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Rapid Site Access Program FAQ

Frequently Asked Questions by Workers

Contents

[Holding down the “Control” button and click on any of the below questions should

take your directly to that question]

INTRODUCTION

Q: What is the Rapid Site Access Program (“RSAP”)?

Q: What are the purposes of the RSAP?

Q: What owner sites may I access without a site access test by joining RSAP?................ 5

Q: What do I agree to when I sign up for RSAP?

Q. REALLY, why should I join RSAP?

Q: How can I sign up for RSAP?

Q: I am a detail person, where can I read all the information?

ALCOHOL AND DRUG TESTING ADMINISTERED BY RSAP

Q: Under what circumstances are alcohol and drug tests administered by RSAP?........... 6 Q: What kind of alcohol and drug testing technology is used for random testing?.......... 7 Q: Why do some prefer oral fluid (oral swab) tests to urine tests?

Q: Why do some members get a urine test and others get an oral fluid test?.................. 7 Q: Why can’t all of the testing be done by oral swab?

Q: Why are the cut off levels different for urine and swab based tests?

Q: Will fluids such as mouthwash, mints or ice cappuccinos affect my alcohol testing results?

Q: What if I don’t agree with the test results?

Q: If I sign up for RSAP, do I have to be tested or can I send in my previous pre-access testing result?

Q: How often will I be tested if I sign up for the RSAP program?

Q: How do I know that your alcohol test machine is getting a correct result?................. 9 Q: Why don’t you accept tests from other labs?

Q: Why don’t you accept quick/express tests?

Q: If my first sample is not accepted, why can’t I leave the testing facility once the testing process is underway?

–  –  –

Q: What are some typical recommendations that may be issued by a substance abuse expert?

Q: If I fail a test, who pays for my substance abuse assessment at Human Solutions?... 11 Q: What if I don’t agree with the substance abuse assessment?

Q: If I fail a test, do I have to attend my assessment within a time limit?

Q: Why do I have to go to Human Solutions for an assessment? Why can’t I do this through AADAC or a counselor of my own choice?

GENERAL RSAP QUESTIONS

Q: Once I join RSAP, am I able to opt back out?

Q: What does my “RSAP Status” *Active or Inactive+ mean?

Q: Are there any fees associated with RSAP? Do I have to pay for drug and alcohol tests screens out of pocket?

Q: If I fail a test, what process will I follow in order to return to work?

Q: What is a return to work agreement and why do I need to sign one?

Q: If I fail a drug or alcohol test can I go work at a non-participating site?

Q: What happens if I fail more than one time?

Q: What are mandatory contractor referrals?

Q: When I signed up for RSAP, I was told that all testing would be done on work time.

Some of the people I work with tell me that they have had to test on their own time.

Why is this?

Q: After a non-negative test, I was told that I would be tested six times over the next year. Will I be expected to test on my own time?

Q: If I recognize that I have a substance use or alcohol problem, can OHI help me?...... 14 Q: My assessment said I required two years of follow-up testing but OHI has extended the time frame for this. Why?

Q: What if on the day of the test I am absent from work?

Q: What if I must go to treatment but am having trouble accessing a treatment bed?. 15 Q: If I have to go to treatment and/or there is a delay in obtaining a spot in the facility, is there financial support available?

Q: What can I do if I disagree with how my case is being managed?

PRIVACY

Q: What information is passed on to a contractor to confirm my enrollment at the point of dispatch?

Q: What information is passed to my current employer and my union should I have a positive test?

Q: What steps are taken to ensure that my confidential information is being protected by OHI?

–  –  –

Q: What is the Rapid Site Access Program (“RSAP”)?

A: The Rapid Site Access Program (RSAP) is an agreement among unions, employers, and site owners that facilitates expedited dispatch to participating sites for workers signed on to the program. Owners agree to waive site access testing requirement for those in good standing (“active”) in the Rapid Site Access Program.

The program is voluntary and those who sign up agree to be subject to random testing, under clear protocols, while at work on paid time.

Those who choose not to sign up may still access sites by fulfilling owner site access testing requirements on their own time respecting each dispatch.

Third party professionals manage the program and there is a great deal of support for those with positive tests to facilitate returning to duty.

Q: What are the purposes of the RSAP?

A: RSAP is a safety-based alcohol and drug program meant to ensure efficient access to work sites, facilitate compliance with the Canadian Model Alcohol and Drug Work Rule while at work, and afford support and accommodation for those who are found in breach.





Q: What is in it for me to join RSAP?

A: By joining RSAP you get access to participating sites without having to submit to a site access test. This reduces the number of tests you have to take on your own time prior to being able to head out to the jobsite.

Furthermore, should you fail an RSAP test, your file would be handled by third party professionals, which means very little of your sensitive personal information would be shared with your employer or union.

–  –  –

Q: What do I agree to when I sign up for RSAP?

A: When signing up for RSAP you agree to be in compliance with each of the following

sets of rules:

 the Canadian Model (while at work),  the RSAP Procedural Rules, and  any return to work conditions that may be set by a case manager should you find yourself in after-care.

You also agree to be subject to random alcohol and drug testing while at work on a participating site. Such tests are completed on paid time on the job site.

Q. REALLY, why should I join RSAP?

A: Upon receiving your journeyman ticket, many of you are told you are entrepreneurs, business people who are the masters of your own destiny.

Well, this for the most part comes down to a personal business decision as a tradesperson.

–  –  –

For some that has been a significant hassle and RSAP may be a good option for you. All RSAP random tests are on paid work time and you do not lose time or wages while waiting for the results.

In addition, others who have failed a test for a contractor have opted into RSAP so they could have their after-care and follow-up administered by third party professionals as personal information is more protected and kept off the worksite, and the likelihood of successful, safe return to work is greatly increased.

Q: How can I sign up for RSAP?

A: Proceed to https://www.rsap.ca/ (you must have the “www” in front of the address) and click on “You can self register here”.

Q: I am a detail person, where can I read all the information?

A: All the RSAP documentation is available at:

http://www.clra.org/docs/rsap/default.asp

ALCOHOL AND DRUG TESTING ADMINISTERED BY RSAP

Q: Under what circumstances are alcohol and drug tests administered by RSAP?

A: RSAP administers tests in the following circumstances:

Enrollment tests: A clean test is required as a part of the application process unless the individual is grandfathered (refer to p. 8) into the program, Random tests: These are not-for-cause tests resulting from a random draw,

–  –  –

Q: What kind of alcohol and drug testing technology is used for random testing?

A: For random tests, RSAP uses laboratory-based oral fluid tests (sometimes referred to as oral swab tests) for drugs, and breath tests for alcohol.

Q: Why do some prefer oral fluid (oral swab) tests to urine tests?

A: The oral fluid cut-off levels are safety-based levels set in consultation with experts.

One significant difference between urine and oral fluid testing resides with the marijuana measurement, which for oral fluid has a shorter “window of detection” than urine based testing. At the levels set in RSAP oral fluid tests have a 12-20 hours window of detection for the marijuana panel. This means that a test will identify past marijuana use up to 20 hours prior to the test. Many view this measurement to be more workplace related and less likely to bring into review a person’s off-duty lifestyle.

Also, the collection of the oral fluid sample is more dignified in that it does not call upon the donor to submit a urine sample. Oral fluid is collected by a swab being placed in the mouth by the donor under the observation of the collector.

Others like the fact that oral fluid tests are all observed so the risk of tampering of a sample is less than with urines test, which are unobserved except in special circumstances.

Q: Why do some members get a urine test and others get an oral fluid test?

A: Urine tests are required for:

 initial RSAP registrations, and  for members who are in case management (following a breach) and who require follow up testing as part of a return to work agreement.

Oral fluid tests are used for random testing on RSAP members in good standing.

–  –  –

A: The Canadian Model doesn’t accept oral swab tests for reasonable grounds and postincident tests. Furthermore, experts state that oral fluid testing is not appropriate when there is prior notice of the test and not appropriate for follow-up testing. The RSAP committee approved the use of oral swabs for random tests only.

Q: Why are the cut off levels different for urine and swab based tests?

A: The numeric cut-off levels are not going to be the same as it is a completely different measurement. Comparing the numeric cut-off levels is like comparing apples and oranges.

Urinalysis test levels are those mandated by the Canadian Model Alcohol and Drug Work Rule (Article 3) or, if applicable, based on recommendations of a substance abuse expert. The scientific community has demonstrated that these test levels are legally defensible safety-based levels.

Oral fluid cutoff levels are those opined by leading scientific experts and the Department of Health and Human Services as reliably detectable, safety-based levels.

Q: Will fluids such as mouthwash, mints or ice cappuccinos affect my alcohol testing results?

A: Drinking non-alcoholic fluids will not affect your alcohol results. Oral fluid tests are not used to measure alcohol levels. All alcohol tests are conducted via a breath alcohol testing device.

Q: What if I don’t agree with the test results?

A: You can contact the medical review officer for clarification. All specimens are sent to a certified laboratory facility for, scientific analysis.

In addition, consistent with the Canadian Model, the oral fluid sample is split prior to analysis. Within 72 hours you may request that your split sample be sent to another laboratory for a second analysis.

–  –  –

A: You can be grandfathered into the program without further testing if the following

conditions apply:

 you are currently working with a participating contractor on a site that requires site-access testing, or  you are not working but have a valid negative test within past 90 days (and can provide copy of same).

If you are currently unemployed and do not have a valid test within the last 90 days, a negative enrollment test is required to approve RSAP “active status”. RSAP pays for the cost of the test.

Q: How often will I be tested if I sign up for the RSAP program?

A: Each month, a computer generates a random draw from members who are actively working. The draw randomly selects 4.17% of RSAP members who are actively working.

Random tests are always done on work time.

Q: How do I know that your alcohol test machine is getting a correct result?

A: The calibration on each evidentiary breath testing device (EBTs) is checked daily before testing, using a known gas standard. In the event a result is confirmed as a nonnegative, the calibration is re-checked as soon as is reasonably practicable, usually immediately after the test.

Q: Why don’t you accept tests from other labs?

A: Mobile Industrial Health Services is contracted to provide all testing services for the RSAP program. For initial tests, other SAMHSA-certified lab results, if proper “Chain of Custody” procedures were followed, will be accepted. This does not mean that you can arrange your own RSAP testing. It must be facilitated by OHI.

–  –  –

A: “Quick” tests are not allowed under the Canadian Model - they do not involve the same high standards for integrity as laboratory-based tests.

Also, quick tests often do not include the protections afforded to individuals by having a medical review officer consider whether or not there is a legitimate medical explanation for a positive result.

RSAP only uses laboratory-based testing with review from a medical review officer.

Q: If my first sample is not accepted, why can’t I leave the testing facility once the testing process is underway?

A: Once the testing process is underway, the collector is responsible for the integrity/validity of the result. Allowing you to leave the facility during the collection process opens the process up to challenges to the integrity/validity of the final result.

Leaving prior to the completion of the testing process will be reported as a refusal to test.

SUBSTANCE ABUSE ASSESSMENT QUESTIONS

Q: What are some typical recommendations that may be issued by a substance abuse expert?



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