Revised: 12/15/21 Page 18 of 42
condition has, or with a high degree of probability, could have, precluded the employee
from providing an adequate amount of urine, the employee’s failure to provide an
adequate amount of urine shall not be deemed a refusal to take a test. For purposes of
this paragraph, a medical condition includes an ascertainable physiological condition
(e.g., a urinary system dysfunction) or a documented pre-existing psychological disorder,
but does not include unsupported assertions of “situational anxiety” or dehydration. The
MRO shall report his or her conclusions (setting forth the basis for it, which shall not
include detailed information on the medical condition of the employee) to the HR
designee in writing.
o If the MRO, in his or her reasonable medical judgment, is unable to make the
determination set forth in paragraph D,4,a; the employee’s failure to provide an adequate
amount of urine shall be regarded as a refusal to take a test. The MRO shall report his
or her conclusions (setting forth the basis for it, which shall not include detailed
information on the medical condition of the employee) to the HR designee in writing.
o A specimen temperature outside the range of 32 degrees - 38 degrees C/90 degrees-100
degrees F constitutes a reason to believe that the employee has altered or substituted the
specimen.
o Whenever there is reason to believe that a particular employee has altered or substituted
the specimen as described in this section, a second specimen shall be obtained as soon
as possible under the direct observation of a collection site person. All specimens
suspected of being adulterated shall be forwarded to the laboratory for testing.
• Failed to provide an adequate amount of breath:
o This section sets forth procedures to be followed in any case in which an employee is
unable or alleges inability to provide an amount of breath sufficient to permit a valid
breath test because of a medical condition,
o The Breath Alcohol Technician (BAT) shall again instruct the employee to attempt to
provide an adequate amount of breath. If the employee refuses to make the attempt, the
BAT shall immediately inform the MRO,
o If the employee attempts and fails to provide an adequate amount of breath, the BAT
shall so note in the “Remarks” section of the breath alcohol testing form and immediately
inform the MRO,
o If the employee attempts and fails to provide an adequate amount of breath, the employee
shall obtain, as soon as practical after the attempted provision of breath, an evaluation
from the MRO concerning the employee’s medical ability to provide an adequate amount
of breath.
o If the MRO determines, in his or her reasonable medical judgment, that a medical
condition has (or with a high degree of probability, could have) precluded the employee
from providing an adequate amount of breath, the employee’s failure to provide an
adequate amount of breath shall not be deemed a refusal to take a test. The MRO shall
provide to the HR designee a written statement of the basis for his or her conclusion.
o If the MRO, in his or her reasonable medical judgment, is unable to make the