test Not Noted on CCF (number)

2. Oral Fluid Specimens Reported

  • (a) Negative (number)

  • (b) Negative and Dilute (number)

3. Oral Fluid Specimens Reported as Rejected for Testing (Total Number) by Reason

  • (a) Fatal flaw (number)

  • (b) Uncorrected Flaw (number)

4. Oral Fluid Specimens Reported as Positive (Total Number) by Drug

  • (a) Marijuana (number)

  • (b) Cocaine and/or Cocaine Metabolite (number)

  • (c) Opioids (number)

    • (1) Codeine (number)

    • (2) Morphine (number)

    • (3) 6-AM (number)

    • (4) Hydrocodone (number)

    • (5) Hydromorphone (number)

    • (6) Oxycodone (number)

    • (7) Oxymorphone (number)

  • (d) Phencyclidine (number)

  • (e) Amphetamines (number)

    • (1) Amphetamine (number)

    • (2) Methamphetamine (number)

    • (3) MDMA (number)

    • (4) MDA (number)

5. Oral Fluid Adulterated (Number)

6. Oral Fluid Substituted (Number)

7. Oral Fluid Invalid Result (Number)

 

[88 FR 27651, May 2, 2023]

 

 

This information was copied from a federal government resource. Always verify the accuracy of this information against the most recent version of the Code of Federal Regulations: https://www.ecfr.gov/current/title-49/subtitle-A/part-40 or the Office of Drug & Alcohol Policy & Compliance: https://www.transportation.gov/odapc.

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