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<br /> .~ <br /> I <br /> I . Trainin~ Attendance for Drug and Alcohol Free Work Place Policy <br /> '. I have received a copy of the City of Arden Hills Drug and Alcohol Free Work Place Policy and <br /> I .... <br /> the Federal Omnibus Transportation Employee Testing Act, including the segment pertaining to <br /> Operators and Commercial Motor Vehicles. I have attended a training session on this material <br /> I and have been provided information on the following: <br /> 1. The person designated by the employer to ~er questions about these materials; <br /> I 2. Who is subject to alcohol misuse and controlled substance requirements; <br /> I 3. Explanation of a safety-sensitive function; <br /> 4. What employee conduct is prohibited; <br /> I 5. Circumstances for drug and/or alcohol testing; <br /> I 6. Procedures used to test for the presence of drugs and/or alcohol; <br /> I 7. The requirement that employees submit to controlled substance and alcohol testing; <br /> 8. An explanation of what constitutes a refusal to submit to testing; <br /> I. 9. The consequences for employees violating the prohibitions of these rules, including the <br /> immediate removal of the employee from safety-sensitive functions; <br /> I 10. The consequences for employees found to have an alcohol concentration level of 0.02 or <br /> greater, but less than 0.04; and <br /> I 11. Information conceming the effects of alcohol and controlled substances use on an <br /> individual's health, work, and personal life. Signs and symptoms ofan alcohol or <br /> I controlled substances problem, and available methods of intervening when an alcohol or <br /> a controlled substances problem is suspected, including confrontation, referral to an <br /> I employee assistance program, and/or referral to management. <br /> I Signature: Date: <br /> Please print name: <br /> I Job Title: Dept.: <br /> I <br /> I- 23 <br /> I <br />