DOI BREATH ALCOHOL COLLECTION PROCEDURES (PICTORIAL)


(collections performed in accordance with DOT regulations)


**** If there are any questions or problems, call your local agency point of contact****; or Richard Hipkins, Department of the Interior (202-208-5638); or Dave Mathews, Department of the Interior (202-273-3218); or Pharmchem, Inc., Federal Scheduling Center (1-800-563-3054)

Click here to go to the written procedures.

A. For Screening Result Less Than 0.020 (0.000 - 0.019 BAC):

1. DONOR provides breath sample at local clinic, hospital, doctor office, or onsite facility; AND Breath Alcohol Technician - BAT uses secure room (ensures aural and visual privacy - one person at a time).

2.BAT ensures the following are completed before performing a breath alcohol test (document accuracy and calibration):

2.a. 30 day accuracy check of Evidential Breath Tester (EBT)

2.b. EBT calibrated within last 6 months.

3. DONOR must provide valid photo identification.

4. BAT completes Step 1 of the Breath Alcohol Testing Form.

4.a. Example of completed Breath Alcohol Testing Form, Step 1.

5. DONOR reads, signs and dates Step 2 of the Breath Alcohol Testing Form.

5.a. Example of completed Breath Alcohol Testing Form, Step 2.

6. BAT turns on the EBT and conducts air blank on the EBT; AND shows 0.000 BAC result on EBT to DONOR (must be done before every test).

7. BAT shows and advises DONOR of the unique sequential number displayed on the EBT; AND BAT prints this sequential number under "Screening Test" in Step 3 of the Breath Alcohol Testing Form.

7.a. Example of completed Breath Alcohol Testing Form, Step 3.

8. DONOR chooses mouthpiece, then hands to BAT who attaches mouthpiece on EBT.

9. BAT instructs DONOR on how to provide breath sample:

- take a very deep breath

- "blow forcefully into mouthpiece for at least 6 seconds or until EBT indicates that an adequate amount of breath has been obtained (green light goes out and tone stops)"

10. BAT shows DONOR screening test result displayed on the EBT.

11. BAT prints result using EBT printer; AND reviews printed result with DONOR.

11.a. Example of printed results.

12. BAT attaches printed result to back of each copy of the Breath Alcohol Testing Form in the screening test result block (upper left hand corner).

12.a. Example of printed results attached to back of Breath Alcohol Testing Form.

13. BAT completes, signs and dates Step 3 of the Breath Alcohol Testing Form.

13.a. Example of completed Breath Alcohol Testing Form, Step 3.

14. DONOR signs Step 4 of the Breath Alcohol Testing Form.

14.a. Example of completed Breath Alcohol Testing Form, Step 4.

15. BAT gives DONOR Copy 2 of the Breath Alcohol Testing Form.

16. BAT gives Employer representative Copy 1 of the Breath Alcohol Testing Form.

B. For Screening Result of 0.020 or Greater:

1. BAT shows DONOR screening test result displayed on the EBT.

2. BAT prints screening test result using EBT printer; AND reviews printed result with DONOR.

3. BAT attaches printed result to back of each copy of the Breath Alcohol Testing Form in the screening test result block (upper left hand corner).

4. BAT explains to DONOR that because screening result was 0.020 or greater, the DONOR must:

- take a confirmation test not less than 15 minutes and within 30 minutes from the screening test

- not eat, drink, place objects in mouth, belch

- not leave testing area

5. BAT conducts "air blank" on EBT; AND shows result on EBT to DONOR (must be done before every test). Air blank must read 0.000 BAC.

6. BAT shows and advises DONOR of the unique sequential number displayed on the EBT.

7. DONOR chooses mouthpiece, then hands to BAT who attaches mouthpiece on EBT.

8. BAT instructs DONOR on how to provide breath sample:

- take very deep breath

- "blow forcefully into mouthpiece for at least 6 seconds oruntil EBT indicates that an adequate amount of

breath has been obtained (green light goes out and the tone stops)"

9. BAT shows DONOR confirmation result displayed on the EBT.

10. BAT prints confirmation result using EBT printer; AND reviews printed result with DONOR.

11. BAT affixes printed result to back of each copy of the Breath Alcohol Testing Form in the confirmation test result block (upper right hand corner).

12. BAT completes, signs and dates Step 3 of the Breath Alcohol Testing Form.

13. DONOR signs Step 4 of the Breath Alcohol Testing Form.

14. BAT gives DONOR Copy 2 of the Breath Alcohol Testing Form.

15. BAT gives DONOR Performing a confirmation test - reminder!

C. If Confirmation Test Result is 0.020 BAC or greater:

1. BAT reiterates to the DONOR that he/she agreed not to drive or perform a safety-sensitive function by signing Step 4 of the Breath Alcohol Testing Form.

2. BAT immediately notifies (telephonically, in person, etc.) agency (employer) representative of the DONOR final alcohol test result.

All photos by Tami Heilemann.


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