HomeMy WebLinkAbout106.045 - FD-31, Possible Substance Use Incident Form
ADMINISTRATIVE MANUAL
FORMS
106.045 POSSIBLE SUBSTANCE USE INCIDENT FORM
(FD-31)
EFFECTIVE: APRIL 2007
Current Revision Date: 12-19-18 Next Revision Date: 12-19-22
Author’s Name/Rank: Bradley J Dandridge, Captain Review Level: 1
PURPOSE
Establish responsibilities and procedures regarding the suspected misuse or
distribution and/or use of drugs and alcohol for members of the Fresno Fire
Department (FFD or Department). The intent is to address both illicit and
prescription medications FFD members may use during the course and scope of
employment which may impair judgment and the safe operation of vehicles and
equipment.
APPLICATION
This policy applies to all members of FFD who may use alcohol and all substances,
drugs, or medications, legal or illegal, which could impair an employee’s ability to
perform the functions of the job effectively and safely.
This procedure is not intended to apply to Department members who may be
exposed to alcohol or other controlled substances during the course of assigned
duties.
OPERATIONAL POLICY
FFD is committed to protecting the health and safety of its members and the public
from the hazards caused by the misuse of drugs and alcohol by its employees.
Two supervisors are to document specific observations on an FD-31 which
constitutes reasonable cause for drug/alcohol testing. Once completed, a copy of
this form is provided to the member.
The member shall be immediately informed of the supervisor’s suspicions and
advised that he/she may have a representative present. This notification procedure
shall be documented on the Incident Report Form. The delay in securing such
representation shall not exceed one hour from the time the member was ordered to
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submit to the drug/alcohol test. The member shall be permitted a period of time not
to exceed 15 minutes in which to confer with the representative upon arrival.
A supervisor shall document the specific objective factors constituting reasonable
cause for the drug/alcohol test on the Incident Report Form.
The member will be offered an opportunity to provide an explanation of his/her
condition, such as reaction to a prescribed drug, fatigue, etc.
Both supervisors shall sign and date the Incident Report Form.
The employee shall be provided with a copy of the Incident Report Form upon its
proper completion.
Before a drug and alcohol test is administered, members will be asked to sign a
consent form authorizing the clinic or laboratory to release the results of the testing
to the Risk Management Division. The consent form shall provide space for
employees and applicants to indicate current or recent use of prescription or over-
the-counter medication.
Unless there is an objective reason to believe the employee has altered a sample or
unless modified by agreement of the parties, individuals shall be allowed to provide
the required specimen in the privacy of a stall or otherwise partitioned area.
A job applicant who refuses to consent to a drug and alcohol test will be denied
employment with the City and will be removed from the appropriate eligible list.
A member, who refuses to consent to a drug and alcohol test when reasonable
cause of drug or alcohol use in violation of this policy has been identified, is subject
to disciplinary action up to and including termination. The reason for the refusal
shall be considered in determining the appropriate disciplinary action.
The supervisor and a responsible Battalion Chief are to forward memos through
channels to the Fire Chief documenting the incident.
OPERATIONAL GUIDELINE
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PROCESS
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INFORMATION
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DEFINITIONS
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CROSS REFERENCES
City of Fresno Administrative Order 2-25, Policy on Drug and Substance
Abuse
Standard Operating Procedures Manual, Section 203.007b, Drug Testing
Policy
Unit 5, Memorandum of Understanding
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FD-31
FRESNO CITY FIRE DEPARTMENT
POSSIBLE SUBSTANCE USE INCIDENT REPORT
Member Involved
Date of Incident Time of Incident
Member’s Job Position/Assignment
Has employee been notified of his/her right to union representation?
Yes No
Time Member’s Initials
Witnesses to Incident
What was Observed
What is Member’s Explanation
Action Recommended
Action Taken
1. Signature Title
2 . Signature Title
Date, Time, Action Taken , ,
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