We Pride Ourselves In Maintaining A Drug Free Work Environment

DRUG TEST & BACKGROUND CHECK

Panda Roof has adopted its Drug-Free Workplace Policy. It is the firm belief of Panda Roof that providing a safe work environment free from the potential hazards that drug abuse may cause, is the right of every person directly or indirectly hired by us. Specifically, it is the policy of Panda Roof that the use, sale, purchase, transfer, possession or presence in one’s system (above established cutoff levels) of any unauthorized controlled substances (except properly taken medications prescribed by a licensed physician) by any employee while on company premises, while engaged in company business, while operating company equipment and vehicles (including leased vehicles), or while under the authority of the Company is strictly prohibited. Under the procedures adopted, employees may be required to submit to urinalysis upon the following employment events: Pre-Employment, Follow-up, Post-Accident, Random, and Reasonable Suspicion. Specific detail on the policy and attachments are being provided to you today by your manager. Please make sure that you receive one. We hope that with this action, Panda Roof asserts itself as a responsible workplace where its people feel safe, are happy and feel cared for.

ACKNOWLEDGMENT OF NOTICE

As a condition of continued service with Panda Roof, I understand and agree that the use, sale, purchase, transfer, possession or presence in my system (above established cutoff levels) of any unauthorized controlled substances (except properly taken medications prescribed by a licensed physician) while on company premises, while engaged in company business, while operating company equipment and vehicles (including leased vehicles), or while under the authority of the Company is strictly prohibited. I understand and agree that while I am working for Panda Roof that I may be required to submit to urinalysis “testing” for the detection of unauthorized controlled substances based upon reasonable suspicion, in conjunction with a prescribed rehabilitation program, following an on- the-job accident, prior to employment with Panda Roof after a job offer has been made or after an extended period of time off, such as medical leave, lay-off period, suspension or general leave of absence) or on a random basis. I understand that if we test positive, we will be interviewed by a Medical Review Officer (MRO) and allowed to submit medical information which I believe may explain the positive result. I further understand, that refusal to submit to testing when requested to do so by a Company supervisor will be considered a positive test result for the test(s) refused, and we will be subject to all prescribed requirements for the positive test. I understand if I am a job applicant and refuse a Pre-employment drug test I will not be hired by the Company. I, _______________________________ acknowledge receiving written notice of the Company’s Drug-Free Workplace Policy and agree that my information may also be used for a criminal background check for my company.

Signature:__________________________________________________ Date: __________
Business name_____________________________________________

Witness: __________________________________________________ Date: ___________

Appendix D

REFUSAL TO SUBMIT TO TESTING

I, _____________________________ acknowledge that I have been asked by a Company supervisor, _____________________________ to submit to urinalysis for the presence of unauthorized controlled substances in my body. I have refused to submit to such testing. I have been informed and I understand that my continued refusal to testing will be considered a positive test result for the test(s) refused, and I will be subject to all prescribed requirements for the positive test. I understand if I am a job applicant I will not be hired by the Company.

Signature:__________________________________________________ Date: ___________

Witness: __________________________________________________ Date: ___________

Other Documents