Form OP-110603 Attachment B "Collection Site Evaluation Form" - Oklahoma

What Is Form OP-110603 Attachment B?

This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OP-110603 Attachment B by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

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Download Form OP-110603 Attachment B "Collection Site Evaluation Form" - Oklahoma

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Attachment B
OP-110603
Collection Site Evaluation Form
As a local (facility/unit) Drug Free Workplace Program Coordinator, your responsibilities include
conducting annual evaluations of the collection sites to which employees at your work location are
referred. The original collection site evaluation form remains in your files; however, a copy must be
sent to the Central Human Resources Unit Drug Free Workplace Program Coordinator for their
records.
Collection Site Evaluated:
Address:
Date and Time of Evaluation:
Actual Travel Time to Collection Site:
Name of Person Conducting Evaluation:
YES
NO
EVALUATION CRITERIA
Correct forms were available.
The testing site was open on the date and time of the site evaluation.
Drug and alcohol tests were available as indicated on the collection site matrix.
Staff was courteous and knowledgeable about the testing process.
The site was clean and professional in appearance.
A picture identification card was required prior to being tested.
The chain of custody was adequately explained.
Purses, briefcases, bulky outer clothing, etc., were required to be left outside
the room.
Applicant/Employee being tested was instructed to wash his/her hands prior
to giving a sample.
The restroom had no water sources other than the toilet bowl.
There were no potential adulterants in the room.
There was a coloring agent in the toilet bowl.
Please provide any additional comments you have regarding the collection site:
Distribution:
Copy to the Central Human Resources Unit
(R 4/19)
Attachment B
OP-110603
Collection Site Evaluation Form
As a local (facility/unit) Drug Free Workplace Program Coordinator, your responsibilities include
conducting annual evaluations of the collection sites to which employees at your work location are
referred. The original collection site evaluation form remains in your files; however, a copy must be
sent to the Central Human Resources Unit Drug Free Workplace Program Coordinator for their
records.
Collection Site Evaluated:
Address:
Date and Time of Evaluation:
Actual Travel Time to Collection Site:
Name of Person Conducting Evaluation:
YES
NO
EVALUATION CRITERIA
Correct forms were available.
The testing site was open on the date and time of the site evaluation.
Drug and alcohol tests were available as indicated on the collection site matrix.
Staff was courteous and knowledgeable about the testing process.
The site was clean and professional in appearance.
A picture identification card was required prior to being tested.
The chain of custody was adequately explained.
Purses, briefcases, bulky outer clothing, etc., were required to be left outside
the room.
Applicant/Employee being tested was instructed to wash his/her hands prior
to giving a sample.
The restroom had no water sources other than the toilet bowl.
There were no potential adulterants in the room.
There was a coloring agent in the toilet bowl.
Please provide any additional comments you have regarding the collection site:
Distribution:
Copy to the Central Human Resources Unit
(R 4/19)