Sec.  40.191  What is a refusal to take a DOT drug test, and what are the consequences?

    (a) As an employee, you have refused to take a drug test if you:

    (1) Fail to appear for any test (except a pre-employment test) within a reasonable time, as determined by the employer, consistent with applicable DOT agency regulations, after being directed to do so by the employer. This includes the failure of an employee (including an owner-operator) to appear for a test when called by a C/TPA (see Sec.  40.61(a));

    (2) Fail to remain at the testing site until the testing process is complete; Provided, That an employee who leaves the testing site before the testing process commences (see Sec.  40.63 (c)) for a pre-employment test is not deemed to have refused to test;

    (3) Fail to provide a urine specimen for any drug test required by this part or DOT agency regulations; Provided, That an employee who does not provide a urine specimen because he or she has left the testing site before the testing process commences (see Sec.  40.63 (c)) for a pre-employment test is not deemed to have refused to test;

    (4) In the case of a directly observed or monitored collection in a drug test, fail to permit the observation or monitoring of your provision of a specimen (see Sec. Sec.  40.67(l) and 40.69(g));

    (5) Fail to provide a sufficient amount of urine when directed, and it has been determined, through a required medical evaluation, that there was no adequate medical explanation for the failure (see Sec.  40.193(d)(2));

    (6) Fail or decline to take an additional drug test the employer or collector has directed you to take (see, for instance, Sec.  40.197(b));

    (7) Fail to undergo a medical examination or evaluation, as directed by the MRO as part of the verification process, or as directed by the DER under Sec.  40.193(d). In the case of a pre-employment drug test, the employee is deemed to have refused to test on this basis only if the pre-employment test 

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is conducted following a contingent offer of employment; or

    (8) Fail to cooperate with any part of the testing process (e.g., refuse to empty pockets when so directed by the collector, behave in a confrontational way that disrupts the collection process).

    (b) As an employee, if the MRO reports that you have a verified adulterated or substituted test result, you have refused to take a drug test.

    (c) As an employee, if you refuse to take a drug test, you incur the consequences specified under DOT agency regulations for a violation of those DOT agency regulations.

    (d) As a collector or an MRO, when an employee refuses to participate in the part of the testing process in which you are involved, you must terminate the portion of the testing process in which you are involved, document the refusal on the CCF (including, in the case of the collector, printing the employee's name on Copy 2 of the CCF), immediately notify the DER by any means (e.g., telephone or secure fax machine) that ensures that the refusal notification is immediately received. As a referral physician (e.g., physician evaluating a ``shy bladder'' condition or a claim of a legitimate medical explanation in a validity testing situation), you must notify the MRO, who in turn will notify the DER.

    (1) As the collector, you must note the refusal in the ``Remarks'' line (Step 2), and sign and date the CCF.

    (2) As the MRO, you must note the refusal by checking the ``refused to test because'' box (Step 6) on Copy 2 of the CCF, and add the reason on the ``Remarks'' line. You must then sign and date the CCF.

    (e) As an employee, when you refuse to take a non-DOT test or to sign a non-DOT form, you have not refused to take a DOT test. There are no consequences under DOT agency regulations for refusing to take a non-DOT test. 

[65 FR 79526, Dec. 19, 2000, as amended at 66 FR 41953, Aug. 9, 2001; 68 FR 31626, May 28, 2003]