Rapid Site Access Program
A proposed better alternative to Site Access Testing
AGENDA
•
Safety Moment and Welcoming
Remarks – Neil Tidsbury, CLR
2)
3)
Overview of RSAP – Sam Kemble, CLR
Case Management – Shirley Widlake, Organizational Health
Incorporated
Prevention Efforts – Ron Beach, AADAC
Break
4)
5)
AGENDA
2) Overview of RSAP – Sam Kemble, CLR
3)
4)
5)
Case Management – Shirley Widlake, Organizational Health
Incorporated
Prevention Efforts – Ron Beach, AADAC
Break
RSAP development…by industry
Stakeholders
Sean Casault
Lockerbie & Hole Industrial Inc.
Ron Cherlet
Construction Labour Relations
Peter Dunfield
Syncrude, Syncrude Canada Ltd.
Chester Fergusson
United Brotherhood of Carpenters,
Joiners and Allied Workers of America,
Local #1325
Carmen Mossing
Kellogg Brown & Root (Canada) Co.
Martyn Piper
Alberta Regional Council of
Carpenters
Sandy Ritchie
PCL Industrial Constructors Inc.
Deloris Rushton
Kellogg Brown & Root (Canada) Co.
Shabbir Hakim/Kevin Pretty
Jacobs Catalytic Ltd.
Wally Semkowich
Kellogg Brown & Root (Canada) Co.
Sam Kemble
Construction Labour Relations
Bill Spring
Insulators, Local 110
Roland LaBossiere
Kellogg Brown & Root (Canada) Co.
Gary Truhn
PCL Industrial Constructors Inc.
Dan McBride
Jacobs Catalytic Ltd.
Elana Yule
Jacobs Catalytic Ltd.
RSAP development…reliance on expert
consultations and professionals
Independent Consultants
Dr. Brendan Adams, MOST
Barb Butler, Butler Consultants
George Grant, Access Consultants
Ron Beach, AADAC
Legal Counsel
Phil Ponting, McLennan Ross
Yvon Seveny, Blair Chahley Seveny
Prevention Team
Industry participants
Training providers
AADAC
Wilson Banwell Human Solutions TM
Third Party Case Administration
Organizational Health Incorporated
Substance Abuse Expert Team
Wilson Banwell Human Solutions TM
Testing Administrator
Mobile Industrial Health Incorporated
Treatment Team
Wilson Banwell Human Solutions TM
AADAC
Community Resources
Twelve Step Fellowships
Attending Physicians etc
RSAP From Worker’s Perspective
Start
Here
MICROSOFT
CORPORATION
$
Signs Voluntary
Participation
Agreement
$
Submits to Pre-enrollment
Test or uses Pre-Access
Test to Qualify for RSAP
Treatment/Education
Takes Dispatch
to Participating Site
Signs Return to Work Agreement
with Third Party Case Administration
Substance Abuse
Assessment
Proceeds Directly
to Site
Negative
Third Party Case Administration
refers to SAE
Submits to Random Test
Non-Negative
Page 1
Safety Controls of the Program
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•
•
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•
Prevention
Communication of expectations
Education
Monitoring for compliance
Treatment and aftercare support
Consequences
Advantages from Union/Employer
and Owner Perspective
• Safety performance
expected to improve
– random testing is more
effective in achieving safety
objective
• Consistent application
based on objective
standards
• Compliance frameworks
– Non-negatives are not
“lost”
– Put pressure in individuals
to make a decision
• Economics
– Expedited dispatch
– Less expense in testing,
more investment in
compliance
– Testing on work time, but
worker returns to work after
submitting sample
AGENDA
3) Case Management – Shirley Widlake,
Organizational Health Incorporated
4)
5)
Prevention Efforts – Ron Beach, AADAC
Break
Organizational Health
Incorporated
RSAP Third Party
Case Administration
Leaders in integrated, disability care
management services.
About OHI
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Core Business: DM , EFAP and Wellness
Multi- disciplinary Health Professionals
Privacy and Confidentiality a Cornerstone
Focuses on Outcomes and Fitness for Work
Based in Western Canada, work Nationally
Privately owned and operated
Personal and quality focused
Our Strategy
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Our clients- all RSAP registered partners
Privacy Protected within RSAP boundaries
Total case management services
Linkage between registering participants, testing
administrator, medical review officer, substance
abuse expert (SAE) team, and treatment team
Integration with all providers to ensure all partners
receive RSAP procedural services
OHI Objective for

To provide case management services that ensure RSAP
participants and providers receive...
Prompt Confirmation of active/inactive status for
dispatch
 Prompt Member Contact & Referral
 Supportive monitoring of in-active members for
compliance of SAE recommendations
 Determination of fitness to safely RTW
 Opt-in, Random pool and follow up list for testing
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Registrations
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Profiles received by OHI for all registering
participants: contractors, unions, owners
and voluntary opt-in workers

Contractor, owner and union information
provided to OHI from CLRA
Registrations cont’d…
Worker registration signed form submitted
(faxed) to OHI
 OHI confirms eligibility as per opt-in
requirements (test results)
 OHI confirms applicant a participant and
registers worker on RSAP list
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Confirming Active Status
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OHI electronically updates Active/Inactive
Status
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If not on list and questions contact OHI
Testing
Testing Administrator contacted for: opt-in
participants with no results, monthly
random draw, return to work and follow-ups
 MRO Test Results Report received by OHI
 Results lead to updating Active/Inactive
Status
 Test results provided to SAE

Case Management cont’d…
Prompt contact made with RSAP members
with non-negative test results
 Referrals made to SAE for assessment and
treatment recommendations
 SAE recommendations received
 Contractor contacted if any time off work
required and estimated time off to comply
with SAE recommendations
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OHI Case Management
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Also notification is received from testing
administrator of any member who has been tested
on site and deemed unsafe to RTW for that shift
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Further information gathered and next steps
planned, contractor contacted re status
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MRO results received
OHI Case Management cont’d…
Manages delivery of SAE recommendations
with all treatment providers
 Develops comprehensive after care program
to support compliance with Canadian Model
 Develops a signed RTW agreement
 Contacts employer re active status and any
limitations
 Updates Active/Inactive list

RSAP Continuum of OHI Services
Active Status (Negative)
Test Results
Inactive Status (Positive)
Active
Inactive
Random Pool
OHI Referral to SAE
Active if Negative
SAE Report to OHI
Case Management
Return to Active Status
Follow Up Testing
Scenario 1-Tom
Sends in signed registration form
 Provides negative testing results (90 days)
 Now Active Participant – Dispatch eligible
 Is entered in random pool for testing
 Remains active as long as negative
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Scenario 2- Joe
Signed registration form received by OHI
 Unable to provide testing results (90 days)
 Referral made to MHIS for testing
 MRO reports non-negative results
 Inactive RSAP Status
 OHI contacts Joe and referral made to SAE
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Scenario 2- Joe …
SAE recommendations followed up by OHI
 Joe is compliant with recommendations
 Return to work testing results negative
 Signed Return to Work Plan with OHI
 Employer contacted and RSAP Status
updated to Active
 Follow up testing-remains active if negative
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Scenario 3- Don
Don has Active RSAP Status
 On a Random Pool Testing has NonNegative Results
 Contractor notified by MHIS, Don is unsafe
to RTW and OHI notified
 OHI case management begins, info gathered
 RSAP status changed to Inactive
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Scenario 3- Don
Don contacted and referral made to SAE
 SAE Recommendations followed up
 Cleared to RTW with limitations- Active
 Follow up testing done
 Third follow up test is non-negative
 Status changed to inactive and process
repeated
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Scenario 3- Don
Don submits written request to opt-out
 Currently not employed with a participant
contractor
 However, Don cannot opt-out as has not
complied with program requirements
 Don remains inactive on RSAP list until he
completes requirements
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OHI contacts for:
 RSAP@orghealthinc.com
 www.orghealthinc.com
 1-800-476-6640
ext 2229
 Fax 780-429-1747
 or 1-888-429-1747
Congratulations to …
All who contributed to development of the
Rapid Site Access Program and
 Wishing all Participants Success in
Implementation of this Pilot
 Questions?

AGENDA
4) Prevention Efforts – Ron Beach, AADAC
5)
Break
Workplace Prevention Resources
•Crystal Cleland
Prevention and Addictions Counsellor
AADAC Adult Services
•Ron Beach
AADAC Provincial Prevention Consultant
Outline
AADAC services for the workplace
New resources
New worker orientation
AADAC: Making a difference
Our Vision: A healthy
society that is free from
the harmful effects of
alcohol, other drugs and
gambling.
AADAC Services
Confidential
No cost to all Albertans
Out-patient services
Residential Services
Detoxification services
1-866-33AADAC Help Line.
aadac.com
Supporting Fitness for Work
Fitness for Work : The need to show
up fit to do your job
Well rested
Wearing required safety
gear
Able to focus and work
safely
Come to work with no
traces of alcohol or
drugs in your system
Impairment
A state of body or mind that
causes a worker to become
a hazard to themselves or
others
Some causes of Impairment
Stress
Being tired
Alcohol or other drug use
Alcohol or drug use can affect
fitness for work
Ways that substance use can
affect the workplace
Individual
Greater risk for injury
Sick more often
Lost wages
Demotion or loss of job
Co-workers
Unsafe work
environment
Having to cover for coworker
Increased stress
Reduced morale
There is a balance between your life
and work
Your alcohol or drug use
can affect this balance
Drugs
A drug is any substance
that can be taken into the
body and changes the
way the mind or body
works
Alcohol
Positives
Negatives
May relax you
Affects judgment and
vision
Socially acceptable
Makes you less cautious
legal
Cannabis
Positives
Negatives
May feel relaxed or high
Trouble concentrating
Cocaine
Positives
Negatives
Increased feelings of
energy, well- being and
excitement
Paranoid thoughts
Violent behavior
Seizures and vomitting
Gambling
Positives
Negatives
Entertainment
All gambling involves risk
Stress of losing more
than intended
Losses add stress to
other areas of life
including work
Chance of winning
Lower your chances of developing
a gambling problem
Limit the time and money
you spend gambling
Don’t spend your
winnings on gambling
Continue with other
social opportunities
What is the fastest way to sober up ?
There isn't one
The only thing that will
sober up a drinker is
time
If you choose to drink or use
substances: take responsibility for
your actions
Alcohol and drug use can impair your
judgment and reflexes
Makes operation of machinery unsafe
You will be more likely to injure yourself or
others
Ways to stay healthy and be fit for
work !
Eat well, exercise regularly
and get enough sleep
Find healthy ways to deal
with stress
Reduce or stop behaviors
that puts your health at risk
like smoking or alcohol and
drug abuse
Learn more by calling
1-866-33AADAC Help Line.
AGENDA
5) Break
6)
7)
Assessments and Recommendations – John Streukens, Wilson
Banwell Human Solutions™
Substance Testing – Eunice Friesen, Mobile Industrial Services Ltd.
AGENDA
6) Assessments and Recommendations –
John Streukens, Wilson Banwell Human
Solutions™
Substance Testing – Eunice Friesen, Mobile Industrial Services Ltd.
Information Systems and Use of Personal Information – Sam Kemble,
CLR
9)
Dispatch – Bill Spring Insulators, Local 110
10) Contractor Protocols - confirming active status at point of dispatch and
chain of custody requirements for on site random testing – Roland
LaBossiere, KBR
11) Question Period
7)
8)
SAE Protocols/ Process
SAE Process
• What Can I Expect?
A qualified expert in addictions
• A competent standardized assessment
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MAST/DAST
• DSM-IV Diagnostics
• Clinical Interview
• Recommendations based upon diagnostics
• Standardized Reporting
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
Possible Diagnosis
• Alcohol Social/ Substance Social
• Alcohol Abuse/ Substance Abuse
• Alcohol Dependence/ Substance
Dependence
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
Typical Recommendations: Abuse
1.
2.
3.
4.
5.
6.
Abstinence from all illicit or non-prescribed mood-altering
substances (as per company policies)
One- six session on Alcohol/ Substance Impacts with an
appropriately trained clinician or Approved Community
Resource
Appropriate use of beverage alcohol:
3&3 or 2&5 (male)
2&3 or 1&5 (female)
Any problems with alteration of alcohol use requires reassessment
Substance Testing: 12 months (place a number based upon
level of concern)
Obtain a negative drug screen prior to work re-assignment
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
Typical Recommendations:
Dependence
1.
2.
3.
4.
5.
6.
7.
8.
Detoxification (if required)
Inpatient (if required)
Medical evaluation with GP (if required)
Abstinence from all illicit or non-prescribed mood-altering
substances (inclusive of alcohol)
Regular and ongoing attendance at an appropriate 12step group at a rate of 2-3 meetings per week for the first
year
Short-term relapse prevention work with a qualified
clinician
Substance Testing: 24 months (place a number based
upon level of concern)
Obtain a negative drug screen prior to work reassignment
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
Relapse Processes
• Factors influencing relapse (noncompliance, stresses, lax attitudes)
• Factors influencing the recommended
outcomes of a relapse (reason for
relapse, stage of recovery)
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
SAE Process
• What happens when I receive a positive
test or performance based referral?
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Contact OHI
Call the 1-800 Wilson Banwell Client
Service Center
Attend the assessment
Review the recommendations with the
assessing SAE clinician
Receive a client copy report
Follow the recommendations
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
SAE Process
• What goes into an SAE report
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Name, date, reason for referral
Summary statement & Diagnosis
Recommendations
Fitness for work statement
Substance testing post-assessment (this
information is excluded from the client
report)
Wilson Banwell PROACT Human SolutionsTM
www.humansolutions.ca
AGENDA
7) Substance Testing – Eunice Friesen,
Mobile Industrial Services Ltd.
Information Systems and Use of Personal Information – Sam Kemble,
CLR
9)
Dispatch – Bill Spring Insulators, Local 110
10) Contractor Protocols - confirming active status at point of dispatch and
chain of custody requirements for on site random testing – Roland
LaBossiere, KBR
11) Question Period
8)
Mobile Industrial Health Services
Experience ▪ Respect ▪ Integrity
Onsite Collections
Day of Testing

MIHS will contact the contractor site
supervisor upon arrival at the site
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Site supervisor must immediately escort the
individuals down to the collection facility
Supervisor Responsibilities
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Escort the requested individual/s
immediately to the collection facility
Do not allow the donor/s to eat, drink, or put
anything in his or her mouth on the way to the
collection facility
Do not allow the donor to stop at his or her
locker, or collect anything from a backpack,
etc.
Worker Responsibilities
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Cooperate with testing process as directed by
collector
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Identified by supervisor
Removing bulky outerwear
Emptying pockets
Fluids as directed
Patience during shy bladder protocol
Collection Procedure
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Complete in about 15 minutes unless shy
bladder
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Breath alcohol test will be completed first
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Urine drug collection completed last
Breath Alcohol Test
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Evidentiary Breath Tester (EBT)
If alcohol level is greater than .020, a
confirmation test will be done not less than 15
minutes after the first
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Donor may not eat, drink, smoke, put anything in
his/her mouth during the 15-minute wait time
The confirmation result will be reported
Positive Alcohol Confirmation
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The collector will inform the company contact
that the employee
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Requires safe transportation back to his or her
lodging
Is not to return to duty until contacted by OHI
The collector will inform OHI as soon as is
reasonably practicable
Urine Drug Collection
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Minimum of 45 mL is required
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Standard integrity check will be applied
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Specimen discarded if insufficient quantity
temperature, behaviour, sounds, colour, odour,
consistency of the specimen
Donor and collector maintain visual contact
with the specimen until it is sealed
Urine Drug Collection cont’d
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Specimen is split into two containers and
sealed with tamper-evident , numbered seals
Donor and collector maintain visual contact
with the specimen until it is sealed
Donor and collector sign Chain of Custody
form (COC)
Donor is given copy 5 of COC
Donor may leave collection site
Integrity Fail
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Specimen is split into two containers and
sealed with tamper-evident , numbered seals
Donor and collector maintain visual contact
with the specimen until it is sealed
Donor and collector sign Chain of Custody
form (COC)
Shy bladder protocol initiated
Shy Bladder Protocol
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Total of three hours will be given (four
attempts)
Donor may be given 10 – 15 oz of water after
each attempt
Donor will be asked to attempt to provide a
specimen approximately hourly
Donor must not leave the collection facility
until the collection is complete
Refusal to Test
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Failure to cooperate with the testing process
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Refusal to empty pockets, remove outerwear
Leaving the collection facility before
completion of the testing process
Refusal to provide a sample
Adulterated or substituted sample, or no
medical reason for providing insufficient
quantity (MRO will determine)
Laboratory Testing
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Maxxam Analytics
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SAMHSA certified
Follows strict chain-of-custody procedures
Non-negative results are verified and
quantified using gas chromotography/mass
spectromatography (GC/MS)
Result is reported to Medical Review Officer
(MRO)
Final Reporting

MRO has 48 hours to contact the donor to
discuss result

MRO reports final result to OHI
AGENDA
8) Information Systems and Use of Personal
Information – Sam Kemble, CLR
9)
Dispatch – Bill Spring Insulators, Local 110
10) Contractor Protocols - confirming active status at point of dispatch and
chain of custody requirements for on site random testing – Roland
LaBossiere, KBR
11) Question Period
Privacy
• Privacy impact assessment
• Against RSAP Procedural Rules to
use, disclose, or retain information
collected through the program for any
purpose other than RSAP
administration
AGENDA
9) Dispatch – Bill Spring Insulators, Local
110
10) Contractor Protocols - confirming active status at point of dispatch and
chain of custody requirements for on site random testing – Roland
LaBossiere, KBR
11) Question Period
AGENDA
10)Contractor Protocols - confirming active
status at point of dispatch and chain of
custody requirements for on site random
testing – Roland LaBossiere, KBR
11) Question Period
Contractor Responsibilities to RSAP
•Register
•Identify company designated contact
•Check log in page
Contractor Responsibilities to RSAP
•Only hire individuals from the Active List
•Assist in facilitating testing
–Random testing
–Follow-up testing
Contractor Process for Testing
•Notification of random test list
•Provide supervisor contact information
•Collector contact supervisor to start
collection process
Contractor Supervisor Responsibilities
• Supervisor meet with worker confidentially to
advise that their name has been drawn in the RSAP
random pool list
• Formally request the worker to participate in the
request to provide a random alcohol and drug
sample
Worker AGREES to test
• If the worker agrees, escort the worker to the
collection site
• The worker must remain in the care and control
of the designated supervisor who will turn over
the care and control to the facilitating collector
– Training of participating supervision is required
– Individual not to leave the supervisor to go to the
lunchroom, bathroom or into an office
• Worker provides sample and returns to work
Worker AGREES to test
• Supervisor reports to Company Administrator
completion of test
• Third Party Administrator reports non-compliance
and required follow up to the Company
Administrator
Worker REFUSES to test
• Supervisor advises worker they are in noncompliance of the RSAP program
• Worker is taken off site
• Referred to Third Party Administrator
• Supervisor advise facilitating collector and
company administrator
Worker REFUSES to test
• Company administrator advises Third Party
Administrator
• Third Party Administrator will register the worker as
inactive and continue with their process
Contractor Responsibilities
• Testing on work time
• Honor the requirements to remove worker from site
• Use care on issuing record of employment
• Last employer given first opportunity to re-employ
worker
AGENDA
11)Question Period
12) Break for Lunch
Rapid Site Access Program
A proposed better alternative to Site Access Testing