Code No. 405.7
Exhibit A

DRUG AND ALCOHOL TESTING PROGRAM NOTICE TO EMPLOYEES

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE HEREBY NOTIFIED they are subject to the District's drug and alcohol testing program for pre-employment drug testing and random, reasonable suspicion, post-accident return-to-duty and follow-up drug and alcohol testing as outlined in the Drug and Alcohol Testing Program policy, its supporting documents and the law.

Employees who operate school vehicles are subject to drug and alcohol testing if a commercial driver's license is required to operate the school vehicle and the school vehicle transports sixteen or more persons including the driver or the school vehicle weighs twenty-six thousand, one pounds or more.  For purposes of the drug and alcohol testing program, "employees" also includes applicants who have been offered a position to operate a school vehicle.  The employees operating a school vehicle shall be subject to the drug and alcohol testing program beginning the first day they operate or are offered a position to operate a school vehicle and continue to be subject to the drug and alcohol testing program.

It is the responsibility of the Superintendent or his/her designee Board Secretary/Human Resources Manager to inform employees of the drug and alcohol testing program requirements.  Employees with questions regarding the drug and alcohol testing requirements shall contact the District contact person, the Board Secretary/Human Resources Manager.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED that employees violating the policy, its supporting documents or the law may be subject to discipline up to and including immediate termination.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED it is a condition of their continued employment to comply with the Drug and Alcohol Testing Program policy, its supporting documents and the law.  Drug and alcohol testing records about a driver are confidential and are released in accordance with the policy, its supporting documents or the law.

Date of Last Review:  August 12, 2019

Revised:  September 16, 2013

00972248

DECORAH COMMUNITY SCHOOL BOARD OF DIRECTORS

Code No. 405.7
Exhibit B

DRUG AND ALCOHOL TESTING PROGRAM ACKNOWLEDGMENT FORM

 

I, ________________________, have received a copy, read and understand the Drug and Alcohol Testing Program Policy and its supporting documents.  I consent to submit to the drug and alcohol testing program as required by the Drug and Alcohol Testing Program policy, its supporting documents and the law.

 

I understand that if I violate the Drug and Alcohol Testing Program policy, its supporting documents or the law, I may be subject to discipline up to and including immediate termination.

 

I further understand that drug and alcohol testing records about me are confidential and may be released in accordance with the policy, its supporting documents or the law.

 

 

 

 

 

_______________________               __________________________

Signature of Employee                          Date

 

Date of Last Review:  August 12, 2019

Revised:  April 14, 2003

00955295-1\17467-000

DECORAH COMMUNITY SCHOOL BOARD OF DIRECTORS

 

See form attached 

 

See form attached

 

See form attached

 

See form attached

 

Code No. 405.7
Exhibit G

DRUG AND ALCOHOL TESTING PROGRAM
PRE-EMPLOYMENT DRUG TEST ACKNOWLEDGMENT FORM

 

I, _____________________________________, have been informed of the requirement to submit to a drug test prior to being employed by the Decorah Community School District to perform a safety-sensitive-function.  I consent to submit to the drug and alcohol testing program as required by the Drug and Alcohol Testing Program policy, its supporting documents and the law.

I understand that the results of my drug test will be shared with the District.  I also understand that if I have a positive drug test result, I will not be considered further for employment with the District.

I further understand that the drug and alcohol testing records and information about me are confidential and may be released at my request or in accordance with the law.

 

_______________________             ___________________________
Signature of Applicant                                        Date

 

543177

Date of Review:  August 12, 2019

Revised:  April 14, 2003

 

See form attached

 

Code No. 405.7
Exhibit I
 

POST-ACCIDENT DRUG AND ALCOHOL TESTING INSTRUCTIONS TO DRIVERS

A driver who refuses to submit to post accident drug testing will be terminated.  The following instructions have been reviewed by the drivers subject to the drug and alcohol testing program.  These instructions must be kept in the school vehicle for reference in the event of an accident.  The driver operating the school vehicle is responsible to carry out the instructions.

1.       Take action to maintain the safety and health of the persons being transported in the school vehicle.

2.       Report the accident to the following person as soon as practicable following the accident and follow any directions given to the driver.
       Contact:  Director of Transportation
       Decorah Community School District, 510 Winnebago Street,
           Decorah, IA  52101
       ​Contact's work telephone 563-382-4165
       Contact's home telephone 563-382-4959
       Second contact:   Board Secretary
       Second contact's telephone 563-382-4209
       Second contact's home telephone 563-735-5549

3.       Determine whether any of the following has occurred, and if so, post-accident drug and alcohol testing must be done:

a.         A fatality, other than the driver, occurred.

b.         The driver was cited and bodily injury occurred to a person who, as a result of the injury, required immediate medical treatment away from the scene of the accident.

c.         The driver was cited and one or more motor vehicles incurred disabling damage as a result of the accident, requiring a vehicle to be transported away from the scene of the accident by a tow truck or other motor vehicle.

(1)           "Disabling damage" is damage which precludes departure of a motor vehicle from the scene of the accident in its usual manner in daylight after simple repairs.  It includes damage to motor vehicles that could have been driven, but would have been further damaged if so driven.

(2)           "Disabling damage" excludes damage which can be remedied temporarily at the scene of the accident without special tools or parts:

(a)            Tire disablement without damage even if no spare tire is available.

(b)            Headlight or taillight damage.

(c)            Damage to turn signals, horn, or windshield wipers which make then inoperative.

4.       Consume no alcohol for eight hours or prior to submitting to a post-accident alcohol test, whichever occurs first, following an accident meeting the criteria in “3” above.

5.       Remain available to submit to a post-accident alcohol test within two hours and no later than eight hours after the accident.

6.       Remain available to submit to a post-accident drug test as soon as possible after the accident and no later than 32 hours after the accident.

7.       Failure to remain available for post-accident drug and alcohol testing is considered a refusal to test and will result in immediate termination of the driver.

8.       Seek appropriate medical attention despite the need to remain available to submit to post-accident drug and alcohol tests.

9.       Using the Transportation Emergency Assistance Program developed by the Iowa Pupil Transportation Association, contact the nearest school district transportation director for assistance.

10.     Obtain the name, badge number and telephone number of the law enforcement officer if the law enforcement officer conducts a post-accident drug and/or alcohol test.  If possible, obtain copies of any alcohol and drug test results conducted by the law enforcement officer.  Since these test results are generally unacceptable to meet the District's requirements for post-accident drug and alcohol testing, the driver must remain available for post-accident drug and alcohol testing by a trained collection site person.

11.     Complete the School Bus Accident Report form issued by the Iowa Department of Education as soon as possible.

12.      Document failure to submit to a post-accident alcohol test if no alcohol test was conducted:

a.         Document why the driver was not alcohol tested within two hours after the accident.

b.         Document why the driver was not alcohol tested within eight hours after the accident.

c.         A copy of the documentation must be submitted to the District Secretary/Business Manager upon return to the school district.

13.       Document failure to submit to a post-accident drug test if no drug test was conducted:

a.         Document why the driver was not drug tested within 32 hours after the accident.

b.         A copy of the documentation must be submitted to the Superintendent upon return to the school district.

Date of Last Review:  August 12, 2019

Revised:  September 16, 2013

00955299