I consent to undergo an on-site screening drug/alcohol test, to be undertaken by an accredited agency, as described in section 1.9 of %The_Company% Health and Safety Policy.
I acknowledge that these tests are to determine whether drugs/alcohol are present in my urine at concentration(s) higher than the accepted international standards.
The drugs being tested for are cannabinoids, opiates, amphetamine-type substances, cocaine, benzodiazepines (and others if applicable).
%The_Company% undertakes that the results will be used only for the purposes for which they were obtained, and that any collection, storage or exchange of medical information concerning the test will be in accordance with the requirements of the Privacy Act 2020.
I undertake to advise the certified collector of any medication that I am taking. This includes medicinal cannabis.
I consent to the results of the drug test(s) being communicated confidentially to the authorised representative of %The_Company%.
I understand that I may request a second confirmatory test to be conducted on the ‘duplicate specimen’ and analysed within 14 days of receiving the result.
For the second test to be positive there need only be the presence of drug or metabolite detected. This will be accepted as a conclusive result and costs associated with this test will be borne by me.
If the second test proves negative this will be accepted as a conclusive result and costs associated with this test will be reimbursed by %The_Company%.
NB: A witness is needed for a confirmatory alcohol test, because the result of this test is final I understand that a refusal to sign this form, or the return of a positive result means that:
☐ the job offered/applied for will not be offered to me
☐ %The_Company%’s disciplinary procedure for serious misconduct will follow.
I have read this consent form, or have had it explained to me, and I understand its contents:
Date: ___ / ___ / ___